Visits & medical services prices at Aurora Lakeland Medical Center

Elkhorn, WI · every code in this section with a posted price and a Medicare benchmark.

176 codes. Prices are the hospital's own posted facility charges.

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ProcedurePosted cashPosted gross× Medicare
Admn Sarscov2 Vacc 1 Dose (90480) $42.50 $85 1.0×
Aep Hearing Status Deter Broadband Stimuli I&R (92651) $147.50 $295 0.7×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $47.50–$85 $95–$170 varies
Airway resistance by oscillometry (94728) $240 $480 1.8×
Appl modality 1+ areas lllt po pain reduction (97037) $17.50 $35 0.5×
Appl Modality 1/> Areas Ultrasound Ea 15 Min (97035) $77.50 $155 5.4×
Application Modality 1/> Areas Infrared (97026) $37.50 $75 5.6×
Application on-body injector (96377) $110 $220 2.3×
Assessment of aphasia per hr (96105) $292.50 $585 3.0×
Behavral qualit analys voice (92524) $227.50 $455 2.1×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $467.50 $935 1.2×
Canalith repositioning proc (95992) $105 $210 2.6×
Car seat/bed test 60 min (94780) $130 $260 3.4×
Cardiac Stress Tst,Tracing Only (93017) $995 $1,990 4.6×
Cardiopulmonary resuscitation (92950) $1,225 $2,450 5.6×
Cardioversion (92960) $1,330 $2,660 2.0×
Cbt 1st hour (94644) $180 $360 1.3×
Chemo Anti-Neopl Sq/Im (96401) $147.50 $295 2.0×
Chemo Hormon Antineopl Sq/Im (96402) $122.50 $245 1.7×
Chemo IV infusion addl hr (96415) $235 $470 3.2×
Chemo IV push addl drug (96411) $207.50 $415 2.8×
Chemother Prolong Infuse W/Pump (96416) $470 $940 1.4×
Chemotx admn IV nfs tq ea seql nfs to 1 hr (96417) $235 $470 3.2×
Chemotx admn IV nfs tq up 1 hr 1/1st sbst/drug (96413) $470 $940 1.4×
Chemotx admn IV push tq 1/1st sbst/drug (96409) $272.50 $545 0.8×
Chest Wall Manipulation (94668) $60 $120 0.4×
Color/duplex Doppler, complete (93975) $575 $1,150 2.4×
Color/duplex Doppler, limited (93976) $385 $770 3.6×
Community/Work Reintegration Trainj Ea 15 Min (97537) $87.50 $175 2.7×
Cont gluc mntr physician/qhp provided equiptment (95250) $420 $840 3.1×
Continuous Pulse Ox (94762) $222.50 $445 1.7×
Cpap Ventilation Cpap Initiation&Mgmt (94660) $170 $340 0.8×
Cpt initial (94667) $120 $240 0.9×
Cptrizd oph dx img pst sgm uni/bi rta oct angrph (92137) $510 $1,020 2.3×
Critical care first hour (99291) $1,415 $2,830 1.7×
Debridement Open Wound 20 Sq Cm< (97597) $227.50 $455 1.1×
Dialysis One Evaluation (90945) $650 $1,300 1.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $590 $1,180 2.4×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $395 $790 3.7×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $965 $1,930 4.0×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $645 $1,290 6.1×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,015 $2,030 4.2×
Dup-scan xtr veins unilateral/limited study (93971) $675 $1,350 6.4×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,090 $2,180 4.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $730 $1,460 6.9×
Duplex Scan Hemodialysis Access (93990) $600 $1,200 5.7×
Duplex up extrem art bilat (93930) $710 $1,420 2.9×
Duplex up extrem art unilat/ltd (93931) $475 $950 4.5×
ECG/monitoring and analysis (93271) $395 $790 4.1×
Echo Congenital Complete (93303)
range across 2 matching MRF lines		 $1,340–$1,500 $2,680–$3,000 varies
Echo Heart Xthoracic,Limited (93308)
range across 2 matching MRF lines		 $1,235–$1,290 $2,470–$2,580 varies
Echo transesophageal (93312)
range across 2 matching MRF lines		 $2,080–$2,185 $4,160–$4,370 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $2,725–$2,830 $5,450–$5,660 varies
