Aurora Medical Center Manitowoc
Aurora Medical Center Manitowoc in Two Rivers, WI publishes cash prices for 35 common procedures listed here, from its own machine-readable price file updated Nov 21, 2025. Click a procedure to compare it with other hospitals nearby.
5000 Memorial Dr, Two Rivers, WI 54241 Collected Sep 23, 2026 Source price file
Scans and imaging
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 CT ABDOMEN & PELVIS W/DYE | $3,140.00 | $6,280.00 | 50% |
| CT scan of abdomen and pelvis, with contrast dye inpatient CPT 74177 CT ABDOMEN & PELVIS W/DYE | $3,140.00 | $6,280.00 | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 CT HEAD W/O DYE | $1,470.00 | $2,940.00 | 50% |
| CT scan of the head or brain, no contrast dye inpatient CPT 70450 CT HEAD W/O DYE | $1,470.00 | $2,940.00 | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 CT PELVIS W/DYE | $1,570.00 | $3,140.00 | 50% |
| CT scan of the pelvis, with contrast dye inpatient CPT 72193 CT PELVIS W/DYE | $1,570.00 | $3,140.00 | 50% |
| Diagnostic mammogram, one breast one side CPT 77065 MAMMOGRAM DX UNILATERAL | $220.00 | $440.00 | 50% |
| Diagnostic mammogram, one breast inpatient one side CPT 77065 MAMMOGRAM DX UNILATERAL | $220.00 | $440.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye CPT 73721 MR LOWER EXTREM JOINT W/O DYE | $2,110.00 | $4,220.00 | 50% |
| MRI of knee or other lower-limb joint, no contrast dye inpatient CPT 73721 MR LOWER EXTREM JOINT W/O DYE | $2,110.00 | $4,220.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye CPT 73723 MR LOWER EXTREM JOINT W/WO DYE | $3,265.00 | $6,530.00 | 50% |
| MRI of knee or other lower-limb joint, without and then with contrast dye inpatient CPT 73723 MR LOWER EXTREM JOINT W/WO DYE | $3,265.00 | $6,530.00 | 50% |
| MRI of the brain, no contrast dye CPT 70551 MR BRAIN W/O DYE | $2,110.00 | $4,220.00 | 50% |
| MRI of the brain, no contrast dye inpatient CPT 70551 MR BRAIN W/O DYE | $2,110.00 | $4,220.00 | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 MR BRAIN W/WO DYE | $3,265.00 | $6,530.00 | 50% |
| MRI of the brain, with and without contrast dye inpatient CPT 70553 MR BRAIN W/WO DYE | $3,265.00 | $6,530.00 | 50% |
| MRI of the lower back, no contrast dye CPT 72148 MR L SPINE WO DYE | $2,110.00 | $4,220.00 | 50% |
| MRI of the lower back, no contrast dye inpatient CPT 72148 MR L SPINE WO DYE | $2,110.00 | $4,220.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby CPT 76805 US OB >/=14 WK SINGLE FETUS | $660.00 | $1,320.00 | 50% |
| Pregnancy ultrasound after 14 weeks, one baby inpatient CPT 76805 US OB >/=14 WK SINGLE FETUS | $660.00 | $1,320.00 | 50% |
| Screening mammogram, both breasts one side CPT 77067 MAMMOGRAM SCREENING UNILATERAL | $182.50 | $365.00 | 50% |
| Screening mammogram, both breasts inpatient one side CPT 77067 MAMMOGRAM SCREENING UNILATERAL | $182.50 | $365.00 | 50% |
| Sleep study in a lab (polysomnography) CPT 95810 POLYSOMNOGRAPHY 4/> PAREMETERS | $3,385.00 | $6,770.00 | 50% |
| Sleep study in a lab (polysomnography) inpatient CPT 95810 POLYSOMNOGRAPHY 4/> PAREMETERS | $3,385.00 | $6,770.00 | 50% |
| Transvaginal pelvic ultrasound CPT 76830 US TRANSVAGINAL | $282.50 | $565.00 | 50% |
| Transvaginal pelvic ultrasound inpatient CPT 76830 US TRANSVAGINAL | $282.50 | $565.00 | 50% |
| Ultrasound of the abdomen, complete CPT 76700 US ABDOMEN COMPLETE | $515.00 | $1,030.00 | 50% |
| Ultrasound of the abdomen, complete inpatient CPT 76700 US ABDOMEN COMPLETE | $515.00 | $1,030.00 | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 XR LUMBAR SPINE 4 VIEW MIN | $412.50 | $825.00 | 50% |
| X-ray of the lower back, 4 or more views inpatient CPT 72110 XR LUMBAR SPINE 4 VIEW MIN | $412.50 | $825.00 | 50% |
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 POC BASIC METABOLIC PANEL | $15.00 | $30.00 | 50% |
| Basic metabolic panel (blood test) CPT 80048 BASIC METABOLIC PANEL | $117.50 | $235.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 POC BASIC METABOLIC PANEL | $15.00 | $30.00 | 50% |
| Basic metabolic panel (blood test) inpatient CPT 80048 BASIC METABOLIC PANEL | $117.50 | $235.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 POC LIPID PROFILE | $92.50 | $185.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 LIPID PANEL | $125.00 | $250.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 POC LIPID PROFILE | $92.50 | $185.00 | 50% |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 LIPID PANEL | $125.00 | $250.00 | 50% |
| Complete blood count (CBC) with differential CPT 85025 CBC W/AUTO DIFF | $70.00 | $140.00 | 50% |
