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 |
|---|---|---|---|---|
| Benign lesion paring 4+ CPT 11057 | $125.00 | $250.00 | not published | 0 |
| #_benzodiazconfur CPT 80346 | $212.50 | $425.00 | $19.34 – $19.34 | 1 |
| Benztropine 1 mg/ml injection solution HCPCS J0515 | not published | not published | $16.56 – $41.21 | 12 |
| Beta 2 glycoprotein 1 antibody iga CPT 86146 | $67.50 | $135.00 | $17.16 – $89.32 | 16 |
| Beta-2 microglobulin CPT 82232 | $77.50 | $155.00 | $12.94 – $56.78 | 16 |
| Beta-amyloid 1-40 CPT 82233 | $320.00 | $640.00 | not published | 0 |
| Beta-amyloid 1-42 CPT 82234 | $312.50 | $625.00 | not published | 0 |
| Betamethasone acetate and sodium phos 6 mg/ml suspension for injection HCPCS J0702 | not published | not published | $6.85 – $18.32 | 12 |
| Bethanechol chloride inject HCPCS J0520 | not published | not published | $4.50 – $6.74 | 2 |
| Bevacizumab 25 mg/ml intravenous solution HCPCS J9035 | not published | not published | $72.70 – $178.58 | 13 |
| Bevacizumab-awwb 25 mg/ml intravenous solution HCPCS Q5107 | not published | not published | $26.59 – $70.09 | 12 |
| Bevacizumab-bvzr 25 mg/ml intravenous solution HCPCS Q5118 | not published | not published | $23.00 – $56.12 | 12 |
| Bevacizumab injection HCPCS C9257 | not published | not published | $1.83 – $14.39 | 4 |
| Bfb train 1st 15min cntct 90912 CPT 90912 | $180.00 | $360.00 | not published | 0 |
| Bfb train ea addl 15 min 90913 CPT 90913 | $90.00 | $180.00 | not published | 0 |
| B-hexosaminidase ea assay CPT 83080 | $292.50 | $585.00 | $13.50 – $59.21 | 16 |
| Bilateral n block inj occipital 64405 CPT 64405 | $515.00 | $1,030.00 | not published | 0 |
| Bilateral n block inj trigeminal 64400 CPT 64400 | $515.00 | $1,030.00 | not published | 0 |
| Bile acids cholylglycine CPT 82240 | not published | not published | $21.26 – $93.29 | 16 |
| Biliary endoscopy thru skin CPT 47553 | $2,740.00 | $5,480.00 | not published | 0 |
| Bilicheck CPT 88720 | $15.00 | $30.00 | $4.02 – $17.62 | 16 |
| Bilirubin direct CPT 82248 | $57.50 | $115.00 | $4.02 – $17.62 | 16 |
| Bilirubin total CPT 82247 | $57.50 | $115.00 | $4.02 – $17.62 | 16 |
| Bio-connekt per square cm HCPCS Q4161 | not published | not published | $1,855.90 – $3,825.00 | 5 |
| Biodfence dryflex, 1cm HCPCS Q4138 | not published | not published | $96.37 – $228.30 | 9 |
| Biofeedback, pt CPT 90901 | $92.50 | $185.00 | not published | 0 |
| Biopsy abdominal mass CPT 49180 | $1,000.00 | $2,000.00 | not published | 0 |
| Biopsy(ies) & aspiration(s) bone marrow diagnostic (both sides) CPT 38222 | $880.00 | $1,760.00 | not published | 0 |
| Biopsy muscle percutaneous needle CPT 20206 | $790.00 | $1,580.00 | not published | 0 |
| Biopsy needle liver percutaneous CPT 47000 | $1,050.00 | $2,100.00 | not published | 0 |
| Biopsy needle lymph node superficial CPT 38505 | $910.00 | $1,820.00 | not published | 0 |
| Biopsy of salivary gland 42400 CPT 42400 | $725.00 | $1,450.00 | not published | 0 |
| Biopsy oocyte polar body CPT 89291 | not published | not published | $317.34 – $317.34 | 1 |
