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.

33 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1021804 - GUIDEWIRE VASC L300 CM L3 CM HI-TORQUE ALL STAR STRGT CORE Inpatient	C1769 HCPCS	$391	$196	$235 – $333	—
1021920 - GUIDEWIRE VASC OD.035 IN L300 CM HI-TORQUE SUPRA CORE ATRM Inpatient	C1769 HCPCS	$293	$147	$176 – $249	—
1023349 - GUIDEWIRE VASC OD.014 IN L300 CM L3 CM HI-TORQUE WHISPER ES Inpatient	C1769 HCPCS	$391	$196	$235 – $333	—
1095956 - GUIDEWIRE VASC OD.018 IN L300 CM SV WIRE STRGT SHORT TPR Inpatient	C1769 HCPCS	$334	$167	$200 – $284	—
1130093 - HEAD FEM 54MM HIP COCR BHR STRL Inpatient	C1776 HCPCS	$12,187	$6,093	$7,312 – $10,359	—
1155393 - GUIDEWIRE MRCLBRS 3 11CM 300CM 11CM STRGT .014IN VASC SIL Inpatient	C1769 HCPCS	$581	$290	$348 – $494	—
1155583 - GUIDEWIRE ASAHI SION 3CM 300CM 28CM STRGT .014IN VASC Inpatient	C1769 HCPCS	$581	$290	$348 – $494	—
1183654 - GUIDEWIRE VASC OD.018 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE Inpatient	C1769 HCPCS	$1,065	$532	$639 – $905	—
1183681 - GUIDEWIRE VASC OD.014 IN L300 CM L1 CM GLIDEWIRE ADVANTAGE Inpatient	C1769 HCPCS	$1,200	$600	$720 – $1,020	—
1197673 - CATHETER OD7 FR L300 CM BP RND DIST TIP STD CNCT FIRM SHAFT Inpatient	C1889 HCPCS	$796	$398	$478 – $676	—
1230069 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 6MM 40MM 75CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
3000258 - NAIL IM 2MM 26MM INFRAME EXSOMED Inpatient	C1713 HCPCS	$4,790	$2,395	$2,874 – $4,072	—
3002477 - SCREW L24 MM OD4 MM XL25 LOCK IM NL BN NA Inpatient	C1713 HCPCS	$1,219	$610	$732 – $1,036	—
3002760 - SYSTEM VN HRVT CP Inpatient	0272 RC	$3,214	$1,607	$1,928 – $2,732	—
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	—
3003605 - KIT INTRO L11.5 CM 2 LUM ANTIMICROBIAL ACC LL LOCK PREFL Inpatient	C1894 HCPCS	$752	$376	$451 – $639	—
3003873 - FIBER LSR FLEXIVA PULSE ID 3MR TRACTIP HI PWR STRL LF DISP Inpatient	C1889 HCPCS	$2,409	$1,204	$1,445 – $2,047	—
3005842 - IMPLANT HIP 36MM (NECK) INSG 4 HPSTM HI OFFSET 103MM (STEM) Inpatient	C1776 HCPCS	$9,101	$4,551	$5,461 – $7,736	—
3007125 - AUGMENT TIB CENTRAL PERSONA LG CONE KN Inpatient	C1776 HCPCS	$17,005	$8,502	$10,203 – $14,454	—
3007241 - GUIDE PIN ORTHO ANATOMIC ALTIVATE CS EDGE Inpatient	0272 RC	$961	$480	$576 – $817	—
3008326 - PLATE WIDE RDS LT DIST VOLAR 4 HOLE TI GEMINUS BN WRIST Inpatient	C1713 HCPCS	$3,679	$1,839	$2,207 – $3,127	—
3008346 - CATHETER BLN DIL L8 MM L145 CM ODSEC2 MM NC TREK NEO RPD Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
3008347 - CATHETER BLN DIL L12 MM L145 CM ODSEC2 MM NC TREK NEO RPD Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
3008348 - CATHETER BLN DIL L15 MM L145 CM ODSEC2 MM NC TREK NEO RPD Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
3008360 - CATHETER BLN DIL L12 MM L145 CM ODSEC3 MM NC TREK NEO RPD Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
3009083 - SCREW L42 MM OD4.5 MM LONG THRD TI CANNULATED BN CANNULATED Inpatient	C1713 HCPCS	$1,592	$796	$955 – $1,354	—
3009723 - FVENOUS THROMBOEMBOLISM PRICE PER PROCEDURE Inpatient	C1757 HCPCS	$56,280	$28,140	$33,768 – $47,838	—
3009833 - SCREW BN 10.5MM 100MM GAMMA LAG STRL HIP LF Inpatient	C1713 HCPCS	$2,457	$1,229	$1,474 – $2,089	—
DOSIMETRY BASIC CALCULATION Inpatient	77300 CPT	$1,050	$525	$630 – $893	—
FISH INSITU 100-300 CELLS Inpatient	88275 CPT	$365	$183	$219 – $310	—