▸ Hospital · WI · CCN 520034

Aurora Medical Ctr Manitowoc County

5000 MEMORIAL DRIVE, TWO RIVERS, WI, 54241-2399

63 bedsAcute Care Hospitals2

Compliance grade

100/100

Procedures tracked

180

of 209 target codes

Payers

with negotiated rates

Rates published

40,898

last crawl 2026-05-24

▸ Compare with other hospitals All WI hospitals JSON Full cost report on HCRIS.io →

Source MRF: https://sthpiprd.blob.core.windows.net/machine-readable-files/11248/391211629_aurora-medical-center-manitowoc_standardcharges.csv · CSV

Procedures & rates

Procedure	Type	Code	Payers	Gross	Cash	Neg min	Neg median	Neg max
behavioral
Psychoses	MS-DRG	885	16	—	—	$1,337	$26,078	$31,575
emergency
ED visit level 1	CPT	99281	18	$470	$235	$75	$300	$2,200
ED visit level 2	CPT	99282	18	$940	$470	$177	$459	$2,200
ED visit level 3	CPT	99283	18	$1,880	$940	$252	$1,029	$2,200
ED visit level 4	CPT	99284	18	$1,860	$930	$327	$1,581	$3,627
ED visit level 5	CPT	99285	18	$2,930	$1,465	$402	$2,344	$3,627
Critical care, first hour	CPT	99291	7	$4,750	$2,375	$1,985	$3,800	$4,037.5
imaging
CT head without contrast	CPT	70450	18	$2,940	$1,470	$475	$1,014	$2,499
CT head with contrast	CPT	70460	18	$3,140	$1,570	$475	$1,014	$2,669
CT head with and without contrast	CPT	70470	18	$4,610	$2,305	$475	$1,014	$3,918.5
CT neck with contrast	CPT	70491	18	$3,140	$1,570	$475	$1,014	$2,669
MRI brain without contrast	CPT	70551	18	$4,220	$2,110	$650	$1,352	$3,587
MRI brain with contrast	CPT	70552	18	$4,420	$2,210	$650	$1,352	$3,757
MRI brain with and without contrast	CPT	70553	18	$6,530	$3,265	$650	$1,352	$5,550.5
Chest X-ray single view	CPT	71045	18	$345	$172.5	$200	$290.49	$460
Chest X-ray 2 views	CPT	71046	18	$420	$210	$200	$328	$460
Chest X-ray 3 views	CPT	71047	18	$530	$265	$200	$336	$460
CT chest without contrast	CPT	71250	18	$2,940	$1,470	$475	$1,014	$2,499
CT chest with contrast	CPT	71260	18	$3,140	$1,570	$475	$1,014	$2,669
CT chest with and without contrast	CPT	71270	18	$4,610	$2,305	$475	$1,014	$3,918.5
MRI chest without contrast	CPT	71550	18	$4,220	$2,110	$650	$1,352	$3,587
MRI chest with and without contrast	CPT	71552	18	$6,530	$3,265	$650	$1,352	$5,550.5
Lumbosacral spine X-ray	CPT	72100	18	$585	$292.5	$200	$339	$497.25
CT cervical spine without contrast	CPT	72125	18	$2,940	$1,470	$475	$1,014	$2,499
CT thoracic spine without contrast	CPT	72128	18	$2,940	$1,470	$475	$1,014	$2,499
CT lumbar spine without contrast	CPT	72131	18	$2,940	$1,470	$475	$1,014	$2,499
MRI cervical spine without contrast	CPT	72141	18	$4,220	$2,110	$650	$1,352	$3,587
MRI thoracic spine without contrast	CPT	72146	18	$4,220	$2,110	$650	$1,352	$3,587
MRI lumbar spine without contrast	CPT	72148	18	$4,220	$2,110	$650	$1,352	$3,587
MRI lumbar spine with and without contrast	CPT	72149	18	$4,420	$2,210	$650	$1,352	$3,757
MRI cervical spine with and without contrast	CPT	72156	18	$6,530	$3,265	$650	$1,352	$5,550.5
