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 |
|---|---|---|---|---|
| Assay of lap enzyme CPT 83670 | not published | not published | $7.85 – $34.42 | 16 |
| Assay of leflunomide CPT 80193 | not published | not published | $30.86 – $124.97 | 14 |
| Assay of lrh hormone CPT 83727 | not published | not published | $13.75 – $60.33 | 16 |
| Assay of methemalbumin CPT 83857 | not published | not published | $8.59 – $37.69 | 16 |
| Assay of neonatal thyroxine CPT 84437 | not published | not published | $5.18 – $22.71 | 16 |
| Assay of osteocalcin CPT 83937 | not published | not published | $23.88 – $104.76 | 16 |
| Assay of phenylketones CPT 84035 | not published | not published | $3.18 – $13.98 | 16 |
| Assay of pregnanediol CPT 84135 | not published | not published | $17.02 – $74.64 | 16 |
| Assay of pregnanetriol CPT 84138 | not published | not published | $16.84 – $73.88 | 16 |
| Assay of procainamide CPT 80190 | not published | not published | $48.00 – $210.58 | 16 |
| Assay of procainamide w/metab CPT 80192 | not published | not published | $13.40 – $58.78 | 16 |
| Assay of progesterone CPT 84234 | not published | not published | $51.90 – $227.71 | 16 |
| Assay of prostaglandin CPT 84150 | $355.00 | $710.00 | $33.42 – $146.59 | 16 |
| Assay of PSA complexed CPT 84152 | not published | not published | $14.71 – $64.55 | 16 |
| Assay of quinine CPT 84228 | not published | not published | $9.30 – $40.82 | 16 |
| Assay of rbc pg6d enzyme CPT 84085 | not published | not published | $7.55 – $33.13 | 16 |
| Assay of salicylate CPT 80179 | $95.00 | $190.00 | $14.91 – $65.43 | 15 |
| Assay of semen fructose CPT 82757 | not published | not published | $13.87 – $60.85 | 16 |
| Assay of sialic acid CPT 84275 | not published | not published | $10.75 – $47.16 | 16 |
| Assay of silica CPT 84285 | not published | not published | $20.17 – $88.48 | 16 |
| Assay of somatostatin CPT 84307 | not published | not published | $14.62 – $64.15 | 16 |
| Assay of thiocyanate CPT 84430 | $85.00 | $170.00 | $9.30 – $40.82 | 16 |
| Assay of troponin qual CPT 84512 | not published | not published | $8.07 – $35.41 | 16 |
| Assay of tyrosine CPT 84510 | $60.00 | $120.00 | $8.50 – $37.32 | 16 |
| Assay of urine sulfate CPT 84392 | $30.00 | $60.00 | $4.39 – $19.27 | 16 |
| Assay of urine urobilinogen CPT 84580 | not published | not published | $7.64 – $33.52 | 16 |
| Assay of urine urobilinogen CPT 84583 | not published | not published | $4.84 – $21.25 | 16 |
| Assay phosphatidylglycerol CPT 84081 | not published | not published | $13.22 – $57.97 | 16 |
| Assay phosphohexose enzymes CPT 84087 | not published | not published | $8.58 – $37.66 | 16 |
| Assay rbc glutathione CPT 82979 | not published | not published | $7.55 – $33.13 | 16 |
| Assay toxin or antitoxin CPT 87230 | not published | not published | $15.79 – $69.27 | 16 |
| Assess aphasia/interp/rpt/per hr 96105 CPT 96105 | $292.50 | $585.00 | not published | 0 |
| Assess cyst contrast inject CPT 49424 | $580.00 | $1,160.00 | not published | 0 |
| Assessment leukocyte fecal qualitative/semiquantitative CPT 89055 | not published | not published | $3.42 – $14.98 | 16 |
| Assist oocyte fertilization CPT 89280 | not published | not published | $1,597.62 – $1,597.62 | 1 |
