Aurora Medical Center Manitowoc
5000 Memorial Dr, Two Rivers, WI · Aurorahealthcare · · NPI 1477508687
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 |
|---|---|---|---|---|
| 11-desoxycortisol - sendout CPT 82634 | not published | not published | $23.42 – $102.75 | 16 |
| 17-hydroxypregnenolone CPT 84143 | not published | not published | $18.25 – $80.06 | 16 |
| 17-ketosteroids CPT 83586 | not published | not published | $10.24 – $44.93 | 16 |
| 2019-ncov diagnostic p HCPCS U0001 | not published | not published | $28.73 – $116.38 | 14 |
| 2vhpv vaccine 3 dose im CPT 90650 | not published | not published | $0.01 – $222.75 | 3 |
| 3d ech img cgen car anomal CPT 93319 | $460.00 | $920.00 | not published | 0 |
| 3-d radiotherapy plan CPT 77295 | $5,300.00 | $10,600.00 | not published | 0 |
| 3d recon without postprocess indpndt CPT 76376 | $255.00 | $510.00 | not published | 0 |
| 5% dextrose and 0.45% saline HCPCS S5010 | not published | not published | $7.58 – $12.09 | 3 |
| 5% dextrose with potassium HCPCS S5012 | not published | not published | $4.56 – $7.28 | 3 |
| 5' nucleotidase - sendout CPT 83915 | $62.50 | $125.00 | $8.92 – $39.14 | 16 |
| 88334 ap bill cytologic exam each additional site CPT 88334 | $57.50 | $115.00 | $46.19 – $55.44 | 2 |
| Abatacept (with maltose) 250 mg intravenous solution HCPCS J0129 | not published | not published | $43.38 – $106.86 | 13 |
| #a/b/c/c/h pnl-candida albicans ab CPT 86628 | $62.50 | $125.00 | $9.61 – $42.15 | 16 |
| Abciximab injection HCPCS J0130 | not published | not published | $0.01 – $2,283.54 | 4 |
| Abdominal CT scan (with and without contrast) CPT 74170 | $2,305.00 | $4,610.00 | not published | 0 |
| Abdominal CT scan (with contrast) CPT 74160 | $1,570.00 | $3,140.00 | not published | 0 |
| Abdominal CT scan (without contrast) CPT 74150 | $1,470.00 | $2,940.00 | not published | 0 |
| Abdominal MRI (with and without contrast) CPT 74183 | $3,265.00 | $6,530.00 | not published | 0 |
| Abdominal MRI (without contrast) CPT 74181 | $2,110.00 | $4,220.00 | not published | 0 |
| Abdominal paracentesis w/image guidance CPT 49083 | $690.00 | $1,380.00 | not published | 0 |
| Abdominal Ultrasound (complete) CPT 76700 | $515.00 | $1,030.00 | not published | 0 |
| Abdominal Ultrasound (limited) CPT 76705 | $387.50 | $775.00 | not published | 0 |
| Abd paracentesis/w/o image guide 49082 CPT 49082 | $560.00 | $1,120.00 | not published | 0 |
| Abl1 gene CPT 81170 | $805.00 | $1,610.00 | $240.00 – $1,052.88 | 16 |
| Ablat 1/+thyr ndul addl prq rf CPT 60661 | $1,775.00 | $3,550.00 | not published | 0 |
| Ablation of upper extremity nerves rf CPT 64999 | $1,245.00 | $2,490.00 | not published | 0 |
| Abltj 1/+thyr ndul 1lobe prq CPT 60660 | $3,550.00 | $7,100.00 | not published | 0 |
| Abobotulinumtoxina HCPCS J0586 | not published | not published | $8.53 – $20.80 | 13 |
| Abscess drain retroperitoneal surg code CPT 49406 | $2,890.00 | $5,780.00 | not published | 0 |
| Absorpt drg <=16 sq in without b HCPCS A6251 | $5.00 | $10.00 | not published | 0 |
| Absorpt drg > 48 sq in without b HCPCS A6253 | $7.50 | $15.00 | not published | 0 |
| Acetaminophen 10 mg/ml soln 100 ml glass cont HCPCS J0131 | not published | not published | $0.04 – $0.12 | 11 |
