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 |
|---|---|---|---|---|
| Ihc/icc per specimen initial single antibody stain CPT 88342 | $210.00 | $420.00 | $85.75 – $206.76 | 2 |
| Iiv3 vacc no prsv 0.25 ml im CPT 90655 | not published | not published | $0.01 – $20.99 | 4 |
| Ikbkap gene CPT 81260 | $142.50 | $285.00 | $31.45 – $137.97 | 16 |
| Iliac revasc add-on 37222 CPT 37222 | $4,510.00 | $9,020.00 | not published | 0 |
| Iloprost non-comp unit dose HCPCS Q4074 | not published | not published | $41.62 – $361.70 | 12 |
| Imatinib 100 mg tab HCPCS S0088 | not published | not published | $2.85 – $4.55 | 3 |
| Imetelstat 188 mg intravenous solution HCPCS J0870 | not published | not published | $50.47 – $80.45 | 4 |
| Immob elbow child sm HCPCS L3762 | $70.00 | $140.00 | not published | 0 |
| Immobilizer shldr cntor adlt HCPCS L3670 | $171.10 | $342.20 | not published | 0 |
| Immobilizer shldr dlx str 24-36in med HCPCS L1830 | $147.50 | $295.00 | not published | 0 |
| Immune complex assay CPT 86332 | $40.00 | $80.00 | $19.50 – $85.52 | 16 |
| Immune globulin, gamma (igg) (10 %)-gly-iga over 50 mcg/ml injection solution HCPCS J1569 | $137.85 | $275.69 | $45.13 – $113.36 | 13 |
| Immune globulin, gamma (igg) 10 gram-gly-gluc-iga 0 to 50 mcg/ml IV solution HCPCS J1566 | $190.47 | $380.94 | $68.88 – $198.69 | 13 |
| Immune globulin, gamma (igg) (10 %)-malt-iga over 50 mcg/ml intravenous solution HCPCS J1568 | not published | not published | $48.06 – $120.29 | 13 |
| Immune globulin ig human im use 90281 CPT 90281 | not published | not published | $95.08 – $159.74 | 3 |
| Immunoassay tumor antigen quantitative ca 125 CPT 86304 | $117.50 | $235.00 | $16.65 – $73.04 | 16 |
| Immunoassay tumor antigen quantitative ca 19-9 CPT 86301 | $110.00 | $220.00 | $16.65 – $73.04 | 16 |
| Immunoassay tumor qual CPT 86294 | not published | not published | $20.46 – $89.74 | 16 |
| Immunodiff gel qual ea antigen/ab CPT 86331 | $60.00 | $120.00 | $9.58 – $42.06 | 16 |
| Immunodiffusion nes CPT 86329 | not published | not published | $11.24 – $49.31 | 16 |
| Immunoelectrophoresis assay CPT 86327 | not published | not published | $23.94 – $105.00 | 15 |
| Immunofixation electrophoresis serum CPT 86334 | $142.50 | $285.00 | $17.87 – $78.41 | 16 |
| Immunofluorescence per specimen each additional single antibody stain CPT 88350 | $100.00 | $200.00 | $75.35 – $245.94 | 2 |
| Immunofluorescence per specimen initial single antibody stain CPT 88346 | $160.00 | $320.00 | $102.78 – $329.43 | 2 |
| Immunoglobulin assay CPT 86023 | $125.00 | $250.00 | $9.97 – $43.74 | 16 |
| Immunology procedure CPT 86849 | not published | not published | $44.82 – $44.82 | 1 |
| Implant cartilage 10mm synthetic HCPCS L8699 | $8,005.00 | $16,010.00 | not published | 0 |
| Implant neuroelectrodes CPT 64555 | $5,325.00 | $10,650.00 | not published | 0 |
| Implant neuroelectrodes CPT 64561 | $4,440.00 | $8,880.00 | not published | 0 |
| Implant ureth bulk agent HCPCS L8606 | $3,066.00 | $6,132.00 | not published | 0 |
| Impl neurostim electr perc CPT 63650 | $6,500.00 | $13,000.00 | not published | 0 |
| Imported lipodox inj HCPCS Q2049 | not published | not published | $0.01 – $762.65 | 4 |
| Imuglucerase injection HCPCS J1786 | not published | not published | $43.14 – $105.85 | 13 |
| In-111 autologous plt stdy dx HCPCS A9571 | not published | not published | $4,041.56 – $6,441.24 | 3 |
