42163
CPTDigestive & GastroenterologyPregabalin 50 mg capsule
As billed by one hospital: “Pregabalin Cap 50 MG”
Based on the latest published hospital price files, code 42163 (Pregabalin 50 mg capsule) appears at 10 hospitals across 10 cities in 4 states with disclosed cash prices from $1.82 to $2,512. This is public hospital price transparency data, not a guaranteed estimate of your bill.
New to this? Read How to compare hospital prices by CPT code.
What this is
This is a digestive-system service — for example an endoscopy, colonoscopy, or another GI procedure — usually performed in an outpatient setting.
What affects the price
A screening version of a procedure may be covered differently from a diagnostic one with the same code, and anesthesia is often billed separately. Confirm how it will be coded before you go, and ask for the anesthesia estimate too.
Category: Digestive & Gastroenterology
What the published prices show
Across the 11 hospitals that disclose a cash price for code 42163, the median is $15.30, and half of the disclosed prices fall between $2.94 and $69.01 — about a 23× difference for the same billing code. The full disclosed range runs from $1.82 to $2,512.
Published-price availability
Compare 42163 prices
Filter by hospital, city, setting, or payer — the summary and charts update with your filters.
Published cash prices for code 42163 vary by about 1380× across the 10 hospitals with disclosed prices here — from $1.82 to $2,512. Shopping around can matter.
Lowest cash price by hospital
Cash price by city
Reflects your current filters.
- Saint Charles · 1 hospital$1.82
- Wentzville · 1 hospital$1.82
- Bridgeton · 1 hospital$2.94
- Jefferson City · 1 hospital$2.94
- Richmond Heights · 1 hospital$2.94
- Fenton · 1 hospital$15.30
11 prices shown.
How to read these prices
- Cash price
- The discounted self-pay price for paying directly, without insurance.
- List price
- The hospital’s full undiscounted charge — rarely what anyone pays.
- Negotiated rate
- A rate for a specific insurer and plan; your share depends on your benefits.
- Allowed amount
- A historical reference for what was actually allowed, where disclosed.
Hospitals that publish 42163 prices
Open a hospital to see this code in the context of its full published prices.
Code 42163: frequently asked
- What does code 42163 cost?
- Across the published hospital price files, the disclosed cash price for 42163 ranges from $1.82 to $2,512. This is public hospital price transparency data, not a guaranteed estimate of your bill.
- Will this be my final bill?
- Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.
- What is code 42163?
- 42163 is the billing code hospitals use to identify "Pregabalin 50 mg capsule" on their published price files. We use it to line up the same service across different hospitals.
- Why do 42163 prices differ between hospitals?
- 10 hospitals across 4 states publish a price for 42163 here, and even setting aside the outliers, most disclosed cash prices span roughly a 23× difference. Each hospital sets its own prices and negotiates separately with each insurer, so the disclosed price for the same code can vary widely from one hospital to another — and even between plans at a single hospital. Comparing the published figures is what this page is for; a difference does not by itself mean one hospital is better or worse.
- What this page is not
- It is not a quote, a guarantee, or medical advice. It shows what hospitals have published for this code, so you can compare and ask informed questions — your actual cost depends on your insurance, the exact services performed, and the care setting.