Visits & medical services prices at Aurora Medical Center

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

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

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ProcedurePosted cashPosted gross× Medicare
Acoustic Immit Test Tympanometry/Acoust Reflex/Decay (92570) $172.50 $345 1.3×
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×
Aep threshold estimation mlt frequencies i&r (92652) $705 $1,410 3.3×
Airway Inhalation Treatment (94640)
range across 2 matching MRF lines		 $85–$87.50 $170–$175 varies
Airway resistance by oscillometry (94728) $240 $480 1.9×
Ambulatory bp mntr w/sw 24 hr+ recording only (93786) $202.50 $405 1.5×
Analyze neurostim complex (95972) $885 $1,770 9.3×
Analyze Neurostim Simple (95971) $500 $1,000 5.3×
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 2.4×
Assessment of aphasia per hr (96105) $292.50 $585 3.0×
Audiometry Air & Bone (92553) $75 $150 0.6×
Basic vestibular evaluation (92540) $340 $680 1.6×
Behavral qualit analys voice (92524) $227.50 $455 2.1×
Bfb traing w/EMG &/manometry 1st 15 min cntct (90912) $180 $360 2.2×
Bfb training ea addl 15 min (90913) $90 $180 2.7×
Biofeedback training any modality (90901) $92.50 $185 2.3×
Brncdilat rspse spmtry pre&post-brncdilat admn (94060) $467.50 $935 1.3×
C motor evoked upr&lwr limbs (95939) $785 $1,570 0.9×
Caloric vestibular test w/rec bi monothermal (92538) $365 $730 1.7×
Caloric Vstblr Test W/Rec (92537) $550 $1,100 4.3×
Canalith repositioning proc (95992) $105 $210 2.6×
Car seat/bed test 60 min (94780) $130 $260 3.5×
Cardiac Stress Tst,Tracing Only (93017) $995 $1,990 4.6×
Cardiopulmonary exercise testing (94621) $1,190 $2,380 3.2×
Cardiopulmonary resuscitation (92950) $1,225 $2,450 5.7×
Cardioversion (92960) $1,035 $2,070 1.6×
Cbt 1st hour (94644) $180 $360 1.4×
Chemo Anti-Neopl Sq/Im (96401) $147.50 $295 2.1×
Chemo Hormon Antineopl Sq/Im (96402) $122.50 $245 1.7×
Chemo Ia Push (96420) $307.50 $615 0.9×
Chemo IV infusion addl hr (96415) $235 $470 3.3×
Chemo IV push addl drug (96411) $207.50 $415 2.9×
Chemotherapy Into Cns (96450) $645 $1,290 2.0×
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 0.5×
Circadian Respiratry Pattern Rec 12-24 Hr Infant (94772) $730 $1,460 2.0×
Color/duplex Doppler, complete (93975) $575 $1,150 2.4×
Color/duplex Doppler, limited (93976) $385 $770 3.7×
Community/Work Reintegration Trainj Ea 15 Min (97537) $87.50 $175 2.7×
Comprehensive Hearing Test (92557) $147.50 $295 1.2×
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 2.4×
Critical care first hour (99291) $1,995 $3,990 2.4×
Debridement Open Wound 20 Sq Cm< (97597) $227.50 $455 1.1×
Developmental tst admin phys/qhp 1st hour (96112) $400 $800 3.1×
Dialysis One Evaluation (90945)
range across 2 matching MRF lines		 $650–$845 $1,300–$1,690 varies
Distrt prod evokd otoacoustic emsns comp/dx eval (92588) $172.50 $345 0.5×
Dup-scan aorta ivc iliac vascl/bpgs complete (93978) $590 $1,180 2.5×
Dup-scan aorta ivc iliac vascl/bpgs uni/lmtd (93979) $395 $790 3.8×
Dup-Scan Artl Infl&Ven O/F Pen Vsl Compl (93980) $510 $1,020 4.9×
Dup-scan lxtr art/artl bpgs compl bi study (93925) $965 $1,930 4.1×
Dup-Scan Lxtr Art/Artl Bpgs Uni/Lmtd Study (93926) $645 $1,290 6.2×
Dup-Scan Xtr Veins Complete Bilateral Study (93970) $1,015 $2,030 4.3×
Dup-scan xtr veins unilateral/limited study (93971) $675 $1,350 6.5×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Bi Std (93985) $1,090 $2,180 4.6×
