Community Hospital South — price list
← Hospital overviewVerified from Community Hospital South’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.
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.
77 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Abacavir 300 mg tablet Outpatient | RX-24438 CDM | $28.75 | $17.25 | $20.10 – $20.10 | $24.44 | |
| Abatacept (with maltose) 250 mg intravenous solution Outpatient | RX-70287 CDM | $5,996 | $3,598 | $3,614 – $3,614 | $5,097 | |
| Abdl Lmphadec Reg Celiac Gstr Portal Pripncrtc Outpatient | CASE-38747 LOCAL | $154,654 | $92,792 | $1,176 – $1,176 | $13,195 | |
| Abltj Perc Cryoabltj Img Gdn Lxtr/Perph Nerve Outpatient | CASE-0441T LOCAL | $5,119 | $3,071 | $60.48 – $15,493 | $4,705 | |
| Abltj Sof Tiss Inf Turbs Uni/Bi Supfc Intramural Outpatient | CASE-30802 LOCAL | $28,192 | $16,915 | $5,634 – $5,634 | $4,014 | |
| Abortion With D&C, Aspiration Curettage Or Hysterotomy Inpatient | 770 MS-DRG | $11,018 | $6,611 | $20,677 – $20,677 | $20,677 | |
| Abortion Without D&C Inpatient | 779 MS-DRG | $11,212 | $6,727 | $17,963 – $17,963 | $17,963 | |
| Acamprosate 333 mg tablet,delayed release Outpatient | RX-39720 CDM | $9.44 | $5.66 | $6.62 – $6.62 | $8.02 | |
| Acetaminophen 1,000 mg/100 ml (10 mg/ml) intravenous solution Outpatient | RX-108021 CDM | $172 | $103 | $22.50 – $22.50 | $146 | |
| Acetaminophen 120 mg rectal suppository Outpatient | RX-103 CDM | $8.05 | $4.83 | $5.72 – $5.72 | $6.84 | |
| Acetaminophen 160 mg/5 ml (5 ml) oral solution Outpatient | RX-120836 CDM | $17.60 | $10.56 | $12.33 – $12.33 | $14.96 | |
| Acetaminophen 160 mg/5 ml (5 ml) oral suspension Outpatient | RX-8943 CDM | $31.91 | $19.15 | $15.80 – $15.80 | $27.12 | |
| Acetaminophen 300 mg-codeine 30 mg tablet Outpatient | RX-14087 CDM | $4.65 | $2.79 | $3.30 – $3.30 | $3.95 | |
| Acetaminophen 325 mg rectal suppository Outpatient | RX-104 CDM | $8.05 | $4.83 | $3.98 – $3.98 | $6.84 | |
| Acetaminophen 325 mg tablet Outpatient | RX-101 CDM | $1.15 | $0.69 | $0.81 – $0.81 | $0.98 | |
| Acetaminophen 500 mg tablet Outpatient | RX-102 CDM | $0.78 | $0.47 | $0.55 – $0.55 | $0.66 | |
| Acetaminophen 650 mg rectal suppository Outpatient | RX-105 CDM | $4.07 | $2.44 | $2.85 – $2.85 | $3.46 | |
| Acetaminophen 650 mg/20.3 ml oral solution Outpatient | RX-120838 CDM | $21.51 | $12.91 | $17.55 – $17.55 | $18.28 | |
| Acetaminophen IV under 1000 mg Outpatient | RX-4080006 CDM | $85.82 | $51.49 | $8.25 – $8.25 | $72.95 | |
| Acetazolamide 25 mg/ml nicu/peds oral suspension Outpatient | RX-4081189 CDM | $242 | $145 | $197 – $197 | $205 | |
| Acetazolamide 250 mg tablet Outpatient | RX-113 CDM | $41.53 | $24.92 | $29.03 – $29.03 | $35.30 | |
| Acetazolamide 500 mg solution for injection Outpatient | RX-114 CDM | $271 | $163 | $71.35 – $271 | $231 | |
| Acetazolamide ER 500 mg capsule,extended release Outpatient | RX-8962 CDM | $8.63 | $5.18 | $6.05 – $6.05 | $7.34 | |
| Acetic acid (bulk) 3 % liquid Outpatient | RX-15091 CDM | $360 | $216 | $306 – $306 | $306 | |
| Acetic acid 0.25 % irrigation solution Outpatient | RX-8963 CDM | $127 | $76.28 | $104 – $104 | $108 | |
| Acetic acid 2 % ear solution Outpatient | RX-17801 CDM | $322 | $193 | $225 – $225 | $274 | |
| Acetylcholine chloride 1 % (10 mg/ml) intraocular kit Outpatient | RX-32559 CDM | $688 | $413 | $481 – $481 | $585 | |
| Acetylcysteine 200 mg/ml (20 %) intravenous solution Outpatient | RX-38303 CDM | $22.46 | $13.48 | $19.09 – $19.09 | $21.06 | |
| Acetylcysteine 200 mg/ml (20 %) soln Outpatient | RX-4080612 CDM | $114 | $68.27 | $79.74 – $79.74 | $96.71 | |
| Acetylcysteine 200 mg/ml (20 %) solution Outpatient | RX-123 CDM | $37.93 | $22.76 | $26.58 – $26.58 | $32.24 |