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 |
|---|---|---|---|---|
| Cyclic citrullinated peptide antibody CPT 86200 | $80.00 | $160.00 | $10.36 – $45.45 | 16 |
| Cyclophosphamide 100 mg inj HCPCS J9070 | not published | not published | $23.93 – $60.46 | 2 |
| Cyclophosphamide 1 gram intravenous powder for solution HCPCS J9075 | not published | not published | $0.80 – $2.14 | 12 |
| Cyclophosphamide 25 mg capsule HCPCS J8530 | not published | not published | $0.86 – $7.26 | 12 |
| Cyclosporine 250 mg/5 ml intravenous solution HCPCS J7516 | not published | not published | $71.40 – $174.12 | 11 |
| Cyclosporine 2 hour CPT 80158 | $150.00 | $300.00 | $14.44 – $63.35 | 16 |
| Cyclosporine modified 25 mg capsule HCPCS J7515 | not published | not published | $0.74 – $2.02 | 12 |
| Cyclosporine oral 100 mg HCPCS J7502 | not published | not published | $2.02 – $5.37 | 12 |
| Cygnus matrix, per sq cm HCPCS Q4199 | not published | not published | $342.91 – $887.64 | 10 |
| Cygnus, per sq cm HCPCS Q4170 | not published | not published | $131.94 – $1,453.50 | 5 |
| Cymetra injectable HCPCS Q4112 | not published | not published | $1,211.82 – $1,308.12 | 2 |
| Cyp2c19 gene com variants CPT 81225 | not published | not published | $233.09 – $1,022.55 | 16 |
| Cyp2c9 gene com variants CPT 81227 | not published | not published | $139.85 – $613.52 | 16 |
| Cyp2d6 gene com variants CPT 81226 | not published | not published | $360.73 – $1,582.50 | 16 |
| Cyp3a4 gene common variants CPT 81230 | not published | not published | $139.85 – $613.52 | 16 |
| Cyp3a5 gene common variants CPT 81231 | not published | not published | $139.85 – $613.52 | 16 |
| Cystatin c CPT 82610 | $90.00 | $180.00 | $14.82 – $64.99 | 16 |
| Cystic fibrosis cftr CPT 81223 | $1,100.00 | $2,200.00 | $399.20 – $1,751.29 | 16 |
| Cystine urine quantitative CPT 82131 | $112.50 | $225.00 | $18.38 – $80.65 | 16 |
| Cystogram >= 3 views supervision & interpretation CPT 74430 | $510.00 | $1,020.00 | not published | 0 |
| Cytarabine 20 mg/ml injection solution HCPCS J9100 | not published | not published | $0.77 – $1.93 | 12 |
| Cytarabine liposome inj HCPCS J9098 | not published | not published | $0.01 – $1,004.09 | 4 |
| Cytog alys chrml abnr lw-ps CPT 81349 | not published | not published | $928.00 – $3,758.40 | 14 |
| Cytogenetics 25-99 CPT 88274 | $265.00 | $530.00 | $33.90 – $148.74 | 16 |
| Cytogenetics 3-5 CPT 88272 | $915.00 | $1,830.00 | $32.56 – $142.83 | 16 |
| Cytogenomic neo microra alys CPT 81277 | not published | not published | $928.00 – $4,071.11 | 15 |
| Cytogenom microarray copy nmbr var CPT 81228 | not published | not published | $720.00 – $3,158.62 | 16 |
| Cytog genom-wid alys hem mal CPT 81195 | not published | not published | $2,817.67 – $4,093.84 | 3 |
| Cytomegalovirus ag ia CPT 87332 | not published | not published | $9.58 – $42.06 | 16 |
| Cytomegalovirus (cmv) antibody igg CPT 86644 | $95.00 | $190.00 | $11.51 – $50.51 | 16 |
| Cytomegalovirus (cmv) antibody igm CPT 86645 | $100.00 | $200.00 | $13.48 – $59.13 | 16 |
| Cytomegalovirus dfa CPT 87271 | not published | not published | $10.74 – $47.09 | 16 |
| Cytomegalovirus imm IV /vial HCPCS J0850 | not published | not published | $1,804.31 – $4,426.42 | 13 |
| Cytomeg dna dir probe CPT 87495 | not published | not published | $24.02 – $105.39 | 16 |
