Bristol Hospital, Incorporated — price list
← Hospital overviewVerified from Bristol Hospital, Incorporated’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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABORTION WITH D&C, ASPIRATION CURETTAGE OR HYSTEROTOMY Inpatient | 770 MS-DRG | — | — | $4,384 – $20,175 | — | |
| ABORTION WITHOUT D&C Inpatient | 779 MS-DRG | — | — | $4,384 – $17,635 | — | |
| ACETAMINOPHEN 120MG SUPP Inpatient | 0637 RC | $2.27 | $1.25 | $1.84 – $1.84 | — | |
| ACETAMINOPHEN 40/1.25 SUSPN Inpatient | 0637 RC | $0.61 | $0.34 | $0.49 – $0.49 | — | |
| ACETAZOLAMIDE 125 MG HALFTAB Inpatient | 0250 RC | $14.19 | $7.81 | $11.49 – $11.49 | — | |
| ACETIC ACID 5% 50 ML BOTTLE Inpatient | 0250 RC | $48.22 | $26.53 | $39.06 – $39.06 | — | |
| ACETYLCYSTEINE 800MG/4ML SDV Inpatient | 0250 RC | $112 | $61.71 | $90.87 – $90.87 | — | |
| ACUTE ADJUSTMENT REACTION AND PSYCHOSOCIAL DYSFUNCTION Inpatient | 880 MS-DRG | — | — | $5,953 – $18,063 | — | |
| ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Inpatient | 289 MS-DRG | — | — | $5,953 – $29,184 | — | |
| ACUTE AND SUBACUTE ENDOCARDITIS WITH MCC Inpatient | 288 MS-DRG | — | — | $5,953 – $49,963 | — | |
| ACUTE AND SUBACUTE ENDOCARDITIS WITHOUT CC/MCC Inpatient | 290 MS-DRG | — | — | $5,953 – $18,430 | — | |
| ACUTE LEUKEMIA WITH CC Inpatient | 835 MS-DRG | — | — | $5,953 – $39,246 | — | |
| ACUTE LEUKEMIA WITH MCC Inpatient | 834 MS-DRG | — | — | $5,953 – $100,267 | — | |
| ACUTE LEUKEMIA WITH OTHER PROCEDURES Inpatient | 850 MS-DRG | — | — | $7,440 – $166,564 | — | |
| ACUTE LEUKEMIA WITHOUT CC/MCC Inpatient | 836 MS-DRG | — | — | $5,953 – $23,679 | — | |
| ACUTE MAJOR EYE INFECTIONS WITH CC/MCC Inpatient | 121 MS-DRG | — | — | $5,953 – $21,744 | — | |
| ACUTE MAJOR EYE INFECTIONS WITHOUT CC/MCC Inpatient | 122 MS-DRG | — | — | $5,953 – $13,020 | — | |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH CC Inpatient | 281 MS-DRG | — | — | $5,953 – $17,401 | — | |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITH MCC Inpatient | 280 MS-DRG | — | — | $5,953 – $30,349 | — | |
| ACUTE MYOCARDIAL INFARCTION, DISCHARGED ALIVE WITHOUT CC/MCC Inpatient | 282 MS-DRG | — | — | $5,953 – $13,862 | — | |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH CC Inpatient | 284 MS-DRG | — | — | $5,953 – $14,148 | — | |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITH MCC Inpatient | 283 MS-DRG | — | — | $5,953 – $35,998 | — | |
| ACUTE MYOCARDIAL INFARCTION, EXPIRED WITHOUT CC/MCC Inpatient | 285 MS-DRG | — | — | $5,458 – $10,916 | — | |
| ACYCLOVIR 200MG UD CAP Inpatient | 0637 RC | $1.68 | $0.93 | $1.36 – $1.36 | — | |
| ACYCLOVIR 5 MG (CQ100) Inpatient | J0133 HCPCS | $14.72 | $8.10 | $4.49 – $11.92 | — | |
| ADENOSINE 1 MG (CQ12) INJ Inpatient | J0153 HCPCS | $87.24 | $47.99 | $26.61 – $70.66 | — | |
| ADRENAL AND PITUITARY PROCEDURES WITH CC/MCC Inpatient | 614 MS-DRG | — | — | $7,440 – $41,821 | — | |
| ADRENAL AND PITUITARY PROCEDURES WITHOUT CC/MCC Inpatient | 615 MS-DRG | — | — | $7,440 – $26,599 | — | |
| ADULT PHOSPHATE ENEMA (STRM) Inpatient | 0637 RC | $17.87 | $9.83 | $14.47 – $14.47 | — | |
| ADVAIR DISKUS 100-50 Inpatient | 0637 RC | $641 | $353 | $519 – $519 | — |