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 |
|---|---|---|---|---|
| Brain MRI (with contrast) CPT 70552 | $2,210.00 | $4,420.00 | not published | 0 |
| Brain MRI (without contrast) CPT 70551 | $2,110.00 | $4,220.00 | not published | 0 |
| Brca1&2 gene full seq alys CPT 81163 | not published | not published | $374.40 – $2,633.90 | 16 |
| Brca1&2 gen ful dup/del alys CPT 81164 | not published | not published | $467.38 – $2,050.40 | 16 |
| Brca1 dna gene analy known fam var CPT 81215 | not published | not published | $201.66 – $1,316.96 | 16 |
| Brca1 gene full dup/del alys CPT 81166 | not published | not published | $241.08 – $1,057.61 | 16 |
| Brca1 gene full seq alys CPT 81165 | not published | not published | $226.30 – $1,592.05 | 16 |
| Brca2 dna gene analy full seq analy CPT 81216 | not published | not published | $148.10 – $649.69 | 16 |
| Brca2 dna gene analy known fam var CPT 81217 | not published | not published | $201.66 – $1,316.96 | 16 |
| Brca2 gene full dup/del alys CPT 81167 | not published | not published | $226.30 – $992.79 | 16 |
| Brcassure ashkenazi panel-sendout CPT 81212 | $805.00 | $1,610.00 | $352.00 – $1,544.21 | 16 |
| Brcassure comprehensive panel-sendout CPT 81162 | not published | not published | $1,459.90 – $6,404.57 | 16 |
| Breast Biopsy (ultrasound-guided, percutaneous) CPT 19083 | $3,165.00 | $6,330.00 | not published | 0 |
| Breath test analysis c-14 CPT 78268 | not published | not published | $75.53 – $331.33 | 14 |
| Breath tst attain/anal c-14 CPT 78267 | not published | not published | $8.85 – $38.82 | 14 |
| Brentuximab vedotin 50 mg intravenous solution HCPCS J9042 | not published | not published | $239.86 – $607.39 | 13 |
| Brexucabtagene car pos t HCPCS Q2053 | not published | not published | $0.01 – $1,190,845.68 | 10 |
| Brompheniramine maleate inj HCPCS J0945 | not published | not published | $0.74 – $1.20 | 2 |
| Bronchial challenge CPT 94070 | $600.00 | $1,200.00 | not published | 0 |
| Btk gene common variants CPT 81233 | not published | not published | $140.32 – $615.59 | 16 |
| Budesonide comp unit HCPCS J7627 | not published | not published | $0.29 – $0.47 | 3 |
| Budesonide non-comp con HCPCS J7633 | not published | not published | $0.01 – $7.23 | 3 |
| Budesonide non-comp unit HCPCS J7626 | not published | not published | $1.19 – $3.58 | 12 |
| Bumetanide in d5w IV syringe 0.04 mg/ml (neo/ped) - cnr HCPCS J1939 | $10.04 | $20.07 | $0.02 – $1.41 | 12 |
| Bundled special stain group 1 microorganisms CPT 88312 | $140.00 | $280.00 | $85.75 – $248.82 | 2 |
| Bundled special stain group 2 CPT 88313 | $135.00 | $270.00 | $61.78 – $203.88 | 2 |
| Bupivacaine 0.1 % epidural pca - 1 hour dose limit HCPCS J0665 | $0.28 | $0.55 | $0.01 – $0.02 | 11 |
| Bupivacaine implant, 1 mg HCPCS C9089 | not published | not published | $0.80 – $1.28 | 3 |
| Bupren/nal 3.1 to 6mg bupren HCPCS J0573 | not published | not published | $7.45 – $7.45 | 1 |
| Buprenorphine 2 mg-naloxone 0.5 mg sublingual tablet HCPCS J0572 | not published | not published | $3.76 – $3.76 | 1 |
| Buprenorphine 8 mg-naloxone 2 mg sublingual tablet HCPCS J0574 | not published | not published | $7.45 – $7.45 | 1 |
| Buprenorphine and metabolite - sendout CPT 80348 | $57.50 | $115.00 | not published | 0 |
