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 |
|---|---|---|---|---|
| Radiation treatment aid(s) CPT 77332 | $550.00 | $1,100.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77333 | $1,040.00 | $2,080.00 | not published | 0 |
| Radiation treatment aid(s) CPT 77334 | $1,555.00 | $3,110.00 | not published | 0 |
| Radiation treatment delivery CPT 77402 | $715.00 | $1,430.00 | not published | 0 |
| Radiation treatment delivery CPT 77412 | $1,100.00 | $2,200.00 | not published | 0 |
| Radiesse injection HCPCS Q2026 | not published | not published | $333.42 – $333.42 | 1 |
| Radiology port images(s) CPT 77417 | $300.00 | $600.00 | not published | 0 |
| Radiotherapy dose plan imrt CPT 77301 | $12,155.00 | $24,310.00 | not published | 0 |
| Radium ra223 dichl ther/uci HCPCS A9606 | not published | not published | $157.54 – $258.60 | 5 |
| Radphm lcl tmr plnr bdy sgl day img CPT 78802 | $1,315.00 | $2,630.00 | not published | 0 |
| Radphm lcl tmr plnr bdy two day img CPT 78804 | $1,760.00 | $3,520.00 | not published | 0 |
| Radphm lcl tmr spect/ct 2+ areas/2+ days CPT 78831 | $1,905.00 | $3,810.00 | not published | 0 |
| Radphm lcl tomogr sgl area sgl day CPT 78803 | $1,505.00 | $3,010.00 | not published | 0 |
| Radphm lcl tumor plr sgl day CPT 78800 | $875.00 | $1,750.00 | not published | 0 |
| Radphm quant measure sgl area add-on CPT 78835 | $237.50 | $475.00 | not published | 0 |
| Ramucirumab 10 mg/ml intravenous solution HCPCS J9308 | not published | not published | $71.07 – $177.91 | 13 |
| Ranibizumab injection HCPCS J2778 | not published | not published | $90.41 – $581.61 | 13 |
| Rapid Strep Test CPT 87880 | not published | not published | $13.22 – $58.01 | 16 |
| Rasburicase 1.5 mg intravenous solution HCPCS J2783 | not published | not published | $369.97 – $902.72 | 13 |
| Ravulizumab-cwvz 100 mg/ml intravenous solution HCPCS J1303 | not published | not published | $220.32 – $538.23 | 12 |
| Rb82 rubidium HCPCS A9555 | not published | not published | $576.63 – $576.63 | 1 |
| Rbc count only automated CPT 85041 | not published | not published | $2.42 – $10.60 | 16 |
| Rbc irradiated each unit HCPCS P9038 | $575.00 | $1,150.00 | not published | 0 |
| Rbc mechanical fragility CPT 85547 | not published | not published | $6.88 – $30.18 | 16 |
| Rbc osmotic fragility CPT 85555 | $140.00 | $280.00 | $5.98 – $26.22 | 16 |
| Rbc serum pretx incubj drugs CPT 86975 | $370.00 | $740.00 | $26.27 – $86.97 | 2 |
| Red blood cells leukocytes reduced cmv negative irradiated each unit HCPCS P9058 | $530.00 | $1,060.00 | not published | 0 |
| Red blood cells leukocytes reduced each unit HCPCS P9016 | $307.50 | $615.00 | not published | 0 |
| Red blood cells leukocytes reduced irradiated each unit HCPCS P9040 | $350.00 | $700.00 | not published | 0 |
| Regadenoson 0.4 mg/5 ml intravenous syringe HCPCS J2785 | $31.96 | $63.91 | $2.88 – $92.23 | 12 |
| Rem/biv cast full arm/leg CPT 29705 | $157.50 | $315.00 | not published | 0 |
| Remdesivir 100 mg intravenous powder for solution HCPCS J0248 | $9.56 | $19.11 | $6.35 – $15.50 | 12 |
| Rem interrog evl pm/ids CPT 93296 | $140.00 | $280.00 | not published | 0 |
| Removal central venous catheter tunneled without port/pump CPT 36589 | $665.00 | $1,330.00 | not published | 0 |
