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.

13 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
1069149 - GUIDEWIRE ORTHO L200 MM DRILL TIP OD2.5 MM STNLS STL TOMOFIX Inpatient	C1769 HCPCS	$231	$115	$138 – $196	—
1088182 - GRAFT SOFT TISS BIOCLEANSE L200 MM FRESH FRZN PERONEUS TNDN Inpatient	C1762 HCPCS	$6,059	$3,030	$3,636 – $5,150	—
1154236 - FIBER LSR MOSES 80HZ 60W 2J 200UM DL LTHTRP Inpatient	C1889 HCPCS	$2,667	$1,333	$1,600 – $2,267	—
1181200 - CATHETER DRN 8.5FR 25CM 6 SDPRT LOCK LOOP RADOPQ MP MAC-LOC Inpatient	C1729 HCPCS	$542	$271	$325 – $461	—
1183506 - GUIDEWIRE ENDO SAVARY-GILLIARD L200 CM FLXB TIP STNLS STL Inpatient	C1769 HCPCS	$532	$266	$319 – $453	—
1197533 - BALLOON RTRVL XTRT PRO RX 200CM 6-7FR 9-12MM BIL 3 LUM ABV Inpatient	C1726 HCPCS	$632	$316	$379 – $537	—
1198310 - MESH UPSYLON 35.4CM THK200UM 2.8SQ MM Y LTWT LG PORE SURG 25 Inpatient	C1763 HCPCS	$5,281	$2,641	$3,169 – $4,489	—
1205914 - NEEDLE ASP SINGLE USE ASP NDL NA-U200H OD2.6 MM ODSEC19 GA Inpatient	C1889 HCPCS	$1,639	$819	$983 – $1,393	—
CIPROFLOXACIN IN D5W 400 MG-200ML IV SOLN Inpatient	J0744 HCPCS	$80.87	$40.44	$48.52 – $68.74	—
CYCLIC CITRULLINTED PEPTIDE AB Inpatient	86200 CPT	$160	$80.00	$96.00 – $136	—
DIFICID 200 MG PO TABS Inpatient	0250 RC	$776	$388	$466 – $660	—
ISOVUE-M 200 41 % IJ SOLN Inpatient	Q9966 HCPCS	$23.79	$11.90	$14.27 – $20.22	—
NEXTERONE 360-4.14 MG-200ML-% IV SOLN Inpatient	J0283 HCPCS	$22.43	$11.22	$13.46 – $19.07	—