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 |
|---|---|---|---|---|
| Chromosome analysis 20-25 CPT 88245 | not published | not published | $138.54 – $607.76 | 16 |
| Chromosome analysis 45 CPT 88263 | not published | not published | $120.23 – $527.46 | 16 |
| Chromosome analysis 5 CPT 88261 | not published | not published | $211.47 – $927.72 | 16 |
| Chromosome analysis 50-100 CPT 88248 | not published | not published | $138.54 – $607.76 | 16 |
| Chromosome analys placenta CPT 88267 | not published | not published | $150.86 – $661.79 | 16 |
| Chromosome banding study CPT 88283 | $235.00 | $470.00 | $54.88 – $240.75 | 16 |
| Chromosome count additional CPT 88285 | not published | not published | $21.53 – $94.44 | 16 |
| Chromosome karyotype study CPT 88280 | not published | not published | $26.78 – $117.47 | 16 |
| Chromosome study additional CPT 88289 | $117.50 | $235.00 | $27.54 – $120.84 | 16 |
| Chronic urticaria - sendout CPT 86343 | not published | not published | $9.97 – $43.74 | 16 |
| Chylomicron screen, bf - sendout CPT 82664 | $145.00 | $290.00 | $49.20 – $215.84 | 16 |
| Cidofovir injection HCPCS J0740 | not published | not published | $301.10 – $835.31 | 13 |
| Cilastatin sodium injection HCPCS J0743 | not published | not published | $6.96 – $17.57 | 12 |
| Ciltacabtagene car-pos t HCPCS Q2056 | not published | not published | $0.01 – $1,345,216.74 | 10 |
| Cinacalcet 30 mg tablet HCPCS J0604 | not published | not published | $0.02 – $0.03 | 3 |
| Ciprofloxacin 400 mg/200 ml in 5 % dextrose intravenous piggyback HCPCS J0744 | not published | not published | $0.85 – $2.33 | 12 |
| Ciprofloxacin otic susp 6 mg HCPCS J7342 | not published | not published | $27.18 – $43.32 | 3 |
| Circumcision (newborn) CPT 54150 | $120.00 | $240.00 | not published | 0 |
| Cisplatin 1 mg/ml desensitization HCPCS J9060 | not published | not published | $2.37 – $6.56 | 12 |
| C-kit mutation liquid tumor - sendout CPT 81272 | $1,425.00 | $2,850.00 | $263.61 – $1,156.44 | 16 |
| Cladribine 10 mg/10 ml intravenous solution HCPCS J9065 | not published | not published | $10.20 – $34.95 | 13 |
| Clearance of airways CPT 31720 | $70.00 | $140.00 | not published | 0 |
| Clindamycin 600 mg/50 ml in 5 % dextrose intravenous piggyback HCPCS J0736 | $16.62 | $33.23 | $1.61 – $5.21 | 11 |
| Cllr miami j sm HCPCS L0174 | $70.00 | $140.00 | not published | 0 |
| Clofarabine 1 mg/ml intravenous solution HCPCS J9027 | not published | not published | $8.46 – $151.68 | 13 |
| Clonidine (pf) 1,000 mcg/10 ml (100 mcg/ml) epidural solution HCPCS J0735 | not published | not published | $16.20 – $40.84 | 12 |
| Clostridium toxin a w/optic CPT 87803 | not published | not published | $12.80 – $56.16 | 16 |
| Clot factor fletcher fact CPT 85292 | not published | not published | $15.14 – $66.44 | 16 |
| Clot factor viii reltd antgn CPT 85244 | not published | not published | $16.34 – $71.67 | 16 |
| Clot factor wght kininogen CPT 85293 | not published | not published | $15.14 – $66.44 | 16 |
| Clot factor xii hageman CPT 85280 | $170.00 | $340.00 | $15.48 – $67.90 | 16 |
| Clot factor xiii fibrin scrn CPT 85291 | not published | not published | $7.29 – $31.97 | 16 |
| Clot factor xiii fibrin stab CPT 85290 | $75.00 | $150.00 | $13.07 – $57.35 | 16 |
