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.

17 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1000886 - LASER SURG GREENLIGHT XPS 180W FEMALE LL SIDE FRNG 532NM Inpatient	C1889 HCPCS	$5,834	$2,917	$3,501 – $4,959	—
1010868 - PROBE ESURG L180 MM XL NONBENDABLE SWEEP OD3.5 MM SERFAS Inpatient	0272 RC	$2,888	$1,444	$1,733 – $2,455	—
1021804 - GUIDEWIRE VASC L300 CM L3 CM HI-TORQUE ALL STAR STRGT CORE Inpatient	C1769 HCPCS	$391	$196	$235 – $333	—
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	—
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	—
1180846 - SET INTRO L7 CM 21 GA L4 CM HEMOSTASIS VLV NDL GW PEDAL ACC Inpatient	C1894 HCPCS	$313	$157	$188 – $266	—
1184810 - GUIDEWIRE VASC OD.035 IN L180 CM L3 CM GLIDEWIRE STRGT Inpatient	C1769 HCPCS	$228	$114	$137 – $194	—
1196491 - GUIDEWIRE STRT BENTSON 15CM 180CM STD STRGT TPR .035IN VASC Inpatient	C1769 HCPCS	$72.49	$36.25	$43.49 – $61.62	—
1197642 - DILATOR ENDO CRE 2.8 MM PEBAX ESPH BLN LOW PRFL FX WIRE L180 CM L8 CM OD12-13.5-15 MM ODSEC6 FR Inpatient	C1726 HCPCS	$820	$410	$492 – $697	—
1197645 - CATHETER BLN DIL CRE 2.8 MM PEBAX ESOPHAGUS PYLORUS FX WIRE L180 CM L8 CM OD15-16.5-18 MM Inpatient	C1726 HCPCS	$944	$472	$566 – $802	—
1217201 - GUIDEWIRE VASC OD.018 IN L180 CM L2 CM GLIDEWIRE GT 60 D 90 Inpatient	C1769 HCPCS	$900	$450	$540 – $765	—
1218059 - RECHARGER NRSTM RECHARGER MEDTRONIC Inpatient	0272 RC	$6,014	$3,007	$3,608 – $5,112	—
1218083 - SHEATH GUIDE L25 CM RADOPQ DIL KINK RST SMTH TRNS ID7 FR Inpatient	C1894 HCPCS	$127	$63.57	$76.28 – $108	—
3003525 - SHEATH 8.5FR 63CM 180CM 45D 0 PGTL CRV GUIDE RF WIRE CNCT Inpatient	C1894 HCPCS	$4,546	$2,273	$2,727 – $3,864	—
3012427 - BRONCHOSCOPE FLXB 180 D SLIM PORTABLE LTWT ERG ADV MNTR Inpatient	0272 RC	$1,171	$586	$703 – $996	—
3038404 - GUIDEWIRE VERSACROSS 180CM 93CM 1 CRV 24MM VASC TRNSPT DIL Inpatient	C1769 HCPCS	$4,790	$2,395	$2,874 – $4,072	—