East Jefferson General Hospital — price list
← Hospital overviewVerified from East Jefferson General 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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 325 MG TABLET Outpatient | RX-101 CDM | $0.50 | $0.50 | $0.10 – $0.50 | $0.01 | |
| ADAPTER FEMORAL PFC SIGMA +2-2MM OFFSET KNEE BOLT STERILE Outpatient | SUP-720675 CDM | $1,120 | $157 | $0.02 – $94.00 | $0.01 | |
| ADAPTER HEAD VERSYS LEGACY +7MM 1214 HIP FEMUR TIVANIUM UNIPOLAR ENDOPROSTHESIS STERILE Outpatient | SUP-212815 CDM | $412 | $57.68 | $0.02 – $98.47 | $0.01 | |
| ADAPTER LEAD ST JUDE MEDICAL 8 CHANNEL B Outpatient | SUP-713105 CDM | $6,551 | $917 | $0.02 – $694 | $0.01 | |
| Adhoc Anes-Mod Sed 5> 1st 15 Min-Oth Hosp Dept Outpatient | PX-37000016 CDM | $213 | $29.82 | $0.02 – $63.90 | $0.01 | |
| Adhoc Anes-Mod Sed-Hos ED. Ea. Addl 15 Min Outpatient | PX-37000019 CDM | $213 | $29.82 | $0.02 – $63.90 | $0.01 | |
| Adjunctive Blue Light Cystoscopy With Fluorescent Imaging Agent Outpatient | PX-36103335 CDM | $2.00 | $0.28 | $0.17 – $2.00 | $0.01 | |
| ALBUTEROL SULFATE CONCENTRATE 2.5 MG/0.5 ML SOLUTION FOR NEBULIZATION Outpatient | RX-112670 CDM | $1.25 | $1.25 | $0.26 – $1.25 | $0.01 | |
| Ambulance Advanced Life Support Mileage Outpatient | PX-54000003 CDM | $35.00 | $4.90 | $0.02 – $9.80 | $0.01 | |
| Ambulance Waiting Time Outpatient | PX-54000004 CDM | $202 | $28.28 | $0.02 – $98.98 | $0.01 | |
| AMPLATZER DUCT OCCLUDER 54 Outpatient | SUP-776244 CDM | $22,709 | $3,179 | $0.02 – $6,813 | $0.01 | |
| Analgesics Levels Outpatient | PX-30100039 CDM | $16.00 | $2.24 | $0.02 – $88.57 | $0.01 | |
| Antibody Evaluation Outpatient | PX-31200032 CDM | $181 | $25.34 | $0.02 – $88.69 | $0.01 | |
| Antiepileptics Levels Outpatient | PX-30100048 CDM | $16.00 | $2.24 | $0.02 – $88.57 | $0.01 | |
| Antipsychotics Levels Outpatient | PX-30100051 CDM | $16.00 | $2.24 | $0.02 – $88.57 | $0.01 | |
| Arup-Dna Genotyping Outpatient | PX-30100832 CDM | $336 | $47.04 | $0.02 – $94.08 | $0.01 | |
| Arup-Pca3 Prostate Cancer Biomrk Outpatient | PX-30100831 CDM | $336 | $47.04 | $0.02 – $94.08 | $0.01 | |
| Arup-Transmembrane Protein 127 Outpatient | PX-30100833 CDM | $336 | $47.04 | $0.02 – $94.08 | $0.01 | |
| ASSEMBLY LINER 444546MM 28MM MULTIPOLAR HIP UHMWPE STERILE Outpatient | SUP-212766 CDM | $1,236 | $173 | $0.02 – $823 | $0.01 | |
| AUGMENT ACETABULAR 15MM 5052MM PINNACLE HIP GRIPTION TF SCREW HOLE REVISION SYSTEM Outpatient | SUP-222538 CDM | $9,477 | $1,327 | $0.02 – $9,477 | $0.01 | |
| AUGMENT FEMORAL 10MM GMK 6 KNEE POSTERIOR TITANIUM ALUMINUM VANADIUM REVISION SYSTEM Outpatient | SUP-215578 CDM | $3,172 | $444 | $0.02 – $952 | $0.01 | |
| AUGMENT FEMORAL 10MM PERSONA 7 7+ KNEE POSTERIOR STERILE LATEX FREE Outpatient | SUP-205328 CDM | $4,209 | $589 | $0.02 – $880 | $0.01 | |
| AUGMENT FEMORAL 10MM TRIATHLON 5 KNEE RIGHT DISTAL TOTAL STABILIZE STERILE LATEX FREE Outpatient | SUP-205290 CDM | $4,396 | $615 | $0.02 – $919 | $0.01 | |
| AUGMENT FEMORAL 10MM TRIATHLON 6 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE Outpatient | SUP-210410 CDM | $4,396 | $615 | $0.02 – $919 | $0.01 | |
| AUGMENT FEMORAL 12MM 2 KNEE DISTAL Outpatient | SUP-215570 CDM | $3,172 | $444 | $0.02 – $952 | $0.01 | |
| AUGMENT FEMORAL 12MM PFC SIGMA 2 KNEE RIGHT TITANIUM COMBO STERILE LATEX FREE Outpatient | SUP-213725 CDM | $3,914 | $548 | $0.02 – $978 | $0.01 | |
| AUGMENT FEMORAL 15MM TRIATHLON 6 KNEE LEFT DISTAL TOTAL STABILIZE STERILE LATEX FREE Outpatient | SUP-205015 CDM | $4,610 | $645 | $0.02 – $964 | $0.01 | |
| AUGMENT FEMORAL 16MM PFC SIGMA 4 KNEE LEFT TITANIUM COMBO STERILE LATEX FREE Outpatient | SUP-205097 CDM | $3,914 | $548 | $0.02 – $978 | $0.01 | |
| AUGMENT FEMORAL 4MM ATTUNE 4 KNEE POSTERIOR CEMENT REVISION STERILE LATEX FREE Outpatient | SUP-205096 CDM | $4,353 | $609 | $0.02 – $910 | $0.01 | |
| AUGMENT FEMORAL 4MM GMK 2 KNEE DISTAL TITANIUM ALUMINUM VANADIUM REVISION SYSTEM Outpatient | SUP-226868 CDM | $3,172 | $444 | $0.02 – $952 | $0.01 |