Aurora Medical Center Burlington — price list

← Hospital overviewVerified from Aurora Medical Center Burlington’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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1002160 - DRESSING WND 4X4IN HYDROSTATIC HYDROCONDUCTIVE NADH TRACH Inpatient	A6198 HCPCS	$22.48	$11.24	$13.49 – $19.11	—
1003901 - SCREW BN 6.5MM 25MM TRILOGY SELF TAP STRL HIP Inpatient	C1713 HCPCS	$119	$59.33	$71.19 – $101	—
1003903 - SCREW BN 6.5MM 35MM TRILOGY SELF TAP STRL HIP ACTB Inpatient	C1713 HCPCS	$119	$59.33	$71.19 – $101	—
1006689 - CATHETER BARDEX LBRCTH 24FR 30CC FOLEY 3W 2 STAGGER DRN EYE Inpatient	C1758 HCPCS	$27.09	$13.55	$16.25 – $23.03	—
1009924 - TUBE JEJUN 16FR 51CM MIC SECUR-LOK RADOPQ MED PORT RTNT BLN Inpatient	0272 RC	$443	$221	$266 – $376	—
1010144 - KIT BN CEMENT PREP PLUG INSRTR BRUSH CURETTE SCT BIOPREP Inpatient	C1713 HCPCS	$402	$201	$241 – $342	—
1014619 - BLADE IM NL OD10.35 MM L90 MM PROX TI NIOBIUM ALUM PERFORATE Inpatient	C1713 HCPCS	$2,024	$1,012	$1,215 – $1,721	—
1014634 - NAIL OD9 MM L375 MM TIB TI ALUM VNDM PEEK TN ADVANCED IM MR Inpatient	C1713 HCPCS	$5,011	$2,506	$3,007 – $4,260	—
1016508 - CANNULA RF 20GA 8-10MM 100MM 5 ACT TIP VENOM 10MM Inpatient	A4649 HCPCS	$114	$57.15	$68.58 – $97.16	—
1017584 - INTRODUCER CATH 15CM 10FR PEEL-APART SHTH LONG THDL LOCK LL Inpatient	C1894 HCPCS	$912	$456	$547 – $775	—
1024643 - NEEDLE BN CEMENT AVAFLEX OD11 GA CRV Inpatient	0272 RC	$1,257	$629	$754 – $1,069	—
1028649 - SHELL ACTB HIP 60MM G7 G HMSPHR 4 HOLE CLR CD Inpatient	C1776 HCPCS	$6,448	$3,224	$3,869 – $5,481	—
1029667 - SHELL BP HIP 52MM 28MM 2 ARTICULATE SRFC COCR Inpatient	C1776 HCPCS	$1,974	$987	$1,184 – $1,678	—
1031890 - BRA SM QUEEN AVG PRFL WHT FRONT CMPR CLSR ADJ STRAP PCKT VELCRO Inpatient	L8000 HCPCS	$152	$76.07	$91.28 – $129	—
1031891 - BRA XL AVG PRFL WHT FRONT CMPR CLSR ADJ STRAP PCKT VELCRO Inpatient	L8000 HCPCS	$152	$76.07	$91.28 – $129	—
1034159 - DRESSING WND TELFA L8 IN X W3 IN ABS PAD NADH POLY CTN Inpatient	A6403 HCPCS	$0.30	$0.15	$0.18 – $0.26	—
1036647 - EXPANDER TISS 400 CC STYLE 133S SMTH SUT TAB W12 CM X H12.5 Inpatient	C1789 HCPCS	$3,619	$1,810	$2,171 – $3,076	—
1042602 - WIRE FX OD.062 IN L6 IN KIRSCHNER STNLS STL 2 TROCAR PT SMTH Inpatient	C1769 HCPCS	$22.25	$11.13	$13.35 – $18.91	—
1043053 - PORT POWERPORT 8FR IMPLINFN CHRNFLX MICROINTRODUCER SLIM FIT Inpatient	C1788 HCPCS	$1,112	$556	$667 – $945	—
1043341 - HEAD FEM STD OFFSET 28MM HIP TYPE 1 COCR G7 Inpatient	C1776 HCPCS	$1,336	$668	$802 – $1,136	—
1045925 - SYSTEM COR STENT L33 MM L145 CM OD2.75 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,152	$576	$691 – $979	—
1045949 - SYSTEM COR STENT L33 MM L145 CM OD3.5 MM XIENCE SKYPOINT Inpatient	C1874 HCPCS	$1,810	$905	$1,086 – $1,538	—
1046325 - KIT BIOPSY BARD MISSION TRGD 18GA 17GA 16CM 13.8CM 10MM 20MM Inpatient	A4649 HCPCS	$675	$337	$405 – $574	—
1048846 - BLADE SHAVER OD2.9 MM M4 ROTATABLE ELEVR STRGT SHAFT IRR Inpatient	0272 RC	$845	$423	$507 – $719	—
1049012 - BLADE SHAVER OD4 MM CRV SHAFT AUTOMATE ELECTROMAGNETIC TRACK Inpatient	0272 RC	$1,134	$567	$681 – $964	—
1049013 - BLADE SHAVER OD4 MM ROTATABLE OFFSET CUT SRFC IRR TUBE CRV Inpatient	0272 RC	$696	$348	$417 – $591	—
1049904 - STEM FEM L114 MM OD15 MM 130 D HI OFFSET FULL PROX PRFL PPS Inpatient	C1776 HCPCS	$4,613	$2,306	$2,768 – $3,921	—
1050265 - HEMOSTAT ABS 4X4IN SURGICEL FBRLR Inpatient	0272 RC	$444	$222	$266 – $377	—
1052122 - KIT BIOPSY BARD MISSION TRGD 20GA 19GA 10CM 7.8CM 10MM 20MM Inpatient	A4649 HCPCS	$606	$303	$364 – $515	—
1052288 - KIT BIOPSY MISSION TRGD 20GA 19GA 16CM 13.8CM 10MM 20MM Inpatient	A4649 HCPCS	$607	$304	$364 – $516	—