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.
121 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 | — | |
| ACYCLOVIR 200MG UD CAP Inpatient | 0637 RC | $1.68 | $0.93 | $1.36 – $1.36 | — | |
| 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 | — | |
| AGGRENOX CAPS Inpatient | 0637 RC | $37.24 | $20.49 | $30.16 – $30.16 | — | |
| ALPRAZOLAM 0.5MG UD TAB Inpatient | 0637 RC | $0.39 | $0.22 | $0.32 – $0.32 | — | |
| AMANTADINE 100MG UD CAP Inpatient | 0637 RC | $9.82 | $5.41 | $7.95 – $7.95 | — | |
| AMOXICILLIN 125/5 SUSPN 80ML Inpatient | 0637 RC | $15.18 | $8.35 | $12.30 – $12.30 | — | |
| ANAGRELIDE 0.5MG CAP Inpatient | 0637 RC | $8.28 | $4.56 | $6.71 – $6.71 | — | |
| ANUSOL SUPPOS Inpatient | 0637 RC | $1.33 | $0.74 | $1.08 – $1.08 | — | |
| ANUSOL-HC 2.5% CREAM Inpatient | 0637 RC | $58.31 | $32.08 | $47.23 – $47.23 | — | |
| APIXABAN 2.5MG TAB Inpatient | 0637 RC | $52.79 | $29.04 | $42.76 – $42.76 | — | |
| ARIPIPRAZOLE 15MG TAB Inpatient | 0637 RC | $16.69 | $9.18 | $13.52 – $13.52 | — | |
| ARIPIPRAZOLE 5 MG Inpatient | 0637 RC | $3.82 | $2.11 | $3.09 – $3.09 | — | |
| ASPIRIN 300MG SUPPOS Inpatient | 0637 RC | $13.92 | $7.66 | $11.28 – $11.28 | — | |
| ATENOLOL 50MG UD TAB Inpatient | 0637 RC | $1.13 | $0.63 | $0.92 – $0.92 | — | |
| ATORVASTATIN 40 MG LIPITOR Inpatient | 0637 RC | $3.02 | $1.67 | $2.45 – $2.45 | — | |
| ATRIPLA Inpatient | 0637 RC | $416 | $229 | $337 – $337 | — | |
| AUGMENTIN 250MG/5ML SUSP Inpatient | 0637 RC | $274 | $151 | $222 – $222 | — | |
| AZITHROMYCIN 250MG TAB Inpatient | 0637 RC | $6.38 | $3.51 | $5.17 – $5.17 | — | |
| BARICITINIB 4 MG TABLET Inpatient | 0637 RC | $874 | $481 | $708 – $708 | — | |
| BENZOCAINE/MENTHOL 20-0.5% SPY Inpatient | 0637 RC | $42.56 | $23.41 | $34.47 – $34.47 | — | |
| BENZONATATE 100MG UD CAP Inpatient | 0637 RC | $0.91 | $0.51 | $0.74 – $0.74 | — | |
| BISMUTH SUBSAL 262MG UD TAB Inpatient | 0637 RC | $2.54 | $1.40 | $2.06 – $2.06 | — | |
| BREXPIPRAZOLE 0.25 MG TABLET Inpatient | 0637 RC | $230 | $127 | $186 – $186 | — | |
| BREXPIPRAZOLE 0.5 MG TABLET Inpatient | 0637 RC | $230 | $127 | $186 – $186 | — | |
| BREXPIPRAZOLE 2 MG TABLET Inpatient | 0637 RC | $230 | $127 | $186 – $186 | — | |
| BREXPIPRAZOLE 4 MG TABLET Inpatient | 0637 RC | $230 | $127 | $186 – $186 | — | |
| BUPRENORPHINE 1MG HALFTAB Inpatient | 0637 RC | $2.48 | $1.37 | $2.01 – $2.01 | — |