Amery Hospital — price list
← Hospital overviewVerified from Amery Hospital’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.
554 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| A1 Antigen Inpatient & outpatient | PX-30086905001 CDM | $79.00 | $41.19 | $23.59 – $1,026 | — | |
| A1a Genotype With Reflex to Phenotype Inpatient & outpatient | PX-30181332001 CDM | $299 | $156 | $43.65 – $290 | — | |
| A1a Genotype With Reflex to Phenotype Inpatient & outpatient | PX-30182103002 CDM | $299 | $156 | $55.71 – $290 | — | |
| Abo Inpatient & outpatient | PX-30086900002 CDM | $52.00 | $27.11 | $15.53 – $368 | $408 | |
| Acetaminophen Inpatient & outpatient | PX-30180143001 CDM | $147 | $76.65 | $43.89 – $143 | $128 | |
| Acute Adjustment Reaction And Psychosocial Dysfunction Inpatient | 880 MS-DRG | $5,527 | $2,882 | $1,029 – $11,466 | — | |
| Acute Myocardial Infarction, Discharged Alive With McC Inpatient | 280 MS-DRG | $10,932 | $5,700 | $3,738 – $19,155 | — | |
| Acute Myocardial Infarction, Expired With Cc Inpatient | 284 MS-DRG | $12,895 | $6,723 | $3,738 – $8,266 | — | |
| Afp Maternal Serum Inpatient & outpatient | PX-30182105002 CDM | $163 | $84.99 | $48.67 – $158 | — | |
| Aftercare With Cc/McC Inpatient | 949 MS-DRG | $14,294 | $7,453 | — | — | |
| Aftercare, Musculoskeletal System And Connective Tissue With Cc Inpatient | 560 MS-DRG | $24,767 | $12,914 | — | $76,864 | |
| Aftercare, Musculoskeletal System And Connective Tissue With McC Inpatient | 559 MS-DRG | $32,293 | $16,838 | — | $256 | |
| Aftercare, Musculoskeletal System And Connective Tissue Without Cc/McC Inpatient | 561 MS-DRG | $26,609 | $13,874 | — | — | |
| Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy With McC Inpatient | 896 MS-DRG | $8,418 | $4,389 | $953 – $20,838 | — | |
| Alcohol, Drug Abuse Or Dependence Without Rehabilitation Therapy Without McC Inpatient | 897 MS-DRG | $12,773 | $6,660 | $905 – $10,542 | $151 | |
| Aluminum, Urine Inpatient & outpatient | PX-30182108002 CDM | $123 | $64.13 | $36.73 – $119 | — | |
| Alzheimer's Disease Evaluation, CSF Inpatient & outpatient | PX-30182234001 CDM | $898 | $468 | $268 – $871 | — | |
| Amino Acids Quant, Urine Inpatient & outpatient | PX-30182139002 CDM | $471 | $246 | $70.66 – $457 | — | |
| Amputation Of Lower Limb For Endocrine, Nutritional And Metabolic Disorders With Cc Inpatient | 617 MS-DRG | $32,731 | $17,066 | $3,738 – $22,333 | — | |
| Amylase Isoenzymes Inpatient & outpatient | PX-30182150005 CDM | $161 | $83.95 | $27.18 – $156 | — | |
| Amylase Urine Inpatient & outpatient | PX-30182150003 CDM | $64.00 | $33.37 | $19.11 – $62.05 | — | |
| Amylase Urine Inpatient & outpatient | PX-30182150004 CDM | $68.00 | $35.46 | $20.30 – $65.93 | — | |
| Anti-M�llerian Hormone, Adult Females Inpatient & outpatient | PX-30182397005 CDM | $118 | $61.53 | $35.23 – $114 | $163 | |
| Apolipoprotein A Inpatient & outpatient | PX-30182172002 CDM | $163 | $84.99 | $48.67 – $158 | $62.51 | |
| Apolipoprotein B Inpatient & outpatient | PX-30182172001 CDM | $72.00 | $37.54 | $21.50 – $86.96 | $62.51 | |
| Appendix Procedures Without Cc/McC Inpatient | 399 MS-DRG | $62,250 | $32,457 | $3,738 – $13,669 | $1,238 | |
| Arsenic Blood Inpatient & outpatient | PX-30182175001 CDM | $89.00 | $46.40 | $26.58 – $86.29 | — | |
| Ashkenazi Jewish Diseases, 16 Genes Inpatient & outpatient | PX-30181200001 CDM | $162 | $84.47 | $48.37 – $196 | — | |
| Ashkenazi Jewish Diseases, 16 Genes Inpatient & outpatient | PX-30181205001 CDM | $162 | $84.47 | $48.37 – $394 | — | |
| Ashkenazi Jewish Diseases, 16 Genes Inpatient & outpatient | PX-30181209001 CDM | $162 | $84.47 | $58.12 – $163 | — |