| Removal central venous device tunneled w/port/pump central/peripheral insertion CPT 36590 | $1,085.00 | $2,170.00 | not published | 0 |
| Removal cerclage without anes CPT 59899 | $252.50 | $505.00 | not published | 0 |
| Removal cerumen impacted (both sides) CPT 69210 | $50.00 | $100.00 | not published | 0 |
| Removal devitalized tissue non-selective debridement without anesthesia per session CPT 97602 | $157.50 | $315.00 | not published | 0 |
| Removal w/reinsrt nonbiogrdble CPT 11983 | $455.00 | $910.00 | not published | 0 |
| Renal function panel CPT 80069 | $142.50 | $285.00 | $6.94 – $30.46 | 16 |
| Renin stimulation panel CPT 80416 | not published | not published | $167.46 – $734.62 | 16 |
| Renin stimulation panel CPT 80417 | not published | not published | $35.19 – $154.39 | 16 |
| Repair elbow perc CPT 24357 | $3,770.00 | $7,540.00 | not published | 0 |
| Repriza, 1cm HCPCS Q4143 | not published | not published | $33.92 – $50.88 | 4 |
| Reptilase test CPT 85635 | not published | not published | $7.88 – $34.57 | 16 |
| Reslizumab 10 mg/ml intravenous solution HCPCS J2786 | not published | not published | $10.31 – $25.18 | 13 |
| Respirator motion mgmt simul CPT 77293 | $2,120.00 | $4,240.00 | not published | 0 |
| #resp virpnl dfa-adenovirus CPT 87260 | not published | not published | $11.54 – $50.64 | 16 |
| #resp virpnl dfa-parainfluenza CPT 87279 | not published | not published | $13.14 – $57.66 | 16 |
| Resp virus 6-11 targets CPT 87632 | not published | not published | $174.45 – $765.29 | 16 |
| Restorigin 1 sq cm HCPCS Q4191 | not published | not published | $1,046.80 – $2,479.80 | 10 |
| Resuscitation cardiopulmonary CPT 92950 | $1,225.00 | $2,450.00 | not published | 0 |
| Resuscitation delivery/birthing room CPT 99465 | $515.00 | $1,030.00 | not published | 0 |
| Reteplase injection HCPCS J2993 | not published | not published | $2,777.14 – $4,622.18 | 4 |
| Reticulated platelet assay CPT 85055 | not published | not published | $28.59 – $125.43 | 16 |
| Reticulocyte automated CPT 85045 | not published | not published | $3.19 – $14.01 | 16 |
| Reticulocyte direct measurement automated CPT 85046 | $47.50 | $95.00 | $4.46 – $19.55 | 16 |
| Retifanlimab-dlwr 500 mg/20 ml intravenous solution HCPCS J9345 | not published | not published | $29.20 – $71.40 | 12 |
| Retrograde ejaculation anal CPT 89331 | not published | not published | $15.67 – $68.74 | 16 |
| Revasc intra lithotrip-stent HCPCS C9765 | $12,420.00 | $24,840.00 | not published | 0 |
| Revefenacin inh non-com 1mcg HCPCS J7677 | not published | not published | $0.19 – $0.48 | 11 |
| Revision of cervix CPT 59320 | $2,165.00 | $4,330.00 | not published | 0 |
| Revitalon 1 square cm HCPCS Q4157 | not published | not published | $167.65 – $267.20 | 2 |
| Revita, per sq cm HCPCS Q4180 | not published | not published | $254.99 – $2,126.70 | 5 |
| Rezafungin 200 mg intravenous solution HCPCS J0349 | not published | not published | $10.12 – $25.43 | 12 |
| Rheumatoid factor qualitative CPT 86430 | not published | not published | $4.91 – $21.56 | 16 |
| Rheumatoid factor quantitative CPT 86431 | $57.50 | $115.00 | $4.54 – $19.91 | 16 |
| Rh ig IV CPT 90386 | not published | not published | $10.21 – $16.82 | 3 |
| Rh ig minidose im CPT 90385 | not published | not published | $29.84 – $50.13 | 3 |