Duplex Scan Artl Infl&Ven O/F Hemo Compl Uni Std (93986) $730 $1,460 7.0×
Duplex Scan Hemodialysis Access (93990) $600 $1,200 5.8×
Duplex up extrem art bilat (93930) $710 $1,420 3.0×
Duplex up extrem art unilat/ltd (93931) $475 $950 4.6×
Ear and throat examination (92502) $2,455 $4,910 4.6×
ECG/monitoring and analysis (93271) $395 $790 4.2×
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		 $1,055–$1,110 $2,110–$2,220 varies
Echo r-t 2d w/probe placement only (93313) $2,640 $5,280 4.9×
Echo transesophag montr cardiac pump functj (93318)
range across 2 matching MRF lines		 $1,540–$1,650 $3,080–$3,300 varies
Echo transesophageal (93312)
range across 2 matching MRF lines		 $2,620–$2,725 $5,240–$5,450 varies
Echo tthrc r-t 2d w/wo m-mode rest&strs cont ECG (93351)
range across 2 matching MRF lines		 $2,710–$2,815 $5,420–$5,630 varies
Ecog Implanted Brain Npgt W/Rec I&R <30 Days (95836) $230 $460 6.2×
Eeg 41-60 Minutes (95812) $920 $1,840 4.3×
EEG awake and asleep (95819) $740 $1,480 3.4×
EEG awake drowsy (95816) $680 $1,360 3.2×
EEG cerebral death evaluation (95824) $865 $1,730 2.3×
EEG cont rec w/video by tech min 8 channels (95700) $2,665 $5,330 12.4×
EEG extended monitoring 61-119 minutes (95813) $1,205 $2,410 5.6×
Eeg Sleep Only (95822) $865 $1,730 4.0×
EEG w/o vid ea 12-26hr intmt (95709) $2,665 $5,330 7.2×
EKG signal averaged (93278) $447.50 $895 7.6×
Electrical Stimulation Ea 15 Min (97032) $67.50 $135 4.6×
Electrocardiogram Tracing (93005) $335 $670 5.7×
Emergency Dept Visit Level 2 (99282)
range across 3 matching MRF lines		 $275–$470 $550–$940 varies
Emergency Dept Visit Level 3 (99283)
range across 3 matching MRF lines		 $432.50–$940 $865–$1,880 varies
Emergency Dept Visit Level 4 (99284)
range across 2 matching MRF lines		 $505–$850 $1,010–$1,700 varies
Emg 3 Extremities (95863) $422.50 $845 3.3×
Emg 4 Extremities (95864) $482.50 $965 3.8×
Er level 1 (99281)
range across 6 matching MRF lines		 $62.50–$317.50 $125–$635 varies
Er level v (99285)
range across 2 matching MRF lines		 $565–$1,240 $1,130–$2,480 varies
Esophageal Capsule Endoscopy (91111) $1,740 $3,480 1.9×
Esophgl Balo Distension Dx Std W/Provocation (91040) $1,435 $2,870 3.9×
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 9.1×
Extracranial Bilat Study (93880) $1,030 $2,060 4.3×
Extracranial Uni/Ltd Study (93882) $685 $1,370 6.6×
F-up/limited tthrc echo congenital car anomaly (93304)
range across 2 matching MRF lines		 $875–$950 $1,750–$1,900 varies
Flexible Endoscopic Eval Laryn Sensory C/V Rec (92614) $405 $810 2.7×
Flexible endoscopic eval swallow c/v rec (92612) $405 $810 2.0×
Flexible ndsc eval swlng&laryn sens c/v rec (92616) $550 $1,100 2.4×
Gastroesophag Reflx Test W/Cath Ph Eltrd Plcmt (91034) $1,500 $3,000 4.0×
Gastroesophag reflx test w/telemtry ph eltrd (91035) $1,500 $3,000 1.8×
Gi tract capsule endoscopy (91110) $2,070 $4,140 2.3×
Gi tract imaging intraluminal colon i&r (91113) $3,350 $6,700 3.6×
Group Therapeutic Procedures (97150) $80 $160 4.4×
Hemodialysis Procedure W/ Phys/Qhp Evaluation (90935) $1,020 $2,040 1.5×
High altitude simulation test (94452) $227.50 $455 1.7×
High Altitude Simulatj W/Phys I&R W/O2 Titration (94453) $260 $520 2.0×
Holter monitor recording (93225) $440 $880 3.3×
Icd Device Interrogate (93289) $310 $620 8.3×
Icd device progr eval dual (93283) $325 $650 8.7×
