Altru Hospital — price list

← Hospital overviewVerified from Altru Hospital’s published price file

Includes 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.

141 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Brachytx, non-str,Yttrium-90 Outpatient	2616 OTHER	—	—	—	$30,872
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$112
Cochlear Implant Procedure Outpatient	5166 OTHER	—	—	—	$15,205
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$6,250
Critical Care Outpatient	5041 OTHER	—	—	—	$3,086
Darbepoetin alfa, esrd use Outpatient	1482 OTHER	—	—	—	$2,164
Darbepoetin alfa, non-esrd Outpatient	1685 OTHER	—	—	—	$126
Dialysis Outpatient	5401 OTHER	—	—	—	$1,318
Endo, single, urinary tract Outpatient	2040 OTHER	—	—	—	$2,738
Hyperbaric Oxygen Outpatient	5061 OTHER	—	—	—	$515
Implantation Wireless PA Pressure Monitor Outpatient	5200 OTHER	—	—	—	$39,528
Inj, glycopyrrolate, 0.1 mg Outpatient	0792 OTHER	—	—	—	$1,190
Inj, methylpred acetate 1 mg Outpatient	0790 OTHER	—	—	—	$1,055
Injection,onabotulinumtoxinA Outpatient	0902 OTHER	—	—	—	$982
Ketorolac tromethamine inj Outpatient	0764 OTHER	—	—	—	$794
Laser Eye Procedures Outpatient	5481 OTHER	—	—	—	$722
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures Outpatient	5341 OTHER	—	—	—	$3,268
Level 1 Airway Endoscopy Outpatient	5151 OTHER	—	—	—	$120
Level 1 Blood Product Exchange and Related Services Outpatient	5241 OTHER	—	—	—	$871
Level 1 Breast/Lymphatic Surgery and Related Procedures Outpatient	5091 OTHER	—	—	—	$50.00
Level 1 Diagnostic Tests and Related Services Outpatient	5721 OTHER	—	—	—	$166
Level 1 Drug Administration Outpatient	5691 OTHER	—	—	—	$235
Level 1 Electronic Analysis of Devices Outpatient	5741 OTHER	—	—	—	$94.00
Level 1 Endovascular Procedures Outpatient	5191 OTHER	—	—	—	$9,971
Level 1 ENT Procedures Outpatient	5161 OTHER	—	—	—	$220
Level 1 Excision/ Biopsy/ Incision and Drainage Outpatient	5071 OTHER	—	—	—	$791
Level 1 Extraocular, Repair, and Plastic Eye Procedures Outpatient	5501 OTHER	—	—	—	$453
Level 1 Gynecologic Procedures Outpatient	5411 OTHER	—	—	—	$449
Level 1 ICD and Similar Procedures Outpatient	5231 OTHER	—	—	—	$23,563
Level 1 Imaging with Contrast Outpatient	5571 OTHER	—	—	—	$824