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 |
|---|---|---|---|---|
| Allergen egg white ige CPT 86003 | $25.00 | $50.00 | $4.18 – $18.32 | 16 |
| Allergen specific ige qual multi scrn ea CPT 86005 | $12.50 | $25.00 | $6.38 – $27.97 | 16 |
| Allograft 160mg placental salera mini membrane HCPCS Q4168 | not published | not published | $13.64 – $25.58 | 3 |
| Allograft allowrap 4x4cm dry 16sqcm HCPCS Q4150 | not published | not published | $85.86 – $211.55 | 10 |
| Allograft amnioexcel plus 17mm disk HCPCS Q4137 | not published | not published | $107.60 – $284.70 | 10 |
| Allograft dermis 20x25x1mm decell w/matracell arthroflex HCPCS Q4125 | $304.74 | $609.47 | not published | 0 |
| Allograft ecm allopatch hd dehydr thick 0.8-1.7mmx2x5cm-cost per sq cm HCPCS Q4128 | not published | not published | $30.50 – $74.65 | 10 |
| Allograft epieffect 2x3cm-q4186-cost per sq cm HCPCS Q4186 | $236.60 | $473.20 | $158.49 – $386.33 | 11 |
| Allograft graftjacket 2x12cm-q4107-cost per sq cm HCPCS Q4107 | not published | not published | $80.90 – $137.59 | 3 |
| Allograft umbil cord+amniotic membrane-q4148-cost per sq cm HCPCS Q4148 | not published | not published | $129.58 – $311.11 | 10 |
| Allograft umbilical epicord 15 sq cm-q4187-cost per sq cm HCPCS Q4187 | not published | not published | $244.90 – $592.25 | 10 |
| Alloskin HCPCS Q4115 | not published | not published | $13.58 – $36.97 | 11 |
| Alloskin ac, 1 cm HCPCS Q4141 | not published | not published | $39.12 – $92.68 | 10 |
| Alpha-1-proteinase inhibitor (human) 1,000 mg (+/-) IV solution HCPCS J0256 | not published | not published | $4.94 – $12.42 | 13 |
| Alpha-fetoprotein afp-l3 frac & total CPT 82107 | not published | not published | $51.53 – $226.05 | 16 |
| Alpha-fetoprotein amniotic CPT 82106 | not published | not published | $13.60 – $59.66 | 16 |
| Alpha-fetoprotein tumor marker CPT 82105 | $110.00 | $220.00 | $13.42 – $58.85 | 16 |
| Alprostadil for injection HCPCS J0270 | not published | not published | $9.86 – $15.72 | 3 |
| Alprostadil urethral suppos HCPCS J0275 | not published | not published | $38.58 – $39.37 | 2 |
| Alteplase 100 mg infusion from pyxis vial HCPCS J2997 | $216.13 | $432.26 | $91.46 – $223.21 | 13 |
| Alt/sgpt CPT 84460 | $62.50 | $125.00 | $4.24 – $18.61 | 16 |
| Altuviiio per factor viii iu HCPCS J7214 | not published | not published | $4.60 – $11.32 | 12 |
| Aluminum - quest CPT 82108 | not published | not published | $20.38 – $89.43 | 16 |
| Amantadine (symmetrel)-sendout CPT 80375 | $312.50 | $625.00 | $19.34 – $19.34 | 1 |
| Amifostine HCPCS J0207 | not published | not published | $1,028.55 – $1,639.26 | 4 |
| Amikacin 4 mg/ml intravitreal injection - cnr HCPCS J0278 | not published | not published | $0.56 – $1.89 | 12 |
| Amines vaginal fluid qual CPT 82120 | not published | not published | $4.79 – $21.03 | 16 |
| Amino acid screen, urine CPT 82128 | not published | not published | $11.10 – $48.67 | 16 |
| Amino acid single qual CPT 82127 | not published | not published | $11.34 – $49.76 | 16 |
| Amino acids quant 2-5 CPT 82136 | not published | not published | $15.69 – $68.83 | 16 |
| Aminocaproic acid 5 g/250 ml 0.9% nacl IV - cnr HCPCS J0281 | not published | not published | $1.30 – $1.30 | 1 |