| Rho(d) immune globulin 1,500 unit (300 mcg)/2 ml injection syringe HCPCS J2791 | $12.50 | $25.00 | $4.80 – $11.94 | 12 |
| Rho d immune globulin 50 mcg HCPCS J2788 | not published | not published | $23.62 – $59.92 | 12 |
| Rho(d) immune globulin h, sd HCPCS J2792 | not published | not published | $32.51 – $80.19 | 13 |
| Rho d immune globulin inj HCPCS J2790 | $207.50 | $415.00 | $77.16 – $203.40 | 12 |
| Rho(d) immune globulin (rhig) human full dose im CPT 90384 | not published | not published | $82.83 – $139.16 | 3 |
| Riboflavin 5'phos opth<=3ml HCPCS J2787 | not published | not published | $1,992.00 – $3,488.40 | 3 |
| Rifampin in ns IV syringe 3 mg/ml (neo/ped) - cnr HCPCS J2804 | not published | not published | $0.14 – $0.14 | 1 |
| Rilonacept injection HCPCS J2793 | not published | not published | $24.66 – $41.46 | 3 |
| Risankizumab-rzaa 60 mg/ml intravenous solution HCPCS J2327 | not published | not published | $14.63 – $36.80 | 12 |
| Risperidone microspheres 12.5 mg/2 ml inj HCPCS J2794 | not published | not published | $10.50 – $26.82 | 13 |
| Rituximab 10 mg/ml concentrate,intravenous HCPCS J9312 | not published | not published | $76.43 – $187.22 | 13 |
| Rituximab 1,400 mg/11.7 ml (120 mg/ml)-hyaluronidase subcutaneous soln HCPCS J9311 | not published | not published | $36.58 – $89.25 | 13 |
| Rituximab-abbs 10 mg/ml intravenous solution HCPCS Q5115 | $92.44 | $184.87 | $31.83 – $77.67 | 12 |
| Rituximab-arrx 10 mg/ml intravenous solution HCPCS Q5123 | not published | not published | $33.09 – $89.73 | 12 |
| Rituximab-pvvr 10 mg/ml intravenous solution HCPCS Q5119 | not published | not published | $22.44 – $57.56 | 12 |
| Rolapitant, oral, 1mg HCPCS J8670 | not published | not published | $1.58 – $3.94 | 13 |
| Romidepsin 10 mg/2 ml intravenous powder for solution HCPCS J9319 | not published | not published | $29.86 – $74.16 | 12 |
| Romiplostim 125 mcg subcutaneous solution HCPCS J2802 | not published | not published | $10.52 – $25.72 | 11 |
| Romiplostim injection HCPCS J2796 | not published | not published | $101.05 – $138.44 | 4 |
| Romosozumab-aqqg 105 mg/1.17 ml subcutaneous syringe (wrapper) HCPCS J3111 | not published | not published | $11.17 – $28.03 | 12 |
| Ropivacaine 0.2 % epidural pca - 1 hour dose limit HCPCS J2795 | $1.46 | $2.92 | $0.06 – $0.18 | 12 |
| Rotavirus antibody CPT 86759 | not published | not published | $14.58 – $63.99 | 16 |
| Rozanolixizumab-noli 140 mg/ml subcutaneous solution HCPCS J9333 | not published | not published | $22.80 – $55.68 | 12 |
| Rp loclzj tum 2+area 1+d img CPT 78801 | $1,310.00 | $2,620.00 | not published | 0 |
| Rp loclzj tum spect w/ct 1 CPT 78830 | $1,650.00 | $3,300.00 | not published | 0 |
| Rp loclzj tum spect w/ct 2 CPT 78832 | $2,180.00 | $4,360.00 | not published | 0 |
| Rpl picc wo subq port/pump incl image guidnc w/s&i CPT 36584 | $910.00 | $1,820.00 | not published | 0 |
| Rsv assay w/optic CPT 87807 | $105.00 | $210.00 | $10.48 – $45.97 | 16 |
| Rsv vacc mrna lipid nano im CPT 90683 | not published | not published | $290.00 – $487.20 | 3 |
| Rtm 1st set-up&pt educaj eqp CPT 98975 | $70.00 | $140.00 | not published | 0 |
| Rtm dev sply mscskl 16-30 d CPT 98977 | $115.00 | $230.00 | 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.