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.

36 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
Calcium polycarbophil 625 mg tablet Inpatient	11046 CDM	$91.65	$73.32	$59.57 – $82.48	—
Calcium polycarbophil 625 mg tablet Outpatient	11046 CDM	$91.65	$73.32	$21.77 – $82.48	—
Cefoxitin 2 gram/50 ml in dextrose(iso-osmotic) intravenous piggyback Inpatient	91040 CDM	$103	$82.74	$67.22 – $93.08	—
Cefoxitin 2 gram/50 ml in dextrose(iso-osmotic) intravenous piggyback Outpatient	91040 CDM	$103	$82.74	$24.56 – $93.08	—
Hepatitis b immune globulin > 1,560 unit/5 ml intramuscular solution Inpatient	91047 CDM	$2,175	$1,740	$1,414 – $1,957	—
Hepatitis b immune globulin > 1,560 unit/5 ml intramuscular solution Outpatient	91047 CDM	$2,175	$1,740	$97.02 – $1,957	—
Levothyroxine 112 mcg tablet Inpatient	10404 CDM	$390	$312	$253 – $351	—
Levothyroxine 112 mcg tablet Outpatient	10404 CDM	$390	$312	$92.60 – $351	—
Levothyroxine 137 mcg tablet Inpatient	10405 CDM	$301	$241	$196 – $271	—
Levothyroxine 137 mcg tablet Outpatient	10405 CDM	$301	$241	$71.59 – $271	—
Levothyroxine 88 mcg tablet Inpatient	10403 CDM	$251	$200	$163 – $226	—
Levothyroxine 88 mcg tablet Outpatient	10403 CDM	$251	$200	$59.51 – $226	—
Lidocaine 1 %-epinephrine 1:100,000 injection solution Inpatient	10427 CDM	$17.40	$13.92	$11.31 – $15.66	—
Lidocaine 1 %-epinephrine 1:100,000 injection solution Outpatient	10427 CDM	$17.40	$13.92	$4.13 – $15.66	—
Lidocaine 20 mg/ml (2 %)-epinephrine 1:100,000 injection solution Inpatient	10430 CDM	$22.62	$18.10	$14.70 – $20.36	—
Lidocaine 20 mg/ml (2 %)-epinephrine 1:100,000 injection solution Outpatient	10430 CDM	$22.62	$18.10	$5.37 – $20.36	—
Lidocaine-epinephrine (pf) 2 %-1:200,000 injection solution Inpatient	10431 CDM	$20.58	$16.46	$13.38 – $18.52	—
Lidocaine-epinephrine (pf) 2 %-1:200,000 injection solution Outpatient	10431 CDM	$20.58	$16.46	$4.89 – $18.52	—
Lisinopril 10 mg tablet Inpatient	10449 CDM	$110	$88.36	$71.79 – $99.41	—
Lisinopril 10 mg tablet Outpatient	10449 CDM	$110	$88.36	$26.23 – $99.41	—
Lisinopril 40 mg tablet Inpatient	10450 CDM	$207	$165	$134 – $186	—
Lisinopril 40 mg tablet Outpatient	10450 CDM	$207	$165	$49.12 – $186	—
Lisinopril 5 mg tablet Inpatient	10451 CDM	$2.73	$2.18	$1.77 – $2.46	—
Lisinopril 5 mg tablet Outpatient	10451 CDM	$2.73	$2.18	$0.65 – $2.46	—
Lithium carbonate ER 300 mg tablet,extended release Inpatient	10454 CDM	$270	$216	$176 – $243	—
Lithium carbonate ER 300 mg tablet,extended release Outpatient	10454 CDM	$270	$216	$64.18 – $243	—
Loratadine 10 mg tablet Inpatient	10466 CDM	$230	$184	$149 – $207	—
Loratadine 10 mg tablet Outpatient	10466 CDM	$230	$184	$54.60 – $207	—