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.
155 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 160 MG/5ML PO LIQD Inpatient | 0637 RC | $0.03 | $0.02 | $0.02 – $0.03 | — | |
| 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 | 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 | — | |
| ACETAZOLAMIDE 125 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| 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 | — | |
| ALBUTEROL SULFATE 108 (90 BASE) MCG/ACT IN AEPB Inpatient | 0637 RC | $347 | $147 | $181 – $312 | — | |
| ALPRAZOLAM 0.125 MG PO HALF-TABS Inpatient | 0637 RC | $7.20 | $3.06 | $3.75 – $6.48 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient | 0637 RC | $6.71 | $2.86 | $3.50 – $6.04 | — | |
| AMIODARONE HCL 100 MG PO TABS Inpatient | 0637 RC | $20.35 | $8.65 | $10.60 – $18.32 | — | |
| AMITRIPTYLINE HCL 25 MG PO TABS Inpatient | 0637 RC | $3.13 | $1.33 | $1.63 – $2.81 | — | |
| AMOXICILLIN-POT CLAVULANATE 600-42.9 MG/5ML PO SUSR Inpatient | 0637 RC | $1.05 | $0.45 | $0.55 – $0.95 | — | |
| AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS Inpatient | 0637 RC | $5.25 | $2.24 | $2.73 – $4.72 | — | |
| APIXABAN 5 MG PO TABS Inpatient | 0637 RC | $54.30 | $23.08 | $28.29 – $48.87 | — | |
| ARIPIPRAZOLE 10 MG PO TABS Inpatient | 0637 RC | $4.17 | $1.78 | $2.17 – $3.75 | — | |
| ARIPIPRAZOLE 15 MG PO TABS Inpatient | 0637 RC | $6.67 | $2.84 | $3.48 – $6.00 | — | |
| ARMODAFINIL 150 MG PO TABS Inpatient | 0637 RC | $12.00 | $5.10 | $6.25 – $10.80 | — | |
| ASPIRIN 81 MG PO CHEW Inpatient | 0637 RC | $0.50 | $0.22 | $0.26 – $0.45 | — | |
| ASPIRIN 81 MG PO TBEC Inpatient | 0637 RC | $0.97 | $0.42 | $0.51 – $0.88 | — | |
| ATENOLOL 12.5 MG PO HALF-TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ATENOLOL 25 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ATOMOXETINE HCL 10 MG PO CAPS Inpatient | 0637 RC | $9.05 | $3.85 | $4.72 – $8.15 | — | |
| ATORVASTATIN CALCIUM 80 MG PO TABS Inpatient | 0637 RC | $5.00 | $2.13 | $2.61 – $4.50 | — | |
| ATOVAQUONE 750 MG/5ML PO SUSP Inpatient | 0637 RC | $11.02 | $4.69 | $5.74 – $9.91 | — | |
| AZITHROMYCIN 250 MG PO TABS Inpatient | 0637 RC | $10.07 | $4.28 | $5.24 – $9.06 | — | |
| BACLOFEN 10 MG PO TABS Inpatient | 0637 RC | $3.62 | $1.54 | $1.89 – $3.26 | — | |
| BENZONATATE 100 MG PO CAPS Inpatient | 0637 RC | $4.26 | $1.82 | $2.22 – $3.83 | — |