Icd Device Progr Eval Mult (93284) $357.50 $715 9.6×
Icm Device Eval (93290) $425 $850 11.4×
Ilr Device Eval Progr (93285) $252.50 $505 6.8×
Ilr Device Interrogate (93291) $77.50 $155 2.7×
Immunization administration (90471) $32.50 $65 0.5×
Inhlj Brncl Challenge Tstg W/Histam/Methachol (95070) $412.50 $825 1.1×
Insert/Place Heart Catheter (93503) $2,725 $5,450 1.7×
Interrogate Subq Defib (93261) $255 $510 6.9×
Intracranial Complete Study (93886) $1,030 $2,060 4.3×
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) $140 $280 3.0×
IV infusion hydration initial 31 min-1 hour (96360) $282.50 $565 1.3×
IV infusion ther proph addl sequential to 1 hr (96367) $140 $280 2.0×
IV infusion therapy prophylaxis/dx ea hour (96366) $140 $280 3.0×
IV push initial (96374) $72.50 $145 0.3×
Liver Elastography W/O Imag W/I&R (91200) $280 $560 2.2×
Lung Function Test (Mbc/Mvv) (94200) $115 $230 2.0×
Lwr Xtr Vasc Stdy Bilat (93924) $745 $1,490 3.5×
Mechanical chest wall oscillation per session (94669) $92.50 $185 0.4×
Med Nutr Ther, Subsq, Indiv, Ea 15 Min (97803)
range across 2 matching MRF lines		 $45–$50 $90–$100 varies
Medical nutrition assmt&ivntj indiv each 15 mi (97802) $57.50 $115 1.6×
Medical nutrition therapy grp2/ indiv ea 30 mi (97804) $20 $40 1.2×
Methacholine challenge (94070) $600 $1,200 1.6×
Motility study esophagus (91010) $1,895 $3,790 5.1×
Motion Fluoroscopy/Swallow (92611) $337.50 $675 3.7×
Multiple Sleep Latency Test (95805) $2,545 $5,090 3.0×
Muscle Test 2 Limbs (95861) $372.50 $745 2.8×
Muscle Test One Limb (95860) $240 $480 1.8×
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×
Nerve Conduction Studies 11-12 Studies (95912) $352.50 $705 0.9×
Nerve conduction studies 13 or more studies (95913) $397.50 $795 1.1×
Nerve Conduction Studies 3-4 Studies (95908) $170 $340 0.8×
Nerve conduction studies 5-6 studies (95909) $197.50 $395 0.9×
Nerve conduction studies 7-8 studies (95910) $232.50 $465 0.6×
Nerve Conduction Studies 9-10 Studies (95911) $297.50 $595 0.8×
Neuromuscular Junct Tstg Ea Nrv Any 1 Meth (95937) $182.50 $365 1.4×
Neuromuscular Reeducation (97112) $87.50 $175 2.7×
Newborn resuscitation (99465) $515 $1,030 0.8×
Nitric oxide expired gas determination (95012) $97.50 $195 2.6×
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×
Opscpy extnd optic nrv/macula drawing i&r uni/bi (92202) $85 $170 1.4×
Opscpy extnd rta drawing & scl deprsn i&r uni/bi (92201) $132.50 $265 2.3×
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×
Outpatient Cardiac Rehab W/Cont Ecg Monitoring (93798) $240 $480 1.9×
Outpatient Cardiac Rehab W/O Cont Ecg Monitor (93797) $237.50 $475 1.8×
Patient-initiated spirometric recording (94015) $135 $270 0.6×
Pentamidine Aersl Inhalation Pneumocystis/Proph (94642) $140 $280 0.6×
Peripheral arterial disease rehab per session (93668) $132.50 $265 2.3×
Phlebotomy therapeutic (99195) $125 $250 0.9×
Phys/qhp svcs op pulm rehab w/cont oximtry mntr (94626) $190 $380 3.2×
Phys/qhp svcs op pulm rehab wo cont oximtry mntr (94625) $175 $350 3.0×
Physical Performance Test (97750) $87.50 $175 2.6×
Plethysmography (94726) $367.50 $735 1.0×
Pm device eval in person (93288) $310 $620 8.3×
Pm device progr eval dual (93280) $307.50 $615 8.3×
Pm device progr eval multi (93281) $307.50 $615 8.3×
Pm Device Progr Eval Sngl (93279) $252.50 $505 6.8×
Pm/Icd Remote Tech Serv (93296) $140 $280 3.8×
Polysom 6/>Yrs Sleep W/Cpap 4/> Addl Param Attnd (95811) $3,385 $6,770 4.0×