Eeg 41-60 Minutes (95812) $920 $1,840 4.2×
EEG awake and asleep (95819) $740 $1,480 3.4×
EEG awake drowsy (95816) $680 $1,360 3.1×
EEG cont rec w/video by tech min 8 channels (95700) $3,640 $7,280 16.7×
EEG extended monitoring 61-119 minutes (95813) $1,205 $2,410 5.5×
Eeg Sleep Only (95822) $865 $1,730 4.0×
Electrical Stimulation Ea 15 Min (97032) $67.50 $135 4.6×
Electrocardiogram Tracing (93005) $157.50 $315 2.6×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines		 $270–$482.50 $540–$965 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines		 $402.50–$940 $805–$1,880 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $595–$610 $1,190–$1,220 varies
Emg 3 Extremities (95863) $422.50 $845 3.2×
Er level 1 (99281)
range across 6 matching MRF lines		 $62.50–$420 $125–$840 varies
Er level v (99285)
range across 2 matching MRF lines		 $675–$920 $1,350–$1,840 varies
Evaluate pt use of inhaler (94664) $70 $140 0.3×
Evaluate Speech Production (92522) $227.50 $455 2.0×
Evaluate Swallowing Function (92610) $337.50 $675 4.0×
Evaluation of speech fluency (92521) $227.50 $455 1.7×
Evoked Auditory Test,Limited (92587) $115 $230 0.5×
Exercise test for bronchospasm (94617) $187.50 $375 1.4×
External Ecg Scanning Analysis Report (93226) $535 $1,070 9.0×
Extracranial Bilat Study (93880) $1,030 $2,060 4.3×
Extracranial Uni/Ltd Study (93882) $685 $1,370 6.5×
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $405 $810 2.7×
Group Therapeutic Procedures (97150) $80 $160 4.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,020 $2,040 1.5×
Holter monitor recording (93225) $440 $880 3.3×
Immunization administration (90471) $32.50 $65 0.4×
Insert/Place Heart Catheter (93503) $2,355 $4,710 1.5×
Iontophoresis 15 min (97033) $120 $240 6.3×
Irrig Drug Delivery Device (96523) $112.50 $225 1.9×
IV infusion hydration each additional hour (96361) $152.50 $305 3.2×
IV infusion hydration initial 31 min-1 hour (96360) $297.50 $595 1.4×
IV infusion ther proph addl sequential to 1 hr (96367) $150 $300 2.1×
IV infusion therapy prophylaxis/dx ea hour (96366) $150 $300 3.2×
IV push initial (96374) $90 $180 0.4×
Lung Function Test (Mbc/Mvv) (94200) $115 $230 1.9×
Lwr Xtr Vasc Stdy Bilat (93924) $745 $1,490 3.4×
Mechanical chest wall oscillation per session (94669) $92.50 $185 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803) $50 $100 1.6×
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.50 $115 1.6×
Methacholine challenge (94070) $600 $1,200 1.6×
Motion Fluoroscopy/Swallow (92611) $337.50 $675 3.7×
Multiple Sleep Latency Test (95805) $2,545 $5,090 2.9×
Muscle Test 2 Limbs (95861) $372.50 $745 2.8×
Nasopharyngoscopy (92511) $495 $990 2.5×
Neg Pressure Wound Therapy Non Dme </= 50 Sq Cm (97607) $585 $1,170 1.4×
Neg Pressure Wound Therapy Non Dme >50 Sq Cm (97608) $885 $1,770 2.2×
Negative Pressure Wound Therapy Dme </= 50 Sq Cm (97605) $220 $440 1.1×
Negative Pressure Wound Therapy Dme >50 Sq Cm (97606) $330 $660 0.8×
Nerve Conduction Studies 1-2 Studies (95907) $155 $310 0.7×
Neuromuscular Reeducation (97112) $87.50 $175 2.7×
Newborn resuscitation (99465) $515 $1,030 0.8×
Nonphysician Telephone Assessment 11-20 Min (98967) $82.50 $165 3.3×
Nonphysician Telephone Assessment 21-30 Min (98968) $105 $210 3.0×
Nonphysician Telephone Assessment 5-10 Min (98966) $50 $100 3.7×
Oral Function Therapy (92526) $270 $540 3.2×
Oral Speech Device Eval (92597) $345 $690 4.8×
Orthc/Prostc Mgmt Sbsq Enc (97763) $70 $140 1.4×
Orthotics Mgmt & Trainj Initial Enctr Ea 15 Mins (97760) $92.50 $185 2.0×
Ot eval high complexity (97167) $310 $620 3.1×
