Bronson Lakeview Hospital — price list
← Hospital overviewVerified from Bronson Lakeview 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.
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) | |
|---|---|---|---|---|---|---|
| Acetaminophen 1,000 mg/100 ml (10 mg/ml) intravenous solution Inpatient | 151854 CDM | $32.93 | $26.34 | $21.40 – $29.64 | — | |
| Acetaminophen 1,000 mg/100 ml (10 mg/ml) intravenous solution Outpatient | 151854 CDM | $32.93 | $26.34 | $7.82 – $29.64 | — | |
| Acetaminophen 120 mg rectal suppository Inpatient | 103 CDM | $18.99 | $15.19 | $12.34 – $17.09 | — | |
| Acetaminophen 120 mg rectal suppository Outpatient | 103 CDM | $18.99 | $15.19 | $4.51 – $17.09 | — | |
| Acetaminophen 160 mg/5 ml (5 ml) oral suspension Inpatient | 8943 CDM | $4.95 | $3.96 | $3.22 – $4.46 | — | |
| Acetaminophen 160 mg/5 ml (5 ml) oral suspension Outpatient | 8943 CDM | $4.95 | $3.96 | $1.18 – $4.46 | — | |
| Acetaminophen 160 mg/5 ml oral liquid Inpatient | 100 CDM | $0.71 | $0.57 | $0.46 – $0.64 | — | |
| Acetaminophen 160 mg/5 ml oral liquid Outpatient | 100 CDM | $0.71 | $0.57 | $0.17 – $0.64 | — | |
| Acetaminophen 325 mg rectal suppository Inpatient | 104 CDM | $1.71 | $1.37 | $1.11 – $1.54 | — | |
| Acetaminophen 325 mg rectal suppository Outpatient | 104 CDM | $1.71 | $1.37 | $0.41 – $1.54 | — | |
| Acetaminophen 325 mg tablet Inpatient | 101 CDM | $188 | $150 | $122 – $169 | — | |
| Acetaminophen 325 mg tablet Outpatient | 101 CDM | $188 | $150 | $44.65 – $169 | — | |
| Acetaminophen 500 mg tablet Inpatient | 102 CDM | $280 | $224 | $182 – $252 | — | |
| Acetaminophen 500 mg tablet Outpatient | 102 CDM | $280 | $224 | $66.50 – $252 | — | |
| Acetaminophen 650 mg rectal suppository Inpatient | 105 CDM | $2.08 | $1.66 | $1.35 – $1.87 | — | |
| Acetaminophen 650 mg rectal suppository Outpatient | 105 CDM | $2.08 | $1.66 | $0.49 – $1.87 | — | |
| Acetaminophen 650 mg/20.3 ml oral solution Inpatient | 119323 CDM | $4.44 | $3.55 | $2.89 – $4.00 | — | |
| Acetaminophen 650 mg/20.3 ml oral solution Outpatient | 119323 CDM | $4.44 | $3.55 | $1.05 – $4.00 | — | |
| Acetaminophen 80 mg chewable tablet Inpatient | 99 CDM | $42.30 | $33.84 | $27.50 – $38.07 | — | |
| Acetaminophen 80 mg chewable tablet Outpatient | 99 CDM | $42.30 | $33.84 | $10.05 – $38.07 | — | |
| Acetazolamide 250 mg tablet Inpatient | 113 CDM | $310 | $248 | $201 – $279 | — | |
| Acetazolamide 250 mg tablet Outpatient | 113 CDM | $310 | $248 | $73.55 – $279 | — | |
| Acetazolamide 500 mg solution for injection Inpatient | 114 CDM | $121 | $96.83 | $78.68 – $109 | — | |
| Acetazolamide 500 mg solution for injection Outpatient | 114 CDM | $121 | $96.83 | $28.75 – $109 | — | |
| Acetic acid (bulk) 3 % liquid Inpatient | 15091 CDM | $192 | $154 | $125 – $173 | — | |
| Acetic acid (bulk) 3 % liquid Outpatient | 15091 CDM | $192 | $154 | $45.60 – $173 | — | |
| Acetic acid 2 % ear solution Inpatient | 17801 CDM | $96.35 | $77.08 | $62.63 – $86.72 | — | |
| Acetic acid 2 % ear solution Outpatient | 17801 CDM | $96.35 | $77.08 | $22.88 – $86.72 | — | |
| Acetylcholine chloride 1 % (10 mg/ml) intraocular kit Inpatient | 32559 CDM | $270 | $216 | $176 – $243 | — | |
| Acetylcholine chloride 1 % (10 mg/ml) intraocular kit Outpatient | 32559 CDM | $270 | $216 | $64.17 – $243 | — |