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 |
|---|---|---|---|---|
| Drug test def simple all cl HCPCS G0659 | not published | not published | $49.71 – $218.10 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $13.71 – $60.15 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $352.50 | $705.00 | $49.71 – $218.10 | 16 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $14.38 – $63.10 | 16 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,090.00 | $2,180.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $730.00 | $1,460.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $600.00 | $1,200.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $745.00 | $1,490.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $710.00 | $1,420.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $18.24 – $29.07 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.82 – $204.67 | 12 |
| Ear irrigation 69209 CPT 69209 | $30.00 | $60.00 | not published | 0 |
| Ecallantide injection HCPCS J1290 | not published | not published | $563.10 – $1,373.96 | 13 |
| Ecg 12 lead tracing only CPT 93005 | $140.00 | $280.00 | not published | 0 |
| Ecg/1-3 leads/tracing only 93041 CPT 93041 | $155.00 | $310.00 | not published | 0 |
| Ecg < 30 days transmission & analysis CPT 93271 | $395.00 | $790.00 | not published | 0 |
| Ecg external < 48 hours recording CPT 93225 | $440.00 | $880.00 | not published | 0 |
| Ecg external < 48 hours scanning analysis w/report CPT 93226 | $535.00 | $1,070.00 | not published | 0 |
| Echocardiogram (Heart Ultrasound) CPT 93306 | $1,480.00 | $2,960.00 | not published | 0 |
| Echocardiography doppler color flow mapping CPT 93325 | $525.00 | $1,050.00 | not published | 0 |
| Echocardiography transthoracic 2d followup/limited CPT 93308 | $725.00 | $1,450.00 | not published | 0 |
| Echocardiograpy doppler follow up/limited study CPT 93321 | $332.50 | $665.00 | not published | 0 |
| Echo tee guidance CPT 93355 | $1,375.00 | $2,750.00 | not published | 0 |
| Echo tee probe placement image acquisition interpretation & report CPT 93312 | $1,465.00 | $2,930.00 | not published | 0 |
| Echo transthoracic CPT 93303 | $1,500.00 | $3,000.00 | not published | 0 |
| Echo transthoracic CPT 93304 | $875.00 | $1,750.00 | not published | 0 |
| Echo tte 2d comp wo ctrst wo clr/dplr CPT 93307 | $1,010.00 | $2,020.00 | not published | 0 |
| E coli 0157 ag ia CPT 87335 | not published | not published | $10.13 – $44.43 | 16 |
| Eculizumab injection HCPCS J1300 | not published | not published | $44.81 – $546.95 | 13 |
| Edetate calcium disodium inj HCPCS J0600 | not published | not published | $6,084.10 – $14,845.21 | 12 |
| Edetate disodium per 150 mg HCPCS J3520 | not published | not published | $0.01 – $1.91 | 2 |
| Eeg 41-60 minutes 95812-26 CPT 95812 | $920.00 | $1,840.00 | not published | 0 |
| Eeg monitor/record/awake/drowsy 95816 CPT 95816 | $680.00 | $1,360.00 | not published | 0 |
| Eeg over 1 hour 95813 - 26 CPT 95813 | $1,205.00 | $2,410.00 | not published | 0 |
| Eeg recording awake and asleep CPT 95819 | $740.00 | $1,480.00 | not published | 0 |
| E equine encephalitis igg CPT 86652 | not published | not published | $10.55 – $46.29 | 16 |
| Efgartigimod alfa-fcab 20 mg/ml intravenous solution HCPCS J9332 | not published | not published | $32.38 – $79.18 | 12 |
| Egfr gene com variants CPT 81235 | $427.50 | $855.00 | $259.66 – $1,139.14 | 16 |
| Ehrlicha chaffeensis amp prb CPT 87484 | $47.50 | $95.00 | $28.07 – $113.69 | 14 |
| Eia hiv-1/hiv-2 screen HCPCS G0432 | not published | not published | $15.66 – $68.68 | 16 |
| Elec analys infus pump w/reprog 62368 CPT 62368 | $555.00 | $1,110.00 | not published | 0 |
| Electrical stimulation/unattended 97014 CPT 97014 | $55.00 | $110.00 | not published | 0 |
| Electrolyte panel CPT 80051 | $57.50 | $115.00 | $5.61 – $24.60 | 16 |
| Electron microscopy diagnostic CPT 88348 | $960.00 | $1,920.00 | $315.28 – $1,169.88 | 2 |
| Elisa hiv-1/hiv-2 screen HCPCS G0433 | not published | not published | $14.63 – $64.18 | 16 |
| Elliotts b solution per ml HCPCS J9175 | not published | not published | $9.79 – $15.60 | 3 |
| Elosulfase alfa, injection HCPCS J1322 | not published | not published | $293.92 – $717.17 | 12 |
| Elotuzumab 300 mg intravenous solution HCPCS J9176 | not published | not published | $7.58 – $18.84 | 13 |
| Elranatamab-bcmm 40 mg/ml subcutaneous solution HCPCS J1323 | not published | not published | $177.65 – $433.46 | 12 |
| Emboli detcj wo IV mbubb njx CPT 93897 | $630.00 | $1,260.00 | not published | 0 |
| Embryo hatching CPT 89253 | not published | not published | $317.34 – $317.34 | 1 |
| Encephalitis, california igg/igm CPT 86651 | not published | not published | $10.55 – $46.29 | 16 |
| Encephalitis, st louis igg/igm CPT 86653 | not published | not published | $10.55 – $46.29 | 16 |
