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 |
|---|---|---|---|---|
| Warde immunofixation electrophoresis urine CPT 86335 | $112.50 | $225.00 | $23.48 – $103.00 | 16 |
| Warde infectious agent antigen immunoassay ql/sq multi step hepatitis be agn CPT 87350 | $57.50 | $115.00 | $9.22 – $40.47 | 16 |
| Warde infectious agent nucleic acid genotype hepatitis c CPT 87902 | $575.00 | $1,150.00 | $205.96 – $903.53 | 16 |
| Warde islet cell antibody zinc transporter 8 CPT 86341 | $190.00 | $380.00 | $18.86 – $82.72 | 16 |
| Warde lipoprotein (a) CPT 83695 | $90.00 | $180.00 | $11.46 – $50.26 | 16 |
| Warde lipoprotein-associated phospholipase a2 CPT 83698 | $117.50 | $235.00 | $37.05 – $162.53 | 16 |
| Warde mitochondrial antibody each CPT 86381 | $92.50 | $185.00 | $20.36 – $82.46 | 14 |
| Warde neutralization rabies CPT 86382 | $130.00 | $260.00 | $13.53 – $59.34 | 16 |
| Warde oxcarbazepine therapeutic drug level CPT 80183 | $82.50 | $165.00 | $10.60 – $46.50 | 16 |
| Warde pancreatic elastase fecal quantitative CPT 82653 | $115.00 | $230.00 | $18.38 – $74.42 | 14 |
| Warde protein c antigen CPT 85302 | $155.00 | $310.00 | $9.61 – $42.15 | 16 |
| Warde sex hormone binding globulin CPT 84270 | $87.50 | $175.00 | $17.38 – $76.26 | 16 |
| Warde somatomedin CPT 84305 | $210.00 | $420.00 | $17.01 – $74.61 | 16 |
| Warde sugars single qualitative each specimen stool CPT 84376 | not published | not published | $4.40 – $19.30 | 16 |
| Warde t3 (triiodothyronine) reverse CPT 84482 | $70.00 | $140.00 | $12.61 – $55.32 | 16 |
| Warde thyroid stimulating immunoglobulins CPT 84445 | $220.00 | $440.00 | $40.69 – $178.50 | 16 |
| Warde topiramate therapeutic drug level CPT 80201 | $105.00 | $210.00 | $9.54 – $41.84 | 16 |
| Warde virus isolation tissue culture innoculation presumptive id herpes simplex CPT 87252 | not published | not published | $20.86 – $91.49 | 16 |
| Warde viscosity CPT 85810 | $75.00 | $150.00 | $9.34 – $40.96 | 16 |
| Warde vitamin a CPT 84590 | $97.50 | $195.00 | $9.29 – $40.75 | 16 |
| Warde vitamin b-1 (thiamine) CPT 84425 | $100.00 | $200.00 | $16.98 – $74.52 | 16 |
| Warde vitamin b6 (pyridoxine) CPT 84207 | $130.00 | $260.00 | $22.48 – $98.62 | 16 |
| Warde vitamin c (ascorbic acid) CPT 82180 | $70.00 | $140.00 | $7.91 – $34.70 | 16 |
| Warde vitamin d (1 25 dihydroxy) CPT 82652 | $155.00 | $310.00 | $30.80 – $135.12 | 16 |
| Warde vitamin e (alpha-tocopherol) CPT 84446 | $80.00 | $160.00 | $11.34 – $49.76 | 16 |
| Warde zinc CPT 84630 | $77.50 | $155.00 | $9.11 – $39.98 | 16 |
| Warfarin respon genetic test HCPCS G9143 | not published | not published | $96.58 – $423.69 | 16 |
| Wbc automated CPT 85048 | $30.00 | $60.00 | $2.03 – $8.91 | 16 |
| Western blot test CPT 84181 | $82.50 | $165.00 | $15.30 – $59.77 | 16 |
| Wet mounts/ w preparations HCPCS Q0111 | not published | not published | $12.10 – $56.08 | 16 |
| Whfo w/joint(s) custom fab HCPCS L3806 | $295.00 | $590.00 | not published | 0 |
| Whole mitochondrial genome CPT 81460 | not published | not published | $1,029.60 – $4,516.82 | 16 |
| Whole mitochondrial genome CPT 81465 | not published | not published | $748.80 – $3,284.96 | 16 |
