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 |
|---|---|---|---|---|
| Carotene CPT 82380 | not published | not published | $7.38 – $32.36 | 16 |
| Carotid Artery Ultrasound (Duplex) CPT 93880 | $1,030.00 | $2,060.00 | not published | 0 |
| Car seat/bed test 60 minutes CPT 94780 | $130.00 | $260.00 | not published | 0 |
| Car seat/bed test additional 30 minutes CPT 94781 | $65.00 | $130.00 | not published | 0 |
| Casirivimab and imdevimab HCPCS Q0243 | not published | not published | $0.01 – $0.02 | 2 |
| Caspofungin acetate HCPCS J0637 | not published | not published | $3.34 – $16.01 | 12 |
| Catecholamines,fractionated, urine CPT 82382 | not published | not published | $21.84 – $95.82 | 16 |
| Catheterization collection of specimen single patient all places of service HCPCS P9612 | $10.00 | $20.00 | $2.40 – $27.77 | 16 |
| Cath groshong MRI 8fr plstc port HCPCS C1788 | $399.95 | $799.89 | not published | 0 |
| Cathj umbilical vein dx/ther nb CPT 36510 | $347.50 | $695.00 | not published | 0 |
| Cath malecot 28fr 4-wing ltx HCPCS C1729 | $60.02 | $120.03 | not published | 0 |
| Cath/saline/contrast/sis/hysteosal 58340 CPT 58340 | $665.00 | $1,330.00 | not published | 0 |
| Cath soaker 5in 400mlx4ml/hr on-q silvr dual 2ml site HCPCS A4306 | $187.23 | $374.45 | not published | 0 |
| Cath uret open tp 6fx70cm HCPCS C1758 | $126.46 | $252.91 | not published | 0 |
| Cauterization chemical granulation tissue CPT 17250 | $272.50 | $545.00 | not published | 0 |
| Cbc/diffwbc without platelet HCPCS G0306 | not published | not published | $6.22 – $27.27 | 16 |
| CBC without platelet HCPCS G0307 | not published | not published | $5.18 – $22.71 | 16 |
| #cbg+cort-cbg CPT 84449 | not published | not published | $14.40 – $63.18 | 16 |
| Cciiv4 vacc abx free im CPT 90756 | not published | not published | $28.52 – $47.91 | 7 |
| Cciiv4 vac no prsv 0.5 ml im CPT 90674 | not published | not published | $30.10 – $50.57 | 7 |
| Ccnd1/igh translocation alys CPT 81168 | not published | not published | $165.85 – $727.57 | 15 |
| Cdna analysis for variants CPT 81403 | $860.00 | $1,720.00 | $148.16 – $649.97 | 16 |
| Cebpa gene full sequence CPT 81218 | $590.00 | $1,180.00 | $193.52 – $848.97 | 16 |
| Cefazolin 10 mg/10 ml (dilution #2) IV desensitization - cnr HCPCS J0690 | $9.95 | $19.89 | $0.81 – $1.99 | 12 |
| Cefepime 1 gram solution for injection HCPCS J0692 | $12.14 | $24.28 | $1.20 – $3.95 | 12 |
| Cefotaxime sodium injection HCPCS J0698 | not published | not published | $9.41 – $15.00 | 3 |
| Cefotetan 1 gm vial HCPCS S0074 | not published | not published | $11.62 – $18.53 | 3 |
| Cefoxitin 1 gram intravenous solution HCPCS J0694 | not published | not published | $4.51 – $10.86 | 12 |
| Ceftaroline fosamil 600 mg intravenous solution HCPCS J0712 | not published | not published | $3.94 – $9.63 | 13 |
| Ceftazidime 4.5 mg/0.2 ml intraocular injection - cnr HCPCS J0713 | not published | not published | $1.60 – $4.02 | 12 |
| Ceftazidime and avibactam HCPCS J0714 | not published | not published | $100.50 – $245.77 | 12 |
| Ceftizoxime sodium / 500 mg HCPCS J0715 | not published | not published | $0.01 – $7.86 | 3 |