Ot Eval Low Complex (97165) $177.50 $355 1.8×
Ot Eval Moderate Complexity (97166) $240 $480 2.4×
Ot manual therapy 15 min (97140) $87.50 $175 3.2×
Ot paraffin bath (97018) $35 $70 5.8×
Ot Prosthetic Training, Each 15 Min (97761) $87.50 $175 2.2×
Ot Re-Eval Est Plan Care (97168) $125 $250 1.8×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $140 $280 0.6×
Peripheral arterial disease rehab per session (93668) $132.50 $265 2.2×
Phlebotomy therapeutic (99195) $125 $250 0.9×
Physical Performance Test (97750) $87.50 $175 2.6×
Plethysmography (94726) $367.50 $735 1.0×
Pm device eval in person (93288) $310 $620 8.2×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,385 $6,770 3.9×
Pt Eval High Complex (97163) $310 $620 3.2×
Pt eval low complex 20 min (97161) $177.50 $355 1.8×
Pt Eval Mod Complex (97162) $240 $480 2.5×
Pt gait training 15 min (97116) $87.50 $175 3.0×
Pt mechanical traction (97012) $92.50 $185 6.4×
Pt Re-Eval Est Plan Care (97164) $125 $250 1.9×
Pulm function test by gas (94727) $240 $480 1.1×
Pulmonary Stress Testing (94618) $217.50 $435 1.6×
Qnhp Ol Dig Assmt&Mgmt 11-20 (98971) $62.50 $125 2.7×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98972) $100 $200 2.9×
Qualified nonphysician health care professional online digital assessment and management, for an established patient,… (98970) $30 $60 2.4×
Refill&Maintenance Pump Drug Dlvr Spinal/Brain (95990) $550 $1,100 1.6×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $115 $230 3.0×
Rem ther mntr dev sply resp (98976) $115 $230 3.0×
Remote 30 Day Ecg Rev/Report (93270) $210 $420 5.6×
Remote therapeutic mntr 1st set-up&pt educaj eqp (98975) $70 $140 0.5×
Respiratory flow volume loop (94375) $237.50 $475 1.1×
Rhythm Ecg 1-3 Leads Tracing Only W/O I&R (93041) $155 $310 2.6×
Self Care Mngment Training (97535) $87.50 $175 2.7×
Sensory Integration Ea 15 Min (97533) $87.50 $175 1.4×
Sleep study unattended (95806) $337.50 $675 1.5×
Speech sound lang comprehen (92523) $340 $680 1.5×
Spirometry (94010) $265 $530 1.2×
Standardized Cognitive Performance Testing (96125) $230 $460 2.2×
Subcutaneous Infusion Each Additional Hour (96370) $167.50 $335 3.5×
Subcutaneous infusion initial 1 hr w/pump set-up (96369) $335 $670 1.6×
Surfactant Admin Thru Tube (94610) $205 $410 0.9×
Temp transcutaneous pacing (92953) $815 $1,630 1.2×
Ther Ivntj Cog Funcj Cntct 1st 15 Minutes (97129) $82.50 $165 3.7×
Ther Ivntj Ea Addl 15 Min (97130) $82.50 $165 3.9×
Ther Px 1/> Areas Each 15 Minutes Massage (97124) $10.50 $21 0.4×
Ther Sp-Genratj Dev Prgrmg&Modificaj (92609) $217.50 $435 2.1×
Ther/Proph/Diag Inj Sc/Im (96372) $55 $110 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $350 $700 1.6×
Therapeutic Activities (97530) $87.50 $175 2.5×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $2,525–$2,630 $5,050–$5,260 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $1,765–$1,820 $3,530–$3,640 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $255 $510 3.3×
Tx/Pro/Dx Inj New Drug Addon (96375) $90 $180 1.9×
Upr/L Xtremity Art 2 Levels (93922) $362.50 $725 2.7×
Upr/Lxtr Art Stdy 3+ Lvls (93923) $540 $1,080 2.5×
Vasopneumatic device (97016) $77.50 $155 6.4×
Veeg 2-12 Hr Cont Mntr (95713) $1,825 $3,650 4.8×
Vent Mgmt Inpat Init Day (94002) $1,270 $2,540 2.0×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $950 $1,900 1.5×
Vital capacity, total (94150) $55 $110 0.4×
Wheelchair Mgmt Ea 15 Min (97542) $87.50 $175 2.8×
Whirlpool Therapy (97022) $102.50 $205 6.5×
Xers tst brncspsm pre&post spmtry&pls ox wo /ECG (94619) $112.50 $225 1.9×

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.