Aurora West Allis Medical Center
8901 W Lincoln Ave, West Allis, WI · Aurorahealthcare · · NPI 1407801640
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 |
|---|---|---|---|---|
| Diagnostic anoscopy spx 46600 CPT 46600 | $160.00 | $320.00 | not published | 0 |
| Diagnostic Mammogram (both breasts) CPT 77066 | $475.00 | $950.00 | not published | 0 |
| Diagnostic Mammogram (one breast) CPT 77065 | $412.50 | $825.00 | not published | 0 |
| Diagnostic radio unlisted proc CPT 76499 | $590.00 | $1,180.00 | not published | 0 |
| Dialysis circuit perm vascular embolization 36909 CPT 36909 | $17,215.00 | $34,430.00 | not published | 0 |
| Dialysis one evaluation CPT 90945 | $845.00 | $1,690.00 | not published | 0 |
| Diatrizoate meglumine 18 % urethral solution HCPCS Q9958 | not published | not published | $0.07 – $0.18 | 12 |
| Diazepam 5 mg/ml injection solution (wrapper) HCPCS J3360 | $56.32 | $112.64 | $5.79 – $20.85 | 12 |
| Dicyclomine injection HCPCS J0500 | not published | not published | $12.86 – $111.31 | 12 |
| Difelikefalin, esrd on dialy HCPCS J0879 | not published | not published | $0.13 – $0.36 | 4 |
| Diffusing capacity CPT 94729 | $285.00 | $570.00 | not published | 0 |
| Digoxin 250 mcg/ml (0.25 mg/ml) injection solution HCPCS J1160 | $30.31 | $60.62 | $4.88 – $21.52 | 12 |
| Digoxin immune fab 40 mg intravenous solution HCPCS J1162 | not published | not published | $4,888.10 – $12,370.75 | 13 |
| Digoxin total therapeutic drug level CPT 80162 | $77.50 | $155.00 | $10.62 – $46.60 | 16 |
| Dihydroergotamine 0.05 mg/ml IV syringe - cnr HCPCS J1110 | not published | not published | $42.27 – $110.41 | 12 |
| Dilate biliary duct/ampulla CPT 47542 | $4,815.00 | $9,630.00 | not published | 0 |
| Dilator fascial 10fx20cm HCPCS C2627 | $560.00 | $1,120.00 | not published | 0 |
| Dilat xst trc ndurlgc px CPT 50436 | $2,075.00 | $4,150.00 | not published | 0 |
| Dilat xst trc new access rcs CPT 50437 | $3,110.00 | $6,220.00 | not published | 0 |
| Dimecaprol injection HCPCS J0470 | not published | not published | $51.34 – $86.96 | 4 |
| Dimenhydrinate injection HCPCS J1240 | not published | not published | $8.30 – $21.16 | 12 |
| Dimethyl sulfoxide 50% 50 ml HCPCS J1212 | not published | not published | $714.72 – $1,745.55 | 13 |
| Diphenhydramine 12.5 mg/5 ml oral elixir HCPCS Q0163 | not published | not published | $0.02 – $0.42 | 4 |
| Diphenhydramine 50 mg/ml injection (wrapper) HCPCS J1200 | $22.18 | $44.36 | $0.66 – $1.79 | 12 |
| Diphtheria-tetanus toxoids 0.5 ml (peds) CPT 90702 | not published | not published | $66.09 – $111.03 | 3 |
| Dipyridamole injection HCPCS J1245 | not published | not published | $2.69 – $9.44 | 12 |
| Disability dlco CPT 94727 | $240.00 | $480.00 | not published | 0 |
| Disaccharidases CPT 82657 | $357.50 | $715.00 | $17.74 – $77.81 | 16 |
| Discography cerv/thor spine CPT 72285 | $1,940.00 | $3,880.00 | not published | 0 |
| #d/lmeth-l-methamphetamine CPT 80374 | not published | not published | $19.34 – $19.34 | 1 |
| Dmd dup/delet analysis CPT 81161 | not published | not published | $223.20 – $979.17 | 16 |
| Dmpk gene charac alleles CPT 81239 | not published | not published | $219.86 – $964.54 | 16 |
| Dmpk gene detc abnor allele CPT 81234 | not published | not published | $109.60 – $480.81 | 16 |
