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.

22 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetaminophen 325 mg tablet Inpatient	101 CDM	$188	$150	$122 – $169	—
Acetaminophen 325 mg tablet Outpatient	101 CDM	$188	$150	$44.65 – $169	—
Ganciclovir sodium 500 mg intravenous solution Inpatient	10101 CDM	$200	$160	$130 – $180	—
Ganciclovir sodium 500 mg intravenous solution Outpatient	10101 CDM	$200	$160	$47.45 – $180	—
Glipizide 10 mg tablet Inpatient	10116 CDM	$4.62	$3.70	$3.00 – $4.16	—
Glipizide 10 mg tablet Outpatient	10116 CDM	$4.62	$3.70	$1.10 – $4.16	—
Glipizide 5 mg tablet Inpatient	10117 CDM	$2.07	$1.66	$1.35 – $1.86	—
Glipizide 5 mg tablet Outpatient	10117 CDM	$2.07	$1.66	$0.49 – $1.86	—
Glyburide 2.5 mg tablet Inpatient	10126 CDM	$86.95	$69.56	$56.52 – $78.25	—
Glyburide 2.5 mg tablet Outpatient	10126 CDM	$86.95	$69.56	$20.65 – $78.25	—
Glycopyrrolate 1 mg tablet Inpatient	10130 CDM	$247	$197	$160 – $222	—
Glycopyrrolate 1 mg tablet Outpatient	10130 CDM	$247	$197	$58.60 – $222	—
Haloperidol decanoate 100 mg/ml intramuscular solution Inpatient	10162 CDM	$205	$164	$133 – $184	—
Haloperidol decanoate 100 mg/ml intramuscular solution Outpatient	10162 CDM	$205	$164	$48.60 – $184	—
Haloperidol decanoate 50 mg/ml intramuscular solution Inpatient	10163 CDM	$107	$85.72	$69.65 – $96.44	—
Haloperidol decanoate 50 mg/ml intramuscular solution Outpatient	10163 CDM	$107	$85.72	$25.45 – $96.44	—
Heparin (porcine) 1,000 unit/ml injection solution Inpatient	10176 CDM	$11.45	$9.16	$7.44 – $10.30	—
Heparin (porcine) 1,000 unit/ml injection solution Outpatient	10176 CDM	$11.45	$9.16	$2.72 – $10.30	—
Heparin (porcine) 5,000 unit/ml injection solution Inpatient	10181 CDM	$16.98	$13.58	$11.04 – $15.28	—
Heparin (porcine) 5,000 unit/ml injection solution Outpatient	10181 CDM	$16.98	$13.58	$4.03 – $15.28	—
Hydrocolloid dressing 6" x 6" Inpatient	111013 CDM	$68.55	$54.84	$44.56 – $61.70	—
Hydrocolloid dressing 6" x 6" Outpatient	111013 CDM	$68.55	$54.84	$16.28 – $61.70	—