▸ Hospital · WI · CCN 520059

Aurora Medical Center Burlington

252 MCHENRY ST, BURLINGTON, WI, 53105-

43 bedsAcute Care Hospitals2
Compliance grade
A
100/100
Procedures tracked
182
of 209 target codes
Payers
18
with negotiated rates
Rates published
42,030
last crawl 2026-05-24

Procedures & rates

ProcedureTypeCodePayersGrossCashNeg minNeg medianNeg max
behavioral
PsychosesMS-DRG88516$1,337$26,546$31,923
emergency
ED visit level 1CPT9928118$470$235$75$338.4$2,200
ED visit level 2CPT9928218$940$470$324$454.68$2,200
ED visit level 3CPT9928318$1,880$940$483$1,128$2,200
ED visit level 4CPT9928418$1,190$595$714$2,180$3,627
ED visit level 5CPT9928518$1,840$920$1,104$2,180$3,627
Critical care, first hourCPT992917$2,830$1,415$1,698$2,264$3,899
imaging
CT head without contrastCPT7045018$2,940$1,470$475$1,014$2,499
CT head with contrastCPT7046018$3,140$1,570$475$1,014$2,669
CT head with and without contrastCPT7047018$4,610$2,305$475$1,014$3,918.5
CT neck with contrastCPT7049118$3,140$1,570$475$1,014$2,669
MRI brain without contrastCPT7055118$4,220$2,110$650$1,352$3,587
MRI brain with contrastCPT7055218$4,420$2,210$650$1,352$3,757
MRI brain with and without contrastCPT7055318$6,530$3,265$650$1,352$5,550.5
Chest X-ray single viewCPT7104518$330$165$198$279.18$460
Chest X-ray 2 viewsCPT7104618$385$192.5$200$315$460
Chest X-ray 3 viewsCPT7104718$485$242.5$200$336$460
CT chest without contrastCPT7125018$2,940$1,470$475$1,014$2,499
CT chest with contrastCPT7126018$3,140$1,570$475$1,014$2,669
CT chest with and without contrastCPT7127018$4,610$2,305$475$1,014$3,918.5
MRI chest without contrastCPT7155018$4,220$2,110$650$1,352$3,587
MRI chest with and without contrastCPT7155218$6,530$3,265$650$1,352$5,550.5
Lumbosacral spine X-rayCPT7210018$590$295$200$339$501.5
CT cervical spine without contrastCPT7212518$2,940$1,470$475$1,014$2,499
CT thoracic spine without contrastCPT7212818$2,940$1,470$475$1,014$2,499
CT lumbar spine without contrastCPT7213118$2,940$1,470$475$1,014$2,499
MRI cervical spine without contrastCPT7214118$4,220$2,110$650$1,352$3,587
MRI thoracic spine without contrastCPT7214618$4,220$2,110$650$1,352$3,587
MRI lumbar spine without contrastCPT7214818$4,220$2,110$650$1,352$3,587
MRI lumbar spine with and without contrastCPT7214918$4,420$2,210$650$1,352$3,757
MRI cervical spine with and without contrastCPT7215618$6,530$3,265$650$1,352$5,550.5
MRI lumbar spine with contrastCPT7215818$6,530$3,265$650$1,352$5,550.5
CT pelvis without contrastCPT7219218$2,940$1,470$475$1,014$2,499
CT pelvis with contrastCPT7219318$3,140$1,570$475$1,014$2,669
Shoulder X-rayCPT7303018$970$485$200$388$824.5
Humerus X-rayCPT7306018$1,180$590$200$442.5$1,003
Hand X-ray 3 viewsCPT7313018$820$410$200$339$697
MRI upper extremity joint without contrastCPT7322118$4,220$2,110$650$1,352$3,587
MRI upper extremity joint with and without contrastCPT7322318$6,530$3,265$650$1,352$5,550.5
Knee X-ray 1-2 viewsCPT7356018$780$390$200$329.94$663
Ankle X-ray 3 viewsCPT7361018$1,260$630$200$460$1,071
MRI lower extremity joint without contrastCPT7372118$4,220$2,110$650$1,352$3,587
