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 |
|---|---|---|---|---|
| Rtm dev sply resp sys 16-30d CPT 98976 | $115.00 | $230.00 | not published | 0 |
| Rubella antibody igg CPT 86762 | $80.00 | $160.00 | $11.51 – $50.51 | 16 |
| Rubeola ag if CPT 87283 | not published | not published | $35.37 – $213.39 | 16 |
| Rubeola antibody igg CPT 86765 | $80.00 | $160.00 | $10.30 – $45.21 | 16 |
| Runx1 gene targeted seq alys CPT 81334 | not published | not published | $263.61 – $1,156.44 | 16 |
| Russell viper venom diluted CPT 85613 | $87.50 | $175.00 | $7.66 – $33.62 | 16 |
| Rx metab gen seq alys pnl 6 CPT 81418 | not published | not published | $733.66 – $2,676.87 | 12 |
| Sacituzumab govitecan-hziy 180 mg intravenous solution HCPCS J9317 | not published | not published | $34.67 – $86.47 | 12 |
| Salmonella antibody CPT 86768 | $27.50 | $55.00 | $10.55 – $46.29 | 16 |
| Saquinavir, 200 mg HCPCS S0140 | not published | not published | $0.01 – $1.86 | 3 |
| Sargramostim injection HCPCS J2820 | not published | not published | $59.88 – $146.44 | 13 |
| Sars-cov-2 antb quantitative CPT 86413 | not published | not published | $33.78 – $149.15 | 8 |
| Sarscov2 vac 5mcg/0.5ml im CPT 91304 | not published | not published | $161.54 – $394.15 | 12 |
| Sarscov coronavirus ag ia CPT 87426 | $37.50 | $75.00 | $35.33 – $114.47 | 14 |
| Sarscov & inf vir a&b ag ia CPT 87428 | $52.50 | $105.00 | $65.54 – $203.84 | 9 |
| Scan duplex abd/pelvis/retroperitoneal complete CPT 93975 | $575.00 | $1,150.00 | not published | 0 |
| Scan duplex abd/pelvis/retroperitoneal limited CPT 93976 | $385.00 | $770.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac or bypass grafts complete CPT 93978 | $590.00 | $1,180.00 | not published | 0 |
| Scan duplex aorta/ivc/iliac unilateral/limited CPT 93979 | $395.00 | $790.00 | not published | 0 |
| Scan duplex extracranial arteries unilateral/limited study CPT 93882 | $685.00 | $1,370.00 | not published | 0 |
| Scan duplex extremity veins unilateral/limited study CPT 93971 | $675.00 | $1,350.00 | not published | 0 |
| Scan duplex lower extremity arteries complete bilateral CPT 93925 | $965.00 | $1,930.00 | not published | 0 |
| Scan duplex lower extremity arteries unilateral/limited study left CPT 93926 | $645.00 | $1,290.00 | not published | 0 |
| Scan duplex upper extremity arteries unilateral/limited study left CPT 93931 | $475.00 | $950.00 | not published | 0 |
| Scope uretscp lithovue dig disp HCPCS C1747 | $2,160.00 | $4,320.00 | not published | 0 |
| Scr c/v cyto, automated sys HCPCS G0147 | not published | not published | $12.10 – $56.08 | 16 |
| Scr c/v cyto,autosys and md HCPCS G0141 | not published | not published | $21.08 – $21.08 | 1 |
| Scr c/v cyto, autosys, rescr HCPCS G0148 | not published | not published | $25.55 – $112.10 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0144 | not published | not published | $35.18 – $154.33 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0145 | not published | not published | $21.19 – $92.98 | 16 |
| Scr c/v cyto,thinlayer,rescr HCPCS G0143 | not published | not published | $21.64 – $94.94 | 16 |
| Screen cerv/vag thin layer HCPCS G0123 | not published | not published | $16.21 – $71.10 | 16 |
