Aurora Medical Center Grafton — price list

← Hospital overviewVerified from Aurora Medical Center Grafton’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)
1025529 - CATHETER US 3D OD8 FR L90 CM TIP OVERLAY SOUNDSTAR GRN Inpatient	C1759 HCPCS	$12,063	$6,032	$7,238 – $10,254	—
1046025 - GUIDEWIRE T2 3MM 1000MM ORTHO BALL TIP TI STRL FEM NL SYS Inpatient	C1769 HCPCS	$566	$283	$340 – $481	—
1215161 - CATHETER DELIVERY SYS ID.025 IN L150 CM HI FLOW LANTERN 45 D Inpatient	C1887 HCPCS	$2,826	$1,413	$1,696 – $2,402	—
3000258 - NAIL IM 2MM 26MM INFRAME EXSOMED Inpatient	C1713 HCPCS	$4,790	$2,395	$2,874 – $4,072	—
ANORO ELLIPTA 62.5-25 MCG-ACT IN AEPB Inpatient	0250 RC	$433	$216	$260 – $368	—
ATORVASTATIN CALCIUM 40 MG PO TABS Inpatient	0250 RC	$11.96	$5.98	$7.18 – $10.17	—
BRILINTA 90 MG PO TABS Inpatient	0250 RC	$56.75	$28.38	$34.05 – $48.24	—
BUSPIRONE HCL 5 MG PO TABS Inpatient	0250 RC	$8.84	$4.42	$5.30 – $7.51	—
CALCIUM ANTACID 500 MG PO CHEW Inpatient	0250 RC	$7.70	$3.85	$4.62 – $6.55	—
CRANIOTOMY AND ENDOVASCULAR INTRACRANIAL PROCEDURES WITH MCC Inpatient	025 MS-DRG	—	—	$67,254 – $108,480	—
CUROSURF 240 MG-3ML INTRATRACHEA SUSP Inpatient	0250 RC	$5,733	$2,866	$3,440 – $4,873	—
DEXTROSE 10 % IV SOLN Inpatient	0250 RC	$140	$70.11	$84.13 – $119	—
DIAZEPAM 5 MG PO TABS Inpatient	0250 RC	$22.11	$11.06	$13.27 – $18.79	—
DIFICID 200 MG PO TABS Inpatient	0250 RC	$776	$388	$466 – $660	—
FUROSEMIDE 40 MG PO TABS Inpatient	0250 RC	$11.85	$5.93	$7.11 – $10.07	—
GABAPENTIN 300 MG PO CAPS Inpatient	0250 RC	$9.69	$4.85	$5.81 – $8.24	—
INCRUSE ELLIPTA 62.5 MCG-ACT IN AEPB Inpatient	0250 RC	$281	$141	$169 – $239	—
IPRATROPIUM BROMIDE 0.02 % IN SOLN Inpatient	0250 RC	$14.39	$7.20	$8.63 – $12.23	—
ISOPROTERENOL HCL 0.2 MG-ML IJ SOLN Inpatient	0250 RC	$409	$205	$246 – $348	—
KLOR-CON 20 MEQ PO PACK Inpatient	0250 RC	$11.83	$5.92	$7.10 – $10.06	—
LATANOPROST 0.005 % OP SOLN Inpatient	0250 RC	$60.21	$30.11	$36.13 – $51.18	—
LEVOTHYROXINE SODIUM 25 MCG PO TABS Inpatient	0250 RC	$11.69	$5.85	$7.01 – $9.94	—
LIDOCAINE HCL 1 % IJ SOLN Inpatient	0250 RC	$47.31	$23.66	$28.39 – $40.21	—
MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS Inpatient	0250 RC	$11.38	$5.69	$6.83 – $9.67	—
METOPROLOL TARTRATE 5 MG-5ML IV SOLN Inpatient	0250 RC	$60.36	$30.18	$36.22 – $51.31	—
METOPROLOL TARTRATE 50 MG PO TABS Inpatient	0250 RC	$8.65	$4.33	$5.19 – $7.35	—
MISC LAB Inpatient	81025 CPT	$85.00	$42.50	$51.00 – $72.25	—
MONTELUKAST SODIUM 10 MG PO TABS Inpatient	0250 RC	$12.44	$6.22	$7.46 – $10.57	—
NITAZOXANIDE 500 MG PO TABS Inpatient	0250 RC	$858	$429	$515 – $729	—
NYSTATIN 100000 UNIT-ML MT SUSP Inpatient	0250 RC	$17.62	$8.81	$10.57 – $14.98	—