| Who nontorsion jnts pre cst HCPCS L3915 | $347.50 | $695.00 | not published | 0 |
| Wilate injection HCPCS J7183 | not published | not published | $1.28 – $3.13 | 13 |
| Woundfix biowound plus xplus HCPCS Q4217 | not published | not published | $372.58 – $904.91 | 10 |
| Wound therapy negative pressure per session <= 50 sq cm CPT 97607 | $585.00 | $1,170.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm CPT 97608 | $885.00 | $1,770.00 | not published | 0 |
| Wound therapy negative pressure per session <= 50 sq cm dme CPT 97605 | $220.00 | $440.00 | not published | 0 |
| Wound therapy negative pressure per session > 50 sq cm dme CPT 97606 | $330.00 | $660.00 | not published | 0 |
| Wrist X-ray CPT 73110 | $805.00 | $1,610.00 | not published | 0 |
| Xcellistem, 1 mg HCPCS A2004 | not published | not published | $12.48 – $19.89 | 2 |
| Xe133 xenon 10mci HCPCS A9558 | not published | not published | $233.23 – $390.30 | 3 |
| X-linked intellectual dblt CPT 81470 | not published | not published | $731.20 – $3,207.76 | 16 |
| X-linked intellectual dblt CPT 81471 | not published | not published | $731.20 – $3,207.76 | 16 |
| Xm archive tissue molec anal CPT 88363 | not published | not published | $19.34 – $35.76 | 2 |
| X-ray abdomen 1 view CPT 74018 | $275.00 | $550.00 | not published | 0 |
| X-ray abdomen 2 views CPT 74019 | $342.50 | $685.00 | not published | 0 |
| X-ray abdomen >=3 views CPT 74021 | $412.50 | $825.00 | not published | 0 |
| X-ray abdomen complete acute series including spine erect and/or decubitus single view chest CPT 74022 | $477.50 | $955.00 | not published | 0 |
| X-ray acromioclavicular joints without or w/weighted distraction bilateral CPT 73050 | $295.00 | $590.00 | not published | 0 |
| X-ray ankle 2 views (both sides) CPT 73600 | $530.00 | $1,060.00 | not published | 0 |
| X-ray arthrogram shoulder supervision & interpretation (both sides) CPT 73040 | $965.00 | $1,930.00 | not published | 0 |
| X-ray assay calculus CPT 82370 | not published | not published | $10.02 – $43.93 | 16 |
| X-ray bone age studies CPT 77072 | $292.50 | $585.00 | not published | 0 |
| X-ray bone length studies CPT 77073 | $350.00 | $700.00 | not published | 0 |
| X-ray bone survey complete CPT 77075 | $885.00 | $1,770.00 | not published | 0 |
| X-ray bone survey infant CPT 77076 | $525.00 | $1,050.00 | not published | 0 |
| X-ray cervical spine 2-3 views CPT 72040 | $270.00 | $540.00 | not published | 0 |
| X-ray cervical spine 4-5 views CPT 72050 | $395.00 | $790.00 | not published | 0 |
| X-ray cervical spine >= 6 views CPT 72052 | $450.00 | $900.00 | not published | 0 |
| X-ray clavicle complete (both sides) CPT 73000 | $575.00 | $1,150.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images single contrast study CPT 74270 | $472.50 | $945.00 | not published | 0 |
| X-ray colon abdominal radiograph(s) & delayed images with glucagon double contrast study CPT 74280 | $615.00 | $1,230.00 | not published | 0 |
| X-ray elbow 2 views (both sides) CPT 73070 | $475.00 | $950.00 | not published | 0 |
| X-ray elbow >= 3 views (both sides) CPT 73080 | $595.00 | $1,190.00 | not published | 0 |