| Assist oocyte fertilization CPT 89281 | not published | not published | $317.34 – $317.34 | 1 |
| Ast/sgot CPT 84450 | $57.50 | $115.00 | $4.14 – $18.18 | 16 |
| Asxl1 full gene sequence CPT 81175 | not published | not published | $541.20 – $2,374.23 | 16 |
| Asxl1 gene target seq alys CPT 81176 | not published | not published | $193.52 – $848.97 | 16 |
| Atezolizumab 60 mg/ml intravenous solution (wrapper) HCPCS J9022 | not published | not published | $86.24 – $215.26 | 13 |
| Athletic trn eval low cmplx CPT 97169 | $117.50 | $235.00 | not published | 0 |
| Atn1 gene detc abnor alleles CPT 81177 | not published | not published | $109.60 – $480.81 | 16 |
| Atomic absorption CPT 82190 | not published | not published | $12.72 – $55.80 | 16 |
| Atropine 0.1 mg/ml injection syringe HCPCS J0461 | not published | not published | $0.09 – $0.26 | 12 |
| Attn at delivery+ 1 stabilization of newborn 99464 CPT 99464 | $100.00 | $200.00 | not published | 0 |
| Atxn10 gene detc abnor allel CPT 81183 | not published | not published | $109.60 – $480.81 | 16 |
| Atxn1 gene detc abnor allele CPT 81178 | $755.00 | $1,510.00 | $109.60 – $480.81 | 16 |
| Atxn2 gene detc abnor allele CPT 81179 | $810.00 | $1,620.00 | $109.60 – $480.81 | 16 |
| Atxn3 gene detc abnor allele CPT 81180 | not published | not published | $109.60 – $480.81 | 16 |
| Atxn7 gene detc abnor allele CPT 81181 | not published | not published | $109.60 – $480.81 | 16 |
| Atxn8os gen detc abnor allel CPT 81182 | not published | not published | $109.60 – $480.81 | 16 |
| Autoimmune rheumatoid arthr anl 12 mrk ia CPT 81490 | not published | not published | $672.52 – $2,950.32 | 16 |
| Autologous blood op salvage CPT 86891 | not published | not published | $116.64 – $386.10 | 2 |
| Autologous blood process CPT 86890 | not published | not published | $82.58 – $273.33 | 2 |
| Automated diff wbc count CPT 85004 | $27.50 | $55.00 | $5.18 – $22.71 | 16 |
| Autopsy (necropsy) complete CPT 88020 | not published | not published | $0.01 – $21.27 | 2 |
| Autopsy (necropsy) complete CPT 88025 | not published | not published | $0.01 – $20.58 | 2 |
| Autopsy (necropsy) complete CPT 88027 | not published | not published | $0.01 – $21.96 | 2 |
| Autopsy (necropsy) complete CPT 88028 | not published | not published | $0.01 – $12.36 | 2 |
| Autopsy (necropsy) complete CPT 88029 | not published | not published | $0.01 – $12.36 | 2 |
| Autopsy (necropsy) gross CPT 88000 | not published | not published | $0.01 – $12.36 | 2 |
| Autopsy (necropsy) gross CPT 88005 | not published | not published | $0.01 – $14.40 | 2 |
| Autopsy (necropsy) gross CPT 88007 | not published | not published | $0.01 – $15.09 | 2 |
| Autopsy (necropsy) gross CPT 88012 | not published | not published | $0.01 – $12.36 | 2 |
| Autopsy (necropsy) gross CPT 88014 | not published | not published | $0.01 – $11.34 | 2 |
| Autopsy (necropsy) gross CPT 88016 | not published | not published | $0.01 – $15.81 | 2 |
| Avelumab 20 mg/ml intravenous solution HCPCS J9023 | not published | not published | $95.18 – $236.55 | 13 |
| Avulsion nail plate partial/complete simple single nail plate CPT 11730 | $225.00 | $450.00 | not published | 0 |