MRI lower extremity joint with and without contrastCPT7372318$6,530$3,265$650$1,352$5,550.5
CT abdomen without contrastCPT7415018$2,940$1,470$475$1,014$2,499
CT abdomen with contrastCPT7416018$3,140$1,570$475$1,014$2,669
CT abdomen with and without contrastCPT7417018$4,610$2,305$475$1,014$3,918.5
CT abdomen and pelvis without contrastCPT7417618$5,880$2,940$475$1,014$4,998
CT abdomen and pelvis with contrastCPT7417718$6,280$3,140$475$1,014$5,338
CT abdomen and pelvis with and without contrastCPT7417818$9,220$4,610$475$1,014$7,837
MRI abdomen without contrastCPT7418118$4,220$2,110$650$1,352$3,587
MRI abdomen with and without contrastCPT7418318$6,530$3,265$650$1,352$5,550.5
Abdominal ultrasound completeCPT7670018$1,140$570$300$526$969
Abdominal ultrasound limitedCPT7670518$850$425$300$525$722.5
Retroperitoneal ultrasound completeCPT7677018$1,030$515$300$526$875.5
Obstetric ultrasound first trimesterCPT7680118$1,070$535$300$526$909.5
Obstetric ultrasound after first trimesterCPT7680518$1,320$660$300$526$1,122
Obstetric ultrasound with fetal anatomyCPT7681118$1,070$535$300$526$909.5
Transvaginal ultrasoundCPT7683018$995$497.5$300$526$845.75
Pelvic ultrasound completeCPT7685618$1,370$685$300$526$1,164.5
Scrotal ultrasoundCPT7687018$1,190$595$300$526$1,011.5
Diagnostic mammography unilateralCPT7706518$825$412.5$200$340$701.25
Diagnostic mammography bilateralCPT7706618$950$475$200$360$807.5
Screening mammography bilateralCPT7706718$445$222.5$200$305$378.25
EKG tracing onlyCPT9300518$315$157.5$157.5$240$310
Transthoracic echocardiogram completeCPT9330618$5,260$2,630$2,069$3,282.5$4,471
Transthoracic echocardiogramCPT9330718$3,640$1,820$1,765$2,366$3,094
inpatient
Intracranial hemorrhage/CVA w MCCMS-DRG06416$29,914$37,461$45,049
Intracranial hemorrhage/CVA w CCMS-DRG06516$15,292$19,150$23,030
Intracranial hemorrhage/CVA w/o CC/MCCMS-DRG06616$10,351$12,962$15,588
Respiratory infections & inflammations w MCCMS-DRG17716$24,309$30,442$36,609
COPD w MCCMS-DRG19016$16,888$21,148$25,433
COPD w CCMS-DRG19116$12,919$16,179$19,456
COPD w/o CC/MCCMS-DRG19216$9,732.59$12,188$14,657
Simple pneumonia & pleurisy w CCMS-DRG19416$12,331$15,442$18,571
Simple pneumonia & pleurisy w/o CC/MCCMS-DRG19516$9,364.16$11,727$14,102
AMI discharged alive w MCCMS-DRG28016$24,683$30,911$37,173
AMI discharged alive w CCMS-DRG28116$13,862$17,359$20,876
AMI discharged alive w/o CC/MCCMS-DRG28216$10,904$13,655$16,421
Heart failure & shock w MCCMS-DRG29116$19,622$24,572$29,550
Heart failure & shock w CCMS-DRG29216$12,951$16,218$19,504
Heart failure & shock w/o CC/MCCMS-DRG29316$8,251.35$10,333$12,426
Cardiac arrhythmia w MCCMS-DRG30816$18,134$22,710$27,310
Cardiac arrhythmia w CCMS-DRG30916$11,118$13,923$16,743
Cardiac arrhythmia w/o CC/MCCMS-DRG31016$8,413.76$10,537$12,671
GI hemorrhage w CCMS-DRG37816$14,826$18,566$22,328
GI hemorrhage w/o CC/MCCMS-DRG37916$9,574.69$11,990$14,419
Esophagitis/gastroenteritis w/o MCCMS-DRG39216$11,734$14,695$17,671
Fractures of femur w/o MCCMS-DRG53316$22,931$28,717$34,534
Kidney/UTI w MCCMS-DRG68916$17,599$22,039$26,504
Kidney/UTI w/o MCCMS-DRG69016$12,070$15,115$18,176
Septicemia or severe sepsis w MV 96+ hrsMS-DRG87116$29,506$36,950$44,436