| Dna antibody native/double stranded CPT 86225 | $100.00 | $200.00 | $10.99 – $48.21 | 16 |
| Dna gardnerella CPT 87510 | $62.50 | $125.00 | $16.04 – $70.37 | 16 |
| Dna probe chlamydia CPT 87490 | not published | not published | $18.20 – $79.84 | 16 |
| Dna probe gc CPT 87590 | not published | not published | $21.50 – $94.34 | 16 |
| Dna trichomonas CPT 87660 | $62.50 | $125.00 | $16.04 – $70.37 | 16 |
| Dobutamine 250 mg/20 ml (12.5 mg/ml) intravenous solution HCPCS J1250 | not published | not published | $7.61 – $18.03 | 12 |
| Docetaxel 20 mg/ml intravenous solution (wrapper) HCPCS J9171 | not published | not published | $0.61 – $2.15 | 12 |
| Docetaxel (docivyx), 1 mg HCPCS J9172 | not published | not published | $51.62 – $127.39 | 11 |
| Dolasetron mesylate HCPCS J1260 | not published | not published | $0.01 – $9.26 | 3 |
| Dolasetron mesylate oral HCPCS Q0180 | not published | not published | $57.90 – $92.28 | 3 |
| Dopamine 40 mg/ml intravenous solution (wrapper) HCPCS J1265 | not published | not published | $0.71 – $1.89 | 12 |
| Doppler echo complete CPT 93320 | $650.00 | $1,300.00 | not published | 0 |
| Doppler upper/lower extremity arteries complete bilateral CPT 93923 | $540.00 | $1,080.00 | not published | 0 |
| Doppler upper/lower extremity arteries limited bilateral CPT 93922 | $362.50 | $725.00 | not published | 0 |
| Doripenem 50 mg/ml inj 10 ml HCPCS J1267 | not published | not published | $0.01 – $1.41 | 4 |
| Dornase alfa non-comp unit HCPCS J7639 | not published | not published | $53.48 – $130.77 | 12 |
| Dostarlimab-gxly 50 mg/ml intravenous solution HCPCS J9272 | not published | not published | $236.40 – $585.76 | 12 |
| Doxorubicin 2 mg/ml intravenous solution (wrapper) HCPCS J9000 | not published | not published | $3.15 – $8.10 | 12 |
| Doxorubicin, pegylated liposomal 2 mg/ml intravenous suspension HCPCS Q2050 | not published | not published | $133.08 – $609.34 | 13 |
| Doxycycline hyclate 100 mg intravenous powder for solution HCPCS J1271 | not published | not published | $0.12 – $0.12 | 1 |
| Dpyd gene common variants CPT 81232 | $175.00 | $350.00 | $139.85 – $613.52 | 16 |
| Drainage of kidney lesion CPT 50390 | $1,085.00 | $2,170.00 | not published | 0 |
| Drain blood from under nail 11740 CPT 11740 | $75.00 | $150.00 | not published | 0 |
| Drain cath image guided peri/retroperitoneal transvag/transrectal CPT 49407 | $2,540.00 | $5,080.00 | not published | 0 |
| Drain cath image guided visceral pq CPT 49405 | $2,785.00 | $5,570.00 | not published | 0 |
| Drain cerebro spinal fluid 62272 CPT 62272 | $910.00 | $1,820.00 | not published | 0 |
| Dress/debride pt-tck burn/5-10% bs 16025 CPT 16025 | $207.50 | $415.00 | not published | 0 |
| Dress/debride pt-thick burn/<5% bs 16020 CPT 16020 | $157.50 | $315.00 | not published | 0 |
| Dress/debrid prtl-thick burn l 16030 CPT 16030 | $252.50 | $505.00 | not published | 0 |
| Dressing wound matrix 2x2in 25sqcm-q4108-cost per sq cm HCPCS Q4108 | not published | not published | $46.19 – $109.41 | 10 |
| Dronabinol 2.5mg oral HCPCS Q0167 | not published | not published | $1.48 – $4.51 | 12 |
| Droperidol 2.5 mg/ml injection solution HCPCS J1790 | $25.80 | $51.59 | $8.57 – $14.82 | 3 |
| Drsg interceed 3x4in adh wnd barr absorb HCPCS C1765 | $2,679.71 | $5,359.42 | not published | 0 |