| Aminolevulinic acid, 10% gel HCPCS J7345 | not published | not published | $1.72 – $4.20 | 13 |
| Aminolevulinic acid delta CPT 82135 | $70.00 | $140.00 | $13.16 – $57.72 | 16 |
| Aminolevulinic acid hcl top HCPCS J7308 | not published | not published | $394.41 – $964.44 | 13 |
| Aminophylline 25 mg/ml intravenous solution (wrapper) HCPCS J0280 | not published | not published | $5.33 – $12.61 | 12 |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV HCPCS J0283 | $5.09 | $10.17 | $2.54 – $6.16 | 11 |
| Amiodarone 50 mg/ml intravenous solution HCPCS J0282 | not published | not published | $0.33 – $0.96 | 10 |
| Amitriptyline (elavil) -sendout CPT 80335 | $92.50 | $185.00 | $19.34 – $19.34 | 1 |
| Amitriptyline injection HCPCS J1320 | not published | not published | $2.11 – $3.36 | 2 |
| Amivantamab-vmjw 50 mg/ml intravenous solution HCPCS J9061 | not published | not published | $20.67 – $52.60 | 12 |
| Ammonia CPT 82140 | $85.00 | $170.00 | $11.66 – $51.14 | 16 |
| Amnioarmor 1 sq cm HCPCS Q4188 | not published | not published | $357.04 – $845.81 | 10 |
| Amniocentesisdiagnostic 59000 CPT 59000 | $272.50 | $545.00 | not published | 0 |
| Amniocore per sq cm HCPCS Q4227 | not published | not published | $1,038.80 – $1,721.25 | 5 |
| Amnio-maxx or lite per sq cm HCPCS Q4239 | not published | not published | $2,160.00 – $3,442.50 | 5 |
| Amniotic fluid scan CPT 82143 | not published | not published | $7.48 – $32.81 | 16 |
| Amniowrap2 per sq cm HCPCS Q4221 | not published | not published | $1,536.00 – $2,759.18 | 5 |
| Amobarbital 125 mg inj HCPCS J0300 | not published | not published | $175.94 – $280.40 | 3 |
| Amphetamine confirm urine -sendout CPT 80324 | $95.00 | $190.00 | $19.34 – $19.34 | 1 |
| Amphetamines 5 or more CPT 80326 | $92.50 | $185.00 | not published | 0 |
| Ampho b cholesteryl sulfate HCPCS J0288 | not published | not published | $0.01 – $21.00 | 2 |
| Amphotericin b in d5w IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J0285 | not published | not published | $48.96 – $122.16 | 12 |
| Amphotericin b lipid complex HCPCS J0287 | not published | not published | $10.08 – $16.07 | 5 |
| Amphotericin b liposomal in d5w IV syringe 1 mg/ml (neo/ped) - cnr HCPCS J0289 | not published | not published | $23.31 – $58.50 | 13 |
| Ampicillin 1 gram solution for injection HCPCS J0290 | not published | not published | $0.60 – $1.74 | 12 |
| Ampicillin-sulbactam 1.5 gram solution for injection HCPCS J0295 | $13.21 | $26.41 | $1.57 – $4.18 | 12 |
| Amplification real-time pcr dna markers infectious disease bacterial vaginosis and vaginitis CPT 81515 | not published | not published | $586.47 – $852.09 | 3 |
| Amylase CPT 82150 | $67.50 | $135.00 | $5.18 – $22.74 | 16 |
| Anabolic steroid 1 or 2 CPT 80327 | not published | not published | $19.34 – $19.34 | 1 |
| Anacaulase-bcdb 8.8% gel 1 g HCPCS J7353 | not published | not published | $54.98 – $87.63 | 4 |
| Ana ds-dna CPT 86226 | not published | not published | $9.69 – $42.49 | 16 |
| Analgesics non-opioid definitive assay 1 or 2 acetaminophen CPT 80329 | not published | not published | $19.34 – $19.34 | 1 |
| Analysis gene f2 20210g>a variant CPT 81240 | $112.50 | $225.00 | $52.55 – $230.55 | 16 |
| Analysis gene f5 leiden variant CPT 81241 | $142.50 | $285.00 | $58.70 – $257.49 | 16 |
