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)
1000886 - LASER SURG GREENLIGHT XPS 180W FEMALE LL SIDE FRNG 532NM Inpatient	C1889 HCPCS	$5,834	$2,917	$3,501 – $4,959	—
1154236 - FIBER LSR MOSES 80HZ 60W 2J 200UM DL LTHTRP Inpatient	C1889 HCPCS	$2,667	$1,333	$1,600 – $2,267	—
1157889 - SYSTEM FX L4.75 MM KNTLS NDL PRELOAD PUNCH SPEEDBRIDGE Inpatient	C1713 HCPCS	$10,299	$5,149	$6,179 – $8,754	—
1197489 - SPHINCTEROTOME L20 MM L5 MM OD4.4 FR AUTOTOME CANNULATED Inpatient	C1889 HCPCS	$1,063	$532	$638 – $904	—
1197512 - SPHNTM 5MM 7-5FR 5FR RX BL 3 LUM NDL KNF ENDO ACCEPTS .035IN Inpatient	C1889 HCPCS	$949	$475	$569 – $807	—
1197528 - CATHETER CHOLANGIOGRAM ACC DELIVERY SPYGLASS Inpatient	C1889 HCPCS	$12,310	$6,155	$7,386 – $10,463	—
1197673 - CATHETER OD7 FR L300 CM BP RND DIST TIP STD CNCT FIRM SHAFT Inpatient	C1889 HCPCS	$796	$398	$478 – $676	—
1197683 - SNARE W10 MM RND L240 CM OD2.4 MM CAPTIVATOR COLD THIN WIRE Inpatient	C1889 HCPCS	$63.57	$31.79	$38.14 – $54.03	—
1198173 - BASKET STONE RTRVL 120CM 12MM 2.4FR ZERO TIP URET NTNL 4WR Inpatient	C1889 HCPCS	$978	$489	$587 – $831	—
1205914 - NEEDLE ASP SINGLE USE ASP NDL NA-U200H OD2.6 MM ODSEC19 GA Inpatient	C1889 HCPCS	$1,639	$819	$983 – $1,393	—
1205916 - NEEDLE ASP EZ SHOT 3 PLUS OD2.2 MM ODSEC22 GA L1400 MM W SH Inpatient	C1889 HCPCS	$1,626	$813	$976 – $1,382	—
1215830 - DEVICE SUT FSTNR DELIVERY SEROSAFUSE STRL LF DISP Inpatient	C1889 HCPCS	$23,155	$11,577	$13,893 – $19,682	—
1215891 - FASTENER SEROSAFUSE 7.5MM NABSB BCMPT LD LEG INTCON WEB SUT Inpatient	C1889 HCPCS	$2,515	$1,257	$1,509 – $2,138	—
3003873 - FIBER LSR FLEXIVA PULSE ID 3MR TRACTIP HI PWR STRL LF DISP Inpatient	C1889 HCPCS	$2,409	$1,204	$1,445 – $2,047	—