| Cyto/molecular report CPT 88291 | not published | not published | $27.72 – $63.84 | 2 |
| Cytopath c/v auto in fluid CPT 88174 | not published | not published | $20.30 – $89.03 | 16 |
| Cytopath c/v automated CPT 88147 | not published | not published | $31.17 – $177.44 | 16 |
| Cytopath c/v auto redo CPT 88152 | not published | not published | $22.11 – $97.01 | 16 |
| Cytopath c/v auto rescreen CPT 88148 | not published | not published | $12.80 – $56.16 | 16 |
| Cytopath c/v index add-on CPT 88155 | not published | not published | $11.72 – $51.42 | 16 |
| Cytopath c/v manual CPT 88150 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath c/v redo CPT 88153 | not published | not published | $19.22 – $84.33 | 16 |
| Cytopath c/v thin layer redo CPT 88143 | not published | not published | $18.43 – $80.86 | 16 |
| Cytopath fl nongyn filter CPT 88106 | not published | not published | $52.83 – $150.69 | 2 |
| Cytopathology cellular enhancement technique non-gyn CPT 88112 | $80.00 | $160.00 | $54.86 – $117.87 | 2 |
| Cytopathology cervical/vaginal thin layer auto screen/manual rescreen/review CPT 88175 | $95.00 | $190.00 | $21.29 – $93.38 | 16 |
| Cytopathology cervical/vaginal thin layer manual screening CPT 88142 | $87.50 | $175.00 | $16.21 – $71.10 | 16 |
| Cytopathology concentration technique smears & interpretation CPT 88108 | $152.50 | $305.00 | $50.53 – $134.13 | 2 |
| Cytopathology fluids/washings/brushings smears with interpretation CPT 88104 | not published | not published | $55.72 – $139.23 | 2 |
| Cytopathology fna adequacy evaluation each separate additional episode same site CPT 88177 | $42.50 | $85.00 | $23.88 – $24.26 | 2 |
| Cytopathology fna adequacy evaluation first episode each site CPT 88172 | $120.00 | $240.00 | $45.62 – $61.50 | 2 |
| Cytopathology fna adequacy evaluation first episode each site interp/rpt CPT 88173 | $207.50 | $415.00 | $125.88 – $284.82 | 2 |
| Cytopath smear other source CPT 88160 | not published | not published | $58.03 – $156.45 | 2 |
| Cytopath smear other source CPT 88162 | not published | not published | $80.84 – $258.06 | 2 |
| Cytopath smear oth prep screen & interp CPT 88161 | $85.00 | $170.00 | $55.72 – $162.18 | 2 |
| Cytopath tbs c/v auto redo CPT 88166 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath tbs c/v manual CPT 88164 | not published | not published | $12.10 – $56.08 | 16 |
| Cytopath tbs c/v redo CPT 88165 | not published | not published | $31.17 – $148.18 | 16 |
| Cytopath tbs c/v select CPT 88167 | not published | not published | $12.10 – $56.08 | 16 |
| Cytotoxic antibody screening CPT 86807 | not published | not published | $62.92 – $276.04 | 16 |
| Cytotoxic antibody screening CPT 86808 | not published | not published | $23.74 – $104.16 | 16 |
| Cytp urine 3-5 probes cmptr CPT 88121 | not published | not published | $360.32 – $1,067.19 | 2 |
| Dacarbazine 100 mg intravenous solution HCPCS J9130 | not published | not published | $4.27 – $10.18 | 12 |
| Dactinomycin 0.5 mg intravenous solution HCPCS J9120 | not published | not published | $282.13 – $2,325.60 | 13 |
| Dalbavancin 500 mg intravenous solution HCPCS J0875 | $25.48 | $50.95 | $15.57 – $38.06 | 13 |
| Dalteparin sodium HCPCS J1645 | not published | not published | $14.28 – $33.83 | 12 |
| Daptomycin 500 mg/10 ml intravenous solution HCPCS J0878 | $0.15 | $0.30 | $0.03 – $0.67 | 12 |
