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.
15 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1158032 - KIT INS DIL NDL STY GUIDE PIN FIBERTAK PERC 1.6 MM FIBERTAK Inpatient | 0272 RC | $1,089 | $545 | $653 – $926 | — | |
| 1158037 - KIT ARTHRO FX FIBERTAK CRV SPEAR Inpatient | 0272 RC | $944 | $472 | $566 – $802 | — | |
| AMITRIPTYLINE, LC/MS 1-2 Inpatient | 80335 CPT | $130 | $65.00 | $78.00 – $111 | — | |
| ARIPIPAZOLE Inpatient | 80342 CPT | $150 | $75.00 | $90.00 – $128 | — | |
| CANNABINOIDS, GC/M Inpatient | 80349 CPT | $215 | $108 | $129 – $183 | — | |
| DESIPRAMINE, LC/MS Inpatient | 80335 CPT | $185 | $92.50 | $111 – $157 | — | |
| DOXEPIN Inpatient | 80335 CPT | $185 | $92.50 | $111 – $157 | — | |
| DRUG SCREEN CLASS A SINGLE Inpatient | 80307 CPT | $95.00 | $47.50 | $57.00 – $80.75 | — | |
| ETHANOL SCREEN Inpatient | 80307 CPT | $70.00 | $35.00 | $42.00 – $59.50 | — | |
| ETHYL GLUCURONIDE CONFIRMATION Inpatient | 80321 CPT | $105 | $52.50 | $63.00 – $89.25 | — | |
| FENTANYL, LC/MS Inpatient | 80354 CPT | $130 | $65.00 | $78.00 – $111 | — | |
| HEROIN METABOLITE SCREEN Inpatient | 80307 CPT | $70.00 | $35.00 | $42.00 – $59.50 | — | |
| MELATONIN Inpatient | 80375 CPT | $525 | $263 | $315 – $446 | — | |
| MITRAGYNINE QUANTITATION Inpatient | 80323 CPT | $130 | $65.00 | $78.00 – $111 | — | |
| NICOTINE SCREEN UR Inpatient | 80307 CPT | $130 | $65.00 | $78.00 – $111 | — |