| Ceftriaxone 1 gram solution for injection HCPCS J0696 | $5.35 | $10.70 | $0.44 – $1.09 | 12 |
| Cefuroxime in ns IV syringe 30 mg/ml (neo/ped) - cnr HCPCS J0697 | not published | not published | $1.88 – $4.61 | 12 |
| #celiac hla-dq2 CPT 81377 | not published | not published | $75.79 – $332.50 | 16 |
| #celiac hla-dq8 CPT 81383 | $245.00 | $490.00 | $87.30 – $383.00 | 16 |
| Cell count body fluid CPT 89050 | $50.00 | $100.00 | $3.78 – $16.57 | 16 |
| Cell count w differential body fluid CPT 89051 | $67.50 | $135.00 | $4.48 – $19.66 | 16 |
| Cell cryopreserve/storage CPT 88240 | $100.00 | $200.00 | $10.46 – $45.87 | 16 |
| Cell enumeration & id CPT 86152 | $515.00 | $1,030.00 | $200.62 – $880.13 | 16 |
| Cell enumeration phys interp CPT 86153 | not published | not published | $28.58 – $28.58 | 1 |
| Cellesta or duo per sq cm HCPCS Q4184 | not published | not published | $624.34 – $1,523.39 | 10 |
| Cell function assay w/stim CPT 86352 | $270.00 | $540.00 | $108.69 – $476.81 | 16 |
| Cell marker study CPT 88182 | not published | not published | $112.31 – $369.60 | 2 |
| Cemiplimab-rwlc 50 mg/ml intravenous solution HCPCS J9119 | not published | not published | $28.21 – $68.82 | 12 |
| Centruroides immune f(ab) HCPCS J0716 | not published | not published | $4,799.10 – $8,026.53 | 4 |
| Cephalin floculation test HCPCS P2028 | not published | not published | $3.96 – $17.37 | 15 |
| Certolizumab pegol 400 mg (200 mg x 2 vials) subcutaneous kit HCPCS J0717 | not published | not published | $3.90 – $12.63 | 13 |
| Cetuximab 100 mg/50 ml intravenous solution HCPCS J9055 | not published | not published | $75.48 – $188.11 | 13 |
| #cf-97variants CPT 81220 | $232.50 | $465.00 | $445.28 – $1,953.42 | 16 |
| Cftr gene dup/delet variants CPT 81222 | not published | not published | $348.06 – $1,526.92 | 16 |
| Cftr gene intron poly t CPT 81224 | not published | not published | $135.00 – $592.24 | 16 |
| Cftr gene known fam variants CPT 81221 | not published | not published | $77.78 – $341.20 | 16 |
| Change cystostomy tube simple CPT 51705 | $212.50 | $425.00 | not published | 0 |
| Change of windpipe airway 31502 CPT 31502 | $302.50 | $605.00 | not published | 0 |
| Chct for mal hyperthermia CPT 89049 | not published | not published | $116.22 – $205.86 | 2 |
| Chemotaxis assay CPT 86155 | not published | not published | $12.79 – $56.13 | 16 |
| Chest 2 vws w oblique CPT 71048 | $305.00 | $610.00 | not published | 0 |
| Chest apical lordotic proj CPT 71047 | $265.00 | $530.00 | not published | 0 |
| Chest CT scan (with and without contrast) CPT 71270 | $2,305.00 | $4,610.00 | not published | 0 |
| Chest CT scan (with contrast) CPT 71260 | $1,570.00 | $3,140.00 | not published | 0 |
| Chest CT scan (without contrast) CPT 71250 | $1,470.00 | $2,940.00 | not published | 0 |
| Chest X-ray CPT 71046 | $210.00 | $420.00 | not published | 0 |
| Chest X-ray (single view) CPT 71045 | $172.50 | $345.00 | not published | 0 |
| Chg pr pul rehab for copd patients CPT 94626 | $190.00 | $380.00 | not published | 0 |
| Chg radiologic exam esophagus double contrast CPT 74221 | $645.00 | $1,290.00 | not published | 0 |