Septicemia or severe sepsis w/o MV 96+ hrsMS-DRG87216$15,504$19,416$23,349
lab
Basic metabolic panel (BMP)CPT8004818$235$117.5$6.77$24.84$199.75
General health panelCPT8005018$560$280$37.82$336$476
Electrolyte panelCPT8005118$115$57.5$5.61$51$97.75
Comprehensive metabolic panelCPT8005318$315$157.5$8.45$31.17$267.75
Lipid panelCPT8006118$250$125$10.71$111$212.5
Renal function panelCPT8006918$285$142.5$6.94$25.8$242.25
Hepatic function panelCPT8007618$280$140$6.54$24.12$238
Urinalysis non-automatedCPT8100218$30$15$2.78$10.5$25.5
Urinalysis automatedCPT8100318$50$25$1.8$24$42.5
Glucose quantitativeCPT8294718$55$27.5$3.14$27$46.75
Hemoglobin A1cCPT8303618$165$82.5$7.77$34.08$140.25
Thyroid stimulating hormone (TSH)CPT8444318$210$105$13.44$42$178.5
Complete blood count with automated differentialCPT8502518$140$70$6.22$22.95$119
Complete blood count without differentialCPT8502718$100$50$5.18$19.11$85
Urine culture bacterialCPT8708618$160$80$6.46$23.88$136
Urine culture identificationCPT8708818$160$80$6.47$93$136
Tissue exam by pathologist level IVCPT8830518$615$307.5$57.17$369$522.75
maternity
Fetal non-stress testCPT5902518$550$275$132.5$330$14,482
Routine obstetric care including vaginal deliveryCPT5940013$5,692$10,544$14,482
Vaginal delivery onlyCPT5940918$4,690$2,345$1,894$5,889$8,773
Vaginal delivery with postpartumCPT5941013$1,894$9,888.5$14,038
Routine obstetric care with C-sectionCPT5951013$5,692$16,632$19,887
C-section delivery onlyCPT5951413$5,692$18,765$25,737
C-section with postpartumCPT5951513$5,692$16,632$19,887
office
Office visit, new patient, 15-29 minCPT9920218$300$150$65$93$255
Office visit, new patient, 30-44 minutesCPT9920318$360$180$65$93$306
Office visit, new patient, 45-59 minCPT9920418$540$270$65$93$459
Office visit, new patient, 60-74 minCPT9920518$620$310$65$93$527
Office visit, established patient, 5 minCPT9921118$180$90$60$84.6$153
Office visit, established patient, 10-19 minCPT9921218$240$120$65$93$204
Office visit, established patient, 20-29 minutesCPT9921318$280$140$65$93$238
Office visit, established patient, 30-39 minutesCPT9921418$340$170$65$93$289
Office visit, established patient, 40-54 minCPT9921518$390$195$65$93$331.5
preventive
Upper GI endoscopy diagnosticCPT4323515$1,894$2,955$4,387
Upper GI endoscopy with biopsyCPT4323915$1,979$2,976$6,800
Sigmoidoscopy diagnosticCPT4533015$1,183$2,115$3,500
Sigmoidoscopy with biopsyCPT4533115$1,183$2,115$3,500
Colonoscopy diagnosticCPT4537815$1,979$2,976$6,800
Colonoscopy with biopsyCPT4538015$1,979$2,976$6,800
Colonoscopy with polyp removalCPT4538515$1,979$2,976$6,800
surgery
Total shoulder arthroplastyCPT2347214$8,466$18,759$25,737
Hip hemiarthroplastyCPT2712513$9,580$17,588$25,737
Total hip replacementCPT2713014$9,580$18,759$25,737
Total knee replacementCPT2744714$9,580$18,875$25,737
Knee revision arthroplasty single componentCPT2748613$9,580$18,759$25,737
Knee revision arthroplasty all componentsCPT2748713$9,580$18,759$25,737
Shoulder arthroscopy with decompressionCPT2982615$1,291$1,950$14,586
Shoulder arthroscopy with rotator cuff repairCPT2982715$8,466$13,752$16,378
