Aurora St Luke's South Shore

NPI Number:

1073547295

Address:

5900 S Lake Dr, Cudahy, Wisconsin, 53110

Chargemaster Source:

Database Statistics:

Total Codes: 2,697

Total Price Observations: 2,697

Price Range: $1.00 - $215,127.13

Average Price: $1,968.07

Last Updated: January 1, 2021

Oldest Price Date: January 1, 2021

2,053
CPT

627
HCPCS

0
ICD-10-CM

0
ICD-10-PCS

16
Other

Code	Description	Price	Price Type	Last Updated
29240	Strap Shoulder LT *	$185 [source]	—	4 years ago
99211	VISIT ESTABLISHED LEVEL 1 *	$165 [source]	—	4 years ago
99212	VISIT ESTABLISHED LEVEL 2 *	$245 [source]	—	4 years ago
99213	VISIT ESTABLISHED LEVEL 3 *	$305 [source]	—	4 years ago
99214	VISIT ESTABLISHED LEVEL 4 *	$350 [source]	—	4 years ago
C1713	Anchor/screw for opposing bone-to-bone or soft tissue-to-bone (implantable) *	$1,193 [source]	—	4 years ago
C1725	Catheter, transluminal angioplasty, non-laser (may include guidance, infusion/perfusion capability) *	$687 [source]	—	4 years ago
C1776	Joint device (implantable) *	$9,456 [source]	—	4 years ago
C1821	Interspinous process distraction device (implantable) *	$3,385 [source]	—	4 years ago
C1874	Stent, coated/covered, with delivery system *	$4,967 [source]	—	4 years ago
C1876	Stent, non-coated/non-covered, with delivery system *	$3,987 [source]	—	4 years ago
V2632	Posterior chamber intraocular lens *	$396 [source]	—	4 years ago
V2787	Astigmatism correcting function of intraocular lens *	$403 [source]	—	4 years ago