| Acetaminophen level CPT 80143 | $157.50 | $315.00 | $14.91 – $65.43 | 15 |
| Acetazolamide 500 mg solution for injection HCPCS J1120 | $31.33 | $62.65 | $19.06 – $52.75 | 12 |
| Acetone qualitative CPT 82009 | not published | not published | $3.62 – $15.86 | 16 |
| Acetylcholine receptor modulating antibody CPT 86043 | $62.50 | $125.00 | $9.64 – $39.04 | 13 |
| Acetylcholinesterase assay CPT 82013 | $157.50 | $315.00 | $9.83 – $43.12 | 16 |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution HCPCS J0132 | not published | not published | $0.45 – $2.32 | 12 |
| Acetylcysteine non-comp unit HCPCS J7608 | not published | not published | $7.77 – $19.88 | 12 |
| Aco cont gluc mnt phys/qhp eqp 95250aco CPT 95250 | $420.00 | $840.00 | not published | 0 |
| Acth stimulation panel CPT 80402 | not published | not published | $69.57 – $305.20 | 16 |
| Acth stimulation panel CPT 80406 | not published | not published | $62.61 – $274.66 | 16 |
| Actigraphy testing CPT 95803 | $295.00 | $590.00 | not published | 0 |
| Acute hepatitis panel CPT 80074 | $322.50 | $645.00 | $38.10 – $167.16 | 16 |
| Acyclovir 5 mg/ml in ns IV syringe (neo/ped) - cnr HCPCS J0133 | not published | not published | $0.03 – $0.12 | 12 |
| #acylcarnitineprfl CPT 82017 | $225.00 | $450.00 | $13.50 – $59.21 | 16 |
| Acylcarnitines qual CPT 82016 | not published | not published | $13.19 – $57.88 | 16 |
| Adenosine 3 mg/250 ml bag for osm HCPCS J0153 | not published | not published | $0.33 – $1.16 | 12 |
| Adenovirus ag ia CPT 87301 | not published | not published | $9.58 – $42.06 | 16 |
| Adenovirus antibody,serum - quest CPT 86603 | $77.50 | $155.00 | $10.30 – $45.17 | 16 |
| Adenovirus assay w/optic CPT 87809 | not published | not published | $17.41 – $76.37 | 16 |
| Adh-sendout CPT 84588 | $170.00 | $340.00 | $27.15 – $119.12 | 16 |
| Admelog u-100 insulin lispro 100 unit/ml subcutaneous solution HCPCS J1815 | $13.45 | $26.89 | $0.22 – $1.42 | 4 |
| Administration chemotherapy IV infusion each additional hour CPT 96415 | $235.00 | $470.00 | not published | 0 |
| Administration chemotherapy IV infusion each addl sequential infusion diff substance/drug >1 hr CPT 96417 | $235.00 | $470.00 | not published | 0 |
| Administration chemotherapy IV infusion up to 1 hour single/initial substance/drug CPT 96413 | $470.00 | $940.00 | not published | 0 |
| Administration chemotherapy IV push single/initial substance/drug CPT 96409 | $272.50 | $545.00 | not published | 0 |
| Administration chemotherapy subcutaneous/im anti neoplastic non hormonal CPT 96401 | $147.50 | $295.00 | not published | 0 |
| Administration immunization 1 vaccine CPT 90471 | $32.50 | $65.00 | not published | 0 |
| Administration immunization each additional vaccine CPT 90472 | $15.00 | $30.00 | not published | 0 |
| Ado-trastuzumab emtansine 100 mg intravenous solution HCPCS J9354 | not published | not published | $40.45 – $99.96 | 13 |
| Adrenalin epinephrine inject HCPCS J0171 | $5.72 | $11.43 | $0.73 – $1.86 | 12 |
| Aep hearing status deter i&r CPT 92651 | $147.50 | $295.00 | not published | 0 |
| Afamelanotide implant, 1 mg HCPCS J7352 | not published | not published | $2,853.35 – $4,820.39 | 3 |
| _afb id by dna probe rflx ast CPT 87149 | $80.00 | $160.00 | $16.04 – $70.37 | 16 |
