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.
31 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AKOVAZ 25 MG-5ML IV SOSY Inpatient | 0250 RC | $83.40 | $41.70 | $50.04 – $70.89 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient | 0250 RC | $9.40 | $4.70 | $5.64 – $7.99 | — | |
| ALVIMOPAN 12 MG PO CAPS Inpatient | 0250 RC | $667 | $334 | $400 – $567 | — | |
| AMVISC PLUS 12.8 MG-0.8ML IO SOSY Inpatient | 0250 RC | $161 | $80.57 | $96.68 – $137 | — | |
| ANORO ELLIPTA 62.5-25 MCG-ACT IN AEPB Inpatient | 0250 RC | $422 | $211 | $253 – $359 | — | |
| CONSTULOSE 10 GM-15ML PO SOLN Inpatient | 0250 RC | $23.84 | $11.92 | $14.30 – $20.26 | — | |
| CREON 36000-114000 UNITS PO CPEP Inpatient | 0250 RC | $88.09 | $44.05 | $52.85 – $74.88 | — | |
| CT CHEST DX W/O DYE Inpatient | 71250 CPT | $2,940 | $1,470 | $1,764 – $2,499 | — | |
| DEXMEDETOMIDINE HCL IN NACL 20-0.9 MCG-5ML-% IV SOSY Inpatient | 0250 RC | $96.24 | $48.12 | $57.74 – $81.80 | — | |
| DEXMEDETOMIDINE HCL IN NACL 400 MCG-100ML IV SOLN Inpatient | 0250 RC | $188 | $94.15 | $113 – $160 | — | |
| DEXTROSE 50 % IV SOLN Inpatient | 0250 RC | $137 | $68.44 | $82.12 – $116 | — | |
| DOXY 100 100 MG IV SOLR Inpatient | 0250 RC | $95.66 | $47.83 | $57.40 – $81.31 | — | |
| ELIQUIS 2.5 MG PO TABS Inpatient | 0250 RC | $52.05 | $26.03 | $31.23 – $44.24 | — | |
| ERYTHROMYCIN 5 MG-GM OP OINT Inpatient | 0250 RC | $196 | $97.91 | $117 – $166 | — | |
| FENTANYL CITRATE-NACL 2.5-0.9 MG-250ML-% IV SOLN Inpatient | J3010 HCPCS | $9.53 | $4.77 | $5.72 – $8.10 | — | |
| GLUCOSE MONITOR MINIMUM 72 HRS Inpatient | 95250 CPT | $840 | $420 | $504 – $714 | — | |
| H-CHLOR 12 0.125 % EX SOLN Inpatient | 0250 RC | $86.06 | $43.03 | $51.64 – $73.15 | — | |
| LIDOCAINE HCL (PF) 1 % IJ SOLN Inpatient | 0250 RC | $26.56 | $13.28 | $15.94 – $22.58 | — | |
| LIDOCAINE HCL 1 % IJ SOLN Inpatient | 0250 RC | $61.59 | $30.80 | $36.95 – $52.35 | — | |
| LIDOCAINE PAIN RELIEF 4 % EX PTCH Inpatient | 0250 RC | $12.26 | $6.13 | $7.36 – $10.42 | — | |
| LIDOCAINE-PHENYLEPHRINE 1-1.5 % IO SOLN Inpatient | 0250 RC | $142 | $71.10 | $85.32 – $121 | — | |
| MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS Inpatient | 0250 RC | $5.80 | $2.90 | $3.48 – $4.93 | — | |
| MELATONIN 3 MG PO TABS Inpatient | 0250 RC | $5.09 | $2.55 | $3.05 – $4.33 | — | |
| METOPROLOL SUCCINATE ER 25 MG PO TB24 Inpatient | 0250 RC | $6.44 | $3.22 | $3.86 – $5.47 | — | |
| METRONIDAZOLE 500 MG-100ML IV SOLN Inpatient | 0250 RC | $115 | $57.50 | $68.99 – $97.74 | — | |
| MIDAZOLAM HCL 5 MG-5ML IJ SOLN Inpatient | J2250 HCPCS | $110 | $54.98 | $65.98 – $93.47 | — | |
| MOXIFLOXACIN HCL 5 MG-ML IO SOLN Inpatient | 0250 RC | $185 | $92.51 | $111 – $157 | — | |
| NICOTINE STEP 1 21 MG-24HR TD PT24 Inpatient | 0250 RC | $13.44 | $6.72 | $8.06 – $11.42 | — | |
| NYSTOP 100000 UNIT-GM EX POWD Inpatient | 0250 RC | $48.86 | $24.43 | $29.32 – $41.53 | — | |
| OXYCODONE-ACETAMINOPHEN 5-325 MG PO TABS Inpatient | 0250 RC | $17.82 | $8.91 | $10.69 – $15.15 | — |