| Clotting assay whole blood CPT 85396 | $172.50 | $345.00 | $16.74 – $36.39 | 2 |
| Clozapine, 25 mg HCPCS S0136 | not published | not published | $0.62 – $0.99 | 3 |
| #cms hgb-carboxyhemoglobin CPT 82376 | not published | not published | $11.26 – $49.39 | 16 |
| #cms hgb-sulfhemoglobin CPT 83060 | not published | not published | $7.04 – $30.89 | 16 |
| #cmvcul-virus inoculation shell CPT 87254 | not published | not published | $15.65 – $68.65 | 16 |
| Cmv ig IV CPT 90291 | not published | not published | $1,756.85 – $2,951.51 | 3 |
| Cmv pcr-sendout CPT 87496 | $230.00 | $460.00 | $28.07 – $123.15 | 16 |
| Cnbp gene detc abnor allele CPT 81187 | not published | not published | $109.60 – $480.81 | 16 |
| Coagulation factor viia 1,000 mcg/ml inj 1 ml HCPCS J7189 | not published | not published | $2.52 – $6.22 | 13 |
| Coagulation time activated teg CPT 85347 | $22.50 | $45.00 | $3.42 – $15.02 | 16 |
| Coagulation time lee & white CPT 85345 | not published | not published | $3.75 – $16.46 | 16 |
| Coagulation time otr method CPT 85348 | not published | not published | $3.59 – $15.76 | 16 |
| Cocaine 4 % nasal solution HCPCS C9046 | not published | not published | $1.47 – $2.34 | 3 |
| Cocaine hcl nasal (numbrino) HCPCS C9143 | not published | not published | $2.15 – $3.44 | 3 |
| Coccidioidomycosis skin test CPT 86490 | not published | not published | $71.60 – $218.22 | 2 |
| Codeine 15 mg/ml inj 2 ml HCPCS J0745 | not published | not published | $0.01 – $0.01 | 1 |
| Cogenex amnio memb per sq cm HCPCS Q4229 | not published | not published | $536.66 – $1,271.31 | 10 |
| Cold agglutinin screen (arc) CPT 86156 | not published | not published | $6.46 – $28.33 | 16 |
| Cold agglutinin titer CPT 86157 | $50.00 | $100.00 | $6.45 – $28.30 | 16 |
| Colistimethate sodium inj HCPCS J0770 | not published | not published | $11.94 – $29.67 | 12 |
| Collagenase, clost hist inj HCPCS J0775 | not published | not published | $70.89 – $172.96 | 13 |
| Collagen based wound filler HCPCS A6010 | $60.00 | $120.00 | not published | 0 |
| Collagen dressing <=16 sq in HCPCS A6021 | $42.50 | $85.00 | not published | 0 |
| Collagen drsg>16<=48 sq in HCPCS A6022 | $60.00 | $120.00 | not published | 0 |
| Collar cerv 18.25x3.5in serp firm density sm HCPCS L0120 | $12.50 | $25.00 | not published | 0 |
| Collar cerv ascend 172 reg HCPCS L0172 | $115.00 | $230.00 | not published | 0 |
| Collar cerv patriot adlt HCPCS L0150 | $80.00 | $160.00 | not published | 0 |
| Collection blood specimen using established central/peripheral catheter venous nos CPT 36592 | $82.50 | $165.00 | not published | 0 |
| Collection of venous blood by venipuncture CPT 36415 | $12.50 | $25.00 | $0.01 – $27.77 | 16 |
| Coll-e-derm 1 sq cm HCPCS Q4193 | not published | not published | $1,872.00 – $2,983.50 | 5 |
| Compatibility test each unit antiglobulin technique CPT 86922 | $142.50 | $285.00 | $31.18 – $103.20 | 2 |
| Compatibility test each unit electronic CPT 86923 | $67.50 | $135.00 | $23.38 – $77.40 | 2 |
| Compatibility test each unit immediate spin technique CPT 86920 | $137.50 | $275.00 | $29.16 – $96.51 | 2 |
| Compatibility test incubate CPT 86921 | $82.50 | $165.00 | $26.27 – $86.97 | 2 |
| Complement antigen each component c3 CPT 86160 | $152.50 | $305.00 | $9.60 – $42.12 | 16 |