Knee arthroscopy with meniscectomyCPT2988115$7,978$9,953$13,500
ACL reconstructionCPT2988815$6,461$13,050$16,378
Major small/large bowel procedures w MCCMS-DRG32916$69,053$86,475$103,993
Major small/large bowel procedures w CCMS-DRG33016$35,545$44,513$53,531
Major small/large bowel procedures w/o CC/MCCMS-DRG33116$24,828$31,092$37,390
CABG single arterial graftCPT3353314$14,482$18,595$25,737
CABG 2 arterial graftsCPT3353414$14,482$18,595$25,737
CABG 3 arterial graftsCPT3353514$14,482$18,595$25,737
CABG 4+ arterial graftsCPT3353614$14,482$18,595$25,737
Laparoscopic cholecystectomy w/o CDE w MCCMS-DRG41816$24,939$31,231$37,558
Laparoscopic cholecystectomy w/o CDE w CCMS-DRG41916$19,814$24,813$29,840
Laparoscopic cholecystectomy w/o CDE w/o CC/MCCMS-DRG42016$53,077$66,468$79,933
Open appendectomyCPT4495014$7,978$9,917.5$12,444
Laparoscopic appendectomyCPT4497015$6,461$13,500$16,378
Major joint replacement w MCCMS-DRG46916$44,951$54,587$71,911
Major joint replacement w/o MCCMS-DRG47016$25,929$31,488$41,481
Laparoscopic cholecystectomyCPT4756215$8,466$13,752$19,000
Lap cholecystectomy with cholangiographyCPT4756315$8,466$13,752$19,000
Hip & femur procedures except major joint w MCCMS-DRG48016$44,227$55,385$66,605
Hip & femur procedures except major joint w CCMS-DRG48116$31,202$39,075$46,990
Hip & femur procedures except major joint w/o CC/MCCMS-DRG48216$23,856$29,875$35,927
Lap inguinal hernia repairCPT4965015$8,243$13,500$16,378
Total abdominal hysterectomyCPT5815014$9,882$17,346$25,737
Vaginal hysterectomyCPT5826015$8,456$11,150$19,000
Lap-assisted vaginal hysterectomyCPT5855015$9,580$13,752$19,000
Lap-assisted vaginal hysterectomy >250gCPT5855215$11,037$13,752$16,378
Lap salpingo-oophorectomyCPT5866115$8,466$13,752$16,378
OR procedure for obesity w MCCMS-DRG61916$41,001$50,157$61,074
OR procedure for obesity w CCMS-DRG62016$24,016$29,378$35,773
OR procedure for obesity w/o CC/MCCMS-DRG62116$21,983$26,891$32,744
Complex cataract surgeryCPT6698215$2,789$3,350$17,500
Cataract surgery with lens implantCPT6698415$2,789$3,350$17,500
Intravitreal injectionCPT6702815$1,183$1,789$3,500
Vitrectomy mechanicalCPT6704215$8,466$11,210$19,000
Uterine & adnexa procedures w CC/MCCMS-DRG74316$18,026$22,574$27,147
Uterine & adnexa procedures w/o CC/MCCMS-DRG74416$29,384$36,798$44,252
PCI single major coronary arteryCPT9292014$11,037$13,401$16,378
PCI with drug-eluting stentCPT9292814$11,302$15,345$19,887
PCI bypass graftCPT9293714$11,302$15,345$19,887
Left heart catheterizationCPT9345214$7,978$10,357$12,855
Coronary angiography with cathCPT9345514$7,978$10,357$12,855
Coronary angiography with bypass cathCPT9345814$7,978$10,357$12,855

Payer mix (top 18)

PayerCodes coveredMedian rate
Aetna182$978.81
aurora caregiver181$2,184
centivo181$1,967
wisconsin physician service181$2,226
health payment systems181$2,300
hs technology181$2,138
Molina181$1,825
quartz group181$1,950
quartz one181$1,670
trilogy181$2,340
common ground181$1,492
everpointe elite181$1,352
Anthem BCBS179$969
UnitedHealthcare177$1,001.98
Cigna159$1,159.02
healthpartners136$802.5
health eos93$658
health eos plus93$493.5