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.
14 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 | — | |
| Cefepime 2 gram solution for injection Inpatient | 16371 CDM | $32.43 | $25.94 | $21.08 – $29.19 | — | |
| Cefepime 2 gram solution for injection Outpatient | 16371 CDM | $32.43 | $25.94 | $7.70 – $29.19 | — | |
| Dextrose 50% in water (d50w) IV syringe (code) Inpatient | 163718 CDM | $108 | $86.78 | $70.51 – $97.63 | — | |
| Dextrose 50% in water (d50w) IV syringe (code) Outpatient | 163718 CDM | $108 | $86.78 | $25.76 – $97.63 | — | |
| Diphenhydramine 50 mg/ml injection (code) Inpatient | 163710 CDM | $12.13 | $9.70 | $7.88 – $10.92 | — | |
| Diphenhydramine 50 mg/ml injection (code) Outpatient | 163710 CDM | $12.13 | $9.70 | $2.88 – $10.92 | — | |
| Flumazenil 0.1 mg/ml IV (code) Inpatient | 163712 CDM | $18.50 | $14.80 | $12.03 – $16.65 | — | |
| Flumazenil 0.1 mg/ml IV (code) Outpatient | 163712 CDM | $18.50 | $14.80 | $4.39 – $16.65 | — | |
| Furosemide 10 mg/ml injection (code) Inpatient | 163713 CDM | $22.31 | $17.85 | $14.50 – $20.08 | — | |
| Furosemide 10 mg/ml injection (code) Outpatient | 163713 CDM | $22.31 | $17.85 | $5.30 – $20.08 | — | |
| Lactated ringers IV infusion/bolus (code) Inpatient | 163717 CDM | $67.19 | $53.75 | $43.67 – $60.47 | — | |
| Lactated ringers IV infusion/bolus (code) Outpatient | 163717 CDM | $67.19 | $53.75 | $15.96 – $60.47 | — |