Legacy Mount Hood Medical Center — price list
← Hospital overviewVerified from Legacy Mount Hood Medical Center’s published price file
Includes cash prices, list prices. 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) | |
|---|---|---|---|---|---|---|
| A and d (lanolin-petrolatum) top oint Inpatient & outpatient | 41100081124 NDC | $45.20 | $29.38 | — | — | |
| Abacavir 300 mg oral tab Inpatient & outpatient | 31722055760 NDC | $27.96 | $18.17 | — | — | |
| Abacavir 300 mg oral tab Inpatient & outpatient | 378410591 NDC | $28.08 | $18.25 | — | — | |
| Abilify 10 mg oral tab Inpatient & outpatient | 59148000813 NDC | $90.70 | $58.96 | — | — | |
| Abilify maintena 400 mg IM serr Inpatient & outpatient | 59148001971 NDC | $10,091 | $6,559 | — | — | |
| Ablysinol 99 % iart soln Inpatient & outpatient | 54288010515 NDC | $1,528 | $993 | — | — | |
| Abraxane 100 mg IV susr Inpatient & outpatient | 68817013450 NDC | $3,681 | $2,393 | — | — | |
| Abreva 10 % top crea Inpatient & outpatient | 135020001 NDC | $154 | $100 | — | — | |
| Acamprosate 333 mg oral tbec Inpatient & outpatient | 904721304 NDC | $26.52 | $17.24 | — | — | |
| Acetazolamide 250 mg oral tab Inpatient & outpatient | 50268005415 NDC | $30.00 | $19.50 | — | — | |
| Acetazolamide sodium 500 mg inj solr Inpatient & outpatient | 39822019001 NDC | $143 | $93.03 | — | — | |
| Acetazolamide sodium 500 mg inj solr Inpatient & outpatient | 143950301 NDC | $120 | $77.91 | — | — | |
| Acetazolamide sodium 500 mg inj solr Inpatient & outpatient | 23155031331 NDC | $151 | $97.97 | — | — | |
| Acetazolamide sodium 500 mg inj solr - mixture Inpatient & outpatient | 67457085350 NDC | $351 | $228 | — | — | |
| Acetic acid 0.25 % ir soln Inpatient & outpatient | 338065604 NDC | $100 | $65.00 | — | — | |
| Acetic acid 0.25 % ir soln Inpatient & outpatient | 264230400 NDC | $100 | $65.00 | — | — | |
| Acetic acid 2 % otic soln Inpatient & outpatient | 52817081615 NDC | $216 | $140 | — | — | |
| Acetylcysteine 100 mg/ml (10 %) misc soln Inpatient & outpatient | 63323069504 NDC | $65.56 | $42.61 | — | — | |
| Acetylcysteine 100 mg/ml (10 %) misc soln Inpatient & outpatient | 63323069310 NDC | $68.20 | $44.33 | — | — | |
| Acetylcysteine 100 mg/ml (10 %) misc soln Inpatient & outpatient | 517750425 NDC | $51.50 | $33.48 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) IV soln - mixture Inpatient & outpatient | 574080530 NDC | $694 | $451 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln Inpatient & outpatient | 63323069210 NDC | $74.55 | $48.46 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln Inpatient & outpatient | 63323069404 NDC | $71.94 | $46.76 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln Inpatient & outpatient | 517760425 NDC | $56.16 | $36.50 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln Inpatient & outpatient | 409330803 NDC | $47.25 | $30.71 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln - mixture Inpatient & outpatient | 63323069030 NDC | $368 | $239 | — | — | |
| Acetylcysteine 200 mg/ml (20 %) misc soln - mixture Inpatient & outpatient | 517763003 NDC | $221 | $144 | — | — | |
| Acthib (pf) 10 mcg/0.5 ml IM solr Inpatient & outpatient | 49281054503 NDC | $66.08 | $42.95 | — | — | |
| Acthib (pf) 10 mcg/0.5 ml IM solr Inpatient & outpatient | 49281054758 NDC | $139 | $90.10 | — | — | |
| Actidose-aqua 25 gram/120 ml oral susp Inpatient & outpatient | 574052174 NDC | $132 | $85.80 | — | — |