AdventHealth Four Corners ER — price list
← Hospital overviewVerified from AdventHealth Four Corners ER’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.
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.
197 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 12 hour decongestant 0.05 % na soln Inpatient & outpatient | 259 RC | $189 | $189 | — | — | |
| 7 day vaginal 2 % va crea Inpatient & outpatient | 259 RC | $178 | $178 | — | — | |
| Acetaminophen 160 mg/5ml po soln Inpatient & outpatient | 259 RC | $222 | $222 | — | — | |
| Acetaminophen 650 mg/20.3ml po soln Inpatient & outpatient | 259 RC | $72.90 | $72.90 | — | — | |
| Acetic acid 3 % soln Inpatient & outpatient | 259 RC | $8.77 | $8.77 | — | — | |
| Acetylcysteine 20 % in soln Inpatient & outpatient | 259 RC | $332 | $332 | — | — | |
| Actidose with sorbitol 25 gm/120ml po susp Inpatient & outpatient | 259 RC | $1,254 | $1,254 | — | — | |
| Actidose-aqua 25 gm/120ml po liqd Inpatient & outpatient | 259 RC | $1,254 | $1,254 | — | — | |
| Adrenalin 0.1 % na soln Inpatient & outpatient | 259 RC | $3,025 | $3,025 | — | — | |
| Afrin nodrip extra moisture 0.05 % na soln Inpatient & outpatient | 259 RC | $355 | $355 | — | — | |
| Akten 3.5 % op gel Inpatient & outpatient | 259 RC | $648 | $648 | — | — | |
| Alaway 0.035 % op soln Inpatient & outpatient | 259 RC | $433 | $433 | — | — | |
| Albuterol sulfate (2.5 mg/3ml) 0.083% in nebu Inpatient & outpatient | 259 RC | $28.72 | $28.72 | — | — | |
| Albuterol sulfate 1.25 mg/3ml in nebu Inpatient & outpatient | 259 RC | $55.80 | $55.80 | — | — | |
| Albuterol sulfate 2.5 mg/0.5ml in nebu Inpatient & outpatient | 259 RC | $45.07 | $45.07 | — | — | |
| Albuterol sulfate hfa 108 (90 base) mcg/act in aers Inpatient & outpatient | 259 RC | $167 | $167 | — | — | |
| Alphagan p 0.1 % op soln Inpatient & outpatient | 259 RC | $3,488 | $3,488 | — | — | |
| Alum & mag hydroxide-simeth 1200-1200-120 mg/30ml po susp Inpatient & outpatient | 259 RC | $125 | $125 | — | — | |
| Amantadine hcl 50 mg/5ml po soln unit dose Inpatient & outpatient | 259 RC | $248 | $248 | — | — | |
| Americaine 20 % ex aero Inpatient & outpatient | 259 RC | $173 | $173 | — | — | |
| Ammonium lactate 12 % ex lotn Inpatient & outpatient | 259 RC | $185 | $185 | — | — | |
| Amoxicillin 250 mg/5ml po susr Inpatient & outpatient | 259 RC | $67.94 | $67.94 | — | — | |
| Amoxicillin 400 mg/5ml po susr Inpatient & outpatient | 259 RC | $66.19 | $66.19 | — | — | |
| Amoxicillin-pot clavulanate 400-57 mg/5ml po susr unit dose Inpatient & outpatient | 259 RC | $90.50 | $90.50 | — | — | |
| Anecream 4 % ex crea Inpatient & outpatient | 259 RC | $150 | $150 | — | — | |
| Anoro ellipta 62.5-25 mcg/act in aepb Inpatient & outpatient | 259 RC | $4,249 | $4,249 | — | — | |
| Antacid regular strength 200-200-20 mg/5ml po susp Inpatient & outpatient | 259 RC | $44.95 | $44.95 | — | — | |
| Antacid/antigas 400-400-40 mg/10ml po susp Inpatient & outpatient | 259 RC | $11.23 | $11.23 | — | — | |
| Anti-itch 2-0.1 % ex crea Inpatient & outpatient | 259 RC | $119 | $119 | — | — | |
| Antifungal (clotrimazole) 1 % ex crea Inpatient & outpatient | 259 RC | $195 | $195 | — | — |