Decatur Memorial Hospital — price list

← Hospital overviewVerified from Decatur Memorial 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.

290 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
00187-4303-05 - amobarbital 0.5 gm Inj Inpatient	J0300 HCPCS	$3,332	$3,332	$1,533 – $3,332	—
00187-4303-05 - amobarbital 0.5 gm Inj Outpatient	J0300 HCPCS	$3,332	$3,332	$810 – $3,332	—
13533-0800-20 - immune globulin intravenous and su Inpatient	J1561 HCPCS	$3,839	$3,839	$1,766 – $3,839	—
13533-0800-20 - immune globulin intravenous and su Outpatient	J1561 HCPCS	$3,839	$3,839	$933 – $3,839	—
50242-0070-01 - obinutuzumab 25 mg/mL Sol Inpatient	J9301 HCPCS	$622	$622	$286 – $622	—
50242-0070-01 - obinutuzumab 25 mg/mL Sol Outpatient	J9301 HCPCS	$622	$622	$151 – $622	—
55566-2300-00 - desmopressin 4 mcg/mL Inj Inpatient	J2597 HCPCS	$195	$195	$89.76 – $195	—
55566-2300-00 - desmopressin 4 mcg/mL Inj Outpatient	J2597 HCPCS	$195	$195	$47.42 – $195	—
59676-0610-01 - trabectedin 1 mg PWD Inpatient	J9352 HCPCS	$22,286	$22,286	$10,252 – $22,286	—
59676-0610-01 - trabectedin 1 mg PWD Outpatient	J9352 HCPCS	$22,286	$22,286	$3,121 – $22,286	—
61364-0181-03 - peramivir 10 mg/mL 20mL vial Inpatient	J2547 HCPCS	$1,267	$1,267	$583 – $1,267	—
61364-0181-03 - peramivir 10 mg/mL 20mL vial Outpatient	J2547 HCPCS	$1,267	$1,267	$308 – $1,267	—
63323-0593-03 - glucagon 1 mg Inj Inpatient	J1611 HCPCS	$451	$451	$207 – $451	—
63323-0593-03 - glucagon 1 mg Inj Outpatient	J1611 HCPCS	$451	$451	$109 – $451	—
63323-0594-03 - glucagon 1 mg Inj Inpatient	J1611 HCPCS	$451	$451	$207 – $451	—
63323-0594-03 - glucagon 1 mg Inj Outpatient	J1611 HCPCS	$451	$451	$109 – $451	—
63833-0617-02 - antihemophilic factor-von Willebra Inpatient	J7187 HCPCS	$5.05	$5.05	$2.32 – $5.05	—
63833-0617-02 - antihemophilic factor-von Willebra Outpatient	J7187 HCPCS	$5.05	$5.05	$1.23 – $5.05	—
66220-0160-10 - conivaptan 20 mg/100 mL-D5 Sol Inpatient	C9488 HCPCS	$4,051	$4,051	$1,863 – $4,051	—
66220-0160-10 - conivaptan 20 mg/100 mL-D5 Sol Outpatient	C9488 HCPCS	$4,051	$4,051	$856 – $4,051	—
67919-0030-01 - ceftolozane-tazobactam 1 g-0.5 g P Inpatient	J0695 HCPCS	$638	$638	$293 – $638	—
67919-0030-01 - ceftolozane-tazobactam 1 g-0.5 g P Outpatient	J0695 HCPCS	$638	$638	$155 – $638	—
ATOS PUNCTURE PRVX VEGA 20F 10MM Inpatient	L8501 HCPCS	$3,722	$3,722	$1,712 – $3,722	—
ATOS PUNCTURE PRVX VEGA 20F 10MM Outpatient	L8501 HCPCS	$3,722	$3,722	$135 – $3,722	—
ATOS PUNCTURE PRVX VEGA 20F 12.5MM Inpatient	L8501 HCPCS	$3,722	$3,722	$1,712 – $3,722	—
ATOS PUNCTURE PRVX VEGA 20F 12.5MM Outpatient	L8501 HCPCS	$3,722	$3,722	$135 – $3,722	—
ATOS PUNCTURE PRVX VEGA 20F 8MM Inpatient	L8501 HCPCS	$3,722	$3,722	$1,712 – $3,722	—
ATOS PUNCTURE PRVX VEGA 20F 8MM Outpatient	L8501 HCPCS	$3,722	$3,722	$135 – $3,722	—
BASEPLATE HA ADAPTER 25MM Inpatient	C1776 HCPCS	$12,938	$12,938	$5,951 – $12,938	—
BASEPLATE HA ADAPTER 25MM Outpatient	C1776 HCPCS	$12,938	$12,938	$3,121 – $12,938	—