| Encephalitis, western equine igg/igm CPT 86654 | not published | not published | $10.55 – $46.29 | 16 |
| Endo assay seven anal CPT 81506 | not published | not published | $55.14 – $241.88 | 16 |
| Endo cath bile duct s&i CPT 74328 | $485.00 | $970.00 | not published | 0 |
| Enfortumab vedotin-ejfv 20 mg intravenous solution HCPCS J9177 | not published | not published | $36.64 – $89.42 | 12 |
| Enfuvirtide injection HCPCS J1324 | not published | not published | $0.64 – $1.02 | 3 |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe HCPCS J1650 | $8.43 | $16.86 | $0.52 – $1.38 | 12 |
| Entamoeba histolytica ag eia - sendout CPT 87337 | not published | not published | $9.58 – $42.06 | 16 |
| Entamoeb hist dispr ag ia CPT 87336 | not published | not published | $12.80 – $56.16 | 16 |
| Enterovirus antibody dfa CPT 87267 | not published | not published | $10.74 – $47.09 | 16 |
| Enzyme cell activity ra CPT 82658 | not published | not published | $35.22 – $154.51 | 16 |
| Enzyme histochemistry CPT 88319 | $265.00 | $530.00 | $90.94 – $316.05 | 2 |
| Epcoritamab-bysp 48 mg/0.8 ml subcutaneous solution HCPCS J9321 | not published | not published | $54.17 – $134.65 | 12 |
| Epilepsy gen seq alys panel CPT 81419 | not published | not published | $1,958.85 – $7,933.33 | 14 |
| Epirubicin 200 mg/100 ml intravenous solution HCPCS J9178 | not published | not published | $1.62 – $3.97 | 12 |
| Epoetin alfa, 100 units esrd HCPCS Q4081 | not published | not published | $0.67 – $148.76 | 12 |
| Epoetin alfa-epbx 40,000 unit/ml injection solution HCPCS Q5106 | $22.00 | $43.99 | $7.07 – $18.22 | 13 |
| Epoetin alfa in ns IV syringe 100 unit/ml (neo/ped) - cnr HCPCS J0885 | not published | not published | $6.46 – $19.10 | 13 |
| Epoetin beta esrd use HCPCS J0887 | not published | not published | $1.21 – $2.99 | 12 |
| Epoetin beta non esrd HCPCS J0888 | not published | not published | $1.16 – $2.94 | 13 |
| Epoprostenol (arginine) 1 mg in 50 ml ns inhalation syringe - cnr HCPCS J1325 | not published | not published | $15.86 – $40.10 | 12 |
| Epstein barr early antigen antibody CPT 86663 | $37.50 | $75.00 | $10.50 – $46.04 | 16 |
| Epstein barr nuclear antigen antibody CPT 86664 | $47.50 | $95.00 | $12.23 – $53.65 | 16 |
| Epstein barr viral capsid antigen antibody igm CPT 86665 | $80.00 | $160.00 | $14.51 – $63.66 | 16 |
| Eptifibatide 0.75 mg/ml intravenous solution HCPCS J1327 | not published | not published | $10.20 – $16.26 | 3 |
| Eptinezumab-jjmr 100 mg/ml intravenous solution HCPCS J3032 | not published | not published | $18.69 – $47.15 | 12 |
| Ercp biliary & pancreas CPT 74330 | $610.00 | $1,220.00 | not published | 0 |
| Ergonovine 0.2 mg/ml inj HCPCS J1330 | not published | not published | $0.01 – $7.31 | 2 |
| Eribulin 1 mg/2 ml (0.5 mg/ml) intravenous solution HCPCS J9179 | not published | not published | $118.75 – $325.29 | 13 |
| Ertapenem 1000 mg/10 ml IV (dilution #1) desensitization - cnr HCPCS J1335 | not published | not published | $9.18 – $85.66 | 12 |
| ER Visit (level 1, minor) CPT 99281 | $235.00 | $470.00 | not published | 0 |
| ER Visit (level 2) CPT 99282 | $470.00 | $940.00 | not published | 0 |
| ER Visit (level 3) CPT 99283 | $940.00 | $1,880.00 | not published | 0 |
| ER Visit (level 4) CPT 99284 | $930.00 | $1,860.00 | not published | 0 |
| ER Visit (level 5, high severity) CPT 99285 | $1,465.00 | $2,930.00 | not published | 0 |
| Erwinaze injection HCPCS J9019 | not published | not published | $386.96 – $662.84 | 4 |
| Erythromycin in ns IV syringe 5 mg/ml (neo/ped) - cnr HCPCS J1364 | not published | not published | $64.00 – $151.62 | 12 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) in sterile water intravenous soln HCPCS J1806 | not published | not published | $0.36 – $0.87 | 11 |
| Esmolol 2,500 mg/250 ml (10 mg/ml) IV wrapper osm only HCPCS J1805 | not published | not published | $0.19 – $0.51 | 11 |
| Esophagus motility study CPT 91010 | $1,895.00 | $3,790.00 | not published | 0 |
| Establish access to aorta CPT 36160 | $695.00 | $1,390.00 | not published | 0 |
| Established Patient Office Visit (level 1) CPT 99211 | $105.00 | $210.00 | not published | 0 |
| Established Patient Office Visit (level 2) CPT 99212 | $130.00 | $260.00 | not published | 0 |
| Established Patient Office Visit (level 3) CPT 99213 | $170.00 | $340.00 | not published | 0 |
| Established Patient Office Visit (level 4) CPT 99214 | $205.00 | $410.00 | not published | 0 |
| Established Patient Office Visit (level 5) CPT 99215 | $237.50 | $475.00 | not published | 0 |
| Estradiol total CPT 82670 | $122.50 | $245.00 | $22.35 – $98.06 | 16 |
| Estradiol valerate 10 mg inj HCPCS J1380 | not published | not published | $7.30 – $19.94 | 12 |
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.