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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1197904 - STENT OD7 FR L24 CM ASCERTA URETERAL Inpatient | C1875 HCPCS | $378 | $189 | $227 – $322 | — | |
| 1197906 - STENT OD7 FR L28 CM ASCERTA URETERAL Inpatient | C2617 HCPCS | $378 | $189 | $227 – $322 | — | |
| DENGUE VIRUS AB Inpatient | 86790 CPT | $100 | $50.00 | $60.00 – $85.00 | — | |
| EXTREME IMMATURITY OR RESPIRATORY DISTRESS SYNDROME, NEONATE Inpatient | 790 MS-DRG | — | — | $3,230 – $5,402 | — | |
| NM THERAPY ORAL ADMINISTRATION Inpatient | 79005 CPT | $1,200 | $600 | $720 – $1,020 | — |