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.

24 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	—
1021804 - GUIDEWIRE VASC L300 CM L3 CM HI-TORQUE ALL STAR STRGT CORE Inpatient	C1769 HCPCS	$391	$196	$235 – $333	—
1021920 - GUIDEWIRE VASC OD.035 IN L300 CM HI-TORQUE SUPRA CORE ATRM Inpatient	C1769 HCPCS	$293	$147	$176 – $249	—
1022212 - GUIDEWIRE VASC OD.014 IN L190 CM L5 CM HI-TORQUE SPARTACORE Inpatient	C1769 HCPCS	$289	$144	$173 – $245	—
1023349 - GUIDEWIRE VASC OD.014 IN L300 CM L3 CM HI-TORQUE WHISPER ES Inpatient	C1769 HCPCS	$391	$196	$235 – $333	—
1023464 - CATHETER BLN DIL L15 MM ODSEC2.5 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1023470 - CATHETER BLN DIL L12 MM ODSEC2.75 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1023493 - CATHETER BLN TREK SLIM SEAL 3.5MM 20MM RX ULTRA LOWPRFL Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1023504 - CATHETER BLN DIL L8 MM ODSEC4 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1023906 - CATHETER BLN DIL L40 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUM Inpatient	C1725 HCPCS	$799	$399	$479 – $679	—
1023907 - CATHETER BLN DIL L60 MM L150 CM ODSEC5 MM ARMADA OTW 2 LUM Inpatient	C1725 HCPCS	$799	$399	$479 – $679	—
1023941 - CATHETER US ACNV 8FR 90CM 4W STEER INTRCRD STRL LF Inpatient	C1759 HCPCS	$12,509	$6,254	$7,505 – $10,633	—
1025529 - CATHETER US 3D OD8 FR L90 CM TIP OVERLAY SOUNDSTAR GRN Inpatient	C1759 HCPCS	$12,063	$6,032	$7,238 – $10,254	—
1028647 - SHELL ACTB HIP 56MM G7 F HMSPHR 4 HOLE CLR CD Inpatient	C1776 HCPCS	$9,388	$4,694	$5,633 – $7,980	—
1102609 - COMPONENT PTLR 9MM 29MM ASYM TRTHLN X3 KN STRL Inpatient	C1776 HCPCS	$2,481	$1,241	$1,489 – $2,109	—
1102613 - COMPONENT PTLR 10MM 35MM ASYM TRTHLN X3 KN STRL Inpatient	C1776 HCPCS	$2,481	$1,241	$1,489 – $2,109	—
1115975 - STEM FEM 102MM HIP 132D 3 35MM STD OFFSET PRESS FIT ACCOLADE Inpatient	C1776 HCPCS	$9,101	$4,551	$5,461 – $7,736	—
1147394 - TRAY BIOPSY 102MM 11GA ARW ONCONTROL BN MRW Inpatient	0272 RC	$757	$379	$454 – $644	—
1151023 - SCREW BN 2.5MM 24MM APTUS 7 HEXADRIVE TI CORT Inpatient	C1713 HCPCS	$272	$136	$163 – $231	—
1176149 - INSERT TIB KN RT EVOL MP 4 17MM GUR 1020 CRCTE SUB STRL Inpatient	C1776 HCPCS	$6,122	$3,061	$3,673 – $5,203	—
1176180 - INSERT TIB 5 STD EVOL MP H12 MM KN LT CRCTE SUB GUR 1020 Inpatient	C1776 HCPCS	$6,122	$3,061	$3,673 – $5,203	—
3041097 - CATHETER ABLT INTNAV STBLPT DS 7.51102.57-4 QD STUS Inpatient	C2630 HCPCS	$15,168	$7,584	$9,101 – $12,893	—
HEADACHES WITH MCC Inpatient	102 MS-DRG	—	—	$17,437 – $28,125	—
MISC LAB Inpatient	81025 CPT	$85.00	$42.50	$51.00 – $72.25	—