Essentia Health-Ada — price list
← Hospital overviewVerified from Essentia Health-Ada’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.
37 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETYLCHOLINE CHLORIDE 20 MG RECON SOLN Outpatient | 25000000 CDM | $294 | $217 | $114 – $266 | — | |
| ALPRAZOLAM 2 MG TABLET Outpatient | 25000000 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| AMMONIA INHALER Outpatient | 25000000 CDM | $1.50 | $1.11 | $0.58 – $1.36 | — | |
| BACITRACIN 500 UNIT/GM OINTMENT 28.4 G TUBE Outpatient | 25000000 CDM | $3.50 | $2.59 | $1.36 – $3.17 | — | |
| BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINTMENT 28.4 G TUBE Outpatient | 25000000 CDM | $9.00 | $6.65 | $3.50 – $8.14 | — | |
| BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OINTMENT 3.5 G TUBE Outpatient | 25000000 CDM | $87.50 | $64.66 | $34.04 – $79.19 | — | |
| BENZOCAINE 20 % AEROSOL Outpatient | 25000000 CDM | $0.50 | $0.37 | $0.19 – $0.45 | — | |
| BUPIVACAINE 0.25 % 30 ML IN 0.9 % SODIUM CHLORIDE 30 ML Outpatient | 25000000 CDM | $55.50 | $41.01 | $21.59 – $50.23 | — | |
| BUPIVACAINE 0.5% (PF) & LIDOCAINE 2% W/EPI EQUAL PARTS 5 ML SYRINGE Outpatient | 25000000 CDM | $12.50 | $9.24 | $4.86 – $11.31 | — | |
| BUPIVACAINE-EPINEPHRINE PF 0.25%-1:200,000 + LIDOCAINE 1% IN 0.9% SODIUM CHLORIDE 160 ML BAG Outpatient | 25000000 CDM | $11.08 | $8.19 | $4.31 – $10.03 | — | |
| ERYTHROMYCIN 5 MG/GM OINTMENT 1 G TUBE Outpatient | 25000000 CDM | $29.00 | $21.43 | $11.28 – $26.24 | — | |
| ERYTHROMYCIN 5 MG/GM OINTMENT 3.5 G TUBE Outpatient | 25000000 CDM | $60.00 | $44.34 | $23.34 – $54.30 | — | |
| EYE TRAY (FOR CHARGING ONLY) Outpatient | 25000000 CDM | $38.50 | $28.45 | $14.98 – $34.84 | — | |
| FLUORESCEIN SODIUM 0.6 MG STRIP 300 EACH BOX Outpatient | 25000000 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| FLUORESCEIN SODIUM 1 MG STRIP Outpatient | 25000000 CDM | $2.80 | $2.07 | $1.09 – $2.53 | — | |
| GELATIN ADSORBABLE 100 MISC Outpatient | 25000000 CDM | $185 | $137 | $71.96 – $167 | — | |
| LAMOTRIGINE XR 50 MG TABLET EXTENDED RELEASE 24 HOUR Outpatient | 25000000 CDM | $5.40 | $3.99 | $2.10 – $4.89 | — | |
| LIDOCAINE 2% 5 ML + BUPIVACAINE 0.75% 5 ML + VITRASE 200 UNITS/ML 0.5 ML Outpatient | 25000000 CDM | $319 | $236 | $124 – $289 | — | |
| LIDOCAINE 2% 5 ML-BUPIVACAINE 0.75 % 5 ML-AMPHADASE 75 UNITS Outpatient | 25000000 CDM | $156 | $115 | $60.68 – $141 | — | |
| LIDOCAINE 3.5 % GEL 1 ML TUBE Outpatient | 25000000 CDM | $93.50 | $69.10 | $36.37 – $84.62 | — | |
| LIDOCAINE JELLY 2% 5 ML -GELFOAM 50 MISC Outpatient | 25000000 CDM | $103 | $75.87 | $39.94 – $92.92 | — | |
| LIDOCAINE URETHRAL/MUCOSAL 2 % GEL Outpatient | 25000000 CDM | $28.00 | $20.69 | $10.89 – $25.34 | — | |
| LIDOCAINE URETHRAL/MUCOSAL 2 % GEL 5 ML TUBE Outpatient | 25000000 CDM | $28.00 | $20.69 | $10.89 – $25.34 | — | |
| LIDOCAINE-BUPIVACAINE-HYALURONIDASE PF 2 %-0.375 %-15 UNIT/ML 8 ML SYRINGE Outpatient | 25000000 CDM | $67.50 | $49.88 | $26.26 – $61.09 | — | |
| LIDOCAINE-EPINEPHRINE-HYALURONIDASE PF 3%-1:400,000-15 UNIT/ML 5 ML SYRINGE Outpatient | 25000000 CDM | $30.00 | $22.17 | $11.67 – $27.15 | — | |
| MERCAPTOPURINE 50 MG TABLET Outpatient | 25000000 CDM | $7.00 | $5.17 | $2.72 – $6.34 | — | |
| MUPIROCIN CALCIUM 2 % CREAM 15 G TUBE Outpatient | 25000000 CDM | $300 | $222 | $117 – $272 | — | |
| NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINTMENT 14.2 G TUBE Outpatient | 25000000 CDM | $3.50 | $2.59 | $1.36 – $3.17 | — | |
| NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINTMENT 28 G TUBE Outpatient | 25000000 CDM | $4.50 | $3.33 | $1.75 – $4.07 | — | |
| NEOMYCIN-BACITRACIN-POLYMYXIN 3.5-400-5000 OINTMENT 28.35 G TUBE Outpatient | 25000000 CDM | $9.00 | $6.65 | $3.50 – $8.14 | — |