| #afb mycobacteria suscep. #1 CPT 87190 | not published | not published | $5.85 – $25.66 | 16 |
| _afb org id by sequencing rflx ast-sendout CPT 87153 | $785.00 | $1,570.00 | $92.29 – $404.86 | 16 |
| Aff2 gen aly detc abnl allel CPT 81171 | not published | not published | $109.60 – $480.81 | 16 |
| Aff2 gen alys charac alleles CPT 81172 | not published | not published | $219.86 – $964.54 | 16 |
| Aflibercept injection HCPCS J0178 | not published | not published | $795.86 – $1,954.60 | 13 |
| Afluria vacc, 3 yrs & >, im HCPCS Q2035 | not published | not published | $0.01 – $29.14 | 5 |
| Agalsidase beta 35 mg intravenous solution HCPCS J0180 | not published | not published | $222.84 – $545.38 | 13 |
| Ag detect nos ia single CPT 87450 | not published | not published | $28.31 – $28.31 | 1 |
| Airway resistance by impulse oscillometry 94728 CPT 94728 | $240.00 | $480.00 | not published | 0 |
| Albumin body fluid quantitative each specimen CPT 82042 | $47.50 | $95.00 | $6.22 – $27.30 | 16 |
| Albumin (human), 25%, 50ml HCPCS P9047 | $91.24 | $182.48 | $53.08 – $129.51 | 12 |
| Albumin, human 25 % intravenous solution HCPCS P9046 | not published | not published | $21.23 – $51.80 | 13 |
| Albumin (human), 5%, 250 ml HCPCS P9045 | $108.98 | $217.95 | $53.08 – $129.51 | 13 |
| Albumin, human 5 % intravenous solution HCPCS P9041 | not published | not published | $10.62 – $50.18 | 12 |
| Albumin ischemia modified CPT 82045 | not published | not published | $27.15 – $119.12 | 16 |
| Albumin (microalbumin) 24 hour urine quantitative CPT 82043 | $62.50 | $125.00 | $4.62 – $20.28 | 16 |
| Albumin serum plasma or whole blood CPT 82040 | $37.50 | $75.00 | $3.96 – $17.37 | 16 |
| Albuterol comp con HCPCS J7610 | not published | not published | $1.16 – $1.85 | 2 |
| Albuterol comp unit HCPCS J7609 | not published | not published | $0.48 – $0.77 | 3 |
| Albuterol ipratrop non-comp HCPCS J7620 | not published | not published | $0.19 – $0.45 | 12 |
| Albuterol non-comp con HCPCS J7611 | not published | not published | $0.16 – $0.39 | 12 |
| Albuterol non-comp unit HCPCS J7613 | not published | not published | $0.06 – $0.18 | 12 |
| Alcohol (ethanol) any specimen except urine/breath CPT 82077 | $112.50 | $225.00 | $13.82 – $60.61 | 15 |
| Aldesleukin injection HCPCS J9015 | not published | not published | $5,301.26 – $8,493.75 | 4 |
| Aldosterone suppression eval CPT 80408 | not published | not published | $100.40 – $440.45 | 16 |
| Alefacept HCPCS J0215 | not published | not published | $0.01 – $62.46 | 2 |
| Alemtuzumab 12 mg/1.2 ml intravenous solution HCPCS J0202 | not published | not published | $2,337.69 – $5,888.59 | 13 |
| Alginate dressing <=16 sq in HCPCS A6196 | $11.17 | $22.33 | not published | 0 |
| Alginate drsg >16 <=48 sq in HCPCS A6197 | $20.00 | $40.00 | not published | 0 |
| Alginate drsg wound filler HCPCS A6199 | $15.12 | $30.23 | not published | 0 |
| Alglucerase injection HCPCS J0205 | not published | not published | $0.01 – $63.05 | 2 |
| Alglucosidase alfa injection HCPCS J0220 | not published | not published | $0.01 – $310.05 | 2 |
| Alkaline phosphatase CPT 84075 | $65.00 | $130.00 | $4.14 – $18.18 | 16 |
| Allergen alpha lactalbumin ige CPT 86008 | $15.00 | $30.00 | $14.34 – $62.93 | 16 |
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.