Aurora Medical Center Burlington — price list

← Hospital overviewVerified from Aurora Medical Center Burlington’s published price file

Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

How to read these columns

List: The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
Cash: The discounted self-pay price for paying directly, without insurance.
Negotiated: Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.

These are the hospital’s published reference prices, not a personalized estimate of your bill.

34 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1117058 - DEVICE SECUREMENT OD12-22 FR LG STAYFIX FX PERC NONVASCULAR Inpatient	C1729 HCPCS	$39.83	$19.92	$23.90 – $33.86	—
1171171 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 14.0 D MOD C Inpatient	V2632 HCPCS	$498	$249	$299 – $423	—
1171177 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 17.0 D MOD C Inpatient	V2632 HCPCS	$498	$249	$299 – $423	—
1171178 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 17.5 D MOD C Inpatient	V2632 HCPCS	$521	$261	$313 – $443	—
1171186 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 21.5 D MOD C Inpatient	V2632 HCPCS	$498	$249	$299 – $423	—
1171188 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 22.5 D MOD C Inpatient	V2632 HCPCS	$498	$249	$299 – $423	—
1171670 - INTRAOCULAR TECNIS EYEHANCE 25.0 D MODIFED C L13 MM OD6 MM Inpatient	V2632 HCPCS	$598	$299	$359 – $508	—
1171674 - INTRAOCULAR TECNIS EYEHANCE PROTEC TRI-FIX 21.0 D BCNVX Inpatient	V2632 HCPCS	$598	$299	$359 – $508	—
1171695 - INTRAOCULAR TECNIS EYHANCE PROTEC 360DEG 8.0 D BCNVX Inpatient	V2632 HCPCS	$598	$299	$359 – $508	—
1171704 - INTRAOCULAR TECNIS EYHANCE PROTEC 360DEG 19.0 D BCNVX Inpatient	V2632 HCPCS	$651	$326	$391 – $554	—
1171752 - INTRAOCULAR TECNIS EYHANCE 10.5 D 1.5 CYL MOD C BCNVX L13 Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171834 - INTRAOCULAR TECNIS EYHANCE TRI-FIX 22.0 D 2.25 CYL BCNVX Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171835 - INTRAOCULAR TECNIS EYHANCE 22.5 D 2.25 CYL MOD C BCNVX L13 Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171870 - INTRAOCULAR TECNIS EYHANCE 10.0 D 3 CYL MOD C BCNVX L13 MM Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171872 - INTRAOCULAR TECNIS EYHANCE 11.0 D 3.00 CYL BCNVX THK0.46 Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171927 - INTRAOCULAR TECNIS EYHANCE TECNIS SMP 9.0 D 3.75 CYL BCNVX Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1171952 - INTRAOCULAR TECNIS EYHANCE 21.5 D 3.75 CYL MOD C BCNVX L13 Inpatient	V2787 HCPCS	$400	$200	$240 – $340	—
1173809 - SPHERE GLND 33 MM LATERALIZE RVRS OD42 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$5,892	$2,946	$3,535 – $5,009	—
1173825 - SCREW BSPLT L18 MM RVRS PERIPH OD5 MM AQLS PERFORM SHLDR Inpatient	C1713 HCPCS	$322	$161	$193 – $274	—
1173826 - SCREW BSPLT L22 MM RVRS PERIPH OD5 MM AQLS PERFORM SHLDR Inpatient	C1713 HCPCS	$322	$161	$193 – $274	—
1173830 - SCREW BSPLT L34 MM RVRS PERIPH OD5 MM AQLS PERFORM GLND Inpatient	C1713 HCPCS	$322	$161	$193 – $274	—
1173873 - INSERT HUM H6 MM 12 IN OD36 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$8,385	$4,193	$5,031 – $7,127	—
1173884 - STEM HUM L98 MM OD34 MM ODSEC8 MM PERFORM 2 LONG LGTH SHLDR Inpatient	C1776 HCPCS	$18,108	$9,054	$10,865 – $15,392	—
1174239 - PATCH VASC 8X.8CM XENOSURE BOVINE PRICRD TISS STRL Inpatient	C1781 HCPCS	$832	$416	$499 – $707	—
1175666 - GRAFT EPICORD 2X3CM 6SQ CM SFT TIS AMNIO EPTH WHARTONS Inpatient	Q4187 HCPCS	$694	$347	$416 – $590	—
1175704 - GRAFT VASC L40 CM OD6 CM PTFE 3 LAYER ACUSEAL Inpatient	C1768 HCPCS	$4,422	$2,211	$2,653 – $3,759	—
1176323 - APPLIER INTERNAL CLIP MED LG TI ANG JAW DIST TIP CLOSE Inpatient	0278 RC	$371	$185	$223 – $315	—
1176446 - FIBER LSR 550 UM OPTC Inpatient	C1889 HCPCS	$1,010	$505	$606 – $858	—
1177025 - TIP SCT PHOTONSABER Y TPR PLASTIC FBR OPTIC Inpatient	0272 RC	$852	$426	$511 – $724	—
1177785 - STENT LIFESTENT FLEXSTAR 8MM 80MM 130CM SELF EXPAND GW .035 Inpatient	C1876 HCPCS	$2,221	$1,110	$1,332 – $1,888	—