| Analysis nerve CPT 88356 | not published | not published | $192.29 – $331.68 | 2 |
| Analysis tumor CPT 88358 | not published | not published | $108.85 – $254.55 | 2 |
| Anaplsma phgcytophlm amp prb CPT 87468 | $107.50 | $215.00 | $28.07 – $113.69 | 14 |
| Anastrozole 1 mg HCPCS S0170 | not published | not published | $0.46 – $0.74 | 3 |
| Anca screen with reflex to titer -quest CPT 86021 | $157.50 | $315.00 | $12.04 – $52.82 | 16 |
| An cholangiogram percutaneous compl CPT 47531 | $945.00 | $1,890.00 | not published | 0 |
| Androstanediol CPT 82154 | not published | not published | $23.06 – $101.18 | 16 |
| An fluoro guide for cvp CPT 77001 | $460.00 | $920.00 | not published | 0 |
| Angiotensin ii CPT 82163 | not published | not published | $16.42 – $72.01 | 16 |
| Anidulafungin injection HCPCS J0348 | not published | not published | $0.46 – $1.24 | 12 |
| Ankle X-ray CPT 73610 | $630.00 | $1,260.00 | not published | 0 |
| Anora (draw only) CPT 99001 | not published | not published | $2.00 – $5.80 | 4 |
| Anthrax vaccine sc or im CPT 90581 | not published | not published | $99.00 – $166.32 | 3 |
| Antibody CPT 86744 | not published | not published | $12.79 – $56.13 | 16 |
| Antibody bacterium, not elsewhere specified CPT 86609 | $57.50 | $115.00 | $10.30 – $45.21 | 16 |
| Antibody elution rbc reference CPT 86860 | $150.00 | $300.00 | $26.27 – $86.97 | 2 |
| Antibody htlv/hiv confirm test CPT 86689 | $110.00 | $220.00 | $15.48 – $67.90 | 16 |
| Antibody htlv-i CPT 86687 | not published | not published | $7.27 – $31.90 | 16 |
| Antibody htlv-ii CPT 86688 | not published | not published | $11.20 – $49.14 | 16 |
| Antibody identification platelet antibodies heparin-pf4 igg CPT 86022 | $247.50 | $495.00 | $14.70 – $64.46 | 16 |
| Antibody id rbc panel CPT 86870 | $195.00 | $390.00 | $36.09 – $119.46 | 2 |
| Antibody influenza virus CPT 86710 | not published | not published | $10.84 – $47.56 | 16 |
| Antibody lymphocytic choriomeningitis CPT 86727 | not published | not published | $10.30 – $45.17 | 16 |
| Antibody screen rbc CPT 86850 | $100.00 | $200.00 | $7.82 – $34.29 | 16 |
| Antibody tetanus CPT 86774 | not published | not published | $11.84 – $51.95 | 16 |
| Antidepressant not specified CPT 80338 | $50.00 | $100.00 | not published | 0 |
| Antihemophilic factor-vwf 250 unit-600 unit intravenous solution HCPCS J7187 | not published | not published | $1.40 – $3.53 | 13 |
| Antihemophilic viii/vwf comp HCPCS J7186 | not published | not published | $1.20 – $2.93 | 13 |
| Anti-inhibitor HCPCS J7198 | not published | not published | $2.34 – $5.77 | 13 |
| Anti mog serum - sendout CPT 86362 | not published | not published | $9.64 – $39.04 | 14 |
| Antineutrophil cytoplasmic antibody screen each antibody CPT 86036 | $30.00 | $60.00 | $9.64 – $39.04 | 14 |
| Antineutrophil cytoplasmic antibody titer each antibody CPT 86037 | $105.00 | $210.00 | $9.64 – $39.04 | 14 |
| Antinuclear antibodies CPT 86038 | $95.00 | $190.00 | $9.67 – $42.43 | 16 |
| Antinuclear antibodies titer CPT 86039 | $85.00 | $170.00 | $8.93 – $39.17 | 16 |
| Antiphosphatidylserine antibody CPT 86148 | not published | not published | $12.86 – $56.41 | 16 |
| Antipsychotics nos 1-3 CPT 80342 | $200.00 | $400.00 | $19.34 – $19.34 | 1 |
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.