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.

32 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
Bupivacaine (pf) 0.5 % (5 mg/ml) injection solution Inpatient	105640 CDM	$19.58	$15.66	$12.73 – $17.62	—
Bupivacaine (pf) 0.5 % (5 mg/ml) injection solution Outpatient	105640 CDM	$19.58	$15.66	$4.65 – $17.62	—
Bupivacaine-epinephrine (pf) 0.25 %-1:200,000 injection solution Inpatient	105633 CDM	$24.57	$19.66	$15.97 – $22.11	—
Bupivacaine-epinephrine (pf) 0.25 %-1:200,000 injection solution Outpatient	105633 CDM	$24.57	$19.66	$5.84 – $22.11	—
Bupivacaine-epinephrine (pf) 0.5 %-1:200,000 injection solution Inpatient	105634 CDM	$22.28	$17.82	$14.48 – $20.05	—
Bupivacaine-epinephrine (pf) 0.5 %-1:200,000 injection solution Outpatient	105634 CDM	$22.28	$17.82	$5.29 – $20.05	—
Cefepime 1 gram/50 ml in dextrose 5 % intravenous piggyback Inpatient	105551 CDM	$64.77	$51.82	$42.10 – $58.29	—
Cefepime 1 gram/50 ml in dextrose 5 % intravenous piggyback Outpatient	105551 CDM	$64.77	$51.82	$15.38 – $58.29	—
Cefepime 2 gram/50 ml in dextrose 5 % intravenous piggyback Inpatient	105552 CDM	$91.15	$72.92	$59.25 – $82.03	—
Cefepime 2 gram/50 ml in dextrose 5 % intravenous piggyback Outpatient	105552 CDM	$91.15	$72.92	$21.65 – $82.03	—
Enoxaparin 100 mg/ml subcutaneous syringe Inpatient	105903 CDM	$108	$86.21	$70.04 – $96.98	—
Enoxaparin 100 mg/ml subcutaneous syringe Outpatient	105903 CDM	$108	$86.21	$25.59 – $96.98	—
Enoxaparin 120 mg/0.8 ml subcutaneous syringe Inpatient	105904 CDM	$106	$84.89	$68.97 – $95.50	—
Enoxaparin 120 mg/0.8 ml subcutaneous syringe Outpatient	105904 CDM	$106	$84.89	$25.20 – $95.50	—
Enoxaparin 30 mg/0.3 ml subcutaneous syringe Inpatient	105899 CDM	$26.55	$21.24	$17.26 – $23.89	—
Enoxaparin 30 mg/0.3 ml subcutaneous syringe Outpatient	105899 CDM	$26.55	$21.24	$6.31 – $23.89	—
Enoxaparin 40 mg/0.4 ml subcutaneous syringe Inpatient	105900 CDM	$43.06	$34.45	$27.99 – $38.75	—
Enoxaparin 40 mg/0.4 ml subcutaneous syringe Outpatient	105900 CDM	$43.06	$34.45	$10.23 – $38.75	—
Enoxaparin 60 mg/0.6 ml subcutaneous syringe Inpatient	105901 CDM	$21.77	$17.42	$14.15 – $19.59	—
Enoxaparin 60 mg/0.6 ml subcutaneous syringe Outpatient	105901 CDM	$21.77	$17.42	$5.17 – $19.59	—
Enoxaparin 80 mg/0.8 ml subcutaneous syringe Inpatient	105902 CDM	$86.21	$68.97	$56.04 – $77.59	—
Enoxaparin 80 mg/0.8 ml subcutaneous syringe Outpatient	105902 CDM	$86.21	$68.97	$20.47 – $77.59	—
Heparin, porcine (pf) 10 unit/ml intravenous syringe Inpatient	105460 CDM	$10.00	$8.00	$6.50 – $9.00	—
Heparin, porcine (pf) 10 unit/ml intravenous syringe Outpatient	105460 CDM	$10.00	$8.00	$2.38 – $9.00	—
Lidocaine (pf) 5 mg/ml (0.5 %) injection solution Inpatient	105635 CDM	$56.96	$45.57	$37.02 – $51.26	—
Lidocaine (pf) 5 mg/ml (0.5 %) injection solution Outpatient	105635 CDM	$56.96	$45.57	$13.53 – $51.26	—
Megestrol 400 mg/10 ml (40 mg/ml) oral suspension Inpatient	10521 CDM	$1.30	$1.04	$0.85 – $1.17	—
Megestrol 400 mg/10 ml (40 mg/ml) oral suspension Outpatient	10521 CDM	$1.30	$1.04	$0.31 – $1.17	—