| Daptomycin (xellia) unrefrig HCPCS J0872 | not published | not published | $0.04 – $0.10 | 12 |
| Daratumumab 1,800 mg-hyaluronidase-fihj 30,000 unit/15 ml subcut soln HCPCS J9144 | not published | not published | $51.39 – $125.38 | 12 |
| Darbepoetin alfa 100 mcg/0.5 ml in polysorbate injection syringe HCPCS J0881 | not published | not published | $2.92 – $7.25 | 13 |
| Darbepoetin alfa, esrd use HCPCS J0882 | not published | not published | $2.92 – $7.25 | 13 |
| Dark field exam spec collj CPT 87164 | not published | not published | $10.74 – $37.69 | 16 |
| Dark field exam without collj CPT 87166 | not published | not published | $9.04 – $39.67 | 16 |
| Daunorubicin 44 mg and cytarabine 100 mg in liposome IV solution HCPCS J9153 | not published | not published | $242.50 – $606.12 | 13 |
| Daunorubicin 5 mg/ml intravenous solution HCPCS J9150 | not published | not published | $23.52 – $76.98 | 13 |
| Daunorubicin citrate inj HCPCS J9151 | not published | not published | $0.01 – $86.49 | 2 |
| Dch glucoscan CPT 82948 | not published | not published | $4.03 – $17.68 | 16 |
| Dch validity tests CPT 81002 | $15.00 | $30.00 | $2.78 – $12.21 | 16 |
| Deamidated gliadin antibody iga CPT 86258 | $85.00 | $170.00 | $9.22 – $39.04 | 14 |
| Debridement (>20 cm) charge pt CPT 97598 | $227.50 | $455.00 | not published | 0 |
| Debride nail6 or more 11721 CPT 11721 | $90.00 | $180.00 | not published | 0 |
| Debrid/rmv fgn bdy/open fx/skin/sq 11010 CPT 11010 | $470.00 | $940.00 | not published | 0 |
| Decalcification CPT 88311 | $75.00 | $150.00 | $17.61 – $24.21 | 2 |
| Decitabine 50 mg intravenous solution HCPCS J0894 | not published | not published | $1.63 – $20.19 | 12 |
| Declotting thrombolytic agent implanted vas access device 36 CPT 36593 | $272.50 | $545.00 | not published | 0 |
| Deferoxamine 500 mg solution for injection HCPCS J0895 | not published | not published | $6.78 – $21.81 | 12 |
| Degarelix 120 mg subcutaneous solution HCPCS J9155 | not published | not published | $4.18 – $10.45 | 13 |
| Delivery of placenta 59414 CPT 59414 | $635.00 | $1,270.00 | not published | 0 |
| Demonstration/evaluation utilization aersol generator/nebulizer/metered dose inhaler/ippb device CPT 94664 | $70.00 | $140.00 | not published | 0 |
| Dengue vacc quad 3 dose subq CPT 90587 | not published | not published | $66.00 – $110.88 | 3 |
| Denosumab 120 mg/1.7 ml (70 mg/ml) subcutaneous solution HCPCS J0897 | not published | not published | $26.96 – $67.48 | 13 |
| Depo-estradiol cypionate inj HCPCS J1000 | not published | not published | $35.07 – $94.31 | 12 |
| Derma-gide, 1 sq cm HCPCS Q4203 | not published | not published | $309.19 – $732.44 | 9 |
| Dermagraft HCPCS Q4106 | $85.00 | $170.00 | $35.96 – $67.41 | 4 |
| Dermapure 1 square cm HCPCS Q4152 | not published | not published | $46.33 – $127.00 | 10 |
| Dermavest, plurivest sq cm HCPCS Q4153 | not published | not published | $154.58 – $567.82 | 10 |
| Derm-maxx, per sq cm HCPCS Q4238 | not published | not published | $929.21 – $3,801.50 | 10 |
| Description not available HCPCS S0013 | not published | not published | $13.24 – $21.11 | 3 |
| Design mlc device for imrt CPT 77338 | $1,785.00 | $3,570.00 | not published | 0 |
| Desmopressin 4 mcg/ml injection solution HCPCS J2597 | not published | not published | $4.49 – $19.93 | 13 |
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.