| Screen c/v thin layer by md HCPCS G0124 | not published | not published | $21.08 – $21.08 | 1 |
| Screening colorectal cancer fecal occult blood immunoassay 1-3 simultaneous determinations HCPCS G0328 | not published | not published | $14.44 – $63.35 | 16 |
| Screening hepatitis b non-obstetric high risk HCPCS G0499 | not published | not published | $22.62 – $99.22 | 16 |
| Screening hepatitis c antibody high risk HCPCS G0472 | not published | not published | $37.08 – $162.67 | 16 |
| Screening HIV antigen/antibody combination assay HCPCS G0475 | not published | not published | $19.26 – $84.52 | 16 |
| Screening Mammogram CPT 77067 | $182.50 | $365.00 | not published | 0 |
| Screening pap smear by phys HCPCS P3001 | not published | not published | $21.08 – $21.08 | 1 |
| Screening prostate cancer PSA HCPCS G0103 | not published | not published | $15.45 – $67.78 | 16 |
| Screen pap by tech w md supv HCPCS P3000 | not published | not published | $12.10 – $56.08 | 16 |
| Screw cortex 2.0 x 10mm HCPCS C1713 | $7,065.10 | $14,130.19 | not published | 0 |
| Sedimentation rate erythrocyte automated CPT 85652 | $47.50 | $95.00 | $2.16 – $9.47 | 16 |
| Seg acet and eth estr yearly HCPCS J7294 | not published | not published | $2,323.73 – $3,703.44 | 3 |
| Semen analysis HCPCS G0027 | not published | not published | $5.20 – $22.81 | 16 |
| Semen analysis presence/motility CPT 89321 | $70.00 | $140.00 | $9.64 – $42.29 | 16 |
| Semen analysis w/count CPT 89310 | not published | not published | $6.89 – $30.21 | 16 |
| Sept9 promoter methylation analysis CPT 81327 | $290.00 | $580.00 | $153.60 – $673.84 | 16 |
| Sermorelin acetate injection HCPCS Q0515 | not published | not published | $0.01 – $2.70 | 3 |
| Serpina1 gene CPT 81332 | not published | not published | $34.92 – $153.20 | 16 |
| Sertraline (zoloft) - sendout CPT 80332 | not published | not published | $19.34 – $19.34 | 1 |
| Set radiation therapy field CPT 77280 | $845.00 | $1,690.00 | not published | 0 |
| Set radiation therapy field CPT 77290 | $1,480.00 | $2,960.00 | not published | 0 |
| Sevelamer carbonate 800 mg tablet HCPCS J0601 | $0.27 | $0.53 | $0.01 – $0.02 | 3 |
| Sevelamer carbonate pdr 20mg HCPCS J0602 | not published | not published | $0.05 – $0.08 | 3 |
| Sex chromatin identification CPT 88130 | not published | not published | $14.38 – $63.10 | 16 |
| Sex chromatin identification CPT 88140 | not published | not published | $6.39 – $28.05 | 16 |
| Sf3b1 gene common variants CPT 81347 | not published | not published | $154.60 – $626.13 | 14 |
| Shigella antibody CPT 86771 | not published | not published | $19.58 – $85.92 | 16 |
| Shoe post-op mens m HCPCS L3260 | $40.00 | $80.00 | not published | 0 |
| Shoulder MRI (with and without contrast) CPT 73223 | $3,265.00 | $6,530.00 | not published | 0 |
| Shoulder MRI (with contrast) CPT 73222 | $2,210.00 | $4,420.00 | not published | 0 |
| Shoulder MRI (without contrast) CPT 73221 | $2,110.00 | $4,220.00 | not published | 0 |
| Shoulder X-ray CPT 73030 | $720.00 | $1,440.00 | not published | 0 |
| Shunt glaucoma baerveldt 350mm HCPCS C1783 | $2,268.00 | $4,536.00 | not published | 0 |