| Buprenorphine hydrochloride HCPCS J0592 | not published | not published | $4.03 – $10.50 | 12 |
| Buprenorphine oral 1mg HCPCS J0571 | not published | not published | $0.65 – $1.04 | 3 |
| Buprenorphine X-ray over 100 mg HCPCS Q9992 | not published | not published | $1,925.23 – $4,713.62 | 13 |
| Buprenorph X-ray 100 mg or less HCPCS Q9991 | not published | not published | $1,925.23 – $4,713.62 | 13 |
| Bupropion hcl sr 60 tablets HCPCS S0106 | not published | not published | $14.58 – $23.25 | 3 |
| Busulfan injection HCPCS J0594 | not published | not published | $1.27 – $17.28 | 13 |
| Butorphanol tartrate 1 mg HCPCS J0595 | not published | not published | $4.06 – $13.86 | 12 |
| Butorphanol tartrate, nasal HCPCS S0012 | not published | not published | $54.14 – $86.30 | 3 |
| Bx breast add lesion Ultrasound imag CPT 19084 | $2,380.00 | $4,760.00 | not published | 0 |
| Bx skin incisnl ea sep/add l les CPT 11107 | $115.00 | $230.00 | not published | 0 |
| Bx skin punch ea sep/ addl les CPT 11105 | $115.00 | $230.00 | not published | 0 |
| Bx skin tangential ea sep/ addl les CPT 11103 | $115.00 | $230.00 | not published | 0 |
| Bx thyroid/percutan core needle 60100 CPT 60100 | $755.00 | $1,510.00 | not published | 0 |
| C-1 esterase, berinert HCPCS J0597 | not published | not published | $68.36 – $176.79 | 13 |
| C-1 esterase, cinryze HCPCS J0598 | not published | not published | $63.88 – $156.32 | 13 |
| C1 esterase inhibitor func - sendout CPT 86161 | $270.00 | $540.00 | $9.60 – $42.12 | 16 |
| Cabazitaxel 10 mg/ml (first dilution) intravenous solution HCPCS J9043 | not published | not published | $216.46 – $546.78 | 13 |
| Cabergoline, oral 0.25mg HCPCS J8515 | not published | not published | $1.56 – $3.44 | 3 |
| Cabotegravir ER 400 mg/2 ml-rilpivirine ER 600 mg/2ml im suspension,er HCPCS J0741 | not published | not published | $22.90 – $56.54 | 12 |
| Cacna1a gen detc abnor allel CPT 81184 | not published | not published | $109.60 – $480.81 | 16 |
| Cacna1a gene full gene seq CPT 81185 | not published | not published | $677.02 – $2,970.04 | 16 |
| Cacna1a gen known famil vrnt CPT 81186 | not published | not published | $148.16 – $649.97 | 16 |
| Caffeine citrate 20 mg/ml inj for po HCPCS J0706 | not published | not published | $1.42 – $2.28 | 3 |
| Calaspargase pegol-mknl 750 unit/ml intravenous solution HCPCS J9118 | not published | not published | $76.53 – $186.72 | 11 |
| Calcitonin (salmon) 200 unit/ml injection solution HCPCS J0630 | $770.49 | $1,540.97 | $1,142.41 – $4,236.24 | 13 |
| Calcitonin stimul panel CPT 80410 | not published | not published | $64.30 – $282.06 | 16 |
| Calcium 24 hour urine CPT 82340 | $60.00 | $120.00 | $4.82 – $21.15 | 16 |
| Calcium acetate(phosphate binders) 667 mg tablet HCPCS J0615 | not published | not published | $0.02 – $0.03 | 3 |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution HCPCS J0612 | not published | not published | $0.04 – $0.09 | 11 |
| Calcium gluconate 2 gram/100 ml in sodium chloride,iso-osm IV solution HCPCS J0613 | $0.57 | $1.13 | $0.08 – $0.26 | 11 |
| Calcium glycer & lact/10 ml HCPCS J0620 | not published | not published | $0.01 – $13.43 | 2 |
| Calcium infusion test CPT 82331 | not published | not published | $10.67 – $46.81 | 16 |
| Calcium ionized CPT 82330 | $47.50 | $95.00 | $10.94 – $48.02 | 16 |