| Chikungunya vaccine live im CPT 90589 | not published | not published | $275.00 – $462.00 | 3 |
| Chimerism anal no cell selec CPT 81267 | not published | not published | $165.97 – $728.10 | 16 |
| Chimerism anal w/cell select CPT 81268 | $1,600.00 | $3,200.00 | $208.63 – $915.26 | 16 |
| Chlamydia culture CPT 87110 | $80.00 | $160.00 | $15.68 – $68.79 | 16 |
| Chlamydia trachomatis ag if CPT 87270 | not published | not published | $9.58 – $42.06 | 16 |
| Chlamydia type CPT 87140 | $22.50 | $45.00 | $4.46 – $19.55 | 16 |
| Chlmyd pneum dna dir probe CPT 87485 | not published | not published | $16.04 – $70.37 | 16 |
| Chlmyd pneum dna quant CPT 87487 | not published | not published | $34.27 – $150.35 | 16 |
| Chloramphenicol sodium injec HCPCS J0720 | not published | not published | $46.70 – $74.43 | 4 |
| Chlordiazepoxide injection HCPCS J1990 | not published | not published | $0.01 – $31.58 | 3 |
| Chloride CPT 82435 | $32.50 | $65.00 | $3.68 – $16.14 | 16 |
| Chloride 24 hour urine CPT 82436 | $55.00 | $110.00 | $4.60 – $20.19 | 16 |
| Chloroprocaine (clorotekal) HCPCS J2402 | not published | not published | $0.30 – $0.47 | 3 |
| Chloroprocaine hcl injection HCPCS J2401 | $0.35 | $0.69 | $0.03 – $0.08 | 11 |
| Chloroprocaine opht gel, 1mg HCPCS J2403 | not published | not published | $0.60 – $1.48 | 12 |
| Chlorothiazide sodium 500 mg intravenous solution HCPCS J1205 | not published | not published | $32.48 – $147.53 | 12 |
| Chlorpromazine 0.125 mg/ml IV syringe - cnr HCPCS J3230 | not published | not published | $27.71 – $74.37 | 12 |
| Chlorpromazine 100 mg tablet HCPCS Q0161 | not published | not published | $0.34 – $0.54 | 3 |
| Cholangiography and/or pancreatography intraoperative supervision & interpretation CPT 74300 | $635.00 | $1,270.00 | not published | 0 |
| Cholera vaccine live oral CPT 90625 | not published | not published | $275.00 – $462.00 | 3 |
| Cholesterol CPT 82465 | $52.50 | $105.00 | $3.48 – $15.26 | 16 |
| Cholesterol body fluid CPT 84999 | $62.50 | $125.00 | $44.82 – $44.82 | 1 |
| Cholesterol (Lipid) Test CPT 80061 | $125.00 | $250.00 | $10.71 – $47.00 | 16 |
| Choline c-11 HCPCS A9515 | not published | not published | $2,062.94 – $7,650.00 | 4 |
| Cholinesterase CPT 82480 | $300.00 | $600.00 | $6.30 – $27.61 | 16 |
| Chorionic gonadotropin/1000u HCPCS J0725 | not published | not published | $18.25 – $48.00 | 12 |
| Chrom analysis CPT 88273 | $245.00 | $490.00 | $27.85 – $122.17 | 16 |
| Chromatogram assay sugars CPT 84375 | not published | not published | $17.16 – $136.87 | 16 |
| Chromatography CPT 83021 | $57.50 | $115.00 | $14.45 – $63.38 | 16 |
| Chromogenic substrate assay CPT 85130 | $137.50 | $275.00 | $9.51 – $41.72 | 16 |
| Chromo high res and frag x - sendout CPT 81243 | $250.00 | $500.00 | $45.63 – $200.18 | 16 |
| Chromosome analys amniotic CPT 88269 | not published | not published | $138.93 – $609.47 | 16 |
| Chromosome analysis 100 CPT 88249 | not published | not published | $138.54 – $607.76 | 16 |
| Chromosome analysis 15-20 cell count CPT 88262 | $640.00 | $1,280.00 | $100.39 – $440.42 | 16 |
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.