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.

33 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
1043341 - HEAD FEM STD OFFSET 28MM HIP TYPE 1 COCR G7 Inpatient	C1776 HCPCS	$1,336	$668	$802 – $1,136	—
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	—
1067613 - LINER G7 VITAMIN E NEUTRAL 36MM Inpatient	C1776 HCPCS	$1,974	$987	$1,184 – $1,678	—
1084311 - COMPONENT FEM 6 NAR KN RT POSTERIOR STABILIZE Inpatient	C1776 HCPCS	$5,080	$2,540	$3,048 – $4,318	—
1084315 - COMPONENT FEM 8 NAR KN RT POSTERIOR STABILIZE Inpatient	C1776 HCPCS	$5,080	$2,540	$3,048 – $4,318	—
1084317 - COMPONENT FEM 9 NAR KN RT POSTERIOR STABILIZE CEMENT COCR Inpatient	C1776 HCPCS	$5,080	$2,540	$3,048 – $4,318	—
1084336 - COMPONENT FEM 9 STD KN LT POSTERIOR STABILIZE Inpatient	C1776 HCPCS	$5,080	$2,540	$3,048 – $4,318	—
1084735 - SURFACE ARTC 12MM PERSONA 6-9 CD KN LT VIVACIT-E Inpatient	C1776 HCPCS	$1,810	$905	$1,086 – $1,538	—
1084753 - SURFACE ARTC 14MM 10-11 EF KN LT VIVACIT-E Inpatient	C1776 HCPCS	$1,810	$905	$1,086 – $1,538	—
1085108 - SURFACE ARTC 10MM PERSONA 6-9 CD KN RT VIVACIT-E Inpatient	C1776 HCPCS	$1,810	$905	$1,086 – $1,538	—
1085109 - SURFACE ARTC 12MM PERSONA 6-9 CD KN RT VIVACIT-E Inpatient	C1776 HCPCS	$1,810	$905	$1,086 – $1,538	—
1085122 - SURFACE ARTC H12 MM PERSONA 6-9 E-F KN RT POSTERIOR Inpatient	C1776 HCPCS	$1,810	$905	$1,086 – $1,538	—
1085218 - BASEPLATE TIB PERSONA 5D C KN LT CEMENT STEM Inpatient	C1776 HCPCS	$2,139	$1,069	$1,283 – $1,818	—
1085219 - BASEPLATE TIB PERSONA 5D C KN RT CEMENT STEM Inpatient	C1776 HCPCS	$2,139	$1,069	$1,283 – $1,818	—
1085221 - BASEPLATE TIB PERSONA 5D D KN RT CEMENT STEM Inpatient	C1776 HCPCS	$2,139	$1,069	$1,283 – $1,818	—
1085223 - BASEPLATE TIB 5 D E KN RT CEMENT PERSONA STEMMED Inpatient	C1776 HCPCS	$2,139	$1,069	$1,283 – $1,818	—
1085256 - COMPONENT PTLR 35MM PERSONA ALL POLY KN STRL LF Inpatient	C1776 HCPCS	$1,052	$526	$631 – $894	—
1123446 - COMPONENT FEM 6 KN LT POSTERIOR STABILIZE OXINIUM LEGION Inpatient	C1776 HCPCS	$9,195	$4,598	$5,517 – $7,816	—
1124180 - INSERT ARTC 1-2 H13 MM KN CRCTE RTN HI FLEXION XLPE LEGION Inpatient	C1776 HCPCS	$4,308	$2,154	$2,585 – $3,662	—
1129870 - COMPONENT FEM 5 KN LT MEDIAL RT LAT UNICOMPARTMENTAL OXINIUM Inpatient	C1776 HCPCS	$9,684	$4,842	$5,810 – $8,231	—
1129872 - COMPONENT FEM 7 KN LT MEDIAL RT LAT UNICOMPARTMENTAL OXINIUM Inpatient	C1776 HCPCS	$9,684	$4,842	$5,810 – $8,231	—
1171177 - INTRAOCULAR TECNIS SMP TECNIS PROTEC TRI-FIX 17.0 D MOD C Inpatient	V2632 HCPCS	$498	$249	$299 – $423	—
1173809 - SPHERE GLND 33 MM LATERALIZE RVRS OD42 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$5,892	$2,946	$3,535 – $5,009	—
1173873 - INSERT HUM H6 MM 12 IN OD36 MM PERFORM SHLDR Inpatient	C1776 HCPCS	$8,385	$4,193	$5,031 – $7,127	—
1173884 - STEM HUM L98 MM OD34 MM ODSEC8 MM PERFORM 2 LONG LGTH SHLDR Inpatient	C1776 HCPCS	$18,108	$9,054	$10,865 – $15,392	—
1177025 - TIP SCT PHOTONSABER Y TPR PLASTIC FBR OPTIC Inpatient	0272 RC	$852	$426	$511 – $724	—
1177785 - STENT LIFESTENT FLEXSTAR 8MM 80MM 130CM SELF EXPAND GW .035 Inpatient	C1876 HCPCS	$2,221	$1,110	$1,332 – $1,888	—
1183322 - RETRIEVER ENDO L90 CM L80 CM RADOPQ 4 LOOP HEMOSTASIS VLV Inpatient	C1773 HCPCS	$2,303	$1,151	$1,382 – $1,958	—