Supplies, drugs & other prices at Aurora St. Lukes Medical Center
Milwaukee, WI · every code in this section with a posted price and a Medicare benchmark.
60 codes. Prices are the hospital's own posted facility charges.
Compare against other hospitals interactively →
| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Asstv alg ECG rsk asmt cncrt (0764T) | $120 | $240 | 0.9× |
| Asstv alg ECG rsk asmt prev (0765T) | $120 | $240 | 0.9× |
| Bone strength & fracture rsk cncrnt vrt fx assmt (0743T) | $425 | $850 | 1.8× |
| Ca screen;pelvic/breast exam (G0101) | $242.50 | $485 | 2.4× |
| Catheterize for urine spec (P9612) | $10 | $20 | 1.1× |
| CT breast w/3d rendering bi with contrast (0637T) | $2,355 | $4,710 | 6.8× |
| CT breast w/3d rendering bi without contrast (0636T) | $2,205 | $4,410 | 9.3× |
| CT breast w/3d rendering uni with contrast (0634T) | $1,570 | $3,140 | 9.0× |
| CT breast w/3d rendering uni without contrast (0633T) | $1,470 | $2,940 | 14.1× |
| CT brst w/3d rendering bi wo cntrst flwd cntrst (0638T) | $3,455 | $6,910 | 9.9× |
| CT brst w/3d rendering uni wo cntrst flwd cntrst (0635T) | $2,305 | $4,610 | 13.2× |
| Direct refer hospital observ (G0379) | $147.50 | $295 | 0.2× |
| Drug test def 15-21 classes (G0482) | $322.50 | $645 | 1.6× |
| Drug test def 22+ classes (G0483) | $140 | $280 | 0.6× |
| Ev Catheter Dir Chem Abltj Incmptnt Xtr Vein (0524T) | $7,160 | $14,320 | 2.3× |
| Extrnl counterpulse, per tx (G0166) | $255 | $510 | 1.9× |
| Group train w/o patient (G0543) | $37.50 | $75 | 1.3× |
| Hbot, full body chamber, 30m (G0277) | $555 | $1,110 | 4.0× |
| Home sleep test/type 3 porta (G0399) | $570 | $1,140 | 2.7× |
| Hopd mntl hlt, 15-29 min (C7900) | $60 | $120 | 1.6× |
| Hopd mntl hlt, 30-60 min (C7901) | $120 | $240 | 1.2× |
| Insertion wrls car stimulator lv pacg compl sys (0515T) unusually low: confirm this is the full procedure |
$9,030 | $18,060 | 0.4× |
| Insertion/Replacement Complete Iims (0525T) unusually low: confirm this is the full procedure |
$9,115 | $18,230 | 0.5× |
| Insj Wcs Lv Eltrd Only (0516T) | $5,420 | $10,840 | 0.5× |
| Insj Wcs Lv Pg Compnt (0517T) | $5,420 | $10,840 | 0.5× |
| Instlj fecal microbiota ssp (0780T) | $1,760 | $3,520 | 13.3× |
| Interrog dev eval iims ip (0529T) | $250 | $500 | 6.7× |
| Ire Abltj 1+Tum Organ Perq (0600T) | $9,310 | $18,620 | 0.9× |
| Mri w/cont, breast, bi (C8906) | $2,165 | $4,330 | 6.2× |
| Neuro csf prion prtn qual (0035U) | $750 | $1,500 | 1.4× |
| Njx platelet plasma (0232T) | $435 | $870 | 1.0× |
| No pt prsnt train initial 30 (G0541) | $20 | $40 | 0.7× |
| Non-ophthalmic fva (C9733) | $855 | $1,710 | 2.5× |
| Oth resp proc, group (G0239) | $162.50 | $325 | 4.4× |
| Oth resp proc, indiv (G0238) | $65 | $130 | 2.3× |
| Pathogen test for platelets (P9100) | $60 | $120 | 1.0× |
| Pef bronch ablt 3d nav ebus (C8005) likely a partial charge, not the full procedure |
$3,925 | $7,850 | 0.2× |
| Perq Sacral Augmt Bilat Inj (0201T) unusually low: confirm this is the full procedure |
$3,405 | $6,810 | 0.5× |
| Perq Sacral Augmt Unilat Inj (0200T) unusually low: confirm this is the full procedure |
$2,270 | $4,540 | 0.3× |
| Pet not otherwise specified (G0235) | $4,060 | $8,120 | 10.2× |
| Prgrmg dev eval iims ip (0528T) | $250 | $500 | 6.7× |
| Prgrmg device eval wrls car stimulator in person (0522T) | $250 | $500 | 6.7× |
| Prostate biopsy, any mthd (G0416) | $207.50 | $415 | 0.6× |
| Quan mr alys tis compj wo MRI same sess mlt orgn (0697T) | $645 | $1,290 | 0.7× |
| Quan mr alys tiss compj w/o MRI same sess 1orgn (0648T) | $1,130 | $2,260 | 1.2× |
| Quan mr alys tiss composition w/MRI 1orgn (0649T) | $1,505 | $3,010 | 1.6× |
| Quan mr alys tiss composition w/MRI mlt organs (0698T) | $645 | $1,290 | 0.7× |
| Quan us tiss charac i&r w/o dx us same anat (0689T) | $190 | $380 | 2.2× |
| Rbc DNA hea 35 ag 11 bld grp whl bld cmn allel (0001U) | $192.50 | $385 | 0.3× |
| Revasc intra lithotrip-stent (C9765) | $12,420 | $24,840 | 0.7× |
| Revasc intravasc lithotripsy (C9764) | $7,455 | $14,910 | 0.6× |
| Revasc lithotrip-stent-ather (C9767) | $20,040 | $40,080 | 1.1× |
| Therapeutic procd strg endur (G0237) | $65 | $130 | 2.3× |
| Therapeutic ultrafiltration (0692T) | $3,740 | $7,480 | 2.4× |
| Tomosynthesis, mammo (G0279) | $62.50 | $125 | 4.9× |
| Trauma respons w/hosp criti (G0390) | $3,185 | $6,370 | 2.4× |
| Trim nail(s) (G0127) | $50 | $100 | 0.9× |
| Trluml Perip Athrc Iliac Art (0238T) unusually low: confirm this is the full procedure |
$9,075 | $18,150 | 0.5× |
| Unsched dialysis esrd pt hos (G0257) | $1,240 | $2,480 | 1.8× |
| Vasc emb/occ w/prs cath (C9797) | $20,240 | $40,480 | 1.1× |