Allen County Regional Hospital — price list
← Hospital overviewVerified from Allen County Regional Hospital’s published price file
Includes cash prices, list prices, insurance-negotiated rates. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.
How to read these columns
- List
- The hospital’s full undiscounted (gross) charge — rarely what anyone actually pays.
- Cash
- The discounted self-pay price for paying directly, without insurance.
- Negotiated
- Rates agreed with insurers; open a row for plan-level detail. Your share depends on your benefits.
These are the hospital’s published reference prices, not a personalized estimate of your bill.
59 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| "20GA X 1-3/4"" X .018"" RADIAL ARTERY CATHETER" Inpatient & outpatient | C1751 HCPCS | $36.05 | $21.63 | $12.62 – $35.00 | — | |
| ABATACEPT (WITH MALTOSE) 250 MG INTRAVENOUS SOLUTION Inpatient & outpatient | J0129 HCPCS | $3,966 | $2,380 | $1,271 – $3,886 | — | |
| ACAMPROSATE 333 MG TABLET DELAYED RELEASE Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION Inpatient & outpatient | A9270 HCPCS | $29.20 | $17.52 | $10.22 – $28.00 | — | |
| ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET Inpatient & outpatient | A9270 HCPCS | $9.50 | $5.70 | $3.33 – $9.00 | — | |
| ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAMINOPHEN 325 MG/10.15 ML ORAL SUSPENSION Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAZOLAMIDE 250 MG TABLET Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACETAZOLAMIDE 50 MG/ML INJ SOLN (NICU) Inpatient & outpatient | J1120 HCPCS | $2,901 | $1,741 | $35.45 – $2,843 | — | |
| ACETAZOLAMIDE 500 MG SOLUTION FOR INJECTION Inpatient & outpatient | J1120 HCPCS | $290 | $174 | $35.45 – $284 | — | |
| ACETYLCHOLINE CHLORIDE 1 % (10 MG/ML) INTRAOCULAR KIT Inpatient & outpatient | 25000003 HCPCS | $385 | $231 | $135 – $377 | — | |
| ACETYLCYSTEINE 200 MG/ML (20 %) INTRAVENOUS SOLUTION Inpatient & outpatient | J0132 HCPCS | $20.00 | $12.00 | $2.34 – $19.00 | — | |
| ACETYLCYSTEINE 200 MG/ML (20 %) SOLUTION Inpatient & outpatient | J7608 HCPCS | $18.15 | $10.89 | $5.69 – $18.15 | — | |
| ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION Inpatient & outpatient | A9270 HCPCS | $46.65 | $27.99 | $16.33 – $45.00 | — | |
| ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient | 121 MS-DRG | $23,704 | $14,222 | $2,163 – $23,704 | — | |
| ACUTE MYOCARDIAL INFARCTION DISCHARGED ALIVE WITH MCC Inpatient | 280 MS-DRG | $13,574 | $8,144 | $2,163 – $13,574 | — | |
| ACYCLOVIR 200 MG CAPSULE Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACYCLOVIR 800 MG TABLET Inpatient & outpatient | A9270 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — | |
| ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient & outpatient | J0133 HCPCS | $74.25 | $44.55 | $5.70 – $74.25 | — | |
| ADAPTER OFFSET SLOTTED RING SHORT P45-935-0002 Inpatient & outpatient | C1713 HCPCS | $720 | $432 | $252 – $705 | — | |
| ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION Inpatient & outpatient | J0153 HCPCS | $39.60 | $23.76 | $3.71 – $38.00 | — | |
| ADENOSINE 3 MG/ML INTRAVENOUS SYRINGE Inpatient & outpatient | J0153 HCPCS | $105 | $62.97 | $3.71 – $102 | — | |
| Adjt Tis Trnsfr/Reargmt Scalp/Arm/Leg 10 Sq Cm/< Outpatient | 14020 CPT | $8,069 | $4,842 | $312 – $2,188 | — | |
| Adjt/Reargmt F/C/C/M/N/Ax/G/H/F 10.1-30.0 Sq Cm Outpatient | 14041 CPT | $14,854 | $8,912 | $312 – $2,239 | — | |
| AFTERCARE MUSCULOSKELETAL SYSTEM AND CONNECTIVE TISSUE WITH CC Inpatient | 560 MS-DRG | $21,923 | $13,154 | $2,163 – $21,923 | — | |
| AFTERCARE WITH CC/MCC Inpatient | 949 MS-DRG | $109,337 | $65,602 | $2,163 – $83,173 | — | |
| ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION Inpatient & outpatient | P9047 HCPCS | $183 | $110 | $64.19 – $183 | — | |
| ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION Inpatient & outpatient | J7613 HCPCS | $9.00 | $5.40 | $3.15 – $8.00 | — |