| In-111 autol wbc diag per dose HCPCS A9570 | $3,210.00 | $6,420.00 | $1,031.39 – $6,441.24 | 4 |
| In-111 capromab pendet HCPCS A9507 | not published | not published | $0.01 – $6,725.90 | 3 |
| In-111 ibritumomab tiux dx HCPCS A9542 | not published | not published | $0.01 – $5,076.18 | 3 |
| In-111 oxyquinolin per 0.5 mci HCPCS A9547 | $1,345.00 | $2,690.00 | $772.64 – $3,220.62 | 4 |
| In-111 pentetate dtpa / 0.5 mci HCPCS A9548 | $3,150.00 | $6,300.00 | $715.29 – $1,354.82 | 4 |
| In-111 pentetreotide HCPCS A9572 | $4,165.00 | $8,330.00 | $1,914.61 – $5,448.96 | 3 |
| In-111 satumomab pend HCPCS A4642 | not published | not published | $1,340.00 – $2,070.15 | 2 |
| Inactivated je vacc im CPT 90738 | not published | not published | $293.35 – $483.17 | 3 |
| Incision & drainage hematoma/seroma/fluid collection CPT 10140 | $935.00 | $1,870.00 | not published | 0 |
| Incision of achilles tendon CPT 27605 | $2,660.00 | $5,320.00 | not published | 0 |
| Incision of breast lesion CPT 19020 | $1,700.00 | $3,400.00 | not published | 0 |
| Incision of eardrum CPT 69420 | $285.00 | $570.00 | not published | 0 |
| Incision of hip tendon CPT 27000 | $2,365.00 | $4,730.00 | not published | 0 |
| Incision of tendon & muscle CPT 23405 | $3,770.00 | $7,540.00 | not published | 0 |
| Incision of thigh tendon CPT 27306 | $2,365.00 | $4,730.00 | not published | 0 |
| Incision of thigh tendons CPT 27307 | $3,785.00 | $7,570.00 | not published | 0 |
| Incobotulinumtoxin a HCPCS J0588 | not published | not published | $5.31 – $12.94 | 13 |
| Inf agt nucleic acid human papillomavirus separately reported high-risk types pooled result(s) CPT 87626 | not published | not published | $156.55 – $227.45 | 3 |
| Infec agen detec ampli probe HCPCS U0005 | not published | not published | $25.00 – $87.73 | 4 |
| Infect ag drug suscept pheno predict CPT 87900 | $320.00 | $640.00 | $104.28 – $457.48 | 16 |
| Infect ag eia chlamydia trachomatis CPT 87320 | not published | not published | $12.00 – $52.64 | 16 |
| Infect ag eia influenza a or b ea CPT 87400 | not published | not published | $11.30 – $49.59 | 16 |
| Infect ag genotype na cytomegalovirus CPT 87910 | $695.00 | $1,390.00 | $205.96 – $903.53 | 16 |
| Infect ag genotype na dna hepatitis b CPT 87912 | not published | not published | $205.96 – $903.53 | 16 |
| Infect ag genotype na hiv-1 other region CPT 87906 | $475.00 | $950.00 | $102.98 – $451.80 | 16 |
| Infect ag genotype na hiv-1 revr trn/prt CPT 87901 | $715.00 | $1,430.00 | $205.96 – $903.53 | 16 |
| Infect ag ia direct hiv-1 antgn CPT 87806 | $75.00 | $150.00 | $26.22 – $115.00 | 16 |
| Infect ag ia optc obs chlamydia trach CPT 87810 | not published | not published | $28.23 – $123.84 | 16 |
| Infect ag ia optc obs influenza CPT 87804 | $85.00 | $170.00 | $13.24 – $58.09 | 16 |
| Infect ag if ea plyvlnt antsrm CPT 87300 | not published | not published | $9.58 – $42.06 | 16 |
| Infect ag if hep delta agent CPT 87380 | not published | not published | $14.69 – $64.43 | 16 |
| Infect ag if influenza a CPT 87276 | not published | not published | $12.86 – $56.41 | 16 |
| Infect ag if influenza b CPT 87275 | not published | not published | $9.80 – $42.99 | 16 |
| Infect ag if legionella pneumophila CPT 87278 | not published | not published | $12.48 – $54.75 | 16 |
| Infect ag if nos ea CPT 87299 | not published | not published | $12.88 – $56.50 | 16 |
| Infect ag if pneumocystis carinii CPT 87281 | $137.50 | $275.00 | $9.58 – $42.06 | 16 |
