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.

50 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	—
1041039 - MATRIX TISS ALLODERM SLCT DUO THK1.2-2 MM 20 X16CM 320SQ CM Inpatient	C1762 HCPCS	$135	$67.27	$80.72 – $114	—
1046019 - WIRE FX 3MM 285MM KIRSCHNER T2 SS STRL Inpatient	C1769 HCPCS	$358	$179	$215 – $304	—
1046025 - GUIDEWIRE T2 3MM 1000MM ORTHO BALL TIP TI STRL FEM NL SYS Inpatient	C1769 HCPCS	$566	$283	$340 – $481	—
1062042 - GUIDEWIRE ABSOLUTE 1.1MM 15IN ORTHO NTNL Inpatient	C1769 HCPCS	$549	$275	$330 – $467	—
1065547 - WIRE FX OD2 MM L150 MM KIRSCHNER TROCAR PT Inpatient	C1769 HCPCS	$32.05	$16.03	$19.23 – $27.24	—
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$231	$115	$138 – $196	—
1086984 - GRAFT BN BTB PRESHAPED 910MM 45MM BTB SLCT Inpatient	C1762 HCPCS	$11,850	$5,925	$7,110 – $10,073	—
1088182 - GRAFT SOFT TISS BIOCLEANSE L200 MM FRESH FRZN PERONEUS TNDN Inpatient	C1762 HCPCS	$6,059	$3,030	$3,636 – $5,150	—
1095956 - GUIDEWIRE VASC OD.018 IN L300 CM SV WIRE STRGT SHORT TPR Inpatient	C1769 HCPCS	$334	$167	$200 – $284	—
1155393 - GUIDEWIRE MRCLBRS 3 11CM 300CM 11CM STRGT .014IN VASC SIL Inpatient	C1769 HCPCS	$581	$290	$348 – $494	—
1155583 - GUIDEWIRE ASAHI SION 3CM 300CM 28CM STRGT .014IN VASC Inpatient	C1769 HCPCS	$581	$290	$348 – $494	—
1156302 - GUIDEWIRE ASAHI GLADIUS MONGO 8.5CM 190CM 3CM STRGT .014IN Inpatient	C1769 HCPCS	$581	$290	$348 – $494	—
1156507 - GUIDEWIRE ASAHI SION ACT 1 12CM 190CM 3CM STRGT .014IN VASC Inpatient	C1769 HCPCS	$416	$208	$249 – $353	—
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	—
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	—
1180696 - GUIDEWIRE SF-T-J 6CM 260CM 3MM RDS 2.5CM TPR .035IN VASC SS Inpatient	C1769 HCPCS	$94.09	$47.05	$56.45 – $79.98	—
1180715 - GUIDEWIRE VASC OD.035 IN L260 CM L10 CM NEWTON L3 CM STRGT Inpatient	C1769 HCPCS	$92.86	$46.43	$55.72 – $78.93	—
1183506 - GUIDEWIRE ENDO SAVARY-GILLIARD L200 CM FLXB TIP STNLS STL Inpatient	C1769 HCPCS	$532	$266	$319 – $453	—
1183654 - GUIDEWIRE VASC OD.018 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE Inpatient	C1769 HCPCS	$1,065	$532	$639 – $905	—
1183681 - GUIDEWIRE VASC OD.014 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE Inpatient	C1769 HCPCS	$1,200	$600	$720 – $1,020	—