| Axatilimab-csfr 22 mg/0.44ml soln 0.44 ml vial HCPCS J9038 | not published | not published | $52.50 – $52.50 | 1 |
| Axicabtagene ciloleucel car+ HCPCS Q2041 | not published | not published | $0.01 – $1,194,421.85 | 10 |
| Azacitidine injection HCPCS J9025 | not published | not published | $0.29 – $2.08 | 12 |
| Azathioprine 50 mg tablet HCPCS J7500 | not published | not published | $1.01 – $2.91 | 12 |
| Azathioprine parenteral HCPCS J7501 | not published | not published | $228.97 – $382.50 | 4 |
| Azithromycin 500 mg intravenous solution HCPCS J0456 | $22.54 | $45.08 | $2.06 – $5.19 | 12 |
| Azithromycin dihydrate, oral HCPCS Q0144 | not published | not published | $23.71 – $37.79 | 3 |
| Aztreonam 1 gram solution for injection HCPCS J0457 | $6.19 | $12.38 | $1.97 – $5.05 | 11 |
| Baclofen 2,000 mcg/ml intrathecal solution (wrapper) HCPCS J0475 | not published | not published | $173.84 – $424.16 | 13 |
| Baclofen 50 mcg/ml intrathecal solution (wrapper) HCPCS J0476 | not published | not published | $41.95 – $99.38 | 12 |
| Baclofen eval charges CPT 97750 | $87.50 | $175.00 | not published | 0 |
| Bacterial meningitis antigen CPT 86403 | $50.00 | $100.00 | $9.23 – $40.50 | 16 |
| Bacterial vaginosis pcr CPT 87801 | $810.00 | $1,620.00 | $56.16 – $246.37 | 16 |
| Bactericidal level serum CPT 87197 | not published | not published | $12.02 – $52.71 | 16 |
| #bac vag cand-c. albicans naa CPT 87481 | $105.00 | $210.00 | $28.07 – $123.15 | 16 |
| Bard marquee Ultrasound biopsy device HCPCS A4649 | $17.92 | $35.83 | not published | 0 |
| Bartonella dna pcr-sendout CPT 87471 | $122.50 | $245.00 | $28.07 – $123.15 | 16 |
| Bartonella dna quant CPT 87472 | not published | not published | $34.27 – $150.35 | 16 |
| Basiliximab HCPCS J0480 | not published | not published | $4,588.77 – $11,364.50 | 13 |
| B cells total count CPT 86355 | $135.00 | $270.00 | $30.18 – $132.42 | 16 |
| Bcg live 50 mg intravesical suspension HCPCS J9030 | not published | not published | $2.99 – $7.32 | 11 |
| Bcg vaccine intravesical CPT 90586 | not published | not published | $149.54 – $365.88 | 12 |
| Bcg vaccine percut CPT 90585 | not published | not published | $173.28 – $285.41 | 4 |
| Bckdhb gene CPT 81205 | $195.00 | $390.00 | $75.99 – $333.37 | 16 |
| Becaplermin 0.01% gel 15 gm HCPCS S0157 | not published | not published | $43.51 – $69.35 | 3 |
| Belatacept 250 mg intravenous solution HCPCS J0485 | not published | not published | $3.81 – $9.60 | 13 |
| Belimumab 120 mg intravenous solution HCPCS J0490 | not published | not published | $54.15 – $133.98 | 13 |
| Bendamustine 100 mg intravenous powder for solution HCPCS J9033 | not published | not published | $1.24 – $48.37 | 13 |
| Bendamustine 25 mg/ml intravenous solution (belrapzo) HCPCS J9036 | not published | not published | $3.59 – $41.79 | 12 |
| Bendamustine 25 mg/ml intravenous solution (bendeka) HCPCS J9034 | not published | not published | $12.95 – $38.08 | 13 |
| Bendamustine 25 mg/ml intravenous solution (vivimusta) HCPCS J9056 | not published | not published | $27.24 – $69.91 | 12 |
| Benign lesion paring 2-4 CPT 11056 | $112.50 | $225.00 | 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.