| Infect ag if varicella zoster CPT 87290 | not published | not published | $10.74 – $47.09 | 16 |
| Infect ag na chlamydia trachomatis qnt CPT 87492 | not published | not published | $42.78 – $187.66 | 16 |
| Infect ag na hep b amp CPT 87516 | $180.00 | $360.00 | $28.07 – $123.15 | 16 |
| Infect ag na herpes simplex quant CPT 87530 | not published | not published | $34.27 – $150.35 | 16 |
| Infect ag na hpv high-risk types CPT 87624 | $137.50 | $275.00 | $28.07 – $123.15 | 16 |
| Infect ag na influenza r/amp 1st 2 types CPT 87502 | $227.50 | $455.00 | $76.64 – $336.22 | 16 |
| Infect ag na influenza revr/amp ea type CPT 87501 | not published | not published | $41.05 – $180.08 | 16 |
| Infect ag na orthopoxvirus amp prb each CPT 87593 | $147.50 | $295.00 | $42.73 – $141.62 | 3 |
| Infect ag na resp virus 12-25 targets CPT 87633 | $715.00 | $1,430.00 | $333.42 – $1,462.71 | 16 |
| Infect ag phenotype na hiv-1 1-10 drugs CPT 87903 | $1,135.00 | $2,270.00 | $390.93 – $1,714.98 | 16 |
| Infect ag phenotype na hiv-1 ea addl drg CPT 87904 | $85.00 | $170.00 | $20.86 – $91.49 | 16 |
| Infectious agent antigen immunoassay direct optical observation sars-cov-2 CPT 87811 | $47.50 | $95.00 | $36.95 – $134.07 | 14 |
| Infectious agent antigen immunoassay ql/sq multi step clostridium difficile toxin CPT 87324 | $62.50 | $125.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptococcus neoformans CPT 87327 | not published | not published | $10.74 – $47.09 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step cryptosporidium CPT 87328 | $40.00 | $80.00 | $11.06 – $48.50 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step giardia CPT 87329 | not published | not published | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step helicobacter pylori stool CPT 87338 | $125.00 | $250.00 | $11.50 – $50.47 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn CPT 87340 | $85.00 | $170.00 | $8.26 – $36.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hepatitis b surface agn neutralization CPT 87341 | $60.00 | $120.00 | $8.26 – $36.25 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step hiv-1 antigen(s) hiv-1&2 antibodies CPT 87389 | $100.00 | $200.00 | $19.26 – $84.52 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step legionella urine CPT 87449 | $115.00 | $230.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step rotavirus CPT 87425 | $72.50 | $145.00 | $9.58 – $42.06 | 16 |
| Infectious agent antigen immunoassay ql/sq multi step shiga-like toxin CPT 87427 | $57.50 | $115.00 | $9.58 – $42.06 | 16 |
| Infectious agent nucleic acid amplified probe CPT 87798 | $540.00 | $1,080.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe chlamydia trachomatis CPT 87491 | $112.50 | $225.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe clostridium difficile toxin gene(s) CPT 87493 | $115.00 | $230.00 | $29.82 – $130.80 | 16 |
| Infectious agent nucleic acid amplified probe cns pathogen 12-25 targets CPT 87483 | $860.00 | $1,720.00 | $333.42 – $1,462.71 | 16 |
| Infectious agent nucleic acid amplified probe hsv-1 CPT 87529 | $145.00 | $290.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe methicillin resistant staphylococcus aureus CPT 87641 | $97.50 | $195.00 | $28.07 – $123.15 | 16 |
| Infectious agent nucleic acid amplified probe mycobacteria tuberculosis CPT 87556 | $250.00 | $500.00 | $33.34 – $146.28 | 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.