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.

23 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
1040026 - STEM XTN 150MM 18MM CEMENT OSS KN FEM IM Inpatient	C1776 HCPCS	$7,566	$3,783	$4,539 – $6,431	—
1065276 - CATHETER EMBL MERIT MAESTRO 2.8FR 2.4FR .02IN 150CM .018IN Inpatient	C1887 HCPCS	$1,513	$757	$908 – $1,286	—
1065547 - WIRE FX OD2 MM L150 MM KIRSCHNER TROCAR PT Inpatient	C1769 HCPCS	$32.05	$16.03	$19.23 – $27.24	—
1097886 - CATHETER 3.2FR 50MM SPACE 150CM QKCRS RADOPQ GUIDE ACCEPTS Inpatient	C1887 HCPCS	$857	$428	$514 – $728	—
1162690 - TROCAR LAPSCP 150MM 12MM EPTH XCEL STAB SLV BLDLS OBT OPTC Inpatient	0272 RC	$647	$323	$388 – $550	—
1184813 - GUIDEWIRE VASC OD.035 IN L150 CM L3 CM GLIDEWIRE ANG RADOPQ Inpatient	C1769 HCPCS	$221	$110	$132 – $188	—
1195689 - CATHETER BLN LUTONIX ULTRAVERSE GEOALIGN 4MM 150MM 130CM Inpatient	C2623 HCPCS	$9,341	$4,670	$5,604 – $7,939	—
1196474 - GUIDEWIRE 5-18 CONTROLWIRE 8CM 150CM STRGT .018IN VASC Inpatient	C1769 HCPCS	$402	$201	$241 – $342	—
1206124 - CATHETER NAVICROSS ACCEPTS .035 IN GW 4 FR INTRO SHTH L150 Inpatient	C1887 HCPCS	$871	$436	$523 – $741	—
1215006 - KIT SURG CARDIAC CPC DISP LF Inpatient	0272 RC	$858	$429	$515 – $729	—
1215161 - CATHETER DELIVERY SYS ID.025 IN L150 CM HI FLOW LANTERN 45 D Inpatient	C1887 HCPCS	$2,826	$1,413	$1,696 – $2,402	—
1220971 - CATHETER SURECROSS ACCEPTS .035 IN GW 4 FR SHTH L150 CM L40 Inpatient	C1887 HCPCS	$564	$282	$339 – $480	—
1229971 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 4MM 150MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1230108 - CATHETER BLN ULTRAVERSE GEOALIGN 2MM 40MM 150CM OTW Inpatient	C1725 HCPCS	$1,868	$934	$1,121 – $1,588	—
1230125 - CATHETER BLN ULTRAVERSE 014 3MM 4CM 150CM OTW REINFORCE Inpatient	C1725 HCPCS	$1,868	$934	$1,121 – $1,588	—
AMIKACIN Inpatient	80150 CPT	$120	$60.00	$72.00 – $102	—
AMYLASE Inpatient	82150 CPT	$135	$67.50	$81.00 – $115	—
CARBAPENEM RESISTANT ENTERO (CRE) Inpatient	87150 CPT	$470	$235	$282 – $400	—
COLLAR-CERVICAL SEMI-RIGID W/CHIN Inpatient	L0150 HCPCS	$160	$80.00	$96.00 – $136	—
EPISTAXIS WITH MCC Inpatient	150 MS-DRG	—	—	$20,786 – $33,527	—
MATERNAL SCREEN, FETAL HCG, PAPP-A Inpatient	81508 CPT	$220	$110	$132 – $187	—