| Biopsy oocyte polar body <=5 CPT 89290 | not published | not published | $317.34 – $317.34 | 1 |
| Biopsy renal percutaneous trocar/needle (both sides) CPT 50200 | $1,150.00 | $2,300.00 | not published | 0 |
| Biopsy skin incisional single lesion CPT 11106 | $230.00 | $460.00 | not published | 0 |
| Biotinidase - quest CPT 82261 | $12.50 | $25.00 | $13.50 – $59.21 | 16 |
| Biovance 1 square cm HCPCS Q4154 | not published | not published | $148.69 – $352.23 | 10 |
| Biovance tri or 3l, sq cm HCPCS Q4283 | not published | not published | $680.19 – $1,611.33 | 10 |
| Bivalirudin HCPCS J0583 | not published | not published | $0.15 – $1.28 | 12 |
| Bladder calculi irrig sol HCPCS Q2004 | not published | not published | $94.77 – $101.19 | 2 |
| Bladder irrigate/lavage/instill 51700 CPT 51700 | $272.50 | $545.00 | not published | 0 |
| Bld prd mix CPT 86965 | not published | not published | $27.14 – $89.82 | 2 |
| Bleomycin 15 unit solution for injection HCPCS J9040 | not published | not published | $21.54 – $51.02 | 12 |
| Blinatumomab 35 mcg intravenous solution HCPCS J9039 | not published | not published | $152.18 – $372.12 | 13 |
| Blm gene CPT 81209 | $155.00 | $310.00 | $31.45 – $137.97 | 16 |
| Bln 30frx10mmx12cm renal nephromax HCPCS C1726 | $938.74 | $1,877.47 | not published | 0 |
| Blood clot lysis time CPT 85175 | not published | not published | $13.46 – $71.48 | 16 |
| Blood clot retraction CPT 85170 | not published | not published | $10.70 – $57.21 | 16 |
| Blood Clotting (PT/INR) Test CPT 85610 | $35.00 | $70.00 | $3.43 – $15.06 | 16 |
| Blood Clotting (PTT) Test CPT 85730 | $50.00 | $100.00 | $4.81 – $21.09 | 16 |
| Blood component/product noc HCPCS P9099 | $132.50 | $265.00 | not published | 0 |
| Blood Count (CBC) Test CPT 85025 | $70.00 | $140.00 | $6.22 – $27.27 | 16 |
| Blood Count (CBC) Test (without differential) CPT 85027 | $50.00 | $100.00 | $5.18 – $22.71 | 16 |
| Blood count spun microhematocrit CPT 85013 | not published | not published | $5.60 – $24.56 | 16 |
| Blood Culture Test CPT 87040 | $80.00 | $160.00 | $8.26 – $36.22 | 16 |
| Blood draw capillary 36416 CPT 36416 | $10.00 | $20.00 | $0.01 – $6.46 | 6 |
| Blood gases o2 saturation direct measurement CPT 82805 | $110.00 | $220.00 | $63.02 – $276.44 | 16 |
| Blood gases ph venous CPT 82800 | $52.50 | $105.00 | $8.80 – $38.60 | 16 |
| Blood mucoprotein HCPCS P2038 | not published | not published | $3.96 – $17.37 | 16 |
| Blood occult fecal hemoglobin immunoassay qualitative 1-3 simultaneous determinations diagnostic CPT 82274 | $47.50 | $95.00 | $12.74 – $55.88 | 16 |
| Blood occult feces 1-3 determinations other than neoplasm screening qualitative CPT 82272 | $17.50 | $35.00 | $3.38 – $14.85 | 16 |
| Blood occult feces colorectal neoplasm screening qualitative CPT 82270 | $12.50 | $25.00 | $3.50 – $15.38 | 16 |
| Blood occult peroxidase activity qualitative gastric CPT 82271 | $17.50 | $35.00 | $4.26 – $18.67 | 16 |
| Blood smear interpretation CPT 85060 | not published | not published | $20.21 – $44.70 | 2 |
| Blood smear microscopic w manual differential wbc count CPT 85007 | not published | not published | $3.04 – $13.33 | 16 |
