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.

32 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1004662 - HEAD FEM 0MM 1214 MED 36MM HIP ACTB BIOLOX DELTA Inpatient	C1776 HCPCS	$1,936	$968	$1,162 – $1,646	—
1008121 - PLATE CS1 RT VAR ANG STNLS STL BN 2.7 MM SCR Inpatient	C1713 HCPCS	$5,137	$2,569	$3,082 – $4,367	—
1036948 - HEAD FEM OD28 MM 5 MM 1214 TPR HIP BIOLOX DELTA CERM Inpatient	C1776 HCPCS	$7,779	$3,890	$4,668 – $6,612	—
1036983 - HEAD FEM OD40 MM 1.5 MM 1214 TPR HIP BIOLOX DELTA TI Inpatient	C1776 HCPCS	$9,514	$4,757	$5,709 – $8,087	—
1118121 - PLATE LONG ULNA LT DIST VOLAR HOLE LOCK SHAFT FX ANG LOW Inpatient	C1713 HCPCS	$3,899	$1,950	$2,339 – $3,314	—
1121895 - LINER ACTB OD58 MM ID36 MM 0 D XLPE R3 HIP Inpatient	C1776 HCPCS	$4,879	$2,439	$2,927 – $4,147	—
1212371 - GRAFT BN FIB SHAFT L80 MM SEG CUT MATRIGRAFT PRESERVON D8-15 Inpatient	C1762 HCPCS	$3,114	$1,557	$1,868 – $2,646	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	A6021 HCPCS	$34.28	$17.14	$20.57 – $29.14	—
1212524 - KIT TISS CLSR 4ML SLNT ADH AIR LEAK PROGEL STRL LF PLEURA Inpatient	C2615 HCPCS	$5,661	$2,830	$3,396 – $4,811	—
1213144 - GRAFT ENDOVASCULAR GORE EXCLUDER SINUSOIDAL STENT SEAL CUFF Inpatient	0278 RC	$19,917	$9,959	$11,950 – $16,930	—
1213304 - INTRODUCER SHTH OD8 FR L13 CM ROBUST VLV SPLITTABLE SDPRT Inpatient	C1892 HCPCS	$175	$87.41	$105 – $149	—
1213305 - INTRODUCER SHTH OD9 FR ID.118 IN L13 CM ROBUST VLV Inpatient	C1892 HCPCS	$196	$97.80	$117 – $166	—
1213307 - INTRODUCER SHTH OD10 FR ID.131 IN L13 CM ROBUST VLV Inpatient	C1892 HCPCS	$149	$74.58	$89.49 – $127	—
1213310 - INTRODUCER SHTH OD9 FR L25 CM ROBUST VLV SMLS SDPRT EXPAND Inpatient	C1892 HCPCS	$230	$115	$138 – $195	—
1214248 - KIT DRSG L20 CM PREVENAPEEL Inpatient	0272 RC	$1,342	$671	$805 – $1,141	—
1214267 - DRESSING PREVENA RESTOR BELLAFORM 19CM X 21CM Inpatient	0272 RC	$2,635	$1,317	$1,581 – $2,239	—
1214389 - INTRODUCER SHTH OD8 FR L11 CM GW PRELUDE PRO .035 IN L50 CM Inpatient	C1894 HCPCS	$115	$57.69	$69.23 – $98.07	—
1215006 - KIT SURG CARDIAC CPC DISP LF Inpatient	0272 RC	$858	$429	$515 – $729	—
1215161 - CATHETER DELIVERY SYS ID.025 IN L150 CM HI FLOW LANTERN 45 D Inpatient	C1887 HCPCS	$2,826	$1,413	$1,696 – $2,402	—
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	—
1216312 - CATHETER ABLT 10 POLE DECANAV CARTO 3 2 MM 2-8-2 MM D CRV Inpatient	C1732 HCPCS	$5,020	$2,510	$3,012 – $4,267	—
1216348 - SET CATH L1 34 IN .018 IN RADOPQ SPRG GW INTRO NDL OD20 GA Inpatient	C1894 HCPCS	$43.81	$21.91	$26.29 – $37.24	—
1216510 - COIL L5 CM OD.02 IN ODSEC3 MM COMPLEX LG VOLUME FULLY Inpatient	0278 RC	$3,784	$1,892	$2,270 – $3,216	—
1216543 - COIL L5 CM OD.02 IN ODSEC3 MM LG VOLUME FULL DTCHABL STD Inpatient	0278 RC	$3,784	$1,892	$2,270 – $3,216	—
1217201 - GUIDEWIRE VASC OD.018 IN L180 CM L2 CM GLIDEWIRE GT 60 D 90 Inpatient	C1769 HCPCS	$900	$450	$540 – $765	—
1218059 - RECHARGER NRSTM RECHARGER MEDTRONIC Inpatient	0272 RC	$6,014	$3,007	$3,608 – $5,112	—
1218083 - SHEATH GUIDE L25 CM RADOPQ DIL KINK RST SMTH TRNS ID7 FR Inpatient	C1894 HCPCS	$127	$63.57	$76.28 – $108	—
1218117 - STEM HUM 116MM 10.5MM 19MM MED SHLDR REMEDY SS PMMA GNTA Inpatient	C1776 HCPCS	$11,850	$5,925	$7,110 – $10,073	—
1218293 - SHEATH INTRO 9FR L10 CM .035 IN SNAP ON DIL LOCK KINK RST SMTH Inpatient	C1894 HCPCS	$49.87	$24.94	$29.92 – $42.39	—