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.
8 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1022212 - GUIDEWIRE VASC OD.014 IN L190 CM L5 CM HI-TORQUE SPARTACORE Inpatient | C1769 HCPCS | $289 | $144 | $173 – $245 | — | |
| 1052122 - KIT BIOPSY BARD MISSION TRGD 20GA 19GA 10CM 7.8CM 10MM 20MM Inpatient | A4649 HCPCS | $878 | $439 | $527 – $746 | — | |
| 1103446 - DRESSING FOAM 10X10CM LOWPRFL SOFT CNFRM AL-1 MPLX BRLT SIL Inpatient | A6212 HCPCS | $28.50 | $14.25 | $17.10 – $24.23 | — | |
| 1115552 - DRESSING L4 34 IN X W2 18 IN ALLEVYN LITE FOAM SIL PU ADH Inpatient | A6212 HCPCS | $68.70 | $34.35 | $41.22 – $58.40 | — | |
| 1212371 - GRAFT BN FIB SHAFT L80 MM SEG CUT MATRIGRAFT PRESERVON D8-15 Inpatient | C1762 HCPCS | $3,114 | $1,557 | $1,868 – $2,646 | — | |
| 1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient | A6021 HCPCS | $34.28 | $17.14 | $20.57 – $29.14 | — | |
| 1212524 - KIT TISS CLSR 4ML SLNT ADH AIR LEAK PROGEL STRL LF PLEURA Inpatient | C2615 HCPCS | $5,661 | $2,830 | $3,396 – $4,811 | — | |
| CONCOMITANT AORTIC AND MITRAL VALVE PROCEDURES Inpatient | 212 MS-DRG | — | — | $163,822 – $264,242 | — |