| Blood split unit HCPCS P9011 | $250.00 | $500.00 | not published | 0 |
| Blood thymol turbidity HCPCS P2033 | not published | not published | $3.96 – $17.37 | 15 |
| Blood typing abo CPT 86900 | $40.00 | $80.00 | $2.39 – $10.49 | 16 |
| Blood typing ag donor ea ag CPT 86902 | $97.50 | $195.00 | $5.08 – $22.28 | 16 |
| Blood typing antigen system CPT 86911 | not published | not published | $18.48 – $61.17 | 2 |
| Blood typing paternity test CPT 86910 | not published | not published | $21.37 – $70.71 | 2 |
| Blood typing patient serum CPT 86904 | $37.50 | $75.00 | $13.07 – $57.35 | 16 |
| Blood typing rbc ag non abo/rh ea CPT 86905 | $220.00 | $440.00 | $3.06 – $13.45 | 16 |
| Blood typing rh (d) CPT 86901 | $40.00 | $80.00 | $2.39 – $10.49 | 16 |
| Blood typing rh phenotype complete reference CPT 86906 | $112.50 | $225.00 | $6.20 – $27.21 | 16 |
| Bone/joint imaging ltd area CPT 78300 | $960.00 | $1,920.00 | not published | 0 |
| Bone marrow;aspiration only 38220 CPT 38220 | $580.00 | $1,160.00 | not published | 0 |
| Bone marrow biopsyneedle/trocar 38221 CPT 38221 | $590.00 | $1,180.00 | not published | 0 |
| Bone marrow interpretation CPT 85097 | not published | not published | $57.17 – $90.03 | 2 |
| Bone tendon board add on HCPCS C9356 | not published | not published | $102.38 – $163.16 | 2 |
| Boot j walker l HCPCS L4386 | $195.00 | $390.00 | not published | 0 |
| Boot walker genesis full shell 3-strap s HCPCS L4360 | $26.46 | $52.92 | not published | 0 |
| Borrelia antibody CPT 86619 | not published | not published | $10.70 – $46.97 | 16 |
| Borrelia burgdorferi (lyme disease) antibody nonspecific CPT 86618 | $90.00 | $180.00 | $13.62 – $59.77 | 16 |
| Borrelia miyamotoi amp prb CPT 87478 | not published | not published | $28.07 – $113.69 | 14 |
| Bortezomib 3.5 mg (2.5 mg/ml) solution for subcutaneous injection HCPCS J9041 | not published | not published | $1.57 – $72.89 | 12 |
| (both sides) smear without diff wbc count CPT 85008 | not published | not published | $2.74 – $12.04 | 16 |
| Botulism ig IV CPT 90288 | not published | not published | $48,705.00 – $73,057.50 | 2 |
| Bowel imaging CPT 78290 | $985.00 | $1,970.00 | not published | 0 |
| Brace ank air stirrup univ HCPCS L4350 | $77.50 | $155.00 | not published | 0 |
| Brace knee hing pat open med HCPCS L1820 | $15.42 | $30.84 | not published | 0 |
| Brace m arm board HCPCS L3809 | $162.50 | $325.00 | not published | 0 |
| Brace oths wrist hnd fngr without HCPCS L3807 | $162.50 | $325.00 | not published | 0 |
| Brace wrist classic lft sm HCPCS L3908 | $47.50 | $95.00 | not published | 0 |
| Braf gene CPT 81210 | $427.50 | $855.00 | $140.32 – $615.59 | 16 |
| Brain MRA (blood vessel MRI, with and without contrast) CPT 70546 | $3,265.00 | $6,530.00 | not published | 0 |
| Brain MRA (blood vessel MRI, with contrast) CPT 70545 | $2,210.00 | $4,420.00 | not published | 0 |
| Brain MRA (blood vessel MRI, without contrast) CPT 70544 | $2,110.00 | $4,220.00 | not published | 0 |
| Brain MRI (with and without contrast) CPT 70553 | $3,265.00 | $6,530.00 | 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.