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 |
|---|---|---|---|---|
| Pralidoxime 1 gram solution for injection HCPCS J2730 | not published | not published | $83.23 – $132.65 | 3 |
| Pr application of long arm splint CPT 29105 | $215.00 | $430.00 | not published | 0 |
| Pr application splint static short arm CPT 29125 | $200.00 | $400.00 | not published | 0 |
| Pr biopsy skin punch single lesion CPT 11104 | $230.00 | $460.00 | not published | 0 |
| Pr debridement open wound topical appl/wound asmt per session 20 sq cm/< CPT 97597 | $227.50 | $455.00 | not published | 0 |
| Prealbumin CPT 84134 | $100.00 | $200.00 | $11.67 – $51.20 | 16 |
| Prednisolone acetate inj HCPCS J2650 | not published | not published | $0.40 – $0.78 | 2 |
| Prednisolone sodium phosphate 15 mg/5 ml (3 mg/ml) oral solution HCPCS J7510 | not published | not published | $0.07 – $1.40 | 12 |
| Prednisone 1 mg tablet HCPCS J7512 | $0.13 | $0.26 | $0.01 – $0.02 | 12 |
| Pregabalin - sendout CPT 80366 | $80.00 | $160.00 | $19.34 – $19.34 | 1 |
| Pr egd flexible transoral w/placement percutaneous gastrostomy tube CPT 43246 | $1,820.00 | $3,640.00 | not published | 0 |
| Pregnancy associated plasma protein-a CPT 84163 | not published | not published | $12.04 – $52.82 | 16 |
| Pregnancy Ultrasound (complete, after first trimester) CPT 76805 | $660.00 | $1,320.00 | not published | 0 |
| Pregnancy Ultrasound (first trimester) CPT 76801 | $535.00 | $1,070.00 | not published | 0 |
| Prepare embryo for transfer CPT 89255 | not published | not published | $100.68 – $100.68 | 1 |
| Pressure max expiratory/inspiratory CPT 94799 | $287.50 | $575.00 | not published | 0 |
| Pretreatment serum by diff red cell adsorption patient rbc/known phenotype each adsorption ref CPT 86977 | not published | not published | $29.16 – $96.51 | 2 |
| Pretreat rbc absorption reference CPT 86978 | $150.00 | $300.00 | $29.16 – $96.51 | 2 |
| Pretreat rbc density gradient separation reference CPT 86972 | not published | not published | $34.07 – $112.77 | 2 |
| Pretreat rbc w chem/drugs reference CPT 86970 | not published | not published | $24.26 – $80.28 | 2 |
| Pretreat rbc w enzyme reference CPT 86971 | not published | not published | $19.34 – $64.02 | 2 |
| Prgrmg dev eval impltbl sys CPT 93260 | $285.00 | $570.00 | not published | 0 |
| Prgrmg dev eval pm/ldls pm CPT 93279 | $252.50 | $505.00 | not published | 0 |
| Prgrmg dev eval scrms ip CPT 93285 | $252.50 | $505.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93282 | $282.50 | $565.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93283 | $325.00 | $650.00 | not published | 0 |
| Prgrmg eval implantable dfb CPT 93284 | $357.50 | $715.00 | not published | 0 |
| Pr incision & removal foreign body subcutaneous tissues simple CPT 10120 | $210.00 | $420.00 | not published | 0 |
| Pr moderate sedation same physician >= 5 years initial 15 minutes CPT 99152 | $80.00 | $160.00 | not published | 0 |
| Procainamide 100 mg/ml injection (wrapper) HCPCS J2690 | not published | not published | $123.52 – $546.07 | 13 |
| Procalcitonin CPT 84145 | $162.50 | $325.00 | $21.78 – $95.53 | 16 |
| Procarbazine 50 mg caps 100 each bottle HCPCS S0182 | not published | not published | $124.10 – $197.78 | 3 |
