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.

86 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	—
1028647 - SHELL ACTB HIP 56MM G7 F HMSPHR 4 HOLE CLR CD Inpatient	C1776 HCPCS	$9,388	$4,694	$5,633 – $7,980	—
1033277 - SHELL ACTB OD52 MM HIP PRCT PINNACLE 100 SERIES Inpatient	C1776 HCPCS	$7,197	$3,599	$4,318 – $6,118	—
1033279 - SHELL ACTB OD56 MM HIP PRCT PINNACLE 100 SERIES Inpatient	C1776 HCPCS	$7,197	$3,599	$4,318 – $6,118	—
1033401 - CUP ACTB OD50 MM PINNACLE SECTOR HIP GRIPTION Inpatient	C1776 HCPCS	$10,286	$5,143	$6,172 – $8,743	—
1033429 - LINER ACTB OD56 MM ID49 MM PINNACLE 2 MBL HIP Inpatient	C1776 HCPCS	$9,915	$4,958	$5,949 – $8,428	—
1033802 - LINER ACTB OD58 MM ID36 MM NTRL ALTRX PINNACLE HIP Inpatient	C1776 HCPCS	$6,564	$3,282	$3,938 – $5,579	—
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	—
1040026 - STEM XTN 150MM 18MM CEMENT OSS KN FEM IM Inpatient	C1776 HCPCS	$7,566	$3,783	$4,539 – $6,431	—
1040061 - COMPONENT FEM 5 KN RT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040075 - COMPONENT FEM 6 KN RT CRCTE RTN CEMENTLESS POROCOAT ATTUNE Inpatient	C1776 HCPCS	$19,777	$9,889	$11,866 – $16,811	—
1040122 - COMPONENT FEM 7 KN LT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040129 - COMPONENT FEM 6 NAR KN LT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040132 - COMPONENT FEM 6 KN RT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040133 - COMPONENT FEM 7 KN RT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040135 - COMPONENT FEM 10 KN RT CRCTE RTN CEMENT ATTUNE Inpatient	C1776 HCPCS	$15,392	$7,696	$9,235 – $13,083	—
1040151 - BEARING TIB KN 12MM OSS UHMWPE STD STRL Inpatient	C1776 HCPCS	$4,742	$2,371	$2,845 – $4,031	—
1040246 - BUSHING FEM OSS KN PE AUX Inpatient	C1776 HCPCS	$893	$446	$536 – $759	—
1083346 - SURFACE ARTIC H16 MM PERSONA 7-9 C-D KN LT CNDLR CONSTRAIN Inpatient	C1776 HCPCS	$8,383	$4,191	$5,030 – $7,125	—
1083458 - AUGMENT FEM CENTRAL KN PERSONA MED CONE Inpatient	C1776 HCPCS	$17,005	$8,502	$10,203 – $14,454	—
1084975 - INSERT KN RT 6-7 C-D 10MM PERSONA VIVACIT-E ARTC Inpatient	C1776 HCPCS	$2,635	$1,317	$1,581 – $2,239	—
1084977 - SURFACE ARTC 11MM PERSONA MEDIAL CONGRUENT 6-7 CD Inpatient	C1776 HCPCS	$2,635	$1,317	$1,581 – $2,239	—
1085218 - BASEPLATE TIB PERSONA 5D C KN LT CEMENT STEM Inpatient	C1776 HCPCS	$3,114	$1,557	$1,868 – $2,646	—
1085219 - BASEPLATE TIB PERSONA 5D C KN RT CEMENT STEM Inpatient	C1776 HCPCS	$3,114	$1,557	$1,868 – $2,646	—
1085223 - BASEPLATE TIB 5 D E KN RT CEMENT PERSONA STEMMED Inpatient	C1776 HCPCS	$3,114	$1,557	$1,868 – $2,646	—
1085256 - COMPONENT PTLR 35MM PERSONA ALL POLY KN STRL LF Inpatient	C1776 HCPCS	$1,525	$762	$915 – $1,296	—
1085313 - AUGMENT FEM 5MM PERSONA 9 9 KN DIST STRL LF Inpatient	C1776 HCPCS	$3,688	$1,844	$2,213 – $3,135	—
1085337 - STEM TIB 75 MM 14MM REV SMTH STRGT PERSONA KN Inpatient	C1776 HCPCS	$5,398	$2,699	$3,239 – $4,589	—
1096645 - BASEPLATE GLND L30 MM RSP P2 SHLDR Inpatient	C1776 HCPCS	$5,269	$2,635	$3,161 – $4,479	—