Three Rivers Health — price list
← Hospital overviewVerified from Three Rivers 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.
450 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABD PARACENTESIS W/IMAGING Inpatient | 49083 CPT | $4,048 | $2,631 | $810 – $4,048 | — | |
| ABDOMINAL PARACENTESIS W/O IMAG Inpatient | 49082 CPT | $2,447 | $1,591 | $489 – $2,447 | — | |
| ACCUCHECK- GLUCOSE TEST Inpatient | 82962 CPT | $52.00 | $33.80 | $10.40 – $52.00 | — | |
| Acid Phosphatase Total Serum Inpatient | 84060 CPT | $40.80 | $26.52 | $8.16 – $40.80 | — | |
| Administration of Influenza Virus Vaccine (ER) Inpatient | G0008 CPT | $108 | $70.20 | $21.60 – $108 | — | |
| Albumin Body Fluid Inpatient | 82042 CPT | $2.60 | $1.69 | $0.52 – $2.60 | — | |
| ALLERGY IMMUN SINGLE Inpatient | 95115 CPT | $200 | $130 | $40.00 – $200 | — | |
| Amylase Body Fluid Inpatient | 82150 CPT | $3.67 | $2.39 | $0.73 – $3.67 | — | |
| ANA Screen w/Rflx to 12 Plus Profile (RDL) Inpatient | 86038 CPT | $25.00 | $16.25 | $5.00 – $25.00 | — | |
| Ankle Dislc W Anesthesia Inpatient | 27842 CPT | $8,603 | $5,592 | $1,721 – $8,603 | — | |
| Ankle Dislc W Anesthesia - Both Inpatient | 27842 CPT | $17,205 | $11,183 | $3,441 – $17,205 | — | |
| ANKLE DISLOCATION Inpatient | 27840 CPT | $1,369 | $890 | $274 – $1,369 | — | |
| Ankle Dislocation Without Anesthesia - Both Inpatient | 27840 CPT | $2,738 | $1,780 | $548 – $2,738 | — | |
| ANKLE FRACTURE Inpatient | 27788 CPT | $1,031 | $670 | $206 – $1,031 | — | |
| Ankle Fracture - Both Inpatient | 27788 CPT | $2,062 | $1,340 | $412 – $2,062 | — | |
| ANKLE FRACTURE/2 Inpatient | 27818 CPT | $6,990 | $4,544 | $1,398 – $6,990 | — | |
| Ankle Trimalleolar Fracture With Manipulation - Both Inpatient | 27818 CPT | $13,979 | $9,086 | $2,796 – $13,979 | — | |
| Antinuclear Ab (ANA) Qualitative by Multiplex Immunoassay Inpatient | 86038 CPT | $2.82 | $1.83 | $0.56 – $2.82 | — | |
| Apligraf per sq cm Inpatient | Q4101 CPT | $254 | $165 | $50.80 – $254 | — | |
| APP SKIN SUB GR F/G TO 100 SQCM EA AD 25 Inpatient | C5276 CPT | $690 | $449 | $138 – $690 | — | |
| APP SKIN SUB GR F/H/F/G >100SQCM 1ST100 Inpatient | C5277 CPT | $2,023 | $1,315 | $405 – $2,023 | — | |
| APPL SKIN SUB FACE/HAND >/=100CM Inpatient | 15277 CPT | $2,437 | $1,584 | $487 – $2,437 | — | |
| APPL SKIN SUB FACE/HANDS 25CM Inpatient | 15275 CPT | $7,806 | $5,074 | $1,561 – $7,806 | — | |
| APPL SKIN SUB TRUNK EA ADDL 25 CM Inpatient | 15272 CPT | $4,471 | $2,906 | $894 – $4,471 | — | |
| APPL SKIN SUB TRUNK/ARM >/= 100CM Inpatient | 15273 CPT | $13,543 | $8,803 | $2,709 – $13,543 | — | |
| Application Of Long Arm Splint (Shoulder To Hand) - Both Inpatient | 29105 CPT | $1,725 | $1,121 | $345 – $1,725 | — | |
| APPLICATION-FINGER SPLINT Inpatient | 29130 CPT | $357 | $232 | $71.40 – $357 | — | |
| APPLICATION-FOREARM SPLINT Inpatient | 29125 CPT | $670 | $436 | $134 – $670 | — | |
| APPLICATION-LONG ARM SPLINT Inpatient | 29105 CPT | $862 | $560 | $172 – $862 | — | |
| APPLICATION-LONG LEG SPLINT Inpatient | 29505 CPT | $862 | $560 | $172 – $862 | — |