Hoag Memorial Hospital Presbyterian — price list
← Hospital overviewVerified from Hoag Memorial Hospital Presbyterian’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 10 mg/ml IV soln Inpatient & outpatient | 108021 CDM | $140 | $91.10 | — | — | |
| Acetaminophen 160 mg/5 ml po (wrapper) Inpatient & outpatient | 40826969 CDM | $70.45 | $45.79 | — | — | |
| Acetaminophen IV syringe (nicu) Inpatient & outpatient | 411374 CDM | $518 | $337 | — | — | |
| Acetaminophen-codeine 120-12 mg/5ml po soln Inpatient & outpatient | 14468 CDM | $26.80 | $17.42 | — | — | |
| Acetaminophen-codeine 300-30 mg po tabs Inpatient & outpatient | 8949 CDM | $26.80 | $17.42 | — | — | |
| Acetaminophen-codeine 300-60 mg po tabs Inpatient & outpatient | 8950 CDM | $26.80 | $17.42 | — | — | |
| Acetazolamide sodium 500 mg ij solr Inpatient & outpatient | 114 CDM | $167 | $109 | — | — | |
| Acyclovir 400 mg po tabs Inpatient & outpatient | 8971 CDM | $26.80 | $17.42 | — | — | |
| Adenosine (diagnostic) 3 mg/ml IV soln Inpatient & outpatient | 15330 CDM | $335 | $218 | — | — | |
| Adenosine 3 mg/ml IV soln Inpatient & outpatient | 8975 CDM | $305 | $199 | — | — | |
| Adenosine 6 mg/2ml IV soln Inpatient & outpatient | 38703 CDM | $140 | $91.29 | — | — | |
| Adrnl cortcl tum bchm asy 25 Outpatient | 0015M HCPCS | — | — | $1,305 – $6,339 | — | |
| Ai sle igg&igm alys 80 bmrk Outpatient | 0062U HCPCS | — | — | $381 – $1,849 | — | |
| Albumin human 25 % IV soln Inpatient & outpatient | 8981 CDM | $1,014 | $659 | — | — | |
| Albumin human 5 % IV soln Inpatient & outpatient | 8982 CDM | $1,038 | $675 | — | — | |
| Albumin human 5% continuous infusion Inpatient & outpatient | 408431176 CDM | $311 | $202 | — | — | |
| Albumin human 5% continuous infusion Inpatient & outpatient | 8982 CDM | $1,012 | $657 | — | — | |
| Albuterol sulfate 2 mg po tabs Inpatient & outpatient | 253 CDM | $48.00 | $31.20 | — | — | |
| Alclometasone dipropionate 0.05 % ex crea Inpatient & outpatient | 8985 CDM | $91.20 | $59.28 | — | — | |
| Alendronate sodium 70 mg po tabs Inpatient & outpatient | 29048 CDM | $42.40 | $27.56 | — | — | |
| Alfentanil hcl 500 mcg/ml IV soln (wrapper) Inpatient & outpatient | 40804941 CDM | $130 | $84.63 | — | — | |
| Aliskiren fumarate 300 mg po tabs Inpatient & outpatient | 78654 CDM | $777 | $505 | — | — | |
| Allopurinol 100 mg po tabs Inpatient & outpatient | 310 CDM | $26.80 | $17.42 | — | — | |
| Allopurinol 300 mg po tabs Inpatient & outpatient | 311 CDM | $26.80 | $17.42 | — | — | |
| Alprazolam 0.25 mg po tabs Inpatient & outpatient | 324 CDM | $27.35 | $17.78 | — | — | |
| Alprazolam 0.5 mg po tabs Inpatient & outpatient | 325 CDM | $26.80 | $17.42 | — | — | |
| Alteplase 100 mg IV solr Inpatient & outpatient | 9002 CDM | $68,279 | $44,381 | — | — | |
| Alteplase 2 mg ij solr Inpatient & outpatient | 31310 CDM | $926 | $602 | — | — | |
| Aminocaproic acid 250 mg/ml IV soln Inpatient & outpatient | 403 CDM | $144 | $93.66 | — | — | |
| Aminocaproic acid 500 mg po tabs Inpatient & outpatient | 9063 CDM | $329 | $214 | — | — |