Aurora Medical Center Fond du Lac — price list
← Hospital overviewVerified from Aurora Medical Center Fond du Lac’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.
29 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AMPHETAMINES, GC/MS 3-4 Inpatient | 80325 CPT | $180 | $90.00 | $108 – $153 | — | |
| BARBITURATES, GC/MS Inpatient | 80345 CPT | $175 | $87.50 | $105 – $149 | — | |
| CANNABINOIDS, GC/M Inpatient | 80349 CPT | $215 | $108 | $129 – $183 | — | |
| DEFINITIVE NOS 1-3 ANALYTES Inpatient | 80375 CPT | $260 | $130 | $156 – $221 | — | |
| DIGITOXIN Inpatient | 80375 CPT | $125 | $62.50 | $75.00 – $106 | — | |
| DOXEPIN Inpatient | 80335 CPT | $185 | $92.50 | $111 – $157 | — | |
| DRUG ANALYTE NOS, MITOTANE Inpatient | 80375 CPT | $625 | $313 | $375 – $531 | — | |
| DRUG SCREEN CLASS A SINGLE Inpatient | 80307 CPT | $95.00 | $47.50 | $57.00 – $80.75 | — | |
| DRUG SCREEN PANEL MECON Inpatient | 80307 CPT | $195 | $97.50 | $117 – $166 | — | |
| ETHANOL SCREEN Inpatient | 80307 CPT | $70.00 | $35.00 | $42.00 – $59.50 | — | |
| ETHYL GLUCURONIDE Inpatient | 80307 CPT | $300 | $150 | $180 – $255 | — | |
| ETHYL GLUCURONIDE CONFIRMATION Inpatient | 80321 CPT | $105 | $52.50 | $63.00 – $89.25 | — | |
| FLUPHENAZINE Inpatient | 80342 CPT | $245 | $123 | $147 – $208 | — | |
| HB METHYLPHENIDATE Inpatient | 80360 CPT | $210 | $105 | $126 – $179 | — | |
| HEROIN METABOLITE, GC/MSTYL Inpatient | 80356 CPT | $100 | $50.00 | $60.00 – $85.00 | — | |
| IMIPRAMINE, LC/MS 1-2 Inpatient | 80335 CPT | $165 | $82.50 | $99.00 – $140 | — | |
| LORAZEPAM, LC/MS Inpatient | 80346 CPT | $150 | $75.00 | $90.00 – $128 | — | |
| MELATONIN Inpatient | 80375 CPT | $525 | $263 | $315 – $446 | — | |
| METHANOL QUANT Inpatient | 80320 CPT | $225 | $113 | $135 – $191 | — | |
| METHAQUALONE SCREEN Inpatient | 80307 CPT | $70.00 | $35.00 | $42.00 – $59.50 | — | |
| METHYLENEDIOXYAMPHETAMINES Inpatient | 80359 CPT | $185 | $92.50 | $111 – $157 | — | |
| OTHER O.R. PROCEDURES OF THE BLOOD AND BLOOD FORMING ORGANS WITH CC Inpatient | 803 MS-DRG | — | — | $26,768 – $43,176 | — | |
| OXYCODONE SCREEN Inpatient | 80307 CPT | $70.00 | $35.00 | $42.00 – $59.50 | — | |
| PAIN MANAMENT DRUG SCREEN Inpatient | 80307 CPT | $195 | $97.50 | $117 – $166 | — | |
| PENTOBARBITAL Inpatient | 80345 CPT | $180 | $90.00 | $108 – $153 | — | |
| PHOSPHATIDYLETHANOL QUANT Inpatient | 80321 CPT | $295 | $148 | $177 – $251 | — | |
| POC DRUG SCREEN-URINE Inpatient | 80305 CPT | $55.00 | $27.50 | $33.00 – $46.75 | — | |
| POC DRUG SCREEN-URINE QUALITATIVE Inpatient | 80305 CPT | $55.00 | $27.50 | $33.00 – $46.75 | — | |
| POC HEPATITIS C ANTIBODY SCREENING Inpatient | 86803 CPT | $165 | $82.50 | $99.00 – $140 | — |