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 |
|---|---|---|---|---|
| Tc-99m medronate HCPCS A9503 | not published | not published | $12.48 – $19.89 | 3 |
| Tc-99m non-heu per study dose HCPCS Q9969 | not published | not published | $10.00 – $10.00 | 1 |
| Tc-99m oxidronate HCPCS A9561 | not published | not published | $0.01 – $67.32 | 3 |
| Tc-99m pentetate dtpa HCPCS A9539 | not published | not published | $0.01 – $47.94 | 3 |
| Tc-99m pentetate dtpa aerosol HCPCS A9567 | not published | not published | $25.98 – $25.98 | 1 |
| Tc-99m pertechnetate per mci HCPCS A9512 | not published | not published | $1.60 – $2.60 | 3 |
| Tc-99m pyroph diag per dose up to 25 mci HCPCS A9538 | not published | not published | $61.49 – $98.00 | 3 |
| Tc-99m sestamibi p study dose HCPCS A9500 | not published | not published | $102.48 – $140.66 | 2 |
| Tc-99m succimer (dmsa) HCPCS A9551 | not published | not published | $575.44 – $917.12 | 2 |
| Tc-99m sulfur colloid HCPCS A9541 | not published | not published | $256.67 – $409.07 | 3 |
| Tc-99m tetrofosmin p study dose HCPCS A9502 | not published | not published | $81.86 – $130.47 | 3 |
| Tc-99m tilmanocept diag HCPCS A9520 | not published | not published | $635.11 – $1,012.22 | 3 |
| T cells absolute cd4/cd8 including ratio CPT 86360 | not published | not published | $37.58 – $164.88 | 16 |
| T cells absolute cd 4 count CPT 86361 | $95.00 | $190.00 | $21.42 – $93.98 | 16 |
| T cells total count CPT 86359 | not published | not published | $30.18 – $132.42 | 16 |
| Tebentafusp-tebn 100 mcg/0.5 ml intravenous solution HCPCS J9274 | not published | not published | $214.76 – $524.00 | 12 |
| Telavancin injection HCPCS J3095 | not published | not published | $6.38 – $18.05 | 13 |
| Temozolomide HCPCS J8700 | not published | not published | $0.27 – $1.38 | 12 |
| Temozolomide 100 mg intravenous solution HCPCS J9328 | not published | not published | $10.40 – $25.40 | 13 |
| Temsirolimus 30 mg/3 ml (10 mg/ml) (first dilution) intravenous soln HCPCS J9330 | not published | not published | $29.52 – $104.74 | 13 |
| Tenecteplase 5 mg/ml intravenous solution for ischemic stroke (50 mg vial) HCPCS J3101 | not published | not published | $157.72 – $396.33 | 13 |
| Teniposide, 50 mg HCPCS Q2017 | not published | not published | $2,396.11 – $3,818.81 | 3 |
| Terbutaline 1 mg/ml subcutaneous solution HCPCS J3105 | not published | not published | $1.41 – $5.23 | 12 |
| Teriparatide injection HCPCS J3110 | not published | not published | $48.32 – $77.01 | 3 |
| Tert gene targeted seq alys CPT 81345 | not published | not published | $148.16 – $649.97 | 16 |
| Test for chlorohydrocarbons CPT 82441 | not published | not published | $4.81 – $21.09 | 16 |
| Test for porphobilinogen CPT 84106 | not published | not published | $4.66 – $20.44 | 16 |
| Test for urine cystines CPT 82615 | not published | not published | $7.64 – $33.52 | 16 |
| Testosterone pellet 75 mg HCPCS S0189 | not published | not published | $100.93 – $160.86 | 3 |
| Testosterone response panel CPT 80414 | not published | not published | $41.31 – $181.23 | 16 |
| Testosterone undecanoate 1mg HCPCS J3145 | not published | not published | $1.92 – $4.68 | 13 |
| Test pathogen(s) for platelets reference HCPCS P9100 | not published | not published | $113.64 – $113.64 | 1 |