| Prochlorperazine edisylate 10 mg/2 ml (5 mg/ml) injection solution HCPCS J0780 | $29.53 | $59.05 | $2.92 – $16.07 | 12 |
| Prochlorperazine maleate 5 mg tablet HCPCS Q0164 | not published | not published | $0.05 – $0.53 | 4 |
| Progenamatrix, per sq cm HCPCS Q4222 | not published | not published | $120.47 – $285.39 | 10 |
| Progesterone CPT 84144 | $120.00 | $240.00 | $16.69 – $73.21 | 16 |
| Prolactin CPT 84146 | $150.00 | $300.00 | $15.50 – $68.03 | 16 |
| Prolng off/op e/m ea 15 min 99417 CPT 99417 | $50.00 | $100.00 | not published | 0 |
| Promethazine 25 mg tablet HCPCS Q0169 | not published | not published | $0.02 – $0.14 | 4 |
| Promethazine hcl injection HCPCS J2550 | not published | not published | $3.28 – $8.71 | 12 |
| Propofol infusion 10 mg/ml HCPCS J2704 | $2.24 | $4.47 | $0.09 – $0.20 | 12 |
| _propoxygc/msur CPT 80367 | not published | not published | $19.34 – $19.34 | 1 |
| Propranolol in ns IV syringe 0.1 mg/ml (neo/ped) - cnr HCPCS J1800 | not published | not published | $5.86 – $14.91 | 4 |
| Prostate biopsy, any mthd HCPCS G0416 | not published | not published | $278.32 – $546.39 | 2 |
| Protamine 10 mg/ml intravenous solution HCPCS J2720 | not published | not published | $1.08 – $2.79 | 12 |
| Protector nerve neurawrap 4cm HCPCS C9353 | not published | not published | $1,031.76 – $1,644.38 | 2 |
| Protein analysis w/probe CPT 88372 | not published | not published | $20.98 – $92.02 | 16 |
| Protein c activity CPT 85303 | $167.50 | $335.00 | $11.07 – $48.58 | 16 |
| Protein c concentrate HCPCS J2724 | not published | not published | $15.02 – $36.68 | 13 |
| Protein electrophoretic fractionation & quantitation serum CPT 84165 | $95.00 | $190.00 | $10.74 – $37.69 | 16 |
| Protein s total CPT 85305 | $62.50 | $125.00 | $9.29 – $40.75 | 16 |
| Protein total 24 hour urine CPT 84156 | $47.50 | $95.00 | $2.94 – $12.89 | 16 |
| Protein total body fluid CPT 84157 | $57.50 | $115.00 | $3.20 – $14.04 | 16 |
| Protein total serum plasma whole blood CPT 84155 | $47.50 | $95.00 | $2.94 – $12.89 | 16 |
| Protein western blot tissue CPT 88371 | not published | not published | $17.78 – $78.02 | 16 |
| Prothrombin complex kcentra HCPCS J7168 | $3.36 | $6.72 | $2.21 – $4.56 | 4 |
| Prothrombin time substitution plasma fractions each CPT 85611 | $37.50 | $75.00 | $3.15 – $13.82 | 16 |
| Protoporphyrin rbc screen CPT 84203 | not published | not published | $7.79 – $34.18 | 16 |
| Pr removal drug delivery implant CPT 11982 | $305.00 | $610.00 | not published | 0 |
| Pr removal foreign body external auditory canal without anesthesia CPT 69200 | $75.00 | $150.00 | not published | 0 |
| Pr removal intrauterine device CPT 58301 | $162.50 | $325.00 | not published | 0 |
| PSA (Prostate) Test CPT 84153 | $90.00 | $180.00 | $14.71 – $64.55 | 16 |
| Pt application of modality >=1 area electrical stimulation each 15 minutes CPT 97032 | $67.50 | $135.00 | not published | 0 |
| Pt application of modality >=1 area hot/cold packs CPT 97010 | $27.50 | $55.00 | not published | 0 |
| Pt application of modality >=1 area iontophoresis each 15 minutes CPT 97033 | $120.00 | $240.00 | not published | 0 |
| Pt application of modality >=1 area ultrasound each 15 minutes CPT 97035 | $77.50 | $155.00 | not published | 0 |
