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.

19 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1069197 - BIT DRILL L170 MM OD4.5 MM ID1.7 MM CANNULATED QCK CPLNG Inpatient	0272 RC	$1,515	$757	$909 – $1,288	—
1197174 - CABLE CATH 78IN INTELLAMAP ORION UMB Inpatient	0272 RC	$4,311	$2,156	$2,587 – $3,664	—
1197289 - CLIP HMST 2.8MM 11MM OPEN 235CM MR CONDITIONAL BRAID CATH Inpatient	0278 RC	$963	$482	$578 – $819	—
1197489 - SPHINCTEROTOME L20 MM L5 MM OD4.4 FR AUTOTOME CANNULATED Inpatient	C1889 HCPCS	$1,063	$532	$638 – $904	—
1197512 - SPHNTM 5MM 7-5FR 5FR RX BL 3 LUM NDL KNF ENDO ACCEPTS .035IN Inpatient	C1889 HCPCS	$949	$475	$569 – $807	—
1197528 - CATHETER CHOLANGIOGRAM ACC DELIVERY SPYGLASS Inpatient	C1889 HCPCS	$12,310	$6,155	$7,386 – $10,463	—
1197529 - PROBE LITHOTRIPSY L375 CM OD1.9 FR SPYGLASS AUTOLITH TOUCH Inpatient	0272 RC	$2,076	$1,038	$1,246 – $1,765	—
1197533 - BALLOON RTRVL XTRT PRO RX 200CM 6-7FR 9-12MM BIL 3 LUM ABV Inpatient	C1726 HCPCS	$632	$316	$379 – $537	—
1197625 - GUIDEWIRE ENDO JAGWIRE OD.035 IN L450 CM STRGT TPR STIFF Inpatient	C1769 HCPCS	$558	$279	$335 – $475	—
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	—
1197673 - CATHETER OD7 FR L300 CM BP RND DIST TIP STD CNCT FIRM SHAFT Inpatient	C1889 HCPCS	$796	$398	$478 – $676	—
1197683 - SNARE W10 MM RND L240 CM OD2.4 MM CAPTIVATOR COLD THIN WIRE Inpatient	C1889 HCPCS	$63.57	$31.79	$38.14 – $54.03	—
1197899 - STENT OD6 FR L24 CM ASCERTA URETERAL Inpatient	C1875 HCPCS	$378	$189	$227 – $322	—
1197904 - STENT OD7 FR L24 CM ASCERTA URETERAL Inpatient	C1875 HCPCS	$378	$189	$227 – $322	—
1197906 - STENT OD7 FR L28 CM ASCERTA URETERAL Inpatient	C2617 HCPCS	$378	$189	$227 – $322	—
1197960 - STENT CONTOUR VL 6FR 22-30CM TPR TIP BLDR MARK LOWPRFL LG Inpatient	C2617 HCPCS	$541	$270	$324 – $459	—
INTERSTITIAL LUNG DISEASE WITH CC Inpatient	197 MS-DRG	—	—	$14,888 – $24,013	—
MR PELVIS W/WO DYE Inpatient	72197 CPT	$6,530	$3,265	$3,918 – $5,551	—