Aurora Medical Center Summit
36500 Aurora Dr, Summit, WI · Aurorahealthcare · · NPI 1699008029
Published prices by procedure
Cash price is what you pay without insurance. The negotiated range spans the lowest to highest rate this hospital agreed with insurers.
| Procedure | Cash price | Gross charge | Negotiated range | Payers |
|---|---|---|---|---|
| Chest X-ray CPT 71046 | $125.00 | $250.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $110.00 | $220.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $190.00 | $380.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $645.00 | $1,290.00 | not published | 0 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $275.00 – $462.00 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $165.97 – $728.10 | 16 |
| Chimerism anal w/cell select CPT 81268 | $1,600.00 | $3,200.00 | $208.63 – $915.26 | 16 |
| Chlamydia culture CPT 87110 | $80.00 | $160.00 | $15.68 – $68.79 | 16 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.58 – $42.06 | 16 |
| Chlamydia type CPT 87140 | $22.50 | $45.00 | $4.46 – $19.55 | 16 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $16.04 – $70.37 | 16 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $34.27 – $150.35 | 16 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $46.70 – $74.43 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $0.01 – $31.58 | 3 |
| Chloride CPT 82435 | $32.50 | $65.00 | $3.68 – $16.14 | 16 |
| Chloride 24 hour urine CPT 82436 | $55.00 | $110.00 | $4.60 – $20.19 | 16 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.30 – $0.47 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.59 | $1.18 | $0.03 – $0.08 | 11 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $1.48 | 12 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $32.48 – $147.53 | 12 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $27.71 – $74.37 | 12 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.34 – $0.54 | 3 |
| Cholangiogram percutaneous compl CPT 47532 | $1,885.00 | $3,770.00 | not published | 0 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $635.00 | $1,270.00 | not published | 0 |
| Cholecystostomy complete w/supervision & interpretation CPT 47490 | $2,645.00 | $5,290.00 | not published | 0 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $275.00 – $462.00 | 3 |
| Cholesterol CPT 82465 | $52.50 | $105.00 | $3.48 – $15.26 | 16 |
| Cholesterol body fluid CPT 84999 | $62.50 | $125.00 | $44.82 – $44.82 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $125.00 | $250.00 | $10.71 – $47.00 | 16 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $7,650.00 | 4 |
| Cholinesterase CPT 82480 | $300.00 | $600.00 | $6.30 – $27.61 | 16 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.25 – $48.00 | 12 |
| Chrom analysis CPT 88273 | $245.00 | $490.00 | $27.85 – $122.17 | 16 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $17.16 – $136.87 | 16 |
| Chromatography CPT 83021 | $57.50 | $115.00 | $14.45 – $63.38 | 16 |
| Chromogenic substrate assay CPT 85130 | $137.50 | $275.00 | $9.51 – $41.72 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | not published | not published | $45.63 – $200.18 | 16 |
| Chromosome analys amniotic CPT 88269 | $635.00 | $1,270.00 | $138.93 – $609.47 | 16 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $138.54 – $607.76 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $640.00 | $1,280.00 | $100.39 – $440.42 | 16 |
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $138.54 – $607.76 | 16 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $120.23 – $527.46 | 16 |
| Chromosome analysis 5 CPT 88261 | $455.00 | $910.00 | $211.47 – $927.72 | 16 |
| Chromosome analysis 50-100 CPT 88248 | $405.00 | $810.00 | $138.54 – $607.76 | 16 |
| Chromosome analys placenta CPT 88267 | $720.00 | $1,440.00 | $150.86 – $661.79 | 16 |
| Chromosome banding study CPT 88283 | $235.00 | $470.00 | $54.88 – $240.75 | 16 |
| Chromosome count additional CPT 88285 | $82.50 | $165.00 | $21.53 – $94.44 | 16 |
| Chromosome karyotype study CPT 88280 | $100.00 | $200.00 | $26.78 – $117.47 | 16 |
| Chromosome study additional CPT 88289 | $117.50 | $235.00 | $27.54 – $120.84 | 16 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.97 – $43.74 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $145.00 | $290.00 | $49.20 – $215.84 | 16 |
| Cidofovir injection HCPCS J0740 | not published | not published | $301.10 – $835.31 | 13 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.96 – $17.57 | 12 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $1,345,216.74 | 10 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.03 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | $35.65 | $71.29 | $0.85 – $2.33 | 12 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $27.18 – $43.32 | 3 |
| Circumcision (newborn) CPT 54150 | $120.00 | $240.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.37 – $6.56 | 12 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,425.00 | $2,850.00 | $263.61 – $1,156.44 | 16 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $10.20 – $34.95 | 13 |
| Clearance of airways CPT 31720 | $70.00 | $140.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $25.93 | $51.85 | $1.61 – $5.21 | 11 |
| Clip ligating vesolock lg HCPCS C1760 | $2,631.20 | $5,262.40 | not published | 0 |
| Cllr miami j sm HCPCS L0174 | $70.00 | $140.00 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.46 – $151.68 | 13 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $16.20 – $40.84 | 12 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.80 – $56.16 | 16 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $15.14 – $66.44 | 16 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $16.34 – $71.67 | 16 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $15.14 – $66.44 | 16 |
| Clot factor xii hageman CPT 85280 | $170.00 | $340.00 | $15.48 – $67.90 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $7.29 – $31.97 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $105.00 | $210.00 | $13.07 – $57.35 | 16 |
| Clotting assay whole blood CPT 85396 | $172.50 | $345.00 | $16.74 – $36.39 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.62 – $0.99 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $11.26 – $49.39 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.04 – $30.89 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $15.65 – $68.65 | 16 |
| Cmv ig IV CPT 90291 | not published | not published | $1,756.85 – $2,951.51 | 3 |
| Cmv pcr-sendout CPT 87496 | $170.00 | $340.00 | $28.07 – $123.15 | 16 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $109.60 – $480.81 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.52 – $6.22 | 13 |
| Coagulation time activated teg CPT 85347 | $22.50 | $45.00 | $3.42 – $15.02 | 16 |
| Coagulation time lee & white CPT 85345 | not published | not published | $3.75 – $16.46 | 16 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.59 – $15.76 | 16 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.47 – $2.34 | 3 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.15 – $3.44 | 3 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $71.60 – $218.22 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.01 – $0.01 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $536.66 – $1,271.31 | 10 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $6.46 – $28.33 | 16 |
| Cold agglutinin titer CPT 86157 | $50.00 | $100.00 | $6.45 – $28.30 | 16 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.94 – $29.67 | 12 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $70.89 – $172.96 | 13 |
| Collagen based wound filler HCPCS A6010 | $60.00 | $120.00 | not published | 0 |
| Collagen dressing <=16 sq in HCPCS A6021 | $42.50 | $85.00 | not published | 0 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $60.00 | $120.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $12.50 | $25.00 | not published | 0 |
| Collar cerv adlt perfit ace extric HCPCS L0140 | $22.50 | $45.00 | not published | 0 |
A missing value means the hospital did not publish that price — it never means the price is zero. Real bills can add facility fees, supplies and professional fees; see our methodology.