AdventHealth Littleton — price list
← Hospital overviewVerified from AdventHealth Littleton’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) | |
|---|---|---|---|---|---|---|
| 12 hour decongestant 0.05 % na soln Inpatient & outpatient | 259 RC | $84.09 | $84.09 | — | — | |
| 7 day vaginal 2 % va crea Inpatient & outpatient | 259 RC | $117 | $117 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0131 HCPCS | $119 | $119 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0134 HCPCS | $73.15 | $73.15 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0136 HCPCS | $83.04 | $83.04 | — | — | |
| Acetaminophen 1000 mg/100 ml IV soln Inpatient & outpatient | J0137 HCPCS | $178 | $178 | — | — | |
| Acetaminophen 160 mg/5ml po soln Inpatient & outpatient | 259 RC | $88.17 | $88.17 | — | — | |
| Acetaminophen 500 mg/50 ml IV soln Inpatient & outpatient | J0136 HCPCS | $142 | $142 | — | — | |
| Acetaminophen 650 mg/20.3ml po soln Inpatient & outpatient | 259 RC | $35.08 | $35.08 | — | — | |
| Acetazolamide sodium 500 mg ij solr Inpatient & outpatient | J1120 HCPCS | $302 | $302 | — | — | |
| Acetic acid 3 % soln Inpatient & outpatient | 259 RC | $22.11 | $22.11 | — | — | |
| Acetylcysteine 20 % in soln Inpatient & outpatient | 259 RC | $202 | $202 | — | — | |
| Acetylcysteine 200 mg/ml IV soln Inpatient & outpatient | J0132 HCPCS | $331 | $331 | — | — | |
| Actemra 200 mg/10ml IV soln Inpatient & outpatient | J3262 HCPCS | $1,783 | $1,783 | — | — | |
| Actemra 400 mg/20ml IV soln Inpatient & outpatient | J3262 HCPCS | $3,545 | $3,545 | — | — | |
| Actemra 80 mg/4ml IV soln Inpatient & outpatient | J3262 HCPCS | $1,783 | $1,783 | — | — | |
| Actidose with sorbitol 25 gm/120ml po susp Inpatient & outpatient | 259 RC | $110 | $110 | — | — | |
| Actidose-aqua 25 gm/120ml po liqd Inpatient & outpatient | 259 RC | $110 | $110 | — | — | |
| Acyclovir sodium 50 mg/ml IV soln Inpatient & outpatient | J0133 HCPCS | $135 | $135 | — | — | |
| Adacel 5-2-15.5 lf-mcg/0.5 IM susp Inpatient & outpatient | 90715 HCPCS | $1,264 | $1,264 | — | — | |
| Adenosine (diagnostic) 3 mg/ml IV soln Inpatient & outpatient | J0153 HCPCS | $181 | $181 | — | — | |
| Adenosine 12 mg/4ml IV soln Inpatient & outpatient | J0153 HCPCS | $515 | $515 | — | — | |
| Adenosine 6 mg/2ml IV soln Inpatient & outpatient | J0153 HCPCS | $193 | $193 | — | — | |
| Adrenalin 0.1 % na soln Inpatient & outpatient | 259 RC | $986 | $986 | — | — | |
| Adrenalin-nacl 4-0.9 mg/250ml-% IV soln Inpatient & outpatient | J3490 HCPCS | $714 | $714 | — | — | |
| Afluria preservative free 0.5 ml IM susy Inpatient & outpatient | 90656 HCPCS | $415 | $415 | — | — | |
| Afrin nodrip extra moisture 0.05 % na soln Inpatient & outpatient | 259 RC | $215 | $215 | — | — | |
| Akten 3.5 % op gel Inpatient & outpatient | 259 RC | $406 | $406 | — | — | |
| Alaway 0.035 % op soln Inpatient & outpatient | 259 RC | $258 | $258 | — | — | |
| Albuked 25 25 % IV soln Inpatient & outpatient | P9046 HCPCS | $827 | $827 | — | — |