M Health Fairview Lakes Medical Center — price list
← Hospital overviewVerified from M Health Fairview Lakes Medical Center’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 | J0134 HCPCS | $1.27 | $0.51 | $0.66 – $1.14 | — | |
| ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS Inpatient | 0250 RC | $19.28 | $7.74 | $10.04 – $17.35 | — | |
| ACAMPROSATE CALCIUM 333 MG PO TBEC Inpatient | 0637 RC | $4.75 | $1.91 | $2.47 – $4.28 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (SUPER) Inpatient | 0637 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ACETAMINOPHEN 325 MG PO TABS Inpatient | 0250 RC | $0.50 | $0.21 | $0.26 – $0.45 | — | |
| ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (SUPER) Inpatient | 0250 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ACETAMINOPHEN 325 MG/10.15ML PO SOLN Inpatient | 0250 RC | $0.47 | $0.19 | $0.24 – $0.42 | — | |
| ACETAMINOPHEN 500 MG PO TABS Inpatient | 0637 RC | $0.52 | $0.21 | $0.27 – $0.47 | — | |
| ACETAMINOPHEN 500 MG PO TABS Inpatient | 0250 RC | $0.54 | $0.22 | $0.28 – $0.49 | — | |
| ACETAMINOPHEN 80 MG RE SUPP Inpatient | 0250 RC | $0.98 | $0.40 | $0.51 – $0.89 | — | |
| ACETAZOLAMIDE 250 MG PO TABS Inpatient | 0250 RC | $4.10 | $1.65 | $2.14 – $3.69 | — | |
| ACETYLCYSTEINE 20% ORAL SOLN Inpatient | 0250 RC | $60.57 | $24.29 | $31.56 – $54.52 | — | |
| ACETYLCYSTEINE 200 MG/ML IV SOLN Inpatient | J0132 HCPCS | $18.05 | $7.24 | $9.40 – $16.24 | — | |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient | J0133 HCPCS | $1.19 | $0.48 | $0.62 – $1.07 | — | |
| ADAMTS13 RECOMBINANT-KRHN 500 UNITS IV KIT Inpatient | 0250 RC | $18.97 | $7.61 | $9.88 – $17.07 | — | |
| ALBUMIN HUMAN 25 % IV SOLN Inpatient | P9047 HCPCS | $335 | $134 | $134 – $301 | — | |
| ALBUMIN HUMAN 25% IV PEDS/NICU < 3 YEARS OLD Inpatient | P9047 HCPCS | $275 | $110 | $110 – $248 | — | |
| ALBUMIN HUMAN 25% IV SOLN (FOR INGREDIENT IN MIXTURE USE ONLY) Inpatient | P9047 HCPCS | $185 | $74.15 | $73.96 – $166 | — | |
| ALBUMIN HUMAN 25% IV SOLUTION SUPER Inpatient | P9047 HCPCS | $520 | $209 | $271 – $468 | — | |
| ALBUMIN HUMAN 5% FOR APHERESIS Inpatient | P9045 HCPCS | $269 | $108 | $140 – $242 | — | |
| ALBUMIN HUMAN 5% IV PEDS/NICU < 3 YEARS OLD Inpatient | P9045 HCPCS | $532 | $214 | $277 – $479 | — | |
| ALBUMIN HUMAN 5% IV SOLN (FOR INGREDIENT IN MIXTURE USE ONLY) Inpatient | P9045 HCPCS | $334 | $134 | $174 – $301 | — | |
| ALBUMIN HUMAN 5% IV SOLUTION SUPER Inpatient | P9045 HCPCS | $271 | $109 | $141 – $244 | — | |
| ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU Inpatient | J3490 HCPCS | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ALBUTEROL SULFATE 2 MG PO TABS Inpatient | 0250 RC | $5.79 | $2.33 | $3.01 – $5.21 | — | |
| ALBUTEROL SULFATE 2 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ALDESLEUKIN 22000000 UNITS IV SOLR Inpatient | J9015 HCPCS | $6,820 | $2,735 | $2,728 – $6,138 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ALLOPURINOL 50 MG PO HALF-TABS Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ALPHA1-PROTEINASE INHIBITOR 1000 MG/20ML IV SOLN Inpatient | J0256 HCPCS | $30.94 | $12.41 | $12.38 – $27.85 | — |