| X-ray esophogram chest radiograph(s) & delayed images single contrast study CPT 74220 | $505.00 | $1,010.00 | not published | 0 |
| X-ray exam of arm infant CPT 73092 | $220.00 | $440.00 | not published | 0 |
| X-ray exam of eye sockets CPT 70200 | $327.50 | $655.00 | not published | 0 |
| X-ray exam of femur 1 CPT 73551 | $470.00 | $940.00 | not published | 0 |
| X-ray exam of sinuses CPT 70210 | $282.50 | $565.00 | not published | 0 |
| X-ray exam si joints CPT 72200 | $252.50 | $505.00 | not published | 0 |
| X-ray exam thorac spine4/>vw CPT 72074 | $357.50 | $715.00 | not published | 0 |
| X-ray eye detection foreign body (both sides) CPT 70030 | $275.00 | $550.00 | not published | 0 |
| X-ray facial bones complete > 3 views CPT 70150 | $402.50 | $805.00 | not published | 0 |
| X-ray femur >=2 views (both sides) CPT 73552 | $695.00 | $1,390.00 | not published | 0 |
| X-ray finger(s) >= 2 views (both sides) CPT 73140 | $545.00 | $1,090.00 | not published | 0 |
| X-ray foot 2 views (both sides) CPT 73620 | $570.00 | $1,140.00 | not published | 0 |
| X-ray forearm 2 views (both sides) CPT 73090 | $560.00 | $1,120.00 | not published | 0 |
| X-ray hand 2 views (both sides) CPT 73120 | $700.00 | $1,400.00 | not published | 0 |
| X-ray heel/calcaneus > 2 views (both sides) CPT 73650 | $510.00 | $1,020.00 | not published | 0 |
| X-ray hip uni w/wo pelvis min 4 views CPT 73503 | $432.50 | $865.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 2 views CPT 73521 | $432.50 | $865.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral 3-4 views CPT 73522 | $515.00 | $1,030.00 | not published | 0 |
| X-ray hip with pelvis when performed bilateral >= 5 views CPT 73523 | $655.00 | $1,310.00 | not published | 0 |
| X-ray hip with pelvis when performed unilateral 1 view left CPT 73501 | $287.50 | $575.00 | not published | 0 |
| X-ray humerus >= 2 views left CPT 73060 | $590.00 | $1,180.00 | not published | 0 |
| X-ray knee 1-2 views (both sides) CPT 73560 | $595.00 | $1,190.00 | not published | 0 |
| X-ray knee 3 views (both sides) CPT 73562 | $720.00 | $1,440.00 | not published | 0 |
| X-ray knee ap standing bilateral CPT 73565 | $252.50 | $505.00 | not published | 0 |
| X-ray lower extremities infant > 2 views (both sides) CPT 73592 | $445.00 | $890.00 | not published | 0 |
| X-ray l/s-spine bend vw only 2-3 vw CPT 72120 | $395.00 | $790.00 | not published | 0 |
| X-ray lumbosacral spine >= 4 views CPT 72110 | $412.50 | $825.00 | not published | 0 |
| X-ray lumbosacral spine complete including bending views >= 6 views CPT 72114 | $550.00 | $1,100.00 | not published | 0 |
| X-ray mandible complete > 4 views CPT 70110 | $392.50 | $785.00 | not published | 0 |
| X-ray mandible ltd <4 views CPT 70100 | $292.50 | $585.00 | not published | 0 |
| X-ray nasal bones complete > 3 views CPT 70160 | $332.50 | $665.00 | not published | 0 |
| X-ray neck soft tissue CPT 70360 | $280.00 | $560.00 | not published | 0 |
| X-ray nose to rectum for foreign body child CPT 76010 | $147.50 | $295.00 | not published | 0 |
| X-ray pelvis 1-2 views CPT 72170 | $270.00 | $540.00 | 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.