| Complete blood count (CBC) with differential inpatient CPT 85025 CBC W/AUTO DIFF | $70.00 | $140.00 | 50% |
| Complete blood count (CBC), no differential CPT 85027 CBC WO DIFF | $50.00 | $100.00 | 50% |
| Complete blood count (CBC), no differential inpatient CPT 85027 CBC WO DIFF | $50.00 | $100.00 | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 COMPREHENSIVE METABOLIC PANEL | $157.50 | $315.00 | 50% |
| Comprehensive metabolic panel (blood test) inpatient CPT 80053 COMPREHENSIVE METABOLIC PANEL | $157.50 | $315.00 | 50% |
| Kidney function blood test panel CPT 80069 RENAL FUNCTION PANEL | $142.50 | $285.00 | 50% |
| Kidney function blood test panel inpatient CPT 80069 RENAL FUNCTION PANEL | $142.50 | $285.00 | 50% |
| Liver function blood test panel CPT 80076 HEPATIC FUNCTION PANEL | $140.00 | $280.00 | 50% |
| Liver function blood test panel inpatient CPT 80076 HEPATIC FUNCTION PANEL | $140.00 | $280.00 | 50% |
| Obstetric blood test panel CPT 80055 OBSTETRIC PANEL | $130.00 | $260.00 | 50% |
| Obstetric blood test panel inpatient CPT 80055 OBSTETRIC PANEL | $130.00 | $260.00 | 50% |
| PSA (prostate-specific antigen) blood test, free CPT 84154 PSA, FREE | $90.00 | $180.00 | 50% |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 PSA, FREE | $90.00 | $180.00 | 50% |
| PSA (prostate-specific antigen) blood test, total CPT 84153 PSA, TOTAL | $90.00 | $180.00 | 50% |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 PSA, TOTAL | $90.00 | $180.00 | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 PARTIAL THROMBOPLASTIN TIME | $50.00 | $100.00 | 50% |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 PARTIAL THROMBOPLASTIN TIME | $50.00 | $100.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 POC PROTHROMBIN TIME | $27.50 | $55.00 | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 PROTHROMBIN TIME | $35.00 | $70.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 POC PROTHROMBIN TIME | $27.50 | $55.00 | 50% |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 PROTHROMBIN TIME | $35.00 | $70.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 NEWBORN TSH | $12.50 | $25.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 TSH | $105.00 | $210.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 NEWBORN TSH | $12.50 | $25.00 | 50% |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 TSH | $105.00 | $210.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 POC URINE DIP W/ MICRO | $42.50 | $85.00 | 50% |
| Urinalysis with microscope exam, automated CPT 81001 URINALYSIS AUTO WITH MICRO | $57.50 | $115.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 POC URINE DIP W/ MICRO | $42.50 | $85.00 | 50% |
| Urinalysis with microscope exam, automated inpatient CPT 81001 URINALYSIS AUTO WITH MICRO | $57.50 | $115.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 URINALYSIS AUTO W/O MICRO | $25.00 | $50.00 | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HEMOGLOBIN, URINE | $25.00 | $50.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 URINALYSIS AUTO W/O MICRO | $25.00 | $50.00 | 50% |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HEMOGLOBIN, URINE | $25.00 | $50.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 URINALYSIS SCREEN MANUAL | $15.00 | $30.00 | 50% |
| Urinalysis without microscope exam, manual CPT 81002 POC URINE DIPSTICK W/O MICRO | $15.00 | $30.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 URINALYSIS SCREEN MANUAL | $15.00 | $30.00 | 50% |
| Urinalysis without microscope exam, manual inpatient CPT 81002 POC URINE DIPSTICK W/O MICRO | $15.00 | $30.00 | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| New patient office visit, about 30 minutes CPT 99203 OP SERV MOD ACUITY-NEW PT | $170.00 | $340.00 | 50% |
| New patient office visit, about 30 minutes inpatient CPT 99203 OP SERV MOD ACUITY-NEW PT | $170.00 | $340.00 | 50% |
| New patient office visit, about 45 minutes CPT 99204 OP SERV HIGH ACUITY-NEW PT | $205.00 | $410.00 | 50% |
| New patient office visit, about 45 minutes inpatient CPT 99204 OP SERV HIGH ACUITY-NEW PT | $205.00 | $410.00 | 50% |
| New patient office visit, about 60 minutes CPT 99205 OP SERV COMP ACUITY-NEW PT | $272.50 | $545.00 | 50% |
| New patient office visit, about 60 minutes inpatient CPT 99205 OP SERV COMP ACUITY-NEW PT | $272.50 | $545.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 THERAPEUTIC EXER PER UNIT | $87.50 | $175.00 | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) inpatient CPT 97110 THERAPEUTIC EXER PER UNIT | $87.50 | $175.00 | 50% |