St Elias Specialty Hospital — price list

← Hospital overviewVerified from St Elias Specialty Hospital’s published price file

Includes cash prices, list prices. Open any row for plan-level negotiated rates. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Showing the first 1,500 prices from a large file. Search a procedure or code below to narrow the list.

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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ACAMPROSATE CALCIUM TAB DELAYED RELEASE 333 MG Inpatient & outpatient	RX00904721304 CDM	$32.00	$24.96	—	—
ACARBOSE TAB 50 MG Inpatient & outpatient	RX23155014801 CDM	$32.00	$24.96	—	—
ACETAMINOPHEN IV SOLN 10 MG/ML Inpatient & outpatient	J0131 HCPCS	$65.00	$50.70	—	—
ACETAMINOPHEN SOLN 160 MG/5ML Inpatient & outpatient	RX00121065721 CDM	$5.51	$4.30	—	—
ACETAMINOPHEN SOLN 160 MG/5ML Inpatient & outpatient	RX00121197100 CDM	$5.73	$4.47	—	—
ACETAMINOPHEN SOLN 160 MG/5ML Inpatient & outpatient	RX00904682076 CDM	$5.58	$4.35	—	—
ACETAMINOPHEN SUPPOS 650 MG Inpatient & outpatient	RX45802073030 CDM	$5.21	$4.06	—	—
ACETAMINOPHEN TAB 325 MG Inpatient & outpatient	RX00904198261 CDM	$5.02	$3.92	—	—
ACETAZOLAMIDE SODIUM FOR INJ 500 MG Inpatient & outpatient	J1120 HCPCS	$221	$173	—	—
ACETIC ACID IRRIGATION SOLN 0.25% Inpatient & outpatient	RX00338065604 CDM	$275	$215	—	—
ACETYLCYSTEINE INHAL SOLN 20% Inpatient & outpatient	J7608 HCPCS	$40.35	$31.47	—	—
ACITRETIN CAP 25 MG Inpatient & outpatient	RX00378702393 CDM	$114	$89.27	—	—
ACYCLOVIR CAP 200 MG Inpatient & outpatient	RX00093894001 CDM	$32.00	$24.96	—	—
ACYCLOVIR OINT 5% Inpatient & outpatient	RX00378870006 CDM	$516	$402	—	—
ADEFOVIR DIPIVOXIL TAB 10 MG Inpatient & outpatient	RX42794000308 CDM	$219	$171	—	—
ADENOSINE IV SOLN 6 MG/2ML Inpatient & outpatient	J0153 HCPCS	$278	$217	—	—
ALBUMIN, HUMAN INJ 25% Inpatient & outpatient	P9047 HCPCS	$255	$199	—	—
ALBUTEROL SULFATE INHAL AERO 108 MCG/ACT (90MCG BASE EQUIV) Inpatient & outpatient	RX00093317431 CDM	$251	$196	—	—
ALBUTEROL SULFATE SOLN NEBU 0.083% (2.5 MG/3ML) Inpatient & outpatient	J7613 HCPCS	$32.00	$24.96	—	—
ALFUZOSIN HCL TAB ER 24HR 10 MG Inpatient & outpatient	RX47335095688 CDM	$32.00	$24.96	—	—
ALLOPURINOL TAB 100 MG Inpatient & outpatient	RX00591554301 CDM	$32.00	$24.96	—	—
ALLOPURINOL TAB 100 MG Inpatient & outpatient	RX00904657161 CDM	$32.00	$24.96	—	—
ALLOPURINOL TAB 100 MG Inpatient & outpatient	RX00904704161 CDM	$32.00	$24.96	—	—
ALLOPURINOL TAB 300 MG Inpatient & outpatient	RX00904657261 CDM	$32.00	$24.96	—	—
ALPRAZOLAM TAB 0.5 MG Inpatient & outpatient	RX00781107701 CDM	$35.00	$27.30	—	—
ALUM & MAG HYDROXIDE-SIMETHICONE SUSP 200-200-20 MG/5ML Inpatient & outpatient	RX00121176130 CDM	$6.04	$4.71	—	—
ALUM & MAG HYDROXIDE-SIMETHICONE SUSP 200-200-20 MG/5ML Inpatient & outpatient	RX00536002583 CDM	$5.06	$3.95	—	—
ALUM & MAG HYDROXIDE-SIMETHICONE SUSP 200-200-20 MG/5ML Inpatient & outpatient	RX00536194583 CDM	$5.04	$3.93	—	—
ALUM & MAG HYDROXIDE-SIMETHICONE SUSP 200-200-20 MG/5ML Inpatient & outpatient	RX00904683873 CDM	$5.57	$4.34	—	—
AMANTADINE HCL CAP 100 MG Inpatient & outpatient	RX00904704206 CDM	$32.00	$24.96	—	—