| Test urine for lactose CPT 83633 | not published | not published | $9.00 – $39.48 | 16 |
| Test urine for porphyrins CPT 84119 | not published | not published | $10.69 – $46.88 | 16 |
| Test urine urobilinogen CPT 84578 | not published | not published | $3.58 – $15.69 | 16 |
| Tetanus ig im CPT 90389 | not published | not published | $649.17 – $1,090.61 | 3 |
| Tetanus immune globulin inj HCPCS J1670 | not published | not published | $572.07 – $1,395.85 | 13 |
| Tezepelumab-ekko 210 mg/1.91 ml (110 mg/ml) subcutaneous syringe HCPCS J2356 | not published | not published | $17.77 – $44.30 | 12 |
| Tgfbi gene common variants CPT 81333 | not published | not published | $109.60 – $480.81 | 16 |
| Tgsap hl neo 5-50 rna alys CPT 81451 | not published | not published | $607.62 – $2,460.88 | 14 |
| Tgsap so/hl 51/< rna alys CPT 81456 | not published | not published | $2,335.68 – $9,459.50 | 14 |
| Tgsap so neo 5-50 rna alys CPT 81449 | not published | not published | $478.33 – $1,937.23 | 14 |
| Thaw cryoprsvrd reprod tiss CPT 89354 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved embryo CPT 89352 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved oocyte CPT 89356 | not published | not published | $317.34 – $317.34 | 1 |
| Thawing cryopresrved sperm CPT 89353 | not published | not published | $100.68 – $100.68 | 1 |
| Theophylline therapeutic drug level CPT 80198 | $92.50 | $185.00 | $11.31 – $49.63 | 16 |
| Therapy activity per session >= 45 minutes HCPCS G0176 | $177.50 | $355.00 | not published | 0 |
| Thiamine hcl (vitamin b1) 100 mg/ml injection solution HCPCS J3411 | not published | not published | $1.76 – $4.82 | 12 |
| Thiethylperazine maleate inj HCPCS J3280 | not published | not published | $5.94 – $7.14 | 2 |
| Thiotepa injection HCPCS J9340 | not published | not published | $209.02 – $541.08 | 12 |
| Thrombin time CPT 85670 | not published | not published | $4.62 – $20.25 | 16 |
| Thrombin time titer CPT 85675 | not published | not published | $5.48 – $24.03 | 16 |
| Thrombomodulin CPT 85337 | not published | not published | $13.82 – $60.61 | 16 |
| Thromboplastin inhibition CPT 85705 | not published | not published | $7.70 – $33.80 | 16 |
| Thromboplastin time partial (ptt) substitution fractions each CPT 85732 | not published | not published | $5.18 – $22.71 | 16 |
| Thromboxane urine CPT 84431 | not published | not published | $28.09 – $123.22 | 16 |
| Thyroglobulin antibody CPT 86800 | $90.00 | $180.00 | $12.73 – $55.85 | 16 |
| Thyroid (TSH) Test CPT 84443 | $105.00 | $210.00 | $13.44 – $58.97 | 16 |
| Thyrotropin alfa 0.9 mg intramuscular solution HCPCS J3240 | not published | not published | $2,067.91 – $5,045.70 | 13 |
| Thyrotropin releasing hormone CPT 80438 | not published | not published | $40.33 – $176.91 | 16 |
| Thyroxine binding globulin (tbg) CPT 84442 | not published | not published | $11.82 – $51.86 | 16 |
| Tic-brn enceph vac 0.25ml im CPT 90626 | not published | not published | $295.22 – $486.24 | 3 |
| Tic-brn enceph vac 0.5ml im CPT 90627 | not published | not published | $295.22 – $486.24 | 3 |
| Tigecycline injection HCPCS J3243 | not published | not published | $0.30 – $3.01 | 12 |
| Tinzaparin sodium injection HCPCS J1655 | not published | not published | $0.01 – $5.24 | 2 |
| Tirofiban 12.5 mg/50 ml HCPCS J3246 | not published | not published | $3.55 – $8.84 | 11 |
