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.

46 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Acetaminophen 80 mg chewable tablet Inpatient	99 CDM	$42.30	$33.84	$27.50 – $38.07	—
Acetaminophen 80 mg chewable tablet Outpatient	99 CDM	$42.30	$33.84	$10.05 – $38.07	—
Benzoyl peroxide 5 % topical cleanser Inpatient	993 CDM	$21.48	$17.18	$13.96 – $19.33	—
Benzoyl peroxide 5 % topical cleanser Outpatient	993 CDM	$21.48	$17.18	$5.10 – $19.33	—
Benztropine 0.5 mg tablet Inpatient	998 CDM	$216	$173	$141 – $195	—
Benztropine 0.5 mg tablet Outpatient	998 CDM	$216	$173	$51.35 – $195	—
Buspirone 7.5 mg tablet Inpatient	29967 CDM	$225	$180	$146 – $203	—
Buspirone 7.5 mg tablet Outpatient	29967 CDM	$225	$180	$53.47 – $203	—
Carboxymethylcellulose sodium 1 % eye liquid gel drops Inpatient	27992 CDM	$28.25	$22.60	$18.36 – $25.43	—
Carboxymethylcellulose sodium 1 % eye liquid gel drops Outpatient	27992 CDM	$28.25	$22.60	$6.71 – $25.43	—
Cefazolin 50 mg/0.5 ml in ns for discogram Inpatient	168899 CDM	$7.81	$6.25	$5.08 – $7.03	—
Cefazolin 50 mg/0.5 ml in ns for discogram Outpatient	168899 CDM	$7.81	$6.25	$1.85 – $7.03	—
Cephalexin 250 mg capsule Inpatient	9499 CDM	$289	$231	$188 – $260	—
Cephalexin 250 mg capsule Outpatient	9499 CDM	$289	$231	$68.65 – $260	—
Conjugated estrogens 0.3 mg tablet Inpatient	9973 CDM	$2,551	$2,041	$1,658 – $2,296	—
Conjugated estrogens 0.3 mg tablet Outpatient	9973 CDM	$2,551	$2,041	$606 – $2,296	—
Conjugated estrogens 0.625 mg tablet Inpatient	9974 CDM	$2,551	$2,041	$1,658 – $2,296	—
Conjugated estrogens 0.625 mg tablet Outpatient	9974 CDM	$2,551	$2,041	$606 – $2,296	—
Conjugated estrogens 0.625 mg/gram vaginal cream Inpatient	9977 CDM	$1,573	$1,258	$1,022 – $1,415	—
Conjugated estrogens 0.625 mg/gram vaginal cream Outpatient	9977 CDM	$1,573	$1,258	$374 – $1,415	—
Dexmedetomidine 80 mcg/20 ml (4 mcg/ml) in 0.9 % sodium chloride IV Inpatient	173991 CDM	$91.39	$73.11	$59.40 – $82.25	—
Dexmedetomidine 80 mcg/20 ml (4 mcg/ml) in 0.9 % sodium chloride IV Outpatient	173991 CDM	$91.39	$73.11	$21.71 – $82.25	—
Diphenhyd 25 mg-lido 200 mg-mag,al 400 mg-simeth 40 mg/30 ml mouthwash Inpatient	39984 CDM	$426	$341	$277 – $384	—
Diphenhyd 25 mg-lido 200 mg-mag,al 400 mg-simeth 40 mg/30 ml mouthwash Outpatient	39984 CDM	$426	$341	$101 – $384	—
Doxycycline monohydrate 100 mg capsule Inpatient	9900 CDM	$5.86	$4.69	$3.81 – $5.27	—
Doxycycline monohydrate 100 mg capsule Outpatient	9900 CDM	$5.86	$4.69	$1.39 – $5.27	—
Doxycycline monohydrate 25 mg/5 ml oral suspension Inpatient	9902 CDM	$137	$109	$88.92 – $123	—
Doxycycline monohydrate 25 mg/5 ml oral suspension Outpatient	9902 CDM	$137	$109	$32.49 – $123	—
Dronabinol 2.5 mg capsule Inpatient	9904 CDM	$659	$527	$428 – $593	—
Dronabinol 2.5 mg capsule Outpatient	9904 CDM	$659	$527	$156 – $593	—