| Calcium total CPT 82310 | $50.00 | $100.00 | $4.13 – $18.11 | 16 |
| Calculi urinary-sendout CPT 82360 | not published | not published | $10.30 – $45.17 | 16 |
| Calculus analysis qual CPT 82355 | not published | not published | $9.26 – $40.64 | 16 |
| Calprotectin fecal CPT 83993 | $210.00 | $420.00 | $15.70 – $68.90 | 16 |
| Campylobacter antibody CPT 86625 | not published | not published | $10.50 – $46.04 | 16 |
| Canakinumab injection HCPCS J0638 | not published | not published | $127.81 – $331.54 | 13 |
| Candida dna CPT 87480 | $62.50 | $125.00 | $16.04 – $70.37 | 16 |
| Candida dna quant CPT 87482 | not published | not published | $44.59 – $195.62 | 16 |
| Candida skin test CPT 86485 | not published | not published | $8.51 – $54.48 | 2 |
| Cannabinoids synthetic 1-3 CPT 80350 | not published | not published | $19.34 – $19.34 | 1 |
| Cannabinoid synthetic 7/more CPT 80352 | $75.00 | $150.00 | not published | 0 |
| Cannula ercp contour 5-4-3 tip HCPCS C1889 | $2,664.00 | $5,328.00 | not published | 0 |
| Cantharidin top, applicator HCPCS J7354 | not published | not published | $682.26 – $1,736.68 | 12 |
| Capecitabine, oral, 50 mg HCPCS J8522 | not published | not published | $0.04 – $0.10 | 12 |
| Cap nerve 2x15mm HCPCS C1763 | $3,571.20 | $7,142.40 | not published | 0 |
| Capsaicin 8% patch HCPCS J7336 | not published | not published | $3.33 – $8.12 | 13 |
| Carbamazepine free CPT 80157 | not published | not published | $10.60 – $46.50 | 16 |
| Carbamazepine free -sendout CPT 80161 | $45.00 | $90.00 | $14.91 – $65.43 | 15 |
| Carbamazepine total therapeutic drug level CPT 80156 | $105.00 | $210.00 | $11.66 – $51.14 | 16 |
| Carbidopa levodopa ent 100ml HCPCS J7340 | not published | not published | $235.06 – $575.71 | 12 |
| Carbohydrate deficient transf - sendout CPT 82373 | $167.50 | $335.00 | $14.45 – $63.38 | 16 |
| Carbohydrate urine - sendout CPT 84377 | not published | not published | $4.40 – $19.30 | 16 |
| Carbon dioxide CPT 82374 | $47.50 | $95.00 | $3.90 – $17.13 | 16 |
| Carboplatin 10 mg/ml desensitization HCPCS J9045 | not published | not published | $2.93 – $8.86 | 12 |
| Carboxyhemoglobin quantitative CPT 82375 | $32.50 | $65.00 | $9.86 – $43.24 | 16 |
| Carcinoembryonic ag (cea) CPT 82378 | $142.50 | $285.00 | $15.17 – $66.55 | 16 |
| Cardiac perf spect sgl/ef/wm rst/strs CPT 78451 | $2,155.00 | $4,310.00 | not published | 0 |
| Cardiac rehabilitation op phase 2 w/continous ecg monitoring CPT 93798 | $240.00 | $480.00 | not published | 0 |
| Cardiolipin antibody iga CPT 86147 | $70.00 | $140.00 | $17.16 – $89.32 | 16 |
| Cardiology hrt trnspl mrna CPT 81595 | not published | not published | $2,592.00 – $11,371.03 | 16 |
| Cardioversion elective electrical conversion arrhythmia external CPT 92960 | $780.00 | $1,560.00 | not published | 0 |
| Carfilzomib 10 mg intravenous solution HCPCS J9047 | not published | not published | $49.58 – $126.79 | 13 |
| Car ion chnnlpath inc 10 gns CPT 81413 | not published | not published | $467.92 – $2,052.76 | 16 |
| Car ion chnnlpath inc 2 gns CPT 81414 | not published | not published | $467.92 – $2,052.76 | 16 |
| Carmustine 100 mg intravenous powder for solution HCPCS J9050 | not published | not published | $145.60 – $6,475.32 | 13 |
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.