| Sialidase enzyme assay CPT 87905 | not published | not published | $9.78 – $42.90 | 16 |
| Sickling rbc CPT 85660 | $187.50 | $375.00 | $4.41 – $19.34 | 16 |
| Sildenafil citrate, 25 mg HCPCS S0090 | not published | not published | $0.26 – $0.41 | 3 |
| Sincalide 5 mcg solution for injection HCPCS J2805 | not published | not published | $117.82 – $279.10 | 12 |
| Sinus CT scan (with and without contrast) CPT 70488 | $2,305.00 | $4,610.00 | not published | 0 |
| Sinus CT scan (with contrast) CPT 70487 | $1,570.00 | $3,140.00 | not published | 0 |
| Sinus CT scan (without contrast) CPT 70486 | $1,470.00 | $2,940.00 | not published | 0 |
| Sipuleucel-t - su HCPCS Q2043 | not published | not published | $55,015.23 – $135,509.06 | 13 |
| Sirolimus, oral HCPCS J7520 | not published | not published | $1.09 – $11.54 | 12 |
| Sirolimus-protein bound 100 mg intravenous suspension HCPCS J9331 | not published | not published | $114.21 – $286.58 | 12 |
| Skeletal muscle relaxant 1/2 CPT 80369 | not published | not published | $19.34 – $19.34 | 1 |
| Skin Biopsy CPT 11102 | $230.00 | $460.00 | not published | 0 |
| Skin test unlisted antigen ea CPT 86486 | not published | not published | $4.33 – $17.52 | 2 |
| Skyla, 13.5 mg HCPCS J7301 | not published | not published | $1,011.38 – $1,547.42 | 3 |
| Slco1b1 gene com variants CPT 81328 | not published | not published | $139.85 – $613.52 | 16 |
| Sleep Study (Polysomnography) CPT 95810 | $3,385.00 | $6,770.00 | not published | 0 |
| Sleeve fing rolyan med HCPCS L3933 | $140.00 | $280.00 | not published | 0 |
| Sling arm deluxe w/pad xs HCPCS A4565 | $20.00 | $40.00 | not published | 0 |
| Slp eval non-spch gen comm dev CPT 92605 | $285.00 | $570.00 | not published | 0 |
| Slp ther svc non-spch gen CPT 92606 | $255.00 | $510.00 | not published | 0 |
| Sm-153 lexidron ther HCPCS A9604 | not published | not published | $4,314.91 – $24,912.81 | 4 |
| Small animal inoculation CPT 87003 | not published | not published | $13.47 – $59.10 | 16 |
| Smallpox&monkeypox vac 0.5ml CPT 90611 | not published | not published | $0.01 – $453.60 | 4 |
| Smear fluorescent and/or acid fast stain CPT 87206 | $55.00 | $110.00 | $4.31 – $18.92 | 16 |
| Smear gram stain CPT 87205 | $40.00 | $80.00 | $3.42 – $14.98 | 16 |
| Smear nasal eosinophil CPT 89190 | $30.00 | $60.00 | $4.63 – $20.31 | 16 |
| Smear special stain inclusion bodies/parasites CPT 87207 | $67.50 | $135.00 | $5.99 – $21.03 | 16 |
| Smear wet mount CPT 87210 | $37.50 | $75.00 | $4.66 – $20.44 | 16 |
| Smn1 gene full gene sequence CPT 81336 | not published | not published | $241.08 – $1,057.61 | 16 |
| Smn1 gen nown famil seq vrnt CPT 81337 | not published | not published | $148.16 – $649.97 | 16 |
| Smpd1 gene common variants CPT 81330 | $160.00 | $320.00 | $37.60 – $164.95 | 16 |
| Snrpn/ube3a gene CPT 81331 | not published | not published | $40.86 – $179.23 | 16 |
| So cap design without jnts cf HCPCS L3671 | $590.00 | $1,180.00 | not published | 0 |
| Sodium 24 hour urine CPT 84300 | $25.00 | $50.00 | $4.05 – $17.76 | 16 |
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | $60.40 | $120.79 | $2.47 – $6.11 | 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.