| Drsg oasis burn wound matrix 3x3.5cm 10.5sqcm-q4103-cost per sq cm HCPCS Q4103 | not published | not published | $12.60 – $30.45 | 10 |
| Drsg oasis fen mesh thick 3x7cm 21sqcm -cost per sq cm HCPCS Q4102 | $15.00 | $30.00 | $12.25 – $29.45 | 11 |
| Drsg oasis ultr ster 3lyr 7x10 70sqcm -cost per sq cm HCPCS Q4124 | $27.50 | $55.00 | $9.16 – $24.93 | 10 |
| Drsg wnd 8.2x9cm sq bilayer theragenesis ster-74sq cm-cost per sq cm HCPCS A2008 | not published | not published | $142.38 – $226.91 | 2 |
| Drsg wnd hyalomatrix 10x10cm -cost per sq cm HCPCS Q4117 | not published | not published | $19.73 – $36.59 | 3 |
| Drsg wnd mesh bovine bilayer 4x10in matrix-q4104-cost per sq cm HCPCS Q4104 | $697.47 | $1,394.93 | $50.13 – $127.85 | 10 |
| Drsg wound matrix sheet 2.5x2.5cm-7 sq cm-cost per sq cm HCPCS A2007 | not published | not published | $193.60 – $308.55 | 2 |
| Drug assay caffeine CPT 80155 | $80.00 | $160.00 | $30.86 – $135.37 | 16 |
| Drug assay posaconazole CPT 80187 | $100.00 | $200.00 | $21.69 – $95.14 | 15 |
| Drug assay rufinamide CPT 80210 | $135.00 | $270.00 | $21.69 – $95.14 | 15 |
| Drug assay vedolizumab CPT 80280 | $272.50 | $545.00 | $30.86 – $135.37 | 15 |
| Drug assay voriconazole CPT 80285 | $137.50 | $275.00 | $21.69 – $95.14 | 15 |
| Drug asy hydroxychloroquine CPT 80220 | $345.00 | $690.00 | $14.91 – $60.39 | 14 |
| Drug of abuse screen urine CPT 80305 | $27.50 | $55.00 | $10.08 – $44.22 | 16 |
| Drug screening tapentadol CPT 80372 | not published | not published | $19.34 – $19.34 | 1 |
| Drug screen quant tiagabine CPT 80199 | $115.00 | $230.00 | $21.69 – $95.14 | 16 |
| Drug/substance nos 4-6 CPT 80376 | not published | not published | $19.34 – $19.34 | 1 |
| Drug test def 15-21 classes HCPCS G0482 | $322.50 | $645.00 | $158.99 – $697.49 | 15 |
| Drug test def 1-7 classes HCPCS G0480 | not published | not published | $91.54 – $401.60 | 16 |
| Drug test def 22+ classes HCPCS G0483 | $140.00 | $280.00 | $197.54 – $866.59 | 15 |
| Drug test def 8-14 classes HCPCS G0481 | not published | not published | $125.27 – $549.56 | 15 |
| Drug test def simple all cl HCPCS G0659 | not published | not published | $49.71 – $218.10 | 16 |
| Drug test prsmv instrmnt CPT 80306 | not published | not published | $13.71 – $60.15 | 16 |
| Drug test(s) presumptive any class instrument chemistry analyzers CPT 80307 | $352.50 | $705.00 | $49.71 – $218.10 | 16 |
| Drvvt confirm - quest CPT 85597 | not published | not published | $14.38 – $63.10 | 16 |
| Dstrj nulyt agt gnclr nrv CPT 64624 | $1,470.00 | $2,940.00 | not published | 0 |
| Ductogram sgl duct CPT 77053 | $302.50 | $605.00 | not published | 0 |
| Duplex scan bilateral study 93985 CPT 93985 | $1,090.00 | $2,180.00 | not published | 0 |
| Duplex scan unilateral study 93986 CPT 93986 | $730.00 | $1,460.00 | not published | 0 |
| Dup scan/hemodialysis access 93990 CPT 93990 | $600.00 | $1,200.00 | not published | 0 |
| Dup scan/lwr xtr vasc stdy bilat 93924 CPT 93924 | $745.00 | $1,490.00 | not published | 0 |
| Dup scan/ue art/graft/bilat/comp 93930 CPT 93930 | $710.00 | $1,420.00 | not published | 0 |
| Duragen 1x1 5ea/bx HCPCS C9354 | not published | not published | $18.24 – $29.07 | 2 |
| Durvalumab 50 mg/ml intravenous solution HCPCS J9173 | not published | not published | $81.82 – $204.67 | 12 |
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.