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.
308 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABACAVIR SULFATE-LAMIVUDINE 600-300 MG PO TABS Inpatient | 0250 RC | $19.28 | $7.74 | $10.04 – $17.35 | — | |
| 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 | 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 | — | |
| ADAMTS13 RECOMBINANT-KRHN 500 UNITS IV KIT Inpatient | 0250 RC | $18.97 | $7.61 | $9.88 – $17.07 | — | |
| ALBUTEROL SULFATE 2 MG PO TABS Inpatient | 0250 RC | $5.79 | $2.33 | $3.01 – $5.21 | — | |
| AMILORIDE HCL 2.5 MG PO HALF-TABS Inpatient | 0250 RC | $4.78 | $1.92 | $2.49 – $4.30 | — | |
| AMILORIDE HCL 5 MG PO TABS Inpatient | 0250 RC | $3.97 | $1.60 | $2.07 – $3.57 | — | |
| AMINOLEVULINIC ACID HCL 1.5 G PO SOLR Inpatient | 0250 RC | $10,933 | $4,384 | $5,696 – $9,839 | — | |
| AMIODARONE HCL 200 MG PO TABS Inpatient | 0250 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| AMITRIPTYLINE HCL 75 MG PO TABS Inpatient | 0250 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| AMITRIPTYLINE HCL POWD Inpatient | 0250 RC | $108 | $43.14 | $56.05 – $96.82 | — | |
| AMOXICILLIN 500 MG PO CAPS Inpatient | 0250 RC | $4.07 | $1.64 | $2.12 – $3.66 | — | |
| AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR Inpatient | 0250 RC | $1.08 | $0.44 | $0.56 – $0.98 | — | |
| AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS Inpatient | 0250 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| AMPHETAMINE-DEXTROAMPHET ER 15 MG PO CP24 Inpatient | 0250 RC | $6.86 | $2.76 | $3.57 – $6.18 | — | |
| AMPHETAMINE-DEXTROAMPHET ER 20 MG PO CP24 Inpatient | 0250 RC | $9.44 | $3.79 | $4.92 – $8.50 | — | |
| AMPHETAMINE-DEXTROAMPHETAMINE 10 MG PO TABS Inpatient | 0250 RC | $56.68 | $22.73 | $29.53 – $51.01 | — | |
| ANASTROZOLE 1 MG PO TABS Inpatient | 0250 RC | $12.00 | $4.82 | $6.25 – $10.80 | — | |
| ARIPIPRAZOLE 2 MG PO TABS Inpatient | 0250 RC | $8.44 | $3.39 | $4.40 – $7.60 | — | |
| ARIPIPRAZOLE 2.5 MG PO HALF-TABS Inpatient | 0250 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ARMODAFINIL 250 MG PO TABS Inpatient | 0250 RC | $101 | $40.56 | $52.69 – $91.03 | — | |
| ASENAPINE MALEATE 10 MG SL SUBL Inpatient | 0250 RC | $34.72 | $13.93 | $18.09 – $31.25 | — | |
| ASPIRIN 81 MG PO TBEC Inpatient | 0250 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ATENOLOL 25 MG PO TABS Inpatient | 0250 RC | $3.33 | $1.34 | $1.74 – $3.00 | — | |
| ATOMOXETINE HCL 10 MG PO CAPS Inpatient | 0250 RC | $10.60 | $4.26 | $5.52 – $9.54 | — |