MRI lumbar spine with contrast	CPT	72158	18	$6,530	$3,265	$650	$1,352	$5,550.5
CT pelvis without contrast	CPT	72192	18	$2,940	$1,470	$475	$1,014	$2,499
CT pelvis with contrast	CPT	72193	18	$3,140	$1,570	$475	$1,014	$2,669
Shoulder X-ray	CPT	73030	18	$1,440	$720	$200	$460	$1,224
Humerus X-ray	CPT	73060	18	$1,180	$590	$200	$442.5	$1,003
Hand X-ray 3 views	CPT	73130	18	$1,610	$805	$200	$483	$1,368.5
MRI upper extremity joint without contrast	CPT	73221	18	$4,220	$2,110	$650	$1,352	$3,587
MRI upper extremity joint with and without contrast	CPT	73223	18	$6,530	$3,265	$650	$1,352	$5,550.5
Knee X-ray 1-2 views	CPT	73560	18	$1,190	$595	$200	$446.25	$1,011.5
Ankle X-ray 3 views	CPT	73610	18	$1,260	$630	$200	$460	$1,071
MRI lower extremity joint without contrast	CPT	73721	18	$4,220	$2,110	$650	$1,352	$3,587
MRI lower extremity joint with and without contrast	CPT	73723	18	$6,530	$3,265	$650	$1,352	$5,550.5
CT abdomen without contrast	CPT	74150	18	$2,940	$1,470	$475	$1,014	$2,499
CT abdomen with contrast	CPT	74160	18	$3,140	$1,570	$475	$1,014	$2,669
CT abdomen with and without contrast	CPT	74170	18	$4,610	$2,305	$475	$1,014	$3,918.5
CT abdomen and pelvis without contrast	CPT	74176	18	$5,880	$2,940	$475	$1,014	$4,998
CT abdomen and pelvis with contrast	CPT	74177	18	$6,280	$3,140	$475	$1,014	$5,338
CT abdomen and pelvis with and without contrast	CPT	74178	18	$9,220	$4,610	$475	$1,014	$7,837
MRI abdomen without contrast	CPT	74181	18	$4,220	$2,110	$650	$1,352	$3,587
MRI abdomen with and without contrast	CPT	74183	18	$6,530	$3,265	$650	$1,352	$5,550.5
Abdominal ultrasound complete	CPT	76700	18	$1,030	$515	$300	$526	$875.5
Abdominal ultrasound limited	CPT	76705	18	$775	$387.5	$300	$525	$700
Retroperitoneal ultrasound complete	CPT	76770	18	$1,130	$565	$300	$526	$960.5
Obstetric ultrasound first trimester	CPT	76801	18	$1,070	$535	$300	$526	$909.5
Obstetric ultrasound after first trimester	CPT	76805	18	$1,320	$660	$300	$526	$1,122
Transvaginal ultrasound	CPT	76830	18	$565	$282.5	$300	$452	$700
Pelvic ultrasound complete	CPT	76856	18	$1,080	$540	$300	$526	$918
Scrotal ultrasound	CPT	76870	18	$1,190	$595	$300	$526	$1,011.5
Diagnostic mammography unilateral	CPT	77065	18	$440	$220	$200	$306	$374
Screening mammography bilateral	CPT	77067	18	$365	$182.5	$200	$292	$360
EKG tracing only	CPT	93005	18	$280	$140	$140	$227	$310
Transthoracic echocardiogram complete	CPT	93306	18	$2,960	$1,480	$1,375	$2,062.5	$2,958
Transthoracic echocardiogram	CPT	93307	18	$2,020	$1,010	$960	$1,440	$2,958
inpatient
Intracranial hemorrhage/CVA w MCC	MS-DRG	064	16	—	—	$29,914	$36,800	$44,558
Intracranial hemorrhage/CVA w CC	MS-DRG	065	16	—	—	$15,292	$18,813	$22,779
Intracranial hemorrhage/CVA w/o CC/MCC	MS-DRG	066	16	—	—	$10,351	$12,734	$15,418
Respiratory infections & inflammations w MCC	MS-DRG	177	16	—	—	$24,309	$29,905	$36,210
