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.
192 prices shown (filtered).
| 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 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 | — | |
| Allopurinol 100 mg tablet Inpatient | 310 CDM | $2.73 | $2.18 | $1.77 – $2.46 | — | |
| Allopurinol 100 mg tablet Outpatient | 310 CDM | $2.73 | $2.18 | $0.65 – $2.46 | — | |
| Alteplase 100 mg intravenous solution Inpatient | 9002 CDM | $28,836 | $23,069 | $18,743 – $25,952 | — | |
| Alteplase 100 mg intravenous solution Outpatient | 9002 CDM | $28,836 | $23,069 | $68.29 – $25,952 | — | |
| Alteplase 100 mg IV infusion for stroke Inpatient | 150807 CDM | $28,836 | $23,069 | $18,743 – $25,952 | — | |
| Alteplase 100 mg IV infusion for stroke Outpatient | 150807 CDM | $28,836 | $23,069 | $68.29 – $25,952 | — | |
| Alteplase 100mg IV solution for pe Inpatient | 150806 CDM | $28,836 | $23,069 | $18,743 – $25,952 | — | |
| Alteplase 100mg IV solution for pe Outpatient | 150806 CDM | $28,836 | $23,069 | $68.29 – $25,952 | — | |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV Inpatient | 152869 CDM | $93.90 | $75.12 | $61.03 – $84.51 | — | |
| Amiodarone 150 mg/100 ml (1.5 mg/ml) in dextrose, iso-osmotic IV Outpatient | 152869 CDM | $93.90 | $75.12 | $22.30 – $84.51 | — | |
| Anidulafungin 100 mg intravenous solution Inpatient | 88093 CDM | $140 | $112 | $91.20 – $126 | — | |
| Anidulafungin 100 mg intravenous solution Outpatient | 88093 CDM | $140 | $112 | $33.32 – $126 | — | |
| Benzonatate 100 mg capsule Inpatient | 988 CDM | $371 | $297 | $241 – $334 | — | |
| Benzonatate 100 mg capsule Outpatient | 988 CDM | $371 | $297 | $88.18 – $334 | — | |
| Bupropion hcl 100 mg tablet Inpatient | 9321 CDM | $246 | $197 | $160 – $221 | — | |
| Bupropion hcl 100 mg tablet Outpatient | 9321 CDM | $246 | $197 | $58.42 – $221 | — | |
| Bupropion hcl sr 100 mg tablet,12 hr sustained-release Inpatient | 18385 CDM | $3.46 | $2.77 | $2.25 – $3.11 | — | |
| Bupropion hcl sr 100 mg tablet,12 hr sustained-release Outpatient | 18385 CDM | $3.46 | $2.77 | $0.82 – $3.11 | — | |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe Inpatient | 1306 CDM | $70.54 | $56.43 | $45.85 – $63.49 | — | |
| Calcium chloride 100 mg/ml (10 %) intravenous syringe Outpatient | 1306 CDM | $70.54 | $56.43 | $16.75 – $63.49 | — | |
| Calcium chloride 100 mg/ml (10 %) IV syringe (code) Inpatient | 163711 CDM | $52.20 | $41.76 | $33.93 – $46.98 | — | |
| Calcium chloride 100 mg/ml (10 %) IV syringe (code) Outpatient | 163711 CDM | $52.20 | $41.76 | $12.40 – $46.98 | — | |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution Inpatient | 1312 CDM | $33.11 | $26.49 | $21.52 – $29.80 | — | |
| Calcium gluconate 100 mg/ml (10 %) intravenous solution Outpatient | 1312 CDM | $33.11 | $26.49 | $7.86 – $29.80 | — | |
| Carbidopa 10 mg-levodopa 100 mg tablet Inpatient | 9406 CDM | $231 | $185 | $150 – $208 | — | |
| Carbidopa 10 mg-levodopa 100 mg tablet Outpatient | 9406 CDM | $231 | $185 | $54.83 – $208 | — |