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.

28 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1123059 - BASEPLATE TIB 3 KN LT CEMENT MALE TPR LEGION TI NONPOR Inpatient	C1776 HCPCS	$6,517	$3,258	$3,910 – $5,539	—
1123064 - BASEPLATE TIB 8 KN LT CEMENT MALE TPR LEGION TI NONPOR Inpatient	C1776 HCPCS	$6,517	$3,258	$3,910 – $5,539	—
1123067 - BASEPLATE TIB 3 KN RT CMPNT GENESI II NONPOR Inpatient	C1776 HCPCS	$6,517	$3,258	$3,910 – $5,539	—
1123069 - BASEPLATE TIB 5 KN RT CEMENT MALE TPR LEGION TI NONPOR Inpatient	C1776 HCPCS	$6,517	$3,258	$3,910 – $5,539	—
1123440 - COMPONENT FEM 7 HIP RT POSTERIOR STABILIZE OXINIUM GNSS II Inpatient	C1776 HCPCS	$13,452	$6,726	$8,071 – $11,434	—
1123447 - COMPONENT FEM 7 KN LT POSTERIOR STABILIZE OXINIUM LEGION Inpatient	C1776 HCPCS	$13,452	$6,726	$8,071 – $11,434	—
1123450 - COMPONENT FEM 3 KN RT CRCTE RTN OXINIUM LEGION Inpatient	C1776 HCPCS	$13,345	$6,673	$8,007 – $11,344	—
1123466 - COMPONENT FEM 6N KN LT CRCTE RTN OXINIUM LEGION Inpatient	C1776 HCPCS	$15,066	$7,533	$9,040 – $12,806	—
1123469 - COMPONENT FEM 5 NAR KN RT CRCTE RTN POR LEGION Inpatient	C1776 HCPCS	$15,066	$7,533	$9,040 – $12,806	—
1123575 - WEDGE FEM H10 MM 5 SCR LEGION KN DIST Inpatient	C1776 HCPCS	$4,900	$2,450	$2,940 – $4,165	—
1123604 - WEDGE FEM 5 L 5D X 5P SCR LEGION KN Inpatient	C1776 HCPCS	$7,178	$3,589	$4,307 – $6,101	—
1212371 - GRAFT BN FIB SHAFT L80 MM SEG CUT MATRIGRAFT PRESERVON D8-15 Inpatient	C1762 HCPCS	$3,114	$1,557	$1,868 – $2,646	—
1230069 - CATHETER BLN ULTRAVERSE 035 GEOALIGN 6MM 40MM 75CM OTW Inpatient	C1725 HCPCS	$416	$208	$249 – $353	—
1230108 - CATHETER BLN ULTRAVERSE GEOALIGN 2MM 40MM 150CM OTW Inpatient	C1725 HCPCS	$1,868	$934	$1,121 – $1,588	—
1230125 - CATHETER BLN ULTRAVERSE 014 3MM 4CM 150CM OTW REINFORCE Inpatient	C1725 HCPCS	$1,868	$934	$1,121 – $1,588	—
1230510 - DRESSING WND VAC VERAFLO MED Inpatient	0272 RC	$513	$256	$308 – $436	—
1230717 - IMPLANT SPNL CFLX 8MM Inpatient	C1713 HCPCS	$20,145	$10,073	$12,087 – $17,123	—
1233884 - GUIDEWIRE VASC OD.035 IN L145 CM WHOLEY MOD J CRV INTMD XTN Inpatient	C1769 HCPCS	$293	$147	$176 – $249	—
1236100 - PLATE NSL L50 MM X W40 MM X H.15 MM RECTANGLE FLXB PERFORATE Inpatient	C1713 HCPCS	$2,339	$1,170	$1,404 – $1,988	—
1236844 - SCREW L30 MM OD5 MM XL25 MEDULLARY LOCK LIGHT GRN 4.2 MM Inpatient	C1713 HCPCS	$1,219	$610	$732 – $1,036	—
1237269 - DEFIBRILLATOR VIGILANT 31 CC 71.4 GM RT ATRIUM RT VENTRICLE Inpatient	C1721 HCPCS	$50,206	$25,103	$30,124 – $42,675	—
1237333 - INTRODUCER SHTH 6FR LONG 25CM PRELUDE SNAP Inpatient	C1894 HCPCS	$440	$220	$264 – $374	—
1237865 - DRILL SURG L50 MM OD2.7 MM FREEFIX WRIST FOREARM SET Inpatient	0272 RC	$576	$288	$346 – $490	—
1238466 - STENT SYNERGY MEGATRON 4MM 12MM EVEROLIMUS PLATINUM CR LV Inpatient	C1874 HCPCS	$3,832	$1,916	$2,299 – $3,257	—
3012313 - COIL L65 CM OD18 MM COMPLEX PK EMBL PRESTIGE PLUS ULTRA Inpatient	0278 RC	$5,592	$2,796	$3,355 – $4,753	—
3012314 - COIL L65 CM OD20 MM COMPLEX PK EMBL PRESTIGE PLUS ULTRA Inpatient	0278 RC	$5,564	$2,782	$3,339 – $4,730	—
EGFR GENE ANALYSIS Inpatient	81235 CPT	$855	$428	$513 – $727	—
NEUROLOGICAL EYE DISORDERS Inpatient	123 MS-DRG	—	—	$12,079 – $19,482	—