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.

20 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
Ammonium lactate 12 % lotion Inpatient	10380 CDM	$16.20	$12.96	$10.53 – $14.58	—
Ammonium lactate 12 % lotion Outpatient	10380 CDM	$16.20	$12.96	$3.85 – $14.58	—
Cefoxitin 1 gram/50 ml in dextrose, iso-osmotic intravenous piggyback Inpatient	91039 CDM	$66.38	$53.10	$43.15 – $59.74	—
Cefoxitin 1 gram/50 ml in dextrose, iso-osmotic intravenous piggyback Outpatient	91039 CDM	$66.38	$53.10	$15.77 – $59.74	—
Dexmedetomidine 100 mcg/ml intravenous solution Inpatient	27103 CDM	$80.11	$64.09	$52.07 – $72.10	—
Dexmedetomidine 100 mcg/ml intravenous solution Outpatient	27103 CDM	$80.11	$64.09	$19.03 – $72.10	—
Insulin regular 1 unit/ml in 0.9 % nacl IV push (custom) Inpatient	301039 CDM	$66.31	$53.05	$43.10 – $59.68	—
Insulin regular 1 unit/ml in 0.9 % nacl IV push (custom) Outpatient	301039 CDM	$66.31	$53.05	$15.75 – $59.68	—
Ketoconazole 2 % topical cream Inpatient	10368 CDM	$73.82	$59.06	$47.98 – $66.44	—
Ketoconazole 2 % topical cream Outpatient	10368 CDM	$73.82	$59.06	$17.53 – $66.44	—
Labetalol 100 mg tablet Inpatient	10373 CDM	$324	$259	$211 – $292	—
Labetalol 100 mg tablet Outpatient	10373 CDM	$324	$259	$76.94 – $292	—
Labetalol 5 mg/ml intravenous solution Inpatient	10372 CDM	$46.00	$36.80	$29.90 – $41.40	—
Labetalol 5 mg/ml intravenous solution Outpatient	10372 CDM	$46.00	$36.80	$10.93 – $41.40	—
Lidocaine (pf) 10 mg/ml (1 %) injection solution Inpatient	103888 CDM	$25.35	$20.28	$16.48 – $22.82	—
Lidocaine (pf) 10 mg/ml (1 %) injection solution Outpatient	103888 CDM	$25.35	$20.28	$6.02 – $22.82	—
Lidocaine (pf) 20 mg/ml (2 %) injection solution Inpatient	103889 CDM	$13.13	$10.50	$8.53 – $11.82	—
Lidocaine (pf) 20 mg/ml (2 %) injection solution Outpatient	103889 CDM	$13.13	$10.50	$3.12 – $11.82	—