COPD w MCC	MS-DRG	190	16	—	—	$16,888	$20,776	$25,155
COPD w CC	MS-DRG	191	16	—	—	$12,919	$15,893	$19,244
COPD w/o CC/MCC	MS-DRG	192	16	—	—	$9,732.59	$11,973	$14,497
Simple pneumonia & pleurisy w CC	MS-DRG	194	16	—	—	$12,331	$15,170	$18,368
Simple pneumonia & pleurisy w/o CC/MCC	MS-DRG	195	16	—	—	$9,364.16	$11,520	$13,948
AMI discharged alive w MCC	MS-DRG	280	16	—	—	$24,683	$30,366	$36,767
AMI discharged alive w CC	MS-DRG	281	16	—	—	$13,862	$17,053	$20,648
AMI discharged alive w/o CC/MCC	MS-DRG	282	16	—	—	$10,904	$13,414	$16,242
Heart failure & shock w MCC	MS-DRG	291	16	—	—	$19,622	$24,139	$29,228
Heart failure & shock w CC	MS-DRG	292	16	—	—	$12,951	$15,932	$19,291
Heart failure & shock w/o CC/MCC	MS-DRG	293	16	—	—	$8,251.35	$10,151	$12,291
Cardiac arrhythmia w MCC	MS-DRG	308	16	—	—	$18,134	$22,309	$27,012
Cardiac arrhythmia w CC	MS-DRG	309	16	—	—	$11,118	$13,677	$16,560
Cardiac arrhythmia w/o CC/MCC	MS-DRG	310	16	—	—	$8,413.76	$10,351	$12,533
GI hemorrhage w CC	MS-DRG	378	16	—	—	$14,826	$18,239	$22,084
GI hemorrhage w/o CC/MCC	MS-DRG	379	16	—	—	$9,574.69	$11,779	$14,262
Esophagitis/gastroenteritis w/o MCC	MS-DRG	392	16	—	—	$11,734	$14,436	$17,479
Fractures of femur w/o MCC	MS-DRG	533	16	—	—	$22,931	$28,211	$34,158
Kidney/UTI w MCC	MS-DRG	689	16	—	—	$17,599	$21,651	$26,215
Kidney/UTI w/o MCC	MS-DRG	690	16	—	—	$12,070	$14,848	$17,978
Septicemia or severe sepsis w MV 96+ hrs	MS-DRG	871	16	—	—	$29,506	$36,299	$43,951
Septicemia or severe sepsis w/o MV 96+ hrs	MS-DRG	872	16	—	—	$15,504	$19,074	$23,094
lab
Basic metabolic panel (BMP)	CPT	80048	18	$235	$117.5	$6.77	$24.84	$199.75
General health panel	CPT	80050	5	—	—	$37.82	$41.41	$130.5
Electrolyte panel	CPT	80051	18	$115	$57.5	$5.61	$51	$97.75
Comprehensive metabolic panel	CPT	80053	18	$315	$157.5	$8.45	$31.17	$267.75
Lipid panel	CPT	80061	18	$250	$125	$10.71	$111	$212.5
Renal function panel	CPT	80069	18	$285	$142.5	$6.94	$25.8	$242.25
Hepatic function panel	CPT	80076	18	$280	$140	$6.54	$24.12	$238
Urinalysis non-automated	CPT	81002	18	$30	$15	$2.78	$10.5	$25.5
Urinalysis automated	CPT	81003	18	$50	$25	$1.8	$6.69	$42.5
Glucose quantitative	CPT	82947	18	$55	$27.5	$3.14	$27	$46.75
Hemoglobin A1c	CPT	83036	18	$165	$82.5	$7.77	$34.08	$140.25
Thyroid stimulating hormone (TSH)	CPT	84443	18	$210	$105	$13.44	$42	$178.5
Complete blood count with automated differential	CPT	85025	18	$140	$70	$6.22	$22.95	$119
Complete blood count without differential	CPT	85027	18	$100	$50	$5.18	$19.11	$85
Urine culture bacterial	CPT	87086	18	$160	$80	$6.46	$23.88	$136
Urine culture identification	CPT	87088	18	$160	$80	$6.47	$93	$136
Tissue exam by pathologist level IV	CPT	88305	18	$615	$307.5	$57.17	$369	$522.75
maternity
Fetal non-stress test	CPT	59025	18	$550	$275	$132.5	$330	$14,482
Routine obstetric care including vaginal delivery	CPT	59400	13	—	—	$5,692	$10,544	$14,482