| Tisagenlecleucel car-pos t HCPCS Q2042 | not published | not published | $0.01 – $1,380,122.16 | 10 |
| Tisotumab vedotin-tftv 40 mg intravenous solution HCPCS J9273 | not published | not published | $181.60 – $443.77 | 12 |
| Tiss ex molecul study add-on CPT 88388 | not published | not published | $30.02 – $37.59 | 2 |
| Tissue amnio epifix inj 100mg HCPCS Q4145 | not published | not published | $24.00 – $38.25 | 2 |
| Tissue culture placenta CPT 88235 | not published | not published | $120.24 – $527.50 | 16 |
| Tissue culture skin/biopsy CPT 88233 | not published | not published | $112.58 – $493.91 | 16 |
| Tissue culture tumor CPT 88239 | not published | not published | $118.02 – $517.73 | 16 |
| Tissue exam koh skin/hair/nails CPT 87220 | $30.00 | $60.00 | $3.42 – $14.98 | 16 |
| Tissue matrix 1.8x1.8cm collagen dermacell porous 4sq cm cost per sq cm HCPCS Q4122 | not published | not published | $96.80 – $154.28 | 2 |
| Tissue surgimend prs meshed 20 cm x 10 cm - cost per 0.5cm HCPCS C9358 | not published | not published | $19.02 – $19.02 | 1 |
| Tissue transglutaminase iga CPT 86364 | $80.00 | $160.00 | $9.22 – $37.36 | 14 |
| Tl-201 thallium diag per mci HCPCS A9505 | not published | not published | $31.35 – $49.97 | 3 |
| Tobramycin comp unit HCPCS J7685 | not published | not published | $73.83 – $73.83 | 1 |
| Tobramycin in ns IV syringe 4 mg/ml (neo/ped) - cnr HCPCS J3260 | not published | not published | $1.60 – $4.80 | 12 |
| Tobramycin non-comp unit HCPCS J7682 | not published | not published | $14.80 – $63.38 | 12 |
| Tobramycin peak therapeutic drug level CPT 80200 | not published | not published | $12.90 – $56.61 | 16 |
| Tocilizumab 162 mg/0.9 ml subcutaneous pen injector HCPCS J3262 | not published | not published | $5.88 – $14.56 | 13 |
| Tocilizumab for covid-19 HCPCS Q0249 | not published | not published | $7.57 – $18.47 | 12 |
| Topotecan 4 mg/4 ml (1 mg/ml) intravenous solution HCPCS J9351 | not published | not published | $1.27 – $4.35 | 12 |
| Topotecan oral HCPCS J8705 | not published | not published | $124.86 – $304.83 | 12 |
| Toripalimab-tpzi 240 mg/6 ml (40 mg/ml) intravenous solution HCPCS J3263 | not published | not published | $38.87 – $95.94 | 12 |
| Tot estradiol response panel CPT 80415 | not published | not published | $44.71 – $196.15 | 16 |
| Toxoplasma antibody igg CPT 86777 | $62.50 | $125.00 | $11.51 – $50.51 | 16 |
| Toxoplasma antibody igm CPT 86778 | $62.50 | $125.00 | $11.53 – $50.58 | 16 |
| Tp53 gene full gene sequence CPT 81351 | not published | not published | $513.48 – $2,252.62 | 15 |
| Tp53 gene known famil vrnt CPT 81353 | not published | not published | $246.40 – $1,080.96 | 15 |
| Tp53 gene trgt sequence alys CPT 81352 | not published | not published | $263.61 – $1,067.61 | 14 |
| Tpmt gene com vrnts CPT 81335 | $202.50 | $405.00 | $139.85 – $613.52 | 16 |
| Trabectedin 1 mg intravenous solution HCPCS J9352 | not published | not published | $362.75 – $885.11 | 13 |
| Transcutaneous carboxyhb CPT 88740 | not published | not published | $7.50 – $32.88 | 16 |
| Transcutaneous hgb 88738 CPT 88738 | not published | not published | $4.02 – $17.62 | 16 |
| Transcutaneous methb CPT 88741 | not published | not published | $7.50 – $32.88 | 16 |
| Transferrin CPT 84466 | $92.50 | $185.00 | $10.21 – $44.78 | 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.