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.

14 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1054474 - IMMOBILIZER KN UNV L20 IN ORTHO REBOUND OD10.25-26.5 IN 3 Inpatient	L1830 HCPCS	$50.61	$25.31	$30.37 – $43.02	—
1094830 - KIT DRN VLV CAP PLEURX DISP STRL LF PLR Inpatient	0272 RC	$2,714	$1,357	$1,628 – $2,307	—
1183013 - SET ACC L40 CM .018 IN COAX CATH GW ECHOGENIC NDL TIP OD4 FR Inpatient	C1894 HCPCS	$188	$94.01	$113 – $160	—
1183051 - STENT COPE MAC-LOC 10.2FR 24CM RADOPQ SDPRT LOWPRFL DIST SEG Inpatient	C2625 HCPCS	$619	$310	$372 – $527	—
1183060 - SHEATH GUIDE L90 CM .018.035 IN ANL0 CRV RADOPQ BAND Inpatient	C1894 HCPCS	$537	$269	$322 – $457	—
1215830 - DEVICE SUT FSTNR DELIVERY SEROSAFUSE STRL LF DISP Inpatient	C1889 HCPCS	$23,155	$11,577	$13,893 – $19,682	—
FSH Inpatient	83001 CPT	$275	$138	$165 – $234	—
HEMOGLOBIN ELECTROPHORESIS Inpatient	83020 CPT	$230	$115	$138 – $196	—
HEMOGLOBIN STABILITY BLOOD Inpatient	83068 CPT	$495	$248	$297 – $421	—
IMMOBILIZER-KNEE PREFAB Inpatient	L1830 HCPCS	$295	$148	$177 – $251	—
INSERTION OF INTRAUTERINE DEVICE Inpatient	58300 CPT	$1,140	$570	$684 – $969	—
IUD, REMOVAL Inpatient	58301 CPT	$325	$163	$195 – $276	—
MYELOPROLIFERATIVE DISORDERS OR POORLY DIFFERENTIATED NEOPLASMS WITH OTHER PROCEDURES WITHOUT CC/MCC Inpatient	830 MS-DRG	—	—	$21,993 – $35,474	—
NM BONE IMAGING/MULTI Inpatient	78305 CPT	$2,220	$1,110	$1,332 – $1,887	—