Vaginal delivery only	CPT	59409	14	—	—	$1,894	$7,492	$8,773
Vaginal delivery with postpartum	CPT	59410	13	—	—	$1,894	$9,888.5	$14,038
Routine obstetric care with C-section	CPT	59510	13	—	—	$5,692	$16,632	$19,887
C-section delivery only	CPT	59514	13	—	—	$5,692	$18,765	$25,737
C-section with postpartum	CPT	59515	13	—	—	$5,692	$16,632	$19,887
office
Office visit, new patient, 15-29 min	CPT	99202	18	$260	$130	$65	$93	$221
Office visit, new patient, 30-44 minutes	CPT	99203	18	$340	$170	$65	$93	$289
Office visit, new patient, 45-59 min	CPT	99204	18	$410	$205	$65	$93	$348.5
Office visit, new patient, 60-74 min	CPT	99205	18	$545	$272.5	$65	$93	$463.25
Office visit, established patient, 5 min	CPT	99211	18	$210	$105	$60	$84.6	$178.5
Office visit, established patient, 10-19 min	CPT	99212	18	$260	$130	$65	$93	$221
Office visit, established patient, 20-29 minutes	CPT	99213	18	$340	$170	$65	$93	$289
Office visit, established patient, 30-39 minutes	CPT	99214	18	$410	$205	$65	$93	$348.5
Office visit, established patient, 40-54 min	CPT	99215	18	$475	$237.5	$65	$93	$403.75
preventive
Upper GI endoscopy diagnostic	CPT	43235	15	—	—	$1,894	$2,955	$4,387
Upper GI endoscopy with biopsy	CPT	43239	15	—	—	$1,979	$2,976	$6,800
Sigmoidoscopy diagnostic	CPT	45330	15	—	—	$1,183	$2,115	$3,500
Sigmoidoscopy with biopsy	CPT	45331	15	—	—	$1,183	$2,115	$3,500
Colonoscopy diagnostic	CPT	45378	15	—	—	$1,979	$2,976	$6,800
Colonoscopy with biopsy	CPT	45380	15	—	—	$1,979	$2,976	$6,800
Colonoscopy with polyp removal	CPT	45385	15	—	—	$1,979	$2,976	$6,800
surgery
Total shoulder arthroplasty	CPT	23472	14	—	—	$8,466	$18,759	$25,737
Hip hemiarthroplasty	CPT	27125	13	—	—	$9,580	$17,588	$25,737
Total hip replacement	CPT	27130	14	—	—	$9,580	$18,759	$25,737
Total knee replacement	CPT	27447	14	—	—	$9,580	$18,875	$25,737
Knee revision arthroplasty single component	CPT	27486	13	—	—	$9,580	$18,759	$25,737
Knee revision arthroplasty all components	CPT	27487	13	—	—	$9,580	$18,759	$25,737
Shoulder arthroscopy with decompression	CPT	29826	15	—	—	$1,291	$1,950	$14,586
Shoulder arthroscopy with rotator cuff repair	CPT	29827	15	—	—	$8,466	$13,752	$16,378
Knee arthroscopy with meniscectomy	CPT	29881	15	—	—	$7,978	$9,953	$13,500
ACL reconstruction	CPT	29888	15	—	—	$6,461	$13,050	$16,378
Major small/large bowel procedures w MCC	MS-DRG	329	16	—	—	$69,053	$84,950	$102,859
Major small/large bowel procedures w CC	MS-DRG	330	16	—	—	$35,545	$43,728	$52,947
Major small/large bowel procedures w/o CC/MCC	MS-DRG	331	16	—	—	$24,828	$30,544	$36,982
CABG single arterial graft	CPT	33533	14	—	—	$14,482	$18,595	$25,737
CABG 2 arterial grafts	CPT	33534	14	—	—	$14,482	$18,595	$25,737
CABG 3 arterial grafts	CPT	33535	14	—	—	$14,482	$18,595	$25,737
CABG 4+ arterial grafts	CPT	33536	14	—	—	$14,482	$18,595	$25,737
Laparoscopic cholecystectomy w/o CDE w MCC	MS-DRG	418	16	—	—	$24,939	$30,680	$37,148
