UCLA Santa Monica Medical Center — price list
← Hospital overviewVerified from UCLA Santa Monica Medical Center’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.
7 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 10 MG/ML 0-50 ML SYRINGE Outpatient | 00264410090_2 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML 0-50 ML SYRINGE (2 DAY MAX DURATION) Outpatient | 00264410090_3 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML 50-100 ML INTRAVIA Outpatient | 00264410090_4 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML 50-100 ML INTRAVIA (2 DAY MAX DURATION) Outpatient | 00264410090_5 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Outpatient | 00264410090_6 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN (2 DAY MAX DURATION) Outpatient | 00264410090_7 NDC | $110 | $60.50 | $0.07 – $550 | — | |
| ACETAMINOPHEN 10 MG/ML SYRINGE (NICU) Outpatient | 00264410090 NDC | $40.00 | $22.00 | $0.07 – $200 | — |