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.
154 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 500 MG PO TABS Inpatient | 0637 RC | $0.52 | $0.21 | $0.27 – $0.47 | — | |
| ALBUTEROL SULFATE 2 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| 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 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient | 0637 RC | $5.54 | $2.23 | $2.89 – $4.98 | — | |
| AMILORIDE HCL 5 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| AMOXICILLIN-POT CLAVULANATE 500-125 MG PO TABS Inpatient | 0637 RC | $5.49 | $2.21 | $2.86 – $4.94 | — | |
| AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS Inpatient | 0637 RC | $8.71 | $3.50 | $4.54 – $7.84 | — | |
| AMPHETAMINE-DEXTROAMPHETAMINE 20 MG PO TABS Inpatient | 0637 RC | $10.29 | $4.13 | $5.36 – $9.26 | — | |
| AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS Inpatient | 0637 RC | $5.60 | $2.25 | $2.92 – $5.04 | — | |
| ANASTROZOLE 1 MG PO TABS Inpatient | 0637 RC | $12.00 | $4.82 | $6.25 – $10.80 | — | |
| APIXABAN 5 MG PO TABS Inpatient | 0637 RC | $54.30 | $21.78 | $28.29 – $48.87 | — | |
| ARIPIPRAZOLE 10 MG PO TABS Inpatient | 0637 RC | $31.74 | $12.73 | $16.54 – $28.57 | — | |
| ARIPIPRAZOLE 2 MG PO TABS Inpatient | 0637 RC | $54.01 | $21.66 | $28.14 – $48.61 | — | |
| ARIPIPRAZOLE 5 MG PO TABS Inpatient | 0637 RC | $2.89 | $1.17 | $1.51 – $2.61 | — | |
| ASPIRIN 325 MG PO TBEC Inpatient | 0637 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ASPIRIN 81 MG PO CHEW Inpatient | 0637 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ASPIRIN 81 MG PO TBEC Inpatient | 0637 RC | $1.00 | $0.41 | $0.52 – $0.90 | — | |
| ASPIRIN-DIPYRIDAMOLE ER 25-200 MG PO CP12 Inpatient | 0637 RC | $5.00 | $2.01 | $2.61 – $4.50 | — | |
| ATOMOXETINE HCL 10 MG PO CAPS Inpatient | 0637 RC | $10.60 | $4.26 | $5.52 – $9.54 | — | |
| ATOMOXETINE HCL 25 MG PO CAPS Inpatient | 0637 RC | $76.21 | $30.57 | $39.71 – $68.59 | — | |
| ATOMOXETINE HCL 60 MG PO CAPS Inpatient | 0637 RC | $12.15 | $4.88 | $6.33 – $10.94 | — | |
| ATOMOXETINE HCL 80 MG PO CAPS Inpatient | 0637 RC | $25.48 | $10.22 | $13.28 – $22.93 | — | |
| ATORVASTATIN CALCIUM 40 MG PO TABS Inpatient | 0637 RC | $3.91 | $1.57 | $2.04 – $3.52 | — | |
| BACITRACIN-POLYMYXIN B 500-10000 UNIT/GM OP OINT Inpatient | 0637 RC | $80.37 | $32.23 | $41.87 – $72.33 | — | |
| BACLOFEN 10 MG PO TABS Inpatient | 0637 RC | $3.59 | $1.44 | $1.87 – $3.23 | — | |
| BETAMETHASONE DIPROPIONATE 0.05 % EX LOTN Inpatient | 0637 RC | $231 | $92.80 | $121 – $208 | — | |
| BIMATOPROST 0.01 % OP SOLN Inpatient | 0637 RC | $1,217 | $488 | $634 – $1,095 | — |