Lonesome Pine Hospital — price list
← Hospital overviewVerified from Lonesome Pine Hospital’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.
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.
300 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 15.5mm reamer head for ria 2 Inpatient & outpatient | 272 RC | $7,371 | $1,106 | $1,866 – $7,371 | — | |
| Ablator 50 Inpatient & outpatient | 272 RC | $2,064 | $310 | $523 – $2,064 | — | |
| Ablator apollo rf 90 Inpatient & outpatient | 272 RC | $3,008 | $451 | $762 – $3,008 | — | |
| Ablator aspirating apollorf 50deg Inpatient & outpatient | 272 RC | $3,132 | $470 | $793 – $3,132 | — | |
| Ac repair low profile Inpatient & outpatient | 272 RC | $21,115 | $3,167 | $5,346 – $21,115 | — | |
| Access system overtube endoscopic Inpatient & outpatient | 272 RC | $3,890 | $584 | $985 – $3,890 | — | |
| Accessory kit 3550-29 Inpatient & outpatient | 272 RC | $1,556 | $233 | $394 – $1,556 | — | |
| Accumix mixing system Inpatient & outpatient | 272 RC | $2,562 | $384 | $649 – $2,562 | — | |
| Achieve electrical cable Inpatient & outpatient | 272 RC | $2,333 | $350 | $591 – $2,333 | — | |
| Acorn 9mm Inpatient & outpatient | 272 RC | $1,870 | $281 | $474 – $1,870 | — | |
| Adapter aspiration Inpatient & outpatient | 272 RC | $1,073 | $161 | $272 – $1,073 | — | |
| Adapter bronchoscope illumisite use witholympus scope Inpatient & outpatient | 272 RC | $819 | $123 | $207 – $819 | — | |
| Adapter y gateway plus Inpatient & outpatient | 272 RC | $2,209 | $331 | $559 – $2,209 | — | |
| Adhesive skin prineo withtape Inpatient & outpatient | 272 RC | $1,270 | $191 | $322 – $1,270 | — | |
| Adhesive wound closure 3.4x24cm bx 50 Inpatient & outpatient | 272 RC | $726 | $109 | $184 – $726 | — | |
| Airseal port 12/100mm lpi Inpatient & outpatient | 272 RC | $5,816 | $872 | $1,473 – $5,816 | — | |
| Airseal robotic xi long Inpatient & outpatient | 272 RC | $1,161 | $174 | $294 – $1,161 | — | |
| Airway cook 11fr Inpatient & outpatient | 272 RC | $985 | $148 | $249 – $985 | — | |
| Airway zero tip retrieval basket 12mm m00513200 Inpatient & outpatient | 272 RC | $4,609 | $691 | $1,167 – $4,609 | — | |
| Ambient supre turbovac 90 wand Inpatient & outpatient | 272 RC | $1,888 | $283 | $478 – $1,888 | — | |
| Anchor bumpy 97791 Inpatient & outpatient | 272 RC | $2,074 | $311 | $525 – $2,074 | — | |
| Anchor open hard bone kit healix advance Inpatient & outpatient | 272 RC | $7,243 | $1,086 | $1,834 – $7,243 | — | |
| Applicator endoscopic surgiflo Inpatient & outpatient | 272 RC | $2,873 | $431 | $727 – $2,873 | — | |
| Applicator preloaded avitene 10mm x4 2cm withsheet Inpatient & outpatient | 272 RC | $1,437 | $216 | $364 – $1,437 | — | |
| Applicator vistaseal 35cm Inpatient & outpatient | 272 RC | $645 | $96.72 | $163 – $645 | — | |
| Applier clip ligamax 5mm el5ml Inpatient & outpatient | 272 RC | $840 | $126 | $213 – $840 | — | |
| Applier endoclip rotat shf Inpatient & outpatient | 272 RC | $623 | $93.43 | $158 – $623 | — | |
| Biobrush powered debridment device Inpatient & outpatient | 272 RC | $10,890 | $1,633 | $2,757 – $10,890 | — | |
| Biopsy kit 14g x 16cm dis Inpatient & outpatient | 272 RC | $767 | $115 | $194 – $767 | — | |
| Biopsy max core bard 18gax25cm Inpatient & outpatient | 272 RC | $498 | $74.67 | $126 – $498 | — |