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.

28 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1021920 - GUIDEWIRE VASC OD.035 IN L300 CM HI-TORQUE SUPRA CORE ATRM Inpatient	C1769 HCPCS	$293	$147	$176 – $249	—
1035402 - CATHETER EMBOLECTOMY OD3 FR ODSEC5 MM L80 CM OTW RADOPQ Inpatient	C1757 HCPCS	$623	$312	$374 – $530	—
1180696 - GUIDEWIRE SF-T-J 6CM 260CM 3MM RDS 2.5CM TPR .035IN VASC SS Inpatient	C1769 HCPCS	$94.09	$47.05	$56.45 – $79.98	—
1180715 - GUIDEWIRE VASC OD.035 IN L260 CM L10 CM NEWTON L3 CM STRGT Inpatient	C1769 HCPCS	$92.86	$46.43	$55.72 – $78.93	—
1183060 - SHEATH GUIDE L90 CM .018.035 IN ANL0 CRV RADOPQ BAND Inpatient	C1894 HCPCS	$537	$269	$322 – $457	—
1184810 - GUIDEWIRE VASC OD.035 IN L180 CM L3 CM GLIDEWIRE STRGT Inpatient	C1769 HCPCS	$228	$114	$137 – $194	—
1184813 - GUIDEWIRE VASC OD.035 IN L150 CM L3 CM GLIDEWIRE ANG RADOPQ Inpatient	C1769 HCPCS	$221	$110	$132 – $188	—
1186817 - CATHETER BLN MUSTANG 7MM 40MM 75CM HPRS ACCEPTS .035IN GW 5 Inpatient	C1725 HCPCS	$750	$375	$450 – $638	—
1188398 - GUIDEWIRE SAFARI2 275X2.9X3.2CM XS CRV .035IN VASC Inpatient	C1769 HCPCS	$1,065	$532	$639 – $905	—
1191127 - GUIDEWIRE ANGIO INQWIRE OD.035 IN L260 CM FX CORE STD BODY Inpatient	C1769 HCPCS	$49.98	$24.99	$29.99 – $42.48	—
1196443 - GUIDEWIRE AMP SPST 7CM 260CM 3MM J .035IN VASC PERIPH Inpatient	C1769 HCPCS	$167	$83.74	$100 – $142	—
1196491 - GUIDEWIRE STRT BENTSON 15CM 180CM STD STRGT TPR .035IN VASC Inpatient	C1769 HCPCS	$72.49	$36.25	$43.49 – $61.62	—
1196495 - GUIDEWIRE STRT ROSEN 4CM 260CM 1.5MM RDS J CRV TPR .035IN Inpatient	C1769 HCPCS	$80.83	$40.42	$48.50 – $68.71	—
1197512 - SPHNTM 5MM 7-5FR 5FR RX BL 3 LUM NDL KNF ENDO ACCEPTS .035IN Inpatient	C1889 HCPCS	$949	$475	$569 – $807	—
1197625 - GUIDEWIRE ENDO JAGWIRE OD.035 IN L450 CM STRGT TPR STIFF Inpatient	C1769 HCPCS	$558	$279	$335 – $475	—
1206122 - CATHETER NAVICROSS ACCEPTS .035 IN GW 4 FR INTRO SHTH L135 Inpatient	C1887 HCPCS	$871	$436	$523 – $741	—
1206124 - CATHETER NAVICROSS ACCEPTS .035 IN GW 4 FR INTRO SHTH L150 Inpatient	C1887 HCPCS	$871	$436	$523 – $741	—
1214389 - INTRODUCER SHTH OD8 FR L11 CM GW PRELUDE PRO .035 IN L50 CM Inpatient	C1894 HCPCS	$115	$57.69	$69.23 – $98.07	—
1218293 - SHEATH INTRO 9FR L10 CM .035 IN SNAP ON DIL LOCK KINK RST SMTH Inpatient	C1894 HCPCS	$49.87	$24.94	$29.92 – $42.39	—
1220971 - CATHETER SURECROSS ACCEPTS .035 IN GW 4 FR SHTH L150 CM L40 Inpatient	C1887 HCPCS	$564	$282	$339 – $480	—
1229962 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 3MM 20MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1229971 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 4MM 150MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1229977 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 4MM 60MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1230069 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 6MM 40MM 75CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1233884 - GUIDEWIRE VASC OD.035 IN L145 CM WHOLEY MOD J CRV INTMD XTN Inpatient	C1769 HCPCS	$293	$147	$176 – $249	—
3003525 - SHEATH 8.5FR 63CM 180CM 45D 0 PGTL CRV GUIDE RF WIRE CNCT Inpatient	C1894 HCPCS	$4,546	$2,273	$2,727 – $3,864	—
CAROTID ARTERY STENT PROCEDURES WITH CC Inpatient	035 MS-DRG	—	—	$34,208 – $55,178	—
FENTANYL, LC/MS Inpatient	80354 CPT	$130	$65.00	$78.00 – $111	—