Advocate Aurora Health · Grafton, WI
40
In-network payers
553
Disclosed rate categories
132
Beds
5
Care quality
Aurora Medical Center Grafton is a 132-bed voluntary non-profit - private hospital in Grafton, WI, affiliated with Advocate Aurora Health. Below you'll find publicly disclosed negotiated rates and facility details, including 40 in-network payers and 553 disclosed rate categories.
CCN (Medicare provider number)
520207
NPI
1265740195
Type
Short Term Acute Care Hospital
Ownership
Voluntary Non-Profit - Private
Beds
132
Care Quality
5
Insurance acceptance may vary by specific plan, network status, and services required. Contact your insurance provider or the hospital's billing department to confirm coverage details.
The 24 services Aurora Medical Center Grafton most likely performs, ranked by likely volume and what it is paid. Each service names one insurer. * marks hidden insurer names; A, B and C rank the remaining rates from low to high and reset for each service.
Book a demo to see hidden insurer names, more payer rates, and hospital data.
CT imaging
CPT 74177
$5,288 - $5,419
from 4 insurers · median $5,325
Common here, based on CMS Medicare volume
Childbirth · Inpatient
MS-DRG 807
$9,275 - $14,760
from 4 insurers · median $10,335
CMS lists this service as CPT 59400, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 807, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Childbirth · Inpatient
MS-DRG 788
$12,988 - $20,704
from 4 insurers · median $15,526
CMS lists this service as CPT 59510, the obstetrician's global fee. The hospital bills the delivery stay as MS-DRG 788, so these are facility case rates.
Hospital reports neonatal nursery services to CMS
Cardiology and vascular testing
CPT 93306
$3,612 - $3,725
from 4 insurers · median $3,638
Common here, based on CMS Medicare volume
MRI imaging
CPT 70553
$5,420 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
CT imaging
CPT 74176
$2,856 - $4,648
from 2 insurers · median $3,752
Common here, based on CMS Medicare volume
Medicine & Surgery · Inpatient
MS-DRG 470
$27,585 - $41,481
from 4 insurers · median $30,344
29 Medicare discharges for this DRG in CMS hospital data
Gynecology
CPT 58571
$11,569 - $21,664
from 4 insurers · median $16,651
46 Medicare claims in Level 2 Laparoscopy and Related Services (CMS 2024)
CT imaging
CPT 71275
$3,267 - $3,515
from 4 insurers · median $3,290
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 47562
$11,569 - $19,000
from 4 insurers · median $13,744
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
Medicine & Surgery · Inpatient
MS-DRG 216
$146,224 - $212,324
from 4 insurers · median $194,134
Hospital reports cardiac thoracic surgery services to CMS
CT imaging
CPT 71260
$2,644 - $2,697
from 4 insurers · median $2,663
Common here, based on CMS Medicare volume
Nuclear imaging
CPT 78452
$5,436 - $6,401
from 4 insurers · median $6,355
Common here, based on CMS Medicare volume
Digestive procedures
CPT 49650
$13,073 - $14,301
from 4 insurers · median $13,518
66 Medicare claims in Level 1 Laparoscopy and Related Services (CMS 2024)
X-ray and bone density
CPT 71046
$411 - $476
from 4 insurers · median $473
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45385
$2,320 - $6,800
from 4 insurers · median $4,010
Common here, based on CMS Medicare volume
MRI imaging
CPT 72148
$3,353 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
Mammography
CPT 77067
$307 - $359
from 4 insurers · median $325
Common here, based on CMS Medicare volume
Digestive procedures
CPT 43239
$2,026 - $6,800
from 4 insurers · median $4,056
Common here, based on CMS Medicare volume
MRI imaging
CPT 74183
$5,196 - $5,551
from 4 insurers · median $5,511
Common here, based on CMS Medicare volume
Digestive procedures
CPT 45380
$2,320 - $6,800
from 4 insurers · median $4,576
Common here, based on CMS Medicare volume
MRI imaging
CPT 73721
$3,478 - $3,587
from 4 insurers · median $3,562
Common here, based on CMS Medicare volume
Ultrasound
CPT 76705
$874 - $1,148
from 4 insurers · median $1,139
Common here, based on CMS Medicare volume
Medicine & Surgery
CPT 29881
$8,656 - $13,500
from 4 insurers · median $10,106
78 Medicare claims in Level 3 Musculoskeletal Procedures (CMS 2024)
Median rate as a percent of Medicare across the outpatient services above, and how many services sit above or below the same insurer's median at nearby hospitals. * marks hidden insurer names. These table labels track the same insurers across services; the labels on each service card reset.
| Insurer | Services | Median % of Medicare | Above nearby | Below nearby |
|---|---|---|---|---|
| Insurer A* | 23 | 650% | 14 | 2 |
| Insurer B* | 24 | 606% | 19 | 0 |
| Insurer C* | 24 | 594% | 13 | 7 |
| Insurer D* | 23 | 530% | 16 | 4 |
How we chose these services: 5 appear in this hospital's own Medicare claims, 16 are common here based on CMS Medicare volume, and 3 are typical for the service lines it reports to CMS. Rates come from insurer and hospital price transparency files as of October 2026. Rates under a quarter of Medicare or over 20 times Medicare are left out as likely physician-fee rows or file errors. Book a demo to see all 300 CMS shoppable services for Aurora Medical Center Grafton.
