Community Hospital of Bremen — price list

← Hospital overviewVerified from Community Hospital of Bremen’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.

321 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ANCHOR D 5.5MM HEALIX TI 3 W/ORTHOCORD Inpatient	C1713 CPT	$2,096	$1,362	$1,048 – $2,725	—
ANCHOR D 6.5MM HEALIX TI 3 W / ORTHOCORD Inpatient	C1713 CPT	$2,096	$1,362	$1,048 – $2,725	—
ANCHOR MITEK G2 PLUS W/ORTHOCORD Inpatient	C1713 CPT	$2,457	$1,597	$1,229 – $3,194	—
ANCHOR ORTHO HEALIX TI 6.5 W/NDL Inpatient	C1713 CPT	$2,096	$1,362	$1,048 – $2,725	—
BEARING HUMERAL STANDARD 36MM Inpatient	C1776 CPT	$4,830	$3,140	$2,415 – $6,279	—
BIOLOX Z DELTA FEM HEAD 32MM +0MM Inpatient	C1776 CPT	$3,667	$2,384	$1,834 – $4,767	—
BIOLOX Z DELTA FEM HEAD 36MM -3.5MM Inpatient	C1713 CPT	$3,667	$2,384	$1,834 – $4,767	—
Blood Transfusion-FFP Inpatient	36430 CPT	$812	$528	$406 – $1,056	—
Blood Transfusion-Packed RBC Inpatient	36430 CPT	$812	$528	$406 – $1,056	—
Blood Transfusion-Platelets Inpatient	36430 CPT	$812	$528	$406 – $1,056	—
Cardioversion Elective Arrhythmia External Inpatient	92960 CPT	$1,655	$1,076	$828 – $2,152	—
CEMENT BONE R REFOBACIN Inpatient	C1713 CPT	$591	$384	$296 – $768	—
CIRCUIT KIT INFANT 10MM DISP Inpatient	256427232 CDM	$187	$122	$93.50 – $243	—
COLLAGEN CELLERATE RX SURGICAL ACTIVATED 1GM Inpatient	A6011 CPT	$1,596	$1,037	$798 – $2,075	—
COLLAGEN CELLERATE RX SURGICAL ACTIVATED 5GM Inpatient	A6011 CPT	$5,859	$3,808	$2,930 – $7,617	—
COLOR MAPPING CHG ONLY Inpatient	93325 CPT	$226	$147	$113 – $294	—
COMPLETE ECHO W/COLOR FLOW DOPPLR CHG ONLY Inpatient	93306 CPT	$2,328	$1,513	$1,164 – $3,026	—
CONTRAST MEDIA-DEFINITY CHG ONLY Inpatient	Q9957 CPT	$1,478	$961	$739 – $1,921	—
COUPLING HINGE Inpatient	256414881 CDM	$1,338	$870	$669 – $1,739	—
CPM Inpatient	97039 CPT	$132	$85.80	$66.00 – $172	—
CT CHB Omnipaque 300-50mL per mL Inpatient	Q9967 CPT	$33.00	$21.45	$16.50 – $42.90	—
CT CHB Omnipaque 350-100mL per mL Inpatient	Q9967 CPT	$56.00	$36.40	$28.00 – $72.80	—
DEVICE FIXATION SECURESTRAP 25 Inpatient	C1781 CPT	$2,347	$1,526	$1,174 – $3,051	—
Diagnostic Exercise Test Inpatient	93017 CPT	$428	$278	$214 – $556	—
Diagnostic Stress Exercise Treadmill MHSB Inpatient	93017 CPT	$428	$278	$214 – $556	—
Direct Observation (G0379) Inpatient	G0379 CPT	$687	$447	$344 – $893	—
Done Inpatient	90471 CPT	$118	$76.70	$59.00 – $153	—
Done Inpatient	81000 CPT	$11.00	$7.15	$5.50 – $14.30	—
DOPPLER CHG ONLY Inpatient	93320 CPT	$448	$291	$224 – $582	—
DX Cholangiography-Pancreatograph Inpatient	74300 CPT	$868	$564	$434 – $1,128	—