| Complement fixation each CPT 86171 | not published | not published | $8.01 – $35.13 | 16 |
| Concentration infection agents any type CPT 87015 | $52.50 | $105.00 | $5.34 – $23.44 | 16 |
| Conduit wrap neuomend 3mmx2.5cm HCPCS C9361 | not published | not published | $166.83 – $265.89 | 2 |
| Congo red blood test HCPCS P2029 | not published | not published | $3.96 – $17.37 | 15 |
| Conivaptan hcl HCPCS C9488 | not published | not published | $42.78 – $68.19 | 3 |
| Conjugated estrogens 25 mg solution for injection HCPCS J1410 | not published | not published | $382.79 – $934.31 | 13 |
| Connector tis 2x10mm HCPCS C9352 | not published | not published | $967.44 – $1,541.87 | 2 |
| Consultation pathology during surgery CPT 88329 | not published | not published | $43.60 – $65.76 | 2 |
| Consultation pathology during surgery cytological exam initial site CPT 88333 | $67.50 | $135.00 | $73.62 – $91.11 | 2 |
| Consultation pathology during surgery frozen section each additional block CPT 88332 | $160.00 | $320.00 | $44.46 – $71.04 | 2 |
| Consultation pathology during surgery frozen section first tissue block CPT 88331 | $230.00 | $460.00 | $80.26 – $117.87 | 2 |
| Consultation/report referred material w/preparation of slides CPT 88323 | not published | not published | $84.42 – $94.12 | 2 |
| Consultation/report referred slides prepared elsewhere CPT 88321 | not published | not published | $81.99 – $155.79 | 2 |
| Consult comp w/report rfrd material CPT 88325 | not published | not published | $143.20 – $250.29 | 2 |
| Contact layer >16<= 48 sq in HCPCS A6207 | $45.00 | $90.00 | not published | 0 |
| Contrast x-ray of hip CPT 73525 | $965.00 | $1,930.00 | not published | 0 |
| Contrast x-ray of wrist CPT 73115 | $655.00 | $1,310.00 | not published | 0 |
| Coombs direct CPT 86880 | $67.50 | $135.00 | $4.31 – $18.92 | 16 |
| Coombs indirect qualitative each reagent red cell reference CPT 86885 | not published | not published | $4.58 – $20.07 | 16 |
| Coombs indirect titer reference CPT 86886 | $130.00 | $260.00 | $4.14 – $18.18 | 16 |
| Copper cu 64 dotatate diag HCPCS A9592 | $1,250.00 | $2,500.00 | $595.10 – $1,472.63 | 4 |
| Copper intrauterine device HCPCS J7300 | not published | not published | $1,139.00 – $1,741.65 | 3 |
| Cor artery disease mrna CPT 81493 | not published | not published | $840.00 – $3,685.05 | 16 |
| Core ndl bx lng/med perq CPT 32408 | $1,270.00 | $2,540.00 | not published | 0 |
| Coroners autopsy (necropsy) CPT 88045 | not published | not published | $0.01 – $3.42 | 2 |
| Corticorelin ovine triflutal HCPCS J0795 | not published | not published | $0.01 – $14.28 | 4 |
| Cortisol acth stimulation test - sendout CPT 80400 | $200.00 | $400.00 | $26.10 – $114.47 | 16 |
| Cortisol total am CPT 82533 | $117.50 | $235.00 | $13.04 – $57.21 | 16 |
| Cosyntropin 0.25 mg solution for injection HCPCS J0834 | not published | not published | $25.09 – $81.58 | 12 |
| Cov-19 amp prb hgh thruput HCPCS U0003 | not published | not published | $75.00 – $263.21 | 4 |
| Cover wrist HCPCS L3984 | $225.00 | $450.00 | not published | 0 |
| Covid-19 administration immunization im inj 1st/only component CPT 90480 | $42.50 | $85.00 | 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.