Prgrmg Dev Eval Implantable Subq Lead Dfb System (93260) $285 $570 7.7×
Prgrmng Dev Eval Implantable in Persn 1 Ld Dfb (93282) $282.50 $565 7.6×
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 service/procedure (94799) $287.50 $575 2.2×
Pulmonary Stress Testing (94618) $217.50 $435 1.6×
Pure Tone Audiometry Air (92552) $75 $150 0.6×
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 1.7×
Rem ther mntr dev sply data muscskel sys ea 30 d (98977) $115 $230 3.1×
Rem ther mntr dev sply resp (98976) $115 $230 3.1×
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×
Rmvl Devital Tiss N-Slctv Dbrdmt W/O Anes 1 Sess (97602) $157.50 $315 0.8×
Rx sp-genratj augmnt&comunicaj dev 1st hr (92607) $350 $700 2.9×
Rx Sp-Genratj Augmnt&Comunicaj Dev Ea 30 Min (92608) $175 $350 3.7×
Self Care Mngment Training (97535) $87.50 $175 2.7×
Sensory Integration Ea 15 Min (97533) $87.50 $175 1.4×
Short-latency somatosens ep std upr limbs (95925) $1,130 $2,260 5.3×
Sleep study unattended (95806) $337.50 $675 1.6×
Somatosensory Testing (95938) $1,725 $3,450 2.0×
Speech Audiometry Complete (92556) $70 $140 1.2×
Speech audiometry threshold (92555) $32.50 $65 0.6×
Speech sound lang comprehen (92523) $340 $680 1.5×
Spirometry (94010) $265 $530 1.2×
Ssep lower limbs (95926) $1,130 $2,260 5.3×
Standardized Cognitive Performance Testing (96125) $230 $460 2.2×
Stress Tte Only (93350) $2,030 $4,060 3.7×
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 Min Aqua Ther W/Xerss (97113) $100 $200 2.7×
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 Ia (96373) $87.50 $175 0.4×
Ther/Proph/Diag Inj Sc/Im (96372) $55 $110 0.8×
Ther/Proph/Diag Iv Inf Init (96365) $335 $670 1.6×
Therapeutic Activities (97530) $87.50 $175 2.5×
Tilt table test with heart rhythm and blood pressure monitoring (93660) $1,890 $3,780 5.1×
Transcranial Doppler Stdy Intracranial Art Lmtd (93888) $685 $1,370 6.6×
Transtelephonic Rhythm Strip Pacemaker Eval (93293) $105 $210 2.8×
Tte w/doppler, complete (93306)
range across 2 matching MRF lines		 $2,145–$2,255 $4,290–$4,510 varies
Tte W/O Doppler Complete (93307)
range across 2 matching MRF lines		 $1,505–$1,560 $3,010–$3,120 varies
Tx Speech Lang Voice Commj &/Auditory Proc Ind (92507) $255 $510 3.3×
Tx Speech Language Voice Commj Auditry 2/>Indiv (92508) $75 $150 3.1×
Tx/Pro/Dx Inj New Drug Addon (96375) $72.50 $145 1.6×
Tympanometry (92567) $62.50 $125 1.7×
Tympanometry and reflex threshold measurements (92550) $115 $230 0.5×
Unlis neurological/neuromuscular dx px (95999) $242.50 $485 1.9×
Unlisted cardiovascular service/procedure (93799) $610 $1,220 4.8×
Unlisted Diagnostic Gastroenterology Procedure (91299) $940 $1,880 7.3×
Unlisted noninvasive vascular diagnostic study (93998) $427.50 $855 14.8×
Unlisted otorhinolaryngological service (92700) $80 $160 2.8×
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 intmt mntr (95712) $1,330 $2,660 3.6×
Veeg by tech ea incr 12-26 hr intermittent mntr (95715) $2,665 $5,330 7.2×
Vent Mgmt Inpat Init Day (94002) $1,170 $2,340 1.9×
Ventilation Assist & Mgmt Inpatient Ea Sbsq Da (94003) $875 $1,750 1.4×
Visual Evoked Potential Test (95930) $730 $1,460 3.4×
Visual reinforcement audiometry (vra) (92579) $197.50 $395 0.9×
Vital capacity, total (94150) $55 $110 0.4×
Wada Activation Test Hemispheric Function W/Eeg (95958) $1,570 $3,140 1.8×
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.