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.

18 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1040122 - COMPONENT FEM 7 KN LT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1052122 - KIT BIOPSY BARD MISSION TRGD 20GA 19GA 10CM 7.8CM 10MM 20MM Inpatient	A4649 HCPCS	$878	$439	$527 – $746	—
1206122 - CATHETER NAVICROSS ACCEPTS .035 IN GW 4 FR INTRO SHTH L135 Inpatient	C1887 HCPCS	$871	$436	$523 – $741	—
1220971 - CATHETER SURECROSS ACCEPTS .035 IN GW 4 FR SHTH L150 CM L40 Inpatient	C1887 HCPCS	$564	$282	$339 – $480	—
1222457 - RELOAD STAPLER L60 MM TRI-STAPLE 2.0 X THK TISS ARTICULATE Inpatient	0278 RC	$2,576	$1,288	$1,546 – $2,189	—
1224644 - SCREW BN 2.5MM 26MM 1.3MM SELF TAP NONLOCK SQ DRV Inpatient	C1713 HCPCS	$347	$174	$208 – $295	—
1224931 - CATHETER BLN DIL L15 MM L138 CM ODSEC1.5 MM SPRINTER OTW Inpatient	C1725 HCPCS	$367	$183	$220 – $312	—
1225460 - IMPLANT BRST 695 CC P6 CM RND FULL PRFL SMOOTH: GEL NATRELLE Inpatient	C1789 HCPCS	$4,857	$2,429	$2,914 – $4,129	—
1228082 - STAPLER THK TISS L75 MM X H4.5 MM ENDO 4 ROW LNR CUTTER SFTY Inpatient	0278 RC	$532	$266	$319 – $452	—
1229415 - MARKER BRST BIOPSY RGD END DEPLOYMENT DELIVERY SYS TRIMARK Inpatient	A4648 HCPCS	$254	$127	$153 – $216	—
1229641 - MARKER VISION BRSTBIO TUMARK EVIVA STRL LTX DISP EVIVA STD Inpatient	A4648 HCPCS	$379	$189	$227 – $322	—
1229642 - MARKER BRST BIOPSY TUMARK PRF X EVIVA STD Inpatient	A4648 HCPCS	$262	$131	$157 – $223	—
1229962 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 3MM 20MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1229971 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 4MM 150MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1229977 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 4MM 60MM 130CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1246122 - BASEPLATE TIB 7 KN CEMENT REV FX BRNG ATTUNE Inpatient	C1776 HCPCS	$8,987	$4,494	$5,392 – $7,639	—
3011221 - SIZER IMPL OD12.25 CM 385 CC P5 CM FULL PRFL RND NATRELLE Inpatient	0272 RC	$866	$433	$520 – $736	—
ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Inpatient	122 MS-DRG	—	—	$10,200 – $16,453	—