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.

16 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1004192 - NEEDLE SCLRTX 25GA 2.5MM 230CM 5MM INJ LL SPRG LOAD HNDL Inpatient	A4649 HCPCS	$167	$83.72	$100 – $142	—
1014464 - NAIL OD11 MM L400 MM FEM LT PROX TI NIOBIUM ALUM COCR IM Inpatient	C1713 HCPCS	$9,418	$4,709	$5,651 – $8,005	—
1023464 - CATHETER BLN DIL L15 MM ODSEC2.5 MM TREK SLIM SEAL RPD EXCH Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1044647 - CATHETER LUBRI-SIL IC 20FR 5CC FOLEY 2 WAY BLN BACTI-GRD SIL Inpatient	C1758 HCPCS	$35.70	$17.85	$21.42 – $30.35	—
1046178 - KIT BIOPSY BARD MISSION TRGD 18GA 17GA 10CM 7.8CM 10MM 20MM Inpatient	A4649 HCPCS	$977	$489	$586 – $831	—
1052122 - KIT BIOPSY BARD MISSION TRGD 20GA 19GA 10CM 7.8CM 10MM 20MM Inpatient	A4649 HCPCS	$878	$439	$527 – $746	—
1069284 - DRESSING WND 2X2IN MEDIHONEY CA ALGINATE LF Inpatient	A4649 HCPCS	$18.62	$9.31	$11.17 – $15.83	—
1146449 - SPLINT NSL 2X.6IN PLMR BCMPT STRL DISP POSISEP X Inpatient	0272 RC	$678	$339	$407 – $576	—
1165441 - NEEDLE BIOPSY 17GA 13.8CM ULTHN WALL COAX CLR CD D STOP STRL Inpatient	A4649 HCPCS	$247	$123	$148 – $210	—
1194644 - SCREW L12 MM OD2.7 MM STNLS STL CORT LOCK TRIMED CLVCL FX Inpatient	C1713 HCPCS	$440	$220	$264 – $374	—
1224644 - SCREW BN 2.5MM 26MM 1.3MM SELF TAP NONLOCK SQ DRV Inpatient	C1713 HCPCS	$347	$174	$208 – $295	—
1229415 - MARKER BRST BIOPSY RGD END DEPLOYMENT DELIVERY SYS TRIMARK Inpatient	A4648 HCPCS	$254	$127	$153 – $216	—
1229641 - MARKER VISION BRSTBIO TUMARK EVIVA STRL LTX DISP EVIVA STD Inpatient	A4648 HCPCS	$379	$189	$227 – $322	—
1229642 - MARKER BRST BIOPSY TUMARK PRF X EVIVA STD Inpatient	A4648 HCPCS	$262	$131	$157 – $223	—
CONTINUOUS AEROSOL TX EA +HR Inpatient	94645 CPT	$180	$90.00	$108 – $153	—
DENERVATION TRUNK MUSCLES 1-5 Inpatient	64646 CPT	$1,550	$775	$930 – $1,318	—