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.

20 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1131173 - GRAFT MAGNIFUSE 5X1.75CM DBM BN Inpatient	C1713 HCPCS	$9,221	$4,610	$5,532 – $7,838	—
1173103 - SHEATH INTRO L33 CM DIL VLV INFLATION SYRINGE OD6.1 MM ID16 Inpatient	C1893 HCPCS	$2,173	$1,087	$1,304 – $1,847	—
1173804 - SPHERE GLND STD RVRS OD39 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$8,579	$4,289	$5,147 – $7,292	—
1173815 - SCREW BSPLT L35 MM RVRS CENTRAL OD6.5 MM AQLS PERFORM GLND Inpatient	C1713 HCPCS	$1,539	$770	$923 – $1,308	—
1173828 - SCREW BSPLT L30 MM RVRS PERIPH OD5 MM AQLS PERFORM GLND Inpatient	C1713 HCPCS	$465	$232	$279 – $395	—
1173885 - STEM HUM L65 MM OD34 MM ODSEC8 MM PERFORM 2 SHORT LGTH Inpatient	C1776 HCPCS	$22,690	$11,345	$13,614 – $19,287	—
1175667 - GRAFT EPICORD 3X5CM 15SQ CM SFT TIS AMNIO EPTH WHARTONS Inpatient	Q4187 HCPCS	$1,016	$508	$609 – $863	—
1175903 - COMPONENT FEM 5 KN RT CRCTE RTN CRCTE SUB NITRX NONPOR EVOL Inpatient	C1776 HCPCS	$13,609	$6,804	$8,165 – $11,567	—
1175926 - COMPONENT FEM 5 KN LT CRCTE RTN CRCTE SUB PRM COCR NONPOR Inpatient	C1776 HCPCS	$10,576	$5,288	$6,346 – $8,990	—
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	—
1176323 - APPLIER INTERNAL CLIP MED LG TI ANG JAW DIST TIP CLOSE Inpatient	0278 RC	$538	$269	$323 – $457	—
1176979 - GRAFT EPIFIX 2X3CM MESHED 4SQ CM SFT TIS DHACM Inpatient	Q4186 HCPCS	$1,198	$599	$719 – $1,018	—
1177726 - GRAFT EPICORD EXPAND 2X3CM 6SQ CM SFT TIS AMNIO EPTH WHART Inpatient	Q4187 HCPCS	$1,077	$538	$646 – $915	—
1178503 - GRAFT BN L18 MM X W18 MM X H8 MM ALLOGRAFT EVANS WDG Inpatient	C1762 HCPCS	$5,509	$2,754	$3,305 – $4,682	—
1178511 - GRAFT BN L22 MM X W22 MM X H12 MM ALLOGRAFT SYMALIGN WDG Inpatient	C1762 HCPCS	$5,509	$2,754	$3,305 – $4,682	—
1178572 - GRAFT SOFT TISS FLEXIGRAFT L160-120 MM FRZN BN BLOCK Inpatient	C1762 HCPCS	$8,303	$4,151	$4,982 – $7,057	—
1218117 - STEM HUM 116MM 10.5MM 19MM MED SHLDR REMEDY SS PMMA GNTA Inpatient	C1776 HCPCS	$11,850	$5,925	$7,110 – $10,073	—
3058117 - SCREW 3.5MM X 16MM HEADLESS HEXALOBE Inpatient	C1713 HCPCS	$920	$460	$552 – $782	—
INTRAOCULAR PROCEDURES WITHOUT CC/MCC Inpatient	117 MS-DRG	—	—	$16,220 – $26,163	—