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.
185 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 120 MG SUPPOSITORY Outpatient | 63700001 CDM | $5.55 | $4.10 | $2.16 – $5.02 | — | |
| ACETAMINOPHEN 500 MG TABLET Outpatient | 63700001 CDM | $0.25 | $0.18 | $0.10 – $0.23 | — | |
| ACETAMINOPHEN 650 MG SUPPOSITORY Outpatient | 63700001 CDM | $1.00 | $0.74 | $0.39 – $0.90 | — | |
| ACETAZOLAMIDE 500 MG CAPSULE EXTENDED RELEASE 12 HOUR Outpatient | 63700001 CDM | $16.00 | $11.82 | $6.22 – $14.48 | — | |
| ACYCLOVIR 400 MG TABLET Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| ALOE VERA GEL 340 G BOTTLE Outpatient | 63700001 CDM | $6.00 | $4.43 | $2.33 – $5.43 | — | |
| ALPRAZOLAM 0.25 MG TABLET Outpatient | 63700001 CDM | $2.00 | $1.48 | $0.78 – $1.81 | — | |
| AMOXICILLIN 250 MG CAPSULE Outpatient | 63700001 CDM | $1.20 | $0.89 | $0.47 – $1.09 | — | |
| AMOXICILLIN 500 MG CAPSULE Outpatient | 63700001 CDM | $2.33 | $1.72 | $0.91 – $2.11 | — | |
| AMOXICILLIN 875 MG TABLET Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| AMOXICILLIN-CLAVULANATE 500-125 MG TABLET Outpatient | 63700001 CDM | $5.00 | $3.70 | $1.94 – $4.53 | — | |
| ANAGRELIDE 0.5 MG CAPSULE Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| ARIPIPRAZOLE 5 MG TABLET Outpatient | 63700001 CDM | $2.70 | $2.00 | $1.05 – $2.44 | — | |
| ARMODAFINIL 250 MG TABLET Outpatient | 63700001 CDM | $4.00 | $2.96 | $1.56 – $3.62 | — | |
| ARTIFICIAL TEARS OINTMENT 3.5 G TUBE Outpatient | 63700001 CDM | $3.50 | $2.59 | $1.36 – $3.17 | — | |
| ASPIRIN 325 MG TABLET Outpatient | 63700001 CDM | $0.50 | $0.37 | $0.19 – $0.45 | — | |
| ATOMOXETINE 25 MG CAPSULE Outpatient | 63700001 CDM | $13.00 | $9.61 | $5.06 – $11.76 | — | |
| ATOMOXETINE 60 MG CAPSULE Outpatient | 63700001 CDM | $50.50 | $37.32 | $19.64 – $45.70 | — | |
| ATOVAQUONE-PROGUANIL 250-100 MG TABLET Outpatient | 63700001 CDM | $20.13 | $14.88 | $7.83 – $18.22 | — | |
| BISACODYL 10 MG SUPPOSITORY Outpatient | 63700001 CDM | $0.50 | $0.37 | $0.19 – $0.45 | — | |
| BUPRENORPHINE 15 MCG/HR PATCH WEEKLY Outpatient | 63700001 CDM | $402 | $297 | $156 – $363 | — | |
| BUPRENORPHINE-NALOXONE 2-0.5 MG FILM Outpatient | 63700001 CDM | $8.00 | $5.91 | $3.11 – $7.24 | — | |
| BUPROPION 100 MG TABLET Outpatient | 63700001 CDM | $6.50 | $4.80 | $2.53 – $5.88 | — | |
| BUSPIRONE 10 MG TABLET Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.17 – $2.72 | — | |
| BUTALBITAL-ACETAMINOPHEN-CAFFEINE 50-325-40 MG TABLET Outpatient | 63700001 CDM | $11.50 | $8.50 | $4.47 – $10.41 | — | |
| CADEXOMER IODINE 0.9 % GEL 40 G TUBE Outpatient | 63700001 CDM | $343 | $253 | $133 – $310 | — | |
| CARBAMAZEPINE 200 MG TABLET Outpatient | 63700001 CDM | $6.17 | $4.56 | $2.40 – $5.58 | — | |
| CARBAMAZEPINE CR 300 MG CAPSULE EXTENDED RELEASE 12 HOUR Outpatient | 63700001 CDM | $6.00 | $4.43 | $2.33 – $5.43 | — | |
| CARBAMAZEPINE XR 200 MG TABLET EXTENDED RELEASE 12 HOUR Outpatient | 63700001 CDM | $6.50 | $4.80 | $2.53 – $5.88 | — | |
| CARBAMAZEPINE XR 400 MG TABLET EXTENDED RELEASE 12 HOUR Outpatient | 63700001 CDM | $13.00 | $9.61 | $5.06 – $11.76 | — |