Aurora Psychiatric Hospital
1220 Dewey Ave, Wauwatosa, WI · Aurorahealthcare · · NPI 1881627438
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 |
|---|---|---|---|---|
| Sodium chloride 0.9 % intravenous solution HCPCS J7030 | not published | not published | $2.47 – $6.11 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7040 | not published | not published | $1.24 – $3.05 | 12 |
| Sodium chloride 0.9 % IV bolus HCPCS J7050 | not published | not published | $0.62 – $1.53 | 12 |
| Sodium chloride 3 % ivpb HCPCS J7131 | not published | not published | $0.14 – $0.23 | 3 |
| Sodium ferric gluconate complex in sucrose 62.5 mg/5 ml intravenous HCPCS J2916 | not published | not published | $1.94 – $4.86 | 12 |
| Sodium hyaluronate 20 mg/2 ml syringe HCPCS J7321 | not published | not published | $73.22 – $178.18 | 12 |
| Sodium serum/plasma/whole blood CPT 84295 | $22.50 | $45.00 | $3.85 – $16.88 | 16 |
| Sodium thiosulfate 12.5 gram/50 ml (250 mg/ml) intravenous solution HCPCS J0209 | not published | not published | $0.74 – $1.23 | 2 |
| So gsap cl fr cpy nmbr&mcrst CPT 81463 | not published | not published | $3,000.04 – $3,713.06 | 2 |
| So gsap cll fr dna/dna&rna CPT 81462 | not published | not published | $2,666.70 – $3,300.49 | 2 |
| So gsap cll fr mcrstl ins CPT 81464 | not published | not published | $7,333.38 – $9,076.29 | 2 |
| So gsap dna cpy nmbr&mcrstl CPT 81458 | not published | not published | $2,333.36 – $2,887.93 | 2 |
| Somatropin injection HCPCS J2941 | not published | not published | $48.92 – $232.26 | 4 |
| So neo gsap dna/dna&rna CPT 81459 | not published | not published | $6,666.70 – $8,251.16 | 2 |
| So neo gsap dna mcrstl ins CPT 81457 | not published | not published | $2,000.02 – $2,475.36 | 2 |
| Sotalol hydrochloride IV HCPCS C9482 | not published | not published | $21.10 – $33.62 | 4 |
| Specific gravity body fluid CPT 84315 | not published | not published | $2.62 – $11.51 | 16 |
| Specimen fat stain CPT 89125 | not published | not published | $4.70 – $20.63 | 16 |
| Sperm antibody test CPT 89325 | not published | not published | $8.54 – $37.44 | 16 |
| Sperm evaluation test CPT 89329 | not published | not published | $15.67 – $68.74 | 16 |
| Sperm identification CPT 89257 | not published | not published | $100.68 – $100.68 | 1 |
| Sperm isolation complex CPT 89261 | not published | not published | $100.68 – $100.68 | 1 |
| Sperm isolation simple CPT 89260 | not published | not published | $100.68 – $100.68 | 1 |
| Split blood or products CPT 86985 | not published | not published | $21.37 – $70.71 | 2 |
| Sputum specimen collection CPT 89220 | not published | not published | $13.28 – $54.81 | 2 |
| Sr-89 stront chlor ther / mci HCPCS A9600 | not published | not published | $3,600.00 – $5,737.50 | 4 |
| Srsf2 gene common variants CPT 81348 | not published | not published | $140.32 – $568.30 | 14 |
| Staph a dna amp probe CPT 87640 | not published | not published | $28.07 – $123.15 | 16 |
| Stem cells total count CPT 86367 | not published | not published | $62.22 – $272.98 | 16 |
| Stimulants synthetic CPT 80371 | $152.50 | $305.00 | $19.34 – $19.34 | 1 |
| Storage/year embryo(s) CPT 89342 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year oocyte(s) CPT 89346 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year reprod tissue CPT 89344 | not published | not published | $317.34 – $317.34 | 1 |