Laparoscopic cholecystectomy w/o CDE w CC	MS-DRG	419	16	—	—	$19,814	$24,376	$29,514
Laparoscopic cholecystectomy w/o CDE w/o CC/MCC	MS-DRG	420	16	—	—	$53,077	$65,296	$79,061
Open appendectomy	CPT	44950	14	—	—	$7,978	$9,917.5	$12,444
Laparoscopic appendectomy	CPT	44970	15	—	—	$6,461	$13,500	$16,378
Major joint replacement w MCC	MS-DRG	469	16	—	—	$44,951	$54,587	$71,911
Major joint replacement w/o MCC	MS-DRG	470	16	—	—	$25,929	$31,488	$41,481
Laparoscopic cholecystectomy	CPT	47562	15	—	—	$8,466	$13,752	$19,000
Lap cholecystectomy with cholangiography	CPT	47563	15	—	—	$8,466	$13,752	$19,000
Hip & femur procedures except major joint w MCC	MS-DRG	480	16	—	—	$44,227	$54,409	$65,878
Hip & femur procedures except major joint w CC	MS-DRG	481	16	—	—	$31,202	$38,386	$46,478
Hip & femur procedures except major joint w/o CC/MCC	MS-DRG	482	16	—	—	$23,856	$29,348	$35,535
Lap inguinal hernia repair	CPT	49650	15	—	—	$8,243	$13,500	$16,378
Total abdominal hysterectomy	CPT	58150	14	—	—	$9,882	$17,346	$25,737
Vaginal hysterectomy	CPT	58260	15	—	—	$8,456	$11,150	$19,000
Lap-assisted vaginal hysterectomy	CPT	58550	15	—	—	$9,580	$13,752	$19,000
Lap-assisted vaginal hysterectomy >250g	CPT	58552	15	—	—	$11,037	$13,752	$16,378
Lap salpingo-oophorectomy	CPT	58661	15	—	—	$8,466	$13,752	$16,378
OR procedure for obesity w MCC	MS-DRG	619	16	—	—	$41,001	$50,157	$61,074
OR procedure for obesity w CC	MS-DRG	620	16	—	—	$24,016	$29,378	$35,773
OR procedure for obesity w/o CC/MCC	MS-DRG	621	16	—	—	$21,983	$26,891	$32,744
Complex cataract surgery	CPT	66982	15	—	—	$2,789	$3,350	$17,500
Cataract surgery with lens implant	CPT	66984	15	—	—	$2,789	$3,350	$17,500
Intravitreal injection	CPT	67028	15	—	—	$1,183	$1,789	$3,500
Vitrectomy mechanical	CPT	67042	15	—	—	$8,466	$11,210	$19,000
Uterine & adnexa procedures w CC/MCC	MS-DRG	743	16	—	—	$18,026	$22,176	$26,851
Uterine & adnexa procedures w/o CC/MCC	MS-DRG	744	16	—	—	$29,384	$36,149	$43,770
PCI single major coronary artery	CPT	92920	14	—	—	$11,037	$13,401	$16,378
PCI with drug-eluting stent	CPT	92928	14	—	—	$11,302	$15,345	$19,887
PCI bypass graft	CPT	92937	14	—	—	$11,302	$15,345	$19,887
Left heart catheterization	CPT	93452	14	—	—	$7,978	$10,357	$12,855
Coronary angiography with cath	CPT	93455	14	—	—	$7,978	$10,357	$12,855
Coronary angiography with bypass cath	CPT	93458	14	—	—	$7,978	$10,357	$12,855

Payer mix (top 18)

Payer	Codes covered	Median rate
quartz one	179	$1,670
aurora caregiver	179	$1,650
Aetna	179	$1,040.76
quartz group	179	$1,950
wisconsin physician service	178	$2,226
centivo	178	$1,967
common ground	178	$1,492
everpointe elite	178	$1,352
health payment systems	178	$2,300
hs technology	178	$2,138
Molina	178	$1,947
trilogy	178	$2,340
Anthem BCBS	176	$969
UnitedHealthcare	175	$1,355.62
Cigna	156	$1,573.56
healthpartners	132	$892.5
health eos	89	$620
health eos plus	89	$465