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.
26 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ANORO ELLIPTA 62.5-25 MCG-ACT IN AEPB Inpatient | 0250 RC | $433 | $216 | $260 – $368 | — | |
| ATORVASTATIN CALCIUM 40 MG PO TABS Inpatient | 0250 RC | $11.96 | $5.98 | $7.18 – $10.17 | — | |
| BRILINTA 90 MG PO TABS Inpatient | 0250 RC | $56.75 | $28.38 | $34.05 – $48.24 | — | |
| BUSPIRONE HCL 5 MG PO TABS Inpatient | 0250 RC | $8.84 | $4.42 | $5.30 – $7.51 | — | |
| CALCIUM ANTACID 500 MG PO CHEW Inpatient | 0250 RC | $7.70 | $3.85 | $4.62 – $6.55 | — | |
| CUROSURF 240 MG-3ML INTRATRACHEA SUSP Inpatient | 0250 RC | $5,733 | $2,866 | $3,440 – $4,873 | — | |
| DEXTROSE 10 % IV SOLN Inpatient | 0250 RC | $140 | $70.11 | $84.13 – $119 | — | |
| DIAZEPAM 5 MG PO TABS Inpatient | 0250 RC | $22.11 | $11.06 | $13.27 – $18.79 | — | |
| DIFICID 200 MG PO TABS Inpatient | 0250 RC | $776 | $388 | $466 – $660 | — | |
| FUROSEMIDE 40 MG PO TABS Inpatient | 0250 RC | $11.85 | $5.93 | $7.11 – $10.07 | — | |
| GABAPENTIN 300 MG PO CAPS Inpatient | 0250 RC | $9.69 | $4.85 | $5.81 – $8.24 | — | |
| GROUP THERAPY SPEECH Inpatient | 92508 CPT | $150 | $75.00 | $90.00 – $128 | — | |
| INCRUSE ELLIPTA 62.5 MCG-ACT IN AEPB Inpatient | 0250 RC | $281 | $141 | $169 – $239 | — | |
| IPRATROPIUM BROMIDE 0.02 % IN SOLN Inpatient | 0250 RC | $14.39 | $7.20 | $8.63 – $12.23 | — | |
| ISOPROTERENOL HCL 0.2 MG-ML IJ SOLN Inpatient | 0250 RC | $409 | $205 | $246 – $348 | — | |
| KLOR-CON 20 MEQ PO PACK Inpatient | 0250 RC | $11.83 | $5.92 | $7.10 – $10.06 | — | |
| LATANOPROST 0.005 % OP SOLN Inpatient | 0250 RC | $60.21 | $30.11 | $36.13 – $51.18 | — | |
| LEVOTHYROXINE SODIUM 25 MCG PO TABS Inpatient | 0250 RC | $11.69 | $5.85 | $7.01 – $9.94 | — | |
| LIDOCAINE HCL 1 % IJ SOLN Inpatient | 0250 RC | $47.31 | $23.66 | $28.39 – $40.21 | — | |
| MAGNESIUM OXIDE -MG SUPPLEMENT 400 (240 MG) MG PO TABS Inpatient | 0250 RC | $11.38 | $5.69 | $6.83 – $9.67 | — | |
| METOPROLOL TARTRATE 5 MG-5ML IV SOLN Inpatient | 0250 RC | $60.36 | $30.18 | $36.22 – $51.31 | — | |
| METOPROLOL TARTRATE 50 MG PO TABS Inpatient | 0250 RC | $8.65 | $4.33 | $5.19 – $7.35 | — | |
| MONTELUKAST SODIUM 10 MG PO TABS Inpatient | 0250 RC | $12.44 | $6.22 | $7.46 – $10.57 | — | |
| NITAZOXANIDE 500 MG PO TABS Inpatient | 0250 RC | $858 | $429 | $515 – $729 | — | |
| NYSTATIN 100000 UNIT-ML MT SUSP Inpatient | 0250 RC | $17.62 | $8.81 | $10.57 – $14.98 | — | |
| OSELTAMIVIR PHOSPHATE 75 MG PO CAPS Inpatient | 0250 RC | $16.80 | $8.40 | $10.08 – $14.28 | — |