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.

54 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1000488 - WIRE FX OD1.1 MM L102 MM KIRSCHNER STNLS STL 2 END DMD PT Inpatient	C1769 HCPCS	$23.73	$11.87	$14.24 – $20.17	—
1000886 - LASER SURG GREENLIGHT XPS 180W FEMALE LL SIDE FRNG 532NM Inpatient	C1889 HCPCS	$5,834	$2,917	$3,501 – $4,959	—
1002609 - KIT CATH 4.7 MM X 75 MM OD 14FR IMPELLA CP VNTRC ASSIST IV Inpatient	0278 RC	$117,250	$58,625	$70,350 – $99,663	—
1004192 - NEEDLE SCLRTX 25GA 2.5MM 230CM 5MM INJ LL SPRG LOAD HNDL Inpatient	A4649 HCPCS	$167	$83.72	$100 – $142	—
1004662 - HEAD FEM 0MM 1214 MED 36MM HIP ACTB BIOLOX DELTA Inpatient	C1776 HCPCS	$1,936	$968	$1,162 – $1,646	—
1005994 - MESH HERNIA L6 IN X W4 IN PP BARD LTWT LG PORE MONO LOW PRFL Inpatient	C1781 HCPCS	$689	$345	$414 – $586	—
1005995 - MESH HERNIA REPR L6 IN X W6 IN PP BARD SOFT SMTH RND CRNR LG Inpatient	C1781 HCPCS	$1,476	$738	$885 – $1,254	—
1006385 - CATHETER US .014P INTRAVASCULAR DGT VISIONS PV ACCEPTS 5 FR Inpatient	C1753 HCPCS	$3,473	$1,736	$2,084 – $2,952	—
1006994 - CATHETER BARDEX IC 18FR 5CC FOLEY 2 WAY 2 OPPOSE EYE SHORT Inpatient	C1758 HCPCS	$73.94	$36.97	$44.36 – $62.85	—
1007416 - GRAFT INTGR ACCELL EVO3C 2.5CC DBM CANC ALLOGRAFT PUTTY BN Inpatient	C1713 HCPCS	$1,528	$764	$917 – $1,299	—
1008121 - PLATE CS1 RT VAR ANG STNLS STL BN 2.7 MM SCR Inpatient	C1713 HCPCS	$5,137	$2,569	$3,082 – $4,367	—
1008418 - SCREW L14 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$191	$95.38	$114 – $162	—
1008432 - SCREW L42 MM OD2.7 MM T8 STNLS STL MTPHSL SELF TAP LOW PRFL Inpatient	C1713 HCPCS	$191	$95.38	$114 – $162	—
1008622 - SCREW L28 MM OD3.5 MM T15 STNLS STL SELF TAP LOCK VAR ANG Inpatient	C1713 HCPCS	$623	$312	$374 – $530	—
1008627 - SCREW L38 MM OD3.5 MM T15 STNLS STL SELF TAP LOCK VAR ANG Inpatient	C1713 HCPCS	$625	$312	$375 – $531	—
1009154 - SCREW L22 MM OD2.4 MM T8 STNLS STL SELF TAP LOCK VAR ANG Inpatient	C1713 HCPCS	$562	$281	$337 – $478	—
1009206 - SCREW L44 MM OD2.7 MM T8 STNLS STL SELF TAP LOCK VAR ANG Inpatient	C1713 HCPCS	$510	$255	$306 – $434	—
1009211 - SCREW L54 MM OD2.7 MM T8 STNLS STL SELF TAP LOCK VAR ANG Inpatient	C1713 HCPCS	$587	$293	$352 – $499	—
1009924 - TUBE JEJUN 16FR 51CM MIC SECUR-LOK RADOPQ MED PORT RTNT BLN Inpatient	0272 RC	$654	$327	$392 – $556	—
1014622 - BLADE IM NL OD10.35 MM L100 MM PROX TI NIOBIUM ALUM Inpatient	0278 RC	$2,952	$1,476	$1,771 – $2,509	—
1033277 - SHELL ACTB OD52 MM HIP PRCT PINNACLE 100 SERIES Inpatient	C1776 HCPCS	$7,197	$3,599	$4,318 – $6,118	—
1033279 - SHELL ACTB OD56 MM HIP PRCT PINNACLE 100 SERIES Inpatient	C1776 HCPCS	$7,197	$3,599	$4,318 – $6,118	—
1046025 - GUIDEWIRE T2 3MM 1000MM ORTHO BALL TIP TI STRL FEM NL SYS Inpatient	C1769 HCPCS	$566	$283	$340 – $481	—
1100470 - SCREW SET TI SPINE BRK OFF CD HORIZON 4.75 MM ROD Inpatient	C1713 HCPCS	$147	$73.35	$88.02 – $125	—
1100763 - SCREW L30 MM OD5.5 MM TI COCR SPINE MULTIAXIAL LOW PRFL 2 LD Inpatient	C1713 HCPCS	$2,395	$1,198	$1,437 – $2,036	—
1105244 - CATHETER 8FR JL3.5 CRV 100CM VISTA BRTP XL LUM RADOPQ GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115717 - CATHETER AL1 CRV OD6 FR 2 SH X LG LUM RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115730 - CATHETER XBLAD3.5 CRV OD6 FR X LG LUM RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115738 - CATHETER 6FR JR4 CRV 100CM VISTA BRTP XL LUM RADOPQ GUIDE SS Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115739 - CATHETER JR4 CRV OD6 FR X LG LUM 2 SH RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—