975 Port Washington Road, Grafton, WI 53024
(262) 329-1000
The nearest hospitals of similar type and size. Their rates are compared with Aurora Medical Center Grafton for the same insurers and services above.
St Marys Ozaukee
▼ Rates typically 86% lower than Aurora Medical Center Grafton (20 services)
Froedtert West Bend Hospital
▼ Rates typically 49% lower than Aurora Medical Center Grafton (22 services)
Froedtert Menomonee Falls Hospital
▼ Rates typically 49% lower than Aurora Medical Center Grafton (22 services)
St. Francis Hospital
▼ Rates typically 58% lower than Aurora Medical Center Grafton (22 services)
St. Nicholas Hospital
▼ Rates typically 31% lower than Aurora Medical Center Grafton (22 services)
Prohealth Oconomowoc Memorial Hospital
▼ Rates typically 41% lower than Aurora Medical Center Grafton (22 services)
Aurora Medical Center Oshkosh
Aurora Sinai Medical Center
Aurora Sheboygan Memorial Medical Center
Aurora Medical Center Summit
About Aurora Medical Center Grafton's rates and hospital price transparency.
For MRI brain before and after contrast (CPT 70553), published negotiated rates at Aurora Medical Center Grafton range from $5,420 to $5,551 across 4 insurers. Blue Cross Blue Shield's rate is $5,551. The median at nearby comparable hospitals is $1,807. What a patient pays depends on their plan's deductible, coinsurance and network status.
For CT abdomen and pelvis with contrast (CPT 74177), published negotiated rates at Aurora Medical Center Grafton range from $5,288 to $5,419 across 4 insurers. Aetna's rate is $5,419. The median at nearby comparable hospitals is $1,562. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Colonoscopy with polyp removal (CPT 45385), published negotiated rates at Aurora Medical Center Grafton range from $2,320 to $6,800 across 4 insurers. UnitedHealthcare's rate is $3,073. The median at nearby comparable hospitals is $4,293. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Vaginal delivery, hospital stay (MS-DRG 807), published negotiated rates at Aurora Medical Center Grafton range from $9,275 to $14,760 across 4 insurers. Aetna's rate is $9,495. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Screening mammography, bilateral (CPT 77067), published negotiated rates at Aurora Medical Center Grafton range from $307 to $359 across 4 insurers. Blue Cross Blue Shield's rate is $310. The median at nearby comparable hospitals is $262. What a patient pays depends on their plan's deductible, coinsurance and network status.
For Major lower-extremity joint replacement without MCC (MS-DRG 470), published negotiated rates at Aurora Medical Center Grafton range from $27,585 to $41,481 across 4 insurers. Cigna's rate is $41,481. The median at nearby comparable hospitals is $35,667. What a patient pays depends on their plan's deductible, coinsurance and network status.
Aurora Medical Center Grafton has 132 beds. Facility type: Short Term Acute Care Hospital.
Aurora Medical Center Grafton is located at 975 Port Washington Road, Grafton, WI 53024. Its main phone number is (262) 329-1000.
Aurora Medical Center Grafton's CMS Certification Number (CCN), also called its Medicare provider number, is 520207.
The National Provider Identifier (NPI) on file for Aurora Medical Center Grafton is 1265740195.
Aurora Medical Center Grafton is affiliated with Advocate Aurora Health.
Aurora Medical Center Grafton lists 40 in-network payers, including Aetna, Ameri Health, Aspirus Health Plan, Avera Health Plans, and is Medicare-certified. Insurance acceptance may vary by plan, so confirm coverage with your insurer or the hospital's billing department.
553 disclosed rate categories. Each shows the payer, category, code type and group with its code range, and contract type, along with how the rate compares with the state average.
Under 45 CFR Part 180, every US hospital must publish a machine-readable file of its standard charges, including gross charges, discounted cash prices and payer-specific negotiated rates, in the CMS template format. PayerPrice can help hospitals publish and maintain these files.
A chargemaster (charge description master, or CDM) is a hospital's master list of billable items, with codes, descriptions and gross charges. A chargemaster review looks at those lines for accuracy and pricing. PayerPrice can help hospitals review their chargemaster; contact us to discuss your needs.
For hospital finance and compliance teams
The data on this page comes from the files hospitals and payers publish. We help hospitals publish theirs correctly, and take a fresh look at their chargemaster.
We turn your chargemaster and payer contracts into the CMS template file, then keep it current as rates change.
{
"description": "MRI of brain (no contrast)",
"code_information": [
{ "code": "611", "type": "RC" },
{ "code": "70551", "type": "CPT" }
],
"standard_charges": [{
"setting": "outpatient",
"minimum": 250,
"maximum": 400,
"gross_charge": 1200,
"discounted_cash": 1080,
"payers_information": [
{
"payer_name": "Platform Health Insurance",
"plan_name": "PPO",
"methodology": "fee schedule",
"standard_charge_dollar": 400
},
{
"payer_name": "Region Health Insurance",
"plan_name": "HMO",
"methodology": "fee schedule",
"standard_charge_dollar": 250
}
]
}]
}Your chargemaster sets the gross charge on every claim, and many payer contracts base payment on it through percent-of-charge, lesser-of and stop-loss terms. We audit it line by line and show how your charges and negotiated rates compare with peer hospitals before your next negotiation.
What a review covers