| Pt application of modality traction mechanical CPT 97012 | $92.50 | $185.00 | not published | 0 |
| Pten gene dup/delet variant CPT 81323 | not published | not published | $189.47 – $1,052.88 | 16 |
| Pten gene full sequence CPT 81321 | not published | not published | $480.00 – $2,105.75 | 16 |
| Pten gene known fam variant CPT 81322 | not published | not published | $37.28 – $163.55 | 16 |
| Pt evaluation high complexity patient/family CPT 97163 | $310.00 | $620.00 | not published | 0 |
| Pt evaluation low complexity patient/family CPT 97161 | $177.50 | $355.00 | not published | 0 |
| Pt evaluation moderate complexity patient/family CPT 97162 | $240.00 | $480.00 | not published | 0 |
| Pt re-evaluation patient/family CPT 97164 | $125.00 | $250.00 | not published | 0 |
| Pt repositioning canalith procedure(s) per day CPT 95992 | $105.00 | $210.00 | not published | 0 |
| Pt therapeutic procedure >=1 area gait training each 15 minutes CPT 97116 | $87.50 | $175.00 | not published | 0 |
| Pt therapeutic procedure >=1 area massage each 15 minutes CPT 97124 | $10.50 | $21.00 | not published | 0 |
| Pt wheelchair management each 15 minutes CPT 97542 | $87.50 | $175.00 | not published | 0 |
| Pulm ds ipf mrna 190 gen alg CPT 81554 | not published | not published | $4,400.00 – $19,302.67 | 15 |
| Pulmonary vent imaging CPT 78579 | $1,225.00 | $2,450.00 | not published | 0 |
| Pulse ox continuous overnight monitoring CPT 94762 | $222.50 | $445.00 | not published | 0 |
| Punc of shunt for asp or inj CPT 61070 | $725.00 | $1,450.00 | not published | 0 |
| Puncture arterial withdrawal blood for diagnosis CPT 36600 | $80.00 | $160.00 | not published | 0 |
| Puncture aspiration abscess/hematoma/bulla/cyst CPT 10160 | $282.50 | $565.00 | not published | 0 |
| Puncture spinal lumbar diagnostic CPT 62270 | $580.00 | $1,160.00 | not published | 0 |
| Puraply 1 sq cm HCPCS Q4195 | $270.00 | $540.00 | $105.87 – $250.80 | 10 |
| Puraply xt 1 sq cm HCPCS Q4197 | not published | not published | $74.82 – $177.25 | 10 |
| Pyridoxine hcl 100 mg HCPCS J3415 | not published | not published | $12.57 – $38.50 | 12 |
| Pyruvate CPT 84210 | $80.00 | $160.00 | $11.58 – $50.82 | 16 |
| Pyruvate kinase CPT 84220 | $67.50 | $135.00 | $7.55 – $33.13 | 16 |
| Quant diff pulm perf and vent w/imaging CPT 78598 | $1,285.00 | $2,570.00 | not published | 0 |
| Quant diff pulm perf w/imaging CPT 78597 | $870.00 | $1,740.00 | not published | 0 |
| Quest t3 uptake CPT 84479 | $60.00 | $120.00 | $5.18 – $22.71 | 16 |
| Quinupristin/dalfopristin HCPCS J2770 | not published | not published | $0.01 – $713.00 | 5 |
| Rabies ig heat-treated human im/subq 90376 CPT 90376 | not published | not published | $347.32 – $760.32 | 6 |
| Rabies ig ht&sol human im/sc CPT 90377 | not published | not published | $241.15 – $611.28 | 12 |
| Rabies immune globulin (pf) 300 unit/ml intramuscular solution CPT 90375 | $440.19 | $880.38 | $280.37 – $684.10 | 13 |
| Rabies vaccine id CPT 90676 | not published | not published | $79.00 – $264.47 | 2 |
| Radiation physics consult CPT 77336 | $555.00 | $1,110.00 | not published | 0 |
| Radiation therapy dose plan CPT 77300 | $525.00 | $1,050.00 | 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.