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.
19 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1036668 - EXPANDER TISS 700 CC STYLE 133S SMTH SUT TAB PORT FND W15 CM Inpatient | C1789 HCPCS | $5,269 | $2,635 | $3,161 – $4,479 | — | |
| 1036948 - HEAD FEM OD28 MM 5 MM 1214 TPR HIP BIOLOX DELTA CERM Inpatient | C1776 HCPCS | $7,779 | $3,890 | $4,668 – $6,612 | — | |
| 1036983 - HEAD FEM OD40 MM 1.5 MM 1214 TPR HIP BIOLOX DELTA TI Inpatient | C1776 HCPCS | $9,514 | $4,757 | $5,709 – $8,087 | — | |
| 3003605 - KIT INTRO L11.5 CM 2 LUM ANTIMICROBIAL ACC LL LOCK PREFL Inpatient | C1894 HCPCS | $752 | $376 | $451 – $639 | — | |
| 3036560 - SIZER IMPL 400 CC LOW PLUS PRFL NATRELLE INSPIRA SIL Inpatient | 0272 RC | $866 | $433 | $520 – $736 | — | |
| CAROTID ARTERY STENT PROCEDURES WITHOUT CC/MCC Inpatient | 036 MS-DRG | — | — | $27,566 – $44,464 | — | |
| CLONOSEQ T-CELL ASSAY Inpatient | 0364U CPT | $6,110 | $3,055 | $3,666 – $5,194 | — | |
| DEBRIDE EXCISIONAL BY MD OR NP Inpatient | 0360 RC | $800 | $400 | $480 – $680 | — | |
| DERMAL REPLACEMENT LEVEL 2 Inpatient | 0360 RC | $1,600 | $800 | $960 – $1,360 | — | |
| HYDRALAZINE HCL 20 MG-ML IJ SOLN Inpatient | J0360 HCPCS | $58.00 | $29.00 | $34.80 – $49.30 | — | |
| INJECT BOTOX Inpatient | 0360 RC | $640 | $320 | $384 – $544 | — | |
| INJECT FACET W/IMAGE 3 OR > Inpatient | 0360 RC | $1,100 | $550 | $660 – $935 | — | |
| INJECT FACET W/IMAGE 3 OR > BILAT Inpatient | 0360 RC | $1,640 | $820 | $984 – $1,394 | — | |
| MISC PROCEDURE COMPLEX Inpatient | 0360 RC | $3,110 | $1,555 | $1,866 – $2,644 | — | |
| NEURO BASIC Inpatient | 0360 RC | $10,180 | $5,090 | $6,108 – $8,653 | — | |
| NEURO MAJOR COMPLEX Inpatient | 0360 RC | $34,670 | $17,335 | $20,802 – $29,470 | — | |
| NEUROLYSIS FACET JOINT W/IMAGING Inpatient | 0360 RC | $4,800 | $2,400 | $2,880 – $4,080 | — | |
| NEUTROPH CYTOPLASMIC AB Inpatient | 86036 CPT | $60.00 | $30.00 | $36.00 – $51.00 | — | |
| OB BASIC PROCEDURE Inpatient | 0360 RC | $1,880 | $940 | $1,128 – $1,598 | — |