Penn Medicine Princeton Health — price list

← Hospital overviewVerified from Penn Medicine Princeton Health’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.

113 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Inpatient	J2997 HCPCS	$255	$255	$66.30 – $255	—
ALTEPLASE (TPA) 1 MG/ML SYRINGE EVD CLEARANCE Outpatient	J2997 HCPCS	$255	$255	$23.51 – $255	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Inpatient	J2997 HCPCS	$308	$308	$80.08 – $308	—
ALTEPLASE (TPA) INJECTION 1MG/ML ORD Outpatient	J2997 HCPCS	$308	$308	$28.40 – $308	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Inpatient	J2997 HCPCS	$1,372	$1,372	$357 – $1,372	—
ALTEPLASE (TPA) INJECTION 5MG/5ML ORD Outpatient	J2997 HCPCS	$1,372	$1,372	$88.82 – $1,372	—
AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD Inpatient	J0285 HCPCS	$28.00	$28.00	$7.28 – $28.00	—
AMPHOTERICIN B 100 MCG/ML NASAL IRRIGATION ORD Outpatient	J0285 HCPCS	$28.00	$28.00	$2.58 – $50.07	—
AMPICILLIN IVPB 1G/50ML NSS (CNR) Inpatient	J0290 HCPCS	$31.00	$31.00	$8.06 – $31.00	—
AMPICILLIN IVPB 1G/50ML NSS (CNR) Outpatient	J0290 HCPCS	$31.00	$31.00	$0.59 – $31.00	—
AMPICILLIN IVPB 2G/100ML NSS (CNR) Inpatient	J0290 HCPCS	$56.00	$56.00	$14.56 – $56.00	—
AMPICILLIN IVPB 2G/100ML NSS (CNR) Outpatient	J0290 HCPCS	$56.00	$56.00	$0.59 – $56.00	—
ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER Inpatient	J0461 HCPCS	$32.00	$32.00	$8.32 – $32.00	—
ATROPINE SULFATE 0.4 MG/ML INJECTION SOLN (WRAPPER Outpatient	J0461 HCPCS	$32.00	$32.00	$0.07 – $32.00	—
BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI Inpatient	J0702 HCPCS	$48.00	$48.00	$12.48 – $48.00	—
BETAMETHASONE SOD PHOS ACET 6 (33) MG/ML INJECTI Outpatient	J0702 HCPCS	$48.00	$48.00	$4.43 – $48.00	—
CEFAZOLIN 100 MG/ML (ANESTHESIA) Inpatient	J0690 HCPCS	$2.00	$2.00	$0.52 – $2.00	—
CEFAZOLIN 100 MG/ML (ANESTHESIA) Outpatient	J0690 HCPCS	$2.00	$2.00	$0.18 – $2.00	—
CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD Inpatient	J0690 HCPCS	$89.00	$89.00	$23.14 – $89.00	—
CEFAZOLIN FORTE 50 MG/ML OPHTH SOLN ORD Outpatient	J0690 HCPCS	$89.00	$89.00	$0.81 – $89.00	—
CEFAZOLIN SODIUM 1 G INJECTION SOLR Inpatient	J0690 HCPCS	$23.00	$23.00	$5.98 – $23.00	—
CEFAZOLIN SODIUM 1 G INJECTION SOLR Outpatient	J0690 HCPCS	$23.00	$23.00	$0.81 – $23.00	—
CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD Inpatient	J0713 HCPCS	$183	$183	$47.58 – $183	—
CEFTAZIDIME 50 MG/ML OPHTH SOLN ORD Outpatient	J0713 HCPCS	$183	$183	$1.47 – $183	—
CIDOFOVIR 15 MG/ML IV SOLN Inpatient	J0740 HCPCS	$533	$533	$139 – $533	—
CIDOFOVIR 15 MG/ML IV SOLN Outpatient	J0740 HCPCS	$533	$533	$49.14 – $533	—
DEXAMETHASONE 0.25 MG PO SPLIT TABLET Inpatient	J8540 HCPCS	$1.00	$1.00	$0.26 – $1.00	—
DEXAMETHASONE 0.25 MG PO SPLIT TABLET Outpatient	J8540 HCPCS	$1.00	$1.00	$0.01 – $1.00	—
DEXAMETHASONE IVPB 10MG/50ML NSS (CNR) Inpatient	J1100 HCPCS	$23.00	$23.00	$5.98 – $23.00	—
DEXAMETHASONE IVPB 10MG/50ML NSS (CNR) Outpatient	J1100 HCPCS	$23.00	$23.00	$0.11 – $23.00	—