Aurora Medical Center Fond du Lac — price list

← Hospital overviewVerified from Aurora Medical Center Fond du Lac’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)
1010144 - KIT BN CEMENT PREP PLUG INSRTR BRUSH CURETTE SCT BIOPREP Inpatient	C1713 HCPCS	$363	$181	$218 – $308	—
1012552 - CURETTE IVAS OD11 GA ENDO Inpatient	0272 RC	$1,768	$884	$1,061 – $1,502	—
1032555 - MESH PHASIX 4X3IN RECT POLY-4-HYDROXYBUTYRATE MONO SCAFFOLD Inpatient	C1781 HCPCS	$4,956	$2,478	$2,974 – $4,213	—
1033123 - GUIDEWIRE SAFEGUIDE 210CM ENDO MARK SPRG TIP XTD CORE Inpatient	C1769 HCPCS	$153	$76.50	$91.80 – $130	—
1034747 - DEVICE PRCLS PROSTYLE SUT MEDIATE REPR CLSR STRL LF DISP Inpatient	C1760 HCPCS	$689	$345	$414 – $586	—
1048622 - DRESSING DUODERM CGF L6 IN HDRCLD MOIST RTN SQ ULCER Inpatient	A6235 HCPCS	$12.73	$6.37	$7.64 – $10.82	—
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$144	$72.20	$86.64 – $123	—
1078646 - CATHETER OD5 FR L110 CM LG LUM 2 SH 2 BRAID SOFT TIP JACKY Inpatient	C1887 HCPCS	$122	$61.20	$73.44 – $104	—
1083550 - SCREW L36 MM OD5 MM T25 STNLS STL SELF TAP VAR ANG STARDRIVE Inpatient	C1713 HCPCS	$539	$269	$323 – $458	—
1083563 - SCREW L80 MM OD5 MM T25 STNLS STL SELF TAP VAR ANG STARDRIVE Inpatient	C1713 HCPCS	$539	$269	$323 – $458	—
1084336 - COMPONENT FEM 9 STD KN LT POSTERIOR STABILIZE Inpatient	C1776 HCPCS	$4,570	$2,285	$2,742 – $3,885	—
1084443 - SCREW BN 2.5MM 25MM PERSONA FEMALE HEX KN Inpatient	0272 RC	$341	$170	$204 – $289	—
1085050 - SURFACE ARTC H16 MM PERSONA 3-5 C-D KN RT TIB POSTERIOR Inpatient	C1776 HCPCS	$1,628	$814	$977 – $1,384	—
1085221 - BASEPLATE TIB PERSONA 5D D KN RT CEMENT STEM Inpatient	C1776 HCPCS	$1,924	$962	$1,154 – $1,635	—
1085224 - BASEPLATE TIB PERSONA 5D F KN LT CEMENT STEM Inpatient	C1776 HCPCS	$1,924	$962	$1,154 – $1,635	—
1085254 - COMPONENT PTLR 29MM PERSONA ALL POLY KN STRL LF Inpatient	C1776 HCPCS	$948	$474	$569 – $806	—
1085255 - COMPONENT PTLR 32MM PERSONA ALL POLY KN STRL LF Inpatient	C1776 HCPCS	$948	$474	$569 – $806	—
1089815 - FORCEPS LAPSCP L32.77 CM 45 D FENESTRATE BP OD8 MM DA VINCI Inpatient	0272 RC	$632	$316	$379 – $537	—
1099969 - CATHETER HEMODIALYSIS 14.5FR 28CM GLIDEPATH ARGD STD KIT Inpatient	C1750 HCPCS	$1,318	$659	$791 – $1,120	—
1107755 - STEM FEM 131MM HIP 132D 3 39MM OFFSET CEMENT ACCOLADE C Inpatient	C1776 HCPCS	$2,960	$1,480	$1,776 – $2,516	—
1115796 - CATHETER HS CRV OD6 FR X LG LUM 2 SH RADOPQ L100 CM GUIDE Inpatient	C1887 HCPCS	$119	$59.32	$71.18 – $101	—
1159391 - SCREW L50 MM OD3.5 MM T15 FULL THRD STNLS STL CORT SELF TAP Inpatient	C1713 HCPCS	$107	$53.55	$64.26 – $91.04	—
1159467 - SCREW L50 MM OD4 MM T15 SHORT THRD STNLS STL CANNULATED SELF Inpatient	C1713 HCPCS	$452	$226	$271 – $384	—
1160258 - KIT INST FIBULOCK DISP STRL Inpatient	C1713 HCPCS	$2,072	$1,036	$1,243 – $1,761	—
1161424 - CATHETER BLN ATLAS 12MM 4CM 75CM RPD INFL COAX SHAFT RADOPQ Inpatient	C1725 HCPCS	$753	$376	$452 – $640	—
1170267 - TROCAR LAPSCP STAB SLV DILATE TIP L100 MM OD12 MM ENDOPATH Inpatient	0272 RC	$612	$306	$367 – $520	—
1180693 - GUIDEWIRE VASC OD.035 IN L145 CM L6 CM SAFE-T-J 3 MM RDS J Inpatient	C1769 HCPCS	$39.75	$19.88	$23.85 – $33.79	—
1181200 - CATHETER DRN 8.5FR 25CM 6 SDPRT LOCK LOOP RADOPQ MP MAC-LOC Inpatient	C1729 HCPCS	$337	$169	$202 – $287	—
1183751 - RELOAD STAPLER 40 MM H1.5 MM ECHELON CONTOUR REG TISS CRV Inpatient	0278 RC	$853	$427	$512 – $725	—
1184699 - GUIDEWIRE VASC OD.035 IN L150 CM L3 CM GLIDEWIRE STD FLXB Inpatient	C1769 HCPCS	$88.74	$44.37	$53.24 – $75.43	—