| Storage/year sperm/semen CPT 89343 | not published | not published | $317.34 – $317.34 | 1 |
| Strep a ag ia CPT 87430 | not published | not published | $13.45 – $59.00 | 16 |
| Strep a dna dir probe CPT 87650 | not published | not published | $16.04 – $70.37 | 16 |
| Strep a dna quant CPT 87652 | not published | not published | $33.41 – $146.56 | 16 |
| Strep b assay w/optic CPT 87802 | not published | not published | $10.18 – $44.68 | 16 |
| Strep b dna amp probe CPT 87653 | not published | not published | $28.07 – $123.15 | 16 |
| Streptokinase 1.5 m-units inj HCPCS J2995 | not published | not published | $75.00 – $119.25 | 2 |
| Streptokinase antibody CPT 86590 | not published | not published | $10.13 – $44.43 | 16 |
| Streptomycin injection HCPCS J3000 | not published | not published | $10.20 – $68.96 | 12 |
| Streptozocin injection HCPCS J9320 | not published | not published | $335.26 – $553.48 | 4 |
| Str markers spec anal addl CPT 81266 | not published | not published | $243.85 – $1,069.75 | 16 |
| Str markers specimen anal CPT 81265 | not published | not published | $186.46 – $817.98 | 16 |
| Succinylcholine chloride 20 mg/ml injection solution (wrapper) HCPCS J0330 | not published | not published | $0.79 – $1.23 | 3 |
| Sugars multiple quant CPT 84379 | not published | not published | $9.22 – $40.47 | 16 |
| Sugars single quant CPT 84378 | not published | not published | $9.22 – $40.47 | 16 |
| Sulfamethoxazole 400 mg-trimethoprim 80 mg/5 ml intravenous solution HCPCS J2865 | not published | not published | $0.06 – $0.06 | 1 |
| Sulfonylurea screen qn-sendout CPT 80377 | $230.00 | $460.00 | $19.34 – $19.34 | 1 |
| Sumatriptan 6 mg/0.5 ml subcutaneous solution HCPCS J3030 | not published | not published | $37.00 – $74.97 | 3 |
| Supprelin la implant HCPCS J9226 | not published | not published | $45,212.04 – $110,438.78 | 13 |
| Surgical pathology level 1 gross examination only CPT 88300 | not published | not published | $12.70 – $33.78 | 2 |
| Surgical pathology level 2 gross & microscopic examination CPT 88302 | not published | not published | $25.12 – $75.84 | 2 |
| Surgical pathology level 3 gross & microscopic examination CPT 88304 | not published | not published | $33.49 – $91.11 | 2 |
| Surgical pathology level 4 gross & microscopic examination CPT 88305 | not published | not published | $57.17 – $101.64 | 2 |
| Surgical pathology level 5 gross & microscopic examination CPT 88307 | not published | not published | $225.20 – $596.70 | 2 |
| Surgical pathology level 6 gross & microscopic examination CPT 88309 | not published | not published | $342.13 – $838.50 | 2 |
| Surgigraft, 1 sq cm HCPCS Q4183 | not published | not published | $80.00 – $127.50 | 2 |
| Susceptibility agar dilution per agent CPT 87181 | not published | not published | $3.80 – $16.67 | 16 |
| Susceptibility enzyme detection per enzyme CPT 87185 | not published | not published | $3.80 – $16.67 | 16 |
| Susceptibility mic per plate CPT 87186 | $40.00 | $80.00 | $6.92 – $30.36 | 16 |
| Suscept studies macrobroth dilution ea CPT 87188 | not published | not published | $5.31 – $23.31 | 16 |
| Sweat collection by iontophoresis CPT 89230 | not published | not published | $2.02 – $7.98 | 2 |
| Synojoynt, inj., 1 mg HCPCS J7331 | not published | not published | $8.43 – $21.72 | 11 |
| Synvisc or synvisc-one HCPCS J7325 | not published | not published | $9.16 – $22.36 | 13 |
