Essentia Health-Sandstone — price list
← Hospital overviewVerified from Essentia Health-Sandstone’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 | $2.13 – $5.55 | — | |
| Acetaminophen 500 mg tablet Outpatient | 63700001 CDM | $0.25 | $0.18 | $0.10 – $0.25 | — | |
| Acetaminophen 650 mg suppository Outpatient | 63700001 CDM | $1.00 | $0.74 | $0.38 – $1.00 | — | |
| Acetazolamide 500 mg capsule extended release 12 hour Outpatient | 63700001 CDM | $16.00 | $11.82 | $6.14 – $16.00 | — | |
| Acyclovir 400 mg tablet Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.15 – $3.00 | — | |
| Aloe vera gel 340 g bottle Outpatient | 63700001 CDM | $6.00 | $4.43 | $2.30 – $6.00 | — | |
| Alprazolam 0.25 mg tablet Outpatient | 63700001 CDM | $2.00 | $1.48 | $0.77 – $2.00 | — | |
| Amoxicillin 250 mg capsule Outpatient | 63700001 CDM | $1.20 | $0.89 | $0.46 – $1.20 | — | |
| Amoxicillin 500 mg capsule Outpatient | 63700001 CDM | $2.33 | $1.72 | $0.89 – $2.33 | — | |
| Amoxicillin 875 mg tablet Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.15 – $3.00 | — | |
| Amoxicillin-clavulanate 500-125 mg tablet Outpatient | 63700001 CDM | $5.00 | $3.70 | $1.92 – $5.00 | — | |
| Anagrelide 0.5 mg capsule Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.15 – $3.00 | — | |
| Aripiprazole 5 mg tablet Outpatient | 63700001 CDM | $2.70 | $2.00 | $1.04 – $2.70 | — | |
| Armodafinil 250 mg tablet Outpatient | 63700001 CDM | $4.00 | $2.96 | $1.54 – $4.00 | — | |
| Artificial tears ointment 3.5 g tube Outpatient | 63700001 CDM | $3.50 | $2.59 | $1.34 – $3.50 | — | |
| Aspirin 325 mg tablet Outpatient | 63700001 CDM | $0.50 | $0.37 | $0.19 – $0.50 | — | |
| Atomoxetine 25 mg capsule Outpatient | 63700001 CDM | $13.00 | $9.61 | $4.99 – $13.00 | — | |
| Atomoxetine 60 mg capsule Outpatient | 63700001 CDM | $50.50 | $37.32 | $19.39 – $50.50 | — | |
| Atovaquone-proguanil 250-100 mg tablet Outpatient | 63700001 CDM | $20.13 | $14.88 | $7.73 – $20.13 | — | |
| Bisacodyl 10 mg suppository Outpatient | 63700001 CDM | $0.50 | $0.37 | $0.19 – $0.50 | — | |
| Buprenorphine 15 mcg/hr patch weekly Outpatient | 63700001 CDM | $402 | $297 | $154 – $402 | — | |
| Buprenorphine-naloxone 2-0.5 mg film Outpatient | 63700001 CDM | $8.00 | $5.91 | $3.07 – $8.00 | — | |
| Bupropion 100 mg tablet Outpatient | 63700001 CDM | $6.50 | $4.80 | $2.50 – $6.50 | — | |
| Buspirone 10 mg tablet Outpatient | 63700001 CDM | $3.00 | $2.22 | $1.15 – $3.00 | — | |
| Butalbital-acetaminophen-caffeine 50-325-40 mg tablet Outpatient | 63700001 CDM | $11.50 | $8.50 | $4.41 – $11.50 | — | |
| Cadexomer iodine 0.9 % gel 40 g tube Outpatient | 63700001 CDM | $343 | $253 | $131 – $343 | — | |
| Carbamazepine 200 mg tablet Outpatient | 63700001 CDM | $6.17 | $4.56 | $2.37 – $6.17 | — | |
| Carbamazepine cr 300 mg capsule extended release 12 hour Outpatient | 63700001 CDM | $6.00 | $4.43 | $2.30 – $6.00 | — | |
| Carbamazepine XR 200 mg tablet extended release 12 hour Outpatient | 63700001 CDM | $6.50 | $4.80 | $2.50 – $6.50 | — | |
| Carbamazepine XR 400 mg tablet extended release 12 hour Outpatient | 63700001 CDM | $13.00 | $9.61 | $4.99 – $13.00 | — |