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)
1041540 - SYSTEM COR STENT L38 MM OD2.5 MM XIENCE SIERRA RPD EXCH Inpatient	C1874 HCPCS	$1,670	$835	$1,002 – $1,419	—
1041575 - SYSTEM COR STENT L23 MM OD3.5 MM XIENCE SIERRA RPD EXCH Inpatient	C1874 HCPCS	$2,635	$1,317	$1,581 – $2,239	—
1088214 - STENT OD2.25 MM L9 MM ORSIRO MISSION L140 CM COR Inpatient	C1874 HCPCS	$1,331	$666	$799 – $1,131	—
1088225 - STENT OD4 MM L13 MM ORSIRO MISSION L140 CM COR Inpatient	C1874 HCPCS	$1,331	$666	$799 – $1,131	—
1088233 - STENT OD2.5 MM L18 MM ORSIRO MISSION L140 CM COR Inpatient	C1874 HCPCS	$1,331	$666	$799 – $1,131	—
1153972 - STENT NTNL OD16 MM VNS L80 MM SELF EXPAND 3 AXIAL SHAFT HMST Inpatient	C1876 HCPCS	$10,059	$5,030	$6,035 – $8,550	—
1175667 - GRAFT EPICORD 3X5CM 15SQ CM SFT TIS AMNIO EPTH WHARTONS Inpatient	Q4187 HCPCS	$1,016	$508	$609 – $863	—
1177726 - GRAFT EPICORD EXPAND 2X3CM 6SQ CM SFT TIS AMNIO EPTH WHART Inpatient	Q4187 HCPCS	$1,077	$538	$646 – $915	—
1187702 - CATHETER 6FR RBR3.5 CRV 100CM CONVEY LG INNER LUM RADOPQ Inpatient	C1887 HCPCS	$235	$117	$141 – $200	—
1187754 - CATHETER 7FR AL1 CRV 100CM CONVEY LG INNER LUM RADOPQ ULTHN Inpatient	C1887 HCPCS	$235	$117	$141 – $200	—
1188413 - STENT SYNERGY XD MNRL 4MM 12MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,912	$956	$1,147 – $1,625	—
1188427 - STENT SYNERGY XD MNRL 3MM 20MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$1,912	$956	$1,147 – $1,625	—
1188433 - STENT SYNERGY XD MNRL 2.5MM 24MM DLV SYS 1 ACC PORT RADOPQ Inpatient	C1874 HCPCS	$2,994	$1,497	$1,796 – $2,545	—
1188508 - STENT SYNERGY MEGATRON 4.5MM 12MM EVEROLIMUS PLATINUM CR LV Inpatient	C1874 HCPCS	$3,832	$1,916	$2,299 – $3,257	—
1197899 - STENT OD6 FR L24 CM ASCERTA URETERAL Inpatient	C1875 HCPCS	$378	$189	$227 – $322	—
1197904 - STENT OD7 FR L24 CM ASCERTA URETERAL Inpatient	C1875 HCPCS	$378	$189	$227 – $322	—
1238466 - STENT SYNERGY MEGATRON 4MM 12MM EVEROLIMUS PLATINUM CR LV Inpatient	C1874 HCPCS	$3,832	$1,916	$2,299 – $3,257	—
3039713 - STENT VIABAHN 8FR L135 CM VBX BA PPM EXPANDABLE CATH HEP Inpatient	C1874 HCPCS	$14,263	$7,131	$8,558 – $12,123	—