| Syphilis test non-treponemal antibody quantitative rpr CPT 86593 | $17.50 | $35.00 | $3.52 – $15.44 | 16 |
| T3 (triiodothyronine) free CPT 84481 | $95.00 | $190.00 | $13.55 – $59.45 | 16 |
| T3 (triiodothyronine) total CPT 84480 | $105.00 | $210.00 | $11.34 – $49.76 | 16 |
| T4 (thyroxine) free CPT 84439 | $90.00 | $180.00 | $7.22 – $31.66 | 16 |
| T4 (thyroxine) total CPT 84436 | $72.50 | $145.00 | $5.50 – $24.11 | 16 |
| Tacrol astagraf ex rel oral HCPCS J7508 | not published | not published | $0.57 – $1.39 | 12 |
| Tacrol envarsus ex rel oral HCPCS J7503 | not published | not published | $1.77 – $4.40 | 12 |
| Tacrolimus 1 mg capsule, immediate-release HCPCS J7507 | not published | not published | $0.18 – $0.92 | 12 |
| Tacrolimus 5 mg/ml intravenous solution HCPCS J7525 | not published | not published | $254.67 – $621.39 | 13 |
| Tacrolimus therapeutic drug level CPT 80197 | $77.50 | $155.00 | $10.98 – $48.18 | 16 |
| Tafasitamab-cxix 200 mg intravenous solution HCPCS J9349 | not published | not published | $13.71 – $34.08 | 12 |
| Talimogene laherparepvec 10exp6 (1 million) pfu/ml susp for injection HCPCS J9325 | not published | not published | $70.36 – $171.70 | 13 |
| Talquetamab-tgvs 2 mg/ml subcutaneous solution HCPCS J3055 | not published | not published | $67.65 – $170.73 | 12 |
| Talymed HCPCS Q4127 | not published | not published | $70.54 – $167.11 | 10 |
| Tamoxifen 10 mg tabs 60 each bottle HCPCS S0187 | not published | not published | $0.18 – $0.30 | 3 |
| Target gsa panel hmtlmph neop CPT 81450 | not published | not published | $607.62 – $2,665.62 | 16 |
| Target gsa panel organ/hmtlmph neop CPT 81455 | $1,305.00 | $2,610.00 | $2,335.68 – $10,246.56 | 16 |
| Target gsa panel organ neop CPT 81445 | $1,280.00 | $2,560.00 | $478.33 – $2,098.41 | 16 |
| Tarlatamab-dlle 10 mg intravenous solution HCPCS J9026 | not published | not published | $1,440.00 – $2,295.00 | 4 |
| Tbo-filgrastim 300 mcg/0.5 ml subcutaneous syringe HCPCS J1447 | not published | not published | $0.37 – $0.99 | 13 |
| Tbp gene detc abnor alleles CPT 81344 | not published | not published | $109.60 – $480.81 | 16 |
| Tb test cell mediated immunity antigen response enumeration gamma interferon t-cells CPT 86481 | $212.50 | $425.00 | $80.00 – $350.96 | 16 |
| Tb test cell mediated immunity antigen response gamma interferon CPT 86480 | $175.00 | $350.00 | $49.58 – $217.53 | 16 |
| Tc-99m apcitide diag HCPCS A9504 | not published | not published | $400.00 – $617.04 | 2 |
| Tc-99m arcitumomab HCPCS A9568 | not published | not published | $0.01 – $1,482.39 | 4 |
| Tc-99m bicisate HCPCS A9557 | not published | not published | $683.80 – $5,609.48 | 4 |
| Tc-99m depreotide HCPCS A9536 | not published | not published | $988.68 – $1,120.00 | 2 |
| Tc-99m disofenin HCPCS A9510 | not published | not published | $0.01 – $107.10 | 3 |
| Tc-99m exame autol wbc diag per dose HCPCS A9569 | not published | not published | $1,040.32 – $2,622.38 | 4 |
| Tc-99m exametazime diag HCPCS A9521 | not published | not published | $802.34 – $2,622.38 | 4 |
| Tc-99m graphite crucible HCPCS A9506 | not published | not published | $297.60 – $328.60 | 3 |
| Tc-99m labeled rbc HCPCS A9560 | not published | not published | $89.66 – $142.91 | 3 |
| Tc-99m maa HCPCS A9540 | not published | not published | $28.80 – $45.90 | 3 |
| Tc-99m mebrofenin HCPCS A9537 | not published | not published | $53.10 – $84.63 | 3 |
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.