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)
1000886 - LASER SURG GREENLIGHT XPS 180W FEMALE LL SIDE FRNG 532NM Inpatient	C1889 HCPCS	$5,834	$2,917	$3,501 – $4,959	—
1065269 - CATHETER EMBL MERIT MAESTRO 2.8FR .53MM 110CM .38IN MIC Inpatient	C1887 HCPCS	$1,513	$757	$908 – $1,286	—
1065276 - CATHETER EMBL MERIT MAESTRO 2.8FR 2.4FR .02IN 150CM .018IN Inpatient	C1887 HCPCS	$1,513	$757	$908 – $1,286	—
1065282 - CATHETER EMBOLECTOMY OD2.8 FR ID.024 IN L130 CM BEAD RADOPQ Inpatient	C1887 HCPCS	$2,057	$1,029	$1,234 – $1,748	—
1097870 - CATHETER SPRT 90CM 3.1FR .05-.063IN QKCRS 50MM SPACE Inpatient	C1887 HCPCS	$678	$339	$407 – $576	—
1097886 - CATHETER 3.2FR 50MM SPACE 150CM QKCRS RADOPQ GUIDE ACCEPTS Inpatient	C1887 HCPCS	$857	$428	$514 – $728	—
1105244 - CATHETER 8FR JL3.5 CRV 100CM VISTA BRTP XL LUM RADOPQ GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1110517 - CATHETER 9FR STRGT 50CM ATTAIN CMND SUREVALVE 2 BRAID DMD Inpatient	C1887 HCPCS	$823	$411	$494 – $699	—
1115652 - CATHETER JL4 CRV OD6 FR RADOPQ HYBRID BRAID TORQUE CNTRL Inpatient	C1887 HCPCS	$175	$87.29	$105 – $148	—
1115717 - CATHETER AL1 CRV OD6 FR 2 SH X LG LUM RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115730 - CATHETER XBLAD3.5 CRV OD6 FR X LG LUM RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115738 - CATHETER 6FR JR4 CRV 100CM VISTA BRTP XL LUM RADOPQ GUIDE SS Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115739 - CATHETER JR4 CRV OD6 FR X LG LUM 2 SH RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115751 - CATHETER 6FR XBRCA CRV 100CM VISTA BRTP 2 SH XL LUM RADOPQ Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1115773 - CATHETER 6FR LCB CRV 100CM VISTA BRTP XL LUM RADOPQ GUIDE SS Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1134248 - CATHETER XBLAD3.5 CRV OD7 FR X LG LUM RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$190	$94.80	$114 – $161	—
1154236 - FIBER LSR MOSES 80HZ 60W 2J 200UM DL LTHTRP Inpatient	C1889 HCPCS	$2,667	$1,333	$1,600 – $2,267	—
1167027 - CATHETER OD4 FR L120 CM 2 BRAID ANG PERIPH STNLS STL Inpatient	C1887 HCPCS	$269	$134	$161 – $229	—
1187702 - CATHETER 6FR RBR3.5 CRV 100CM CONVEY LG INNER LUM RADOPQ Inpatient	C1887 HCPCS	$235	$117	$141 – $200	—
1187754 - CATHETER 7FR AL1 CRV 100CM CONVEY LG INNER LUM RADOPQ ULTHN Inpatient	C1887 HCPCS	$235	$117	$141 – $200	—
1188398 - GUIDEWIRE SAFARI2 275X2.9X3.2CM XS CRV .035IN VASC Inpatient	C1769 HCPCS	$1,065	$532	$639 – $905	—
1188413 - STENT SYNERGY XD MNRL 4MM 12MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,912	$956	$1,147 – $1,625	—
1188427 - STENT SYNERGY XD MNRL 3MM 20MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,912	$956	$1,147 – $1,625	—
1188433 - STENT SYNERGY XD MNRL 2.5MM 24MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$2,994	$1,497	$1,796 – $2,545	—
1188508 - STENT SYNERGY MEGATRON 4.5MM 12MM EVEROLIMUS PLATINUM CR LV Inpatient	C1874 HCPCS	$3,832	$1,916	$2,299 – $3,257	—
1188521 - GUIDEWIRE RTWR WRCLP 2.2CM 330CM .009IN VASC TORQUER DRV Inpatient	C1769 HCPCS	$823	$411	$494 – $699	—
1188729 - CATHETER OD5 FR L100 CM 6 SH RADOPQ ULTRA TORQUE SHAFT BRAID Inpatient	C1887 HCPCS	$83.13	$41.57	$49.88 – $70.66	—
1188739 - CATHETER 5FR OMNI CRV 65CM RADOPQ FLUSH HTORQ SHAFT SOFT-VU Inpatient	C1887 HCPCS	$63.57	$31.79	$38.14 – $54.03	—
1188745 - CATHETER OD5 FR L40 CM RADOPQ HI TORQUE SHAFT SLCT ANG KMP Inpatient	C1887 HCPCS	$63.57	$31.79	$38.14 – $54.03	—
1188810 - CATHETER 5FR OMNI CRV 70CM 2CM RADOPQ FLUSH SEG SZ ACCU-VU Inpatient	C1887 HCPCS	$117	$58.68	$70.42 – $99.76	—