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.

16 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1124008 - STEM XTN L160 MM STRGT PRESS FIT OD16 MM LEGION TI KN Inpatient	C1776 HCPCS	$4,958	$2,479	$2,975 – $4,214	—
1124249 - INSERT ARTC 5-6 H13 MM KN POSTERIOR STABILIZE HI FLEXION Inpatient	C1776 HCPCS	$6,387	$3,194	$3,832 – $5,429	—
1124282 - INSERT ARTC 1-2 H11 MM KN DEEP DISH XLPE LEGION Inpatient	C1776 HCPCS	$7,120	$3,560	$4,272 – $6,052	—
1206124 - CATHETER NAVICROSS ACCEPTS .035 IN GW 4 FR INTRO SHTH L150 Inpatient	C1887 HCPCS	$871	$436	$523 – $741	—
1212406 - DRESSING WND MTRX PROMOGRAN 4.34SQ IN HEX Inpatient	A6021 HCPCS	$34.28	$17.14	$20.57 – $29.14	—
1244130 - PROTECTOR NRV 4MM 2 BRCH 15MM END TAB AXOGUARD NRV CAP SIS Inpatient	C1763 HCPCS	$9,312	$4,656	$5,587 – $7,915	—
1244435 - SPHERE GLND STD CANNULATED OD39 MM TORNIER PERFORM REVERSED Inpatient	C1776 HCPCS	$10,231	$5,116	$6,139 – $8,697	—
1245808 - DRILL SURG OD2.8 MM FFN FNN Inpatient	0272 RC	$494	$247	$296 – $420	—
1246122 - BASEPLATE TIB 7 KN CEMENT REV FX BRNG ATTUNE Inpatient	C1776 HCPCS	$8,987	$4,494	$5,392 – $7,639	—
1246814 - KIT BIOPSY TREK 10GA 10CM BN MRW AUTOMATIC BRK CNTRL NDL Inpatient	0272 RC	$837	$419	$502 – $712	—
1246815 - KIT BIOPSY TREK 11GA 15CM BN MRW AUTOMATIC BRK CNTRL NDL Inpatient	0272 RC	$799	$399	$479 – $679	—
1247027 - COIL L8 CM OD2 MM HELICAL XTRA PK HELICAL EMBL PRESTIGE PLUS Inpatient	0278 RC	$3,712	$1,856	$2,227 – $3,155	—
1247458 - STAPLER INTERNAL 30MMX8MM SUREFORM STRL LF DISP Inpatient	0278 RC	$1,016	$508	$610 – $864	—
3012427 - BRONCHOSCOPE FLXB 180 D SLIM PORTABLE LTWT ERG ADV MNTR Inpatient	0272 RC	$1,171	$586	$703 – $996	—
FLT3 EXON 14/15 BY PCR Inpatient	81245 CPT	$735	$368	$441 – $625	—
OTHER DISORDERS OF THE EYE WITH MCC OR THROMBOLYTIC AGENT Inpatient	124 MS-DRG	—	—	$19,608 – $31,627	—