Aurora Sheboygan Memorial Medical Center

NPI Number:

1922053107

Address:

2629 N 7Th St, Sheboygan, Wisconsin, 53083

Chargemaster Source:

Database Statistics:

Total Codes: 2,463

Total Price Observations: 2,463

Price Range: $1.00 - $197,860.58

Average Price: $1,635.05

Last Updated: January 1, 2021

Oldest Price Date: January 1, 2021

1,890
CPT

559
HCPCS

0
ICD-10-CM

0
ICD-10-PCS

13
Other

Code	Description	Price	Price Type	Last Updated
99211	VISIT ESTABLISHED LEVEL 1 *	$170 [source]	—	4 years ago
99212	VISIT ESTABLISHED LEVEL 2 *	$200 [source]	—	4 years ago
99213	VISIT ESTABLISHED LEVEL 3 *	$265 [source]	—	4 years ago
99214	VISIT ESTABLISHED LEVEL 4 *	$325 [source]	—	4 years ago
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) *	$570 [source]	—	4 years ago
C1725	Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) *	$669 [source]	—	4 years ago
C1776	Joint device (implantable) *	$3,428 [source]	—	4 years ago
C1821	Interspinous process distraction device (implantable) *	$30,595 [source]	—	4 years ago
C1874	Stent, coated/covered, with delivery system *	$5,494 [source]	—	4 years ago
C1876	Stent, non-coated/non-covered, with delivery system *	$4,004 [source]	—	4 years ago
V2632	Posterior chamber intraocular lens *	$214 [source]	—	4 years ago
V2787	Astigmatism correcting function of intraocular lens *	$418 [source]	—	4 years ago