M Health Fairview Ridges Hospital — price list
← Hospital overviewVerified from M Health Fairview Ridges 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.
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 | $0.84 | $0.36 | $0.33 – $0.75 | — | |
| .ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient | J0136 HCPCS | $1.06 | $0.46 | $0.55 – $0.96 | — | |
| 1-STEP HEPARIN 3,000 UNITS IN 300 ML NS Inpatient | 0250 RC | $142 | $60.46 | $74.11 – $128 | — | |
| ABIRATERONE ACETATE 500 MG PO TABS Inpatient | 0250 RC | $421 | $179 | $219 – $379 | — | |
| ACAMPROSATE CALCIUM 333 MG PO TBEC Inpatient | 0250 RC | $13.07 | $5.56 | $6.81 – $11.76 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (SUPER) Inpatient | 0250 RC | $0.52 | $0.23 | $0.27 – $0.47 | — | |
| ACETAMINOPHEN 160 MG/5ML PO LIQD Inpatient | 0637 RC | $0.03 | $0.02 | $0.02 – $0.03 | — | |
| ACETAMINOPHEN 162.5 MG PO HALF-TAB Inpatient | 0250 RC | $0.50 | $0.22 | $0.26 – $0.45 | — | |
| ACETAMINOPHEN 250 MG PO HALF-TAB Inpatient | 0250 RC | $0.50 | $0.22 | $0.26 – $0.45 | — | |
| ACETAMINOPHEN 325 MG PO TABS Inpatient | 0250 RC | $0.50 | $0.22 | $0.26 – $0.45 | — | |
| ACETAMINOPHEN 325 MG RE SUPP Inpatient | 0637 RC | $0.57 | $0.25 | $0.30 – $0.51 | — | |
| ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (SUPER) Inpatient | 0250 RC | $1.00 | $0.43 | $0.52 – $0.90 | — | |
| ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (SUPER) Inpatient | 0637 RC | $0.50 | $0.22 | $0.26 – $0.45 | — | |
| ACETAMINOPHEN 650 MG RE SUPP Inpatient | 0637 RC | $1.00 | $0.43 | $0.52 – $0.90 | — | |
| ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID (SUPER) Inpatient | 0637 RC | $1.00 | $0.43 | $0.52 – $0.90 | — | |
| ACETAMINOPHEN-CODEINE 300-15 MG PO TABS Inpatient | 0637 RC | $12.00 | $5.10 | $6.25 – $10.80 | — | |
| ACETAMINOPHEN-CODEINE 300-30 MG PO TABS Inpatient | 0250 RC | $10.57 | $4.50 | $5.50 – $9.51 | — | |
| ACETAZOLAMIDE 125 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient | J1120 HCPCS | $202 | $85.78 | $80.73 – $182 | — | |
| ACETYLCYSTEINE 10 % IN SOLN Inpatient | 0250 RC | $68.30 | $29.03 | $35.58 – $61.47 | — | |
| ACETYLCYSTEINE 20 % IN SOLN Inpatient | 0250 RC | $10.88 | $4.63 | $5.67 – $9.79 | — | |
| ACETYLCYSTEINE 600 MG PO CAPS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ACYCLOVIR 400 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ACYCLOVIR 800 MG PO TABS Inpatient | 0250 RC | $5.25 | $2.24 | $2.74 – $4.73 | — | |
| ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient | J0133 HCPCS | $1.24 | $0.53 | $0.50 – $1.12 | — | |
| ADENOSINE 100 MCG/ML INTRACORONARY CATH LAB MIXTURE (ACS) Inpatient | J0153 HCPCS | $83.27 | $35.40 | $43.39 – $74.95 | — | |
| ADENOSINE 6 MG/2ML IV SOLN Inpatient | J0153 HCPCS | $6.89 | $2.94 | $2.76 – $6.21 | — | |
| ADO-TRASTUZUMAB EMTANSINE 160 MG IV SOLR Inpatient | J9354 HCPCS | $167 | $71.08 | $66.90 – $151 | — | |
| AFLIBERCEPT 8 MG/0.07ML IZ SOLN Inpatient | C9161 HCPCS | $1,466 | $623 | $587 – $1,320 | — | |
| ALBENDAZOLE 200 MG PO TABS Inpatient | 0250 RC | $1,234 | $524 | $643 – $1,110 | — |