Dr. Dan C. Trigg Memorial Hospital — price list

← Hospital overviewVerified from Dr. Dan C. Trigg Memorial Hospital’s published price file

Includes cash prices, list prices. 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.

1,343 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
2-octyl cyanoacrylate topical liqd Inpatient & outpatient	35402 CDM	$117	$81.90	—	—
Acetaminophen 80 mg oral chew Inpatient & outpatient	35402 CDM	$7.00	$4.90	—	—
Acetaminophen 120 mg rect supp Inpatient & outpatient	35402 CDM	$13.00	$9.10	—	—
Acetaminophen 325 mg oral tab Inpatient & outpatient	35402 CDM	$3.00	$2.10	—	—
Acetaminophen 325 mg rect supp Inpatient & outpatient	35402 CDM	$5.00	$3.50	—	—
Acetaminophen 500 mg oral tab Inpatient & outpatient	35402 CDM	$5.00	$3.50	—	—
Acetaminophen 650 mg rect supp Inpatient & outpatient	35402 CDM	$5.00	$3.50	—	—
Acetaminophen 160 mg/5 ml (5 ml) oral soln Inpatient & outpatient	35402 CDM	$22.00	$15.40	—	—
Acetaminophen 160 mg/5 ml (5 ml) oral susp Inpatient & outpatient	35402 CDM	$12.00	$8.40	—	—
Acetaminophen 160 mg/5 ml oral (phs erx merge) Inpatient & outpatient	35402 CDM	$11.00	$7.70	—	—
Acetaminophen 650 mg/20.3 ml oral soln Inpatient & outpatient	35402 CDM	$14.00	$9.80	—	—
Acetic acid (vinegar) 5% irrigation 12 ml (repack) Inpatient & outpatient	35402 CDM	$8.00	$5.60	—	—
Activated charcoal 50 gram/240 ml oral susp Inpatient & outpatient	35402 CDM	$14.00	$9.80	—	—
Acute hepatitis panel Inpatient & outpatient	30100005 CDM	$217	$152	—	—
Alanine amino (alt) (sgpt) Inpatient & outpatient	30100289 CDM	$27.00	$18.90	—	—
Albuterol sulfate 1.25 mg/3 ml inhl nebu Inpatient & outpatient	35402 CDM	$10.00	$7.00	—	—
Albuterol sulfate 2.5 mg/0.5 ml inhl nebu Inpatient & outpatient	35402 CDM	$20.00	$14.00	—	—
Albuterol sulfate 2.5 mg/3 ml (0.083 %) neb solution Inpatient & outpatient	35402 CDM	$8.00	$5.60	—	—
Albuterol sulfate 5 mg/ml inhl neb continuous Inpatient & outpatient	35402 CDM	$7.00	$4.90	—	—
Albuterol sulfate 90 mcg/actuation inhl hfaa Inpatient & outpatient	35402 CDM	$9.00	$6.30	—	—
Allopurinol 100 mg oral tab Inpatient & outpatient	35402 CDM	$7.00	$4.90	—	—
Alpha-fetoprotein serum Inpatient & outpatient	30100055 CDM	$78.00	$54.60	—	—
Alprazolam 0.5 mg oral tab Inpatient & outpatient	35402 CDM	$7.00	$4.90	—	—
Alteplase 2 mg inj solr Inpatient & outpatient	12619 CDM	$762	$533	—	—
Alum-mag hydroxide-simeth 200 mg-200 mg-20 mg/5 ml oral susp Inpatient & outpatient	35402 CDM	$13.00	$9.10	—	—
Alum-mag hydroxide-simeth 400 mg-400 mg-40 mg/5 ml oral susp Inpatient & outpatient	35402 CDM	$24.00	$16.80	—	—
Aluminum chloride 20 % top soln Inpatient & outpatient	35402 CDM	$50.00	$35.00	—	—
Aluminum-magnesium hydroxide 200 mg-200 mg/5 ml oral susp Inpatient & outpatient	35402 CDM	$56.00	$39.20	—	—
Amiodarone 200 mg oral tab Inpatient & outpatient	35402 CDM	$45.00	$31.50	—	—
Amivantamab-vmjw 50 mg/ml IV soln Inpatient & outpatient	35787 CDM	$8,236	$5,765	—	—