Methodist Charlton Medical Center — price list
← Hospital overviewVerified from Methodist Charlton 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) | |
|---|---|---|---|---|---|---|
| ***do not re-order***use wd #10028601***hemostat avitene flour 1gm Inpatient & outpatient | SUP-97256 CDM | $309 | $155 | $155 – $309 | — | |
| ***do not re-order**use wd #10028601***hemostat avitene absorable collagen 70x35mm Inpatient & outpatient | SUP-97143 CDM | $285 | $142 | $142 – $285 | — | |
| 42x18 low offset ascend flex stb humeral head_82501 Inpatient & outpatient | SUP-82501 CDM | $5,021 | $2,511 | $2,511 – $5,021 | — | |
| 43 diameter rententive reversed insert(+) 9/17.5 a 82357 Inpatient & outpatient | SUP-82357 CDM | $3,637 | $1,818 | $1,818 – $3,637 | — | |
| 43 diameter revision reversed insert(+) 9/17.5 a 82345 Inpatient & outpatient | SUP-82345 CDM | $2,757 | $1,379 | $1,379 – $2,757 | — | |
| 43 mm x 16 mm (titanium)* (special order) 82260 Inpatient & outpatient | SUP-82260 CDM | $5,320 | $2,660 | $2,660 – $5,320 | — | |
| 43x16 high offset aequalis humeral head 82307 Inpatient & outpatient | SUP-82307 CDM | $5,806 | $2,903 | $2,903 – $5,806 | — | |
| 43x16 high offset aequalis humeral head 82365 Inpatient & outpatient | SUP-82365 CDM | $6,750 | $3,375 | $3,375 – $6,750 | — | |
| 43x16 low offset aequalis humeral head 82366 Inpatient & outpatient | SUP-82366 CDM | $6,750 | $3,375 | $3,375 – $6,750 | — | |
| 44 pegged glenoid 82144 Inpatient & outpatient | SUP-82144 CDM | $3,719 | $1,859 | $1,859 – $3,719 | — | |
| 44 x 15 standard humeral head 82124 Inpatient & outpatient | SUP-82124 CDM | $4,189 | $2,094 | $2,094 – $4,189 | — | |
| 44 x 17 high offset humeral head 82209 Inpatient & outpatient | SUP-82209 CDM | $4,271 | $2,135 | $2,135 – $4,271 | — | |
| 44 x 17 low offset humeral head 82200 Inpatient & outpatient | SUP-82200 CDM | $4,017 | $2,009 | $2,009 – $4,017 | — | |
| 44 x 18 eccentric humeral head 82125 Inpatient & outpatient | SUP-82125 CDM | $4,497 | $2,248 | $2,248 – $4,497 | — | |
| 44 x 18 extended humeral head 82162 Inpatient & outpatient | SUP-82162 CDM | $5,119 | $2,559 | $2,559 – $5,119 | — | |
| 44 x 18 standard humeral head 82126 Inpatient & outpatient | SUP-82126 CDM | $4,189 | $2,094 | $2,094 – $4,189 | — | |
| 44 x 21 eccentric humeral head 82127 Inpatient & outpatient | SUP-82127 CDM | $4,497 | $2,248 | $2,248 – $4,497 | — | |
| 44 x 21 standard humeral head 82128 Inpatient & outpatient | SUP-82128 CDM | $4,189 | $2,094 | $2,094 – $4,189 | — | |
| 45x15 high offset ascend flex stb humeral head Inpatient & outpatient | SUP-82468 CDM | $5,806 | $2,903 | $2,903 – $5,806 | — | |
| 45x15 high offset ascend flex stb humeral head_82502 Inpatient & outpatient | SUP-82502 CDM | $5,280 | $2,640 | $2,640 – $5,280 | — | |
| 45x15 low offset ascend flex stb humeral head Inpatient & outpatient | SUP-82469 CDM | $5,498 | $2,749 | $2,749 – $5,498 | — | |
| 45x15 low offset ascend flex stb humeral head_82503 Inpatient & outpatient | SUP-82503 CDM | $5,021 | $2,511 | $2,511 – $5,021 | — | |
| 45x17 high offset ascend flex stb humeral head Inpatient & outpatient | SUP-82470 CDM | $5,806 | $2,903 | $2,903 – $5,806 | — | |
| 45x17 high offset ascend flex stb humeral head_82504 Inpatient & outpatient | SUP-82504 CDM | $5,280 | $2,640 | $2,640 – $5,280 | — | |
| 45x17 low offset ascend flex stb humeral head Inpatient & outpatient | SUP-82471 CDM | $5,498 | $2,749 | $2,749 – $5,498 | — | |
| 45x17 low offset ascend flex stb humeral head_82505 Inpatient & outpatient | SUP-82505 CDM | $5,021 | $2,511 | $2,511 – $5,021 | — | |
| 45x19 high offset ascend flex stb humeral head Inpatient & outpatient | SUP-82472 CDM | $5,806 | $2,903 | $2,903 – $5,806 | — | |
| 45x19 high offset ascend flex stb humeral head_82506 Inpatient & outpatient | SUP-82506 CDM | $5,280 | $2,640 | $2,640 – $5,280 | — | |
| 45x19 low offset ascend flex stb humeral head Inpatient & outpatient | SUP-82473 CDM | $5,498 | $2,749 | $2,749 – $5,498 | — | |
| 45x19 low offset ascend flex stb humeral head_82507 Inpatient & outpatient | SUP-82507 CDM | $5,021 | $2,511 | $2,511 – $5,021 | — |