Mount Sinai Brooklyn — price list

← Hospital overviewVerified from Mount Sinai Brooklyn’s published price file

Includes cash prices, list prices. 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)
0.45 % NaCl with KCl 20 mEq/1000 mL 20 mEq/L parenteral solution 1,000 mL Bag Inpatient & outpatient	J3480 HCPCS	$24.36	$21.92	—	—
abacavir-dolutegravir-lamivudine 600-50-300 mg tablet 30 each Bottle Inpatient & outpatient	00000RX49702023113 CDM	$487	$438	—	—
abacavir-lamivudine 600-300 mg tablet 30 each Bottle Inpatient & outpatient	00000RX49702020613 CDM	$161	$145	—	—
abatacept 250 mg recon soln 1 each Vial Inpatient & outpatient	J0129 HCPCS	$5,675	$5,107	—	—
acamprosate 333 mg tablet,delayed release (DR/EC) 180 each Bottle Inpatient & outpatient	00000RX00378633380 CDM	$2.23	$2.01	—	—
acetaminophen 1,000 mg/100 mL (10 mg/mL) solution 100 mL Vial Inpatient & outpatient	J0131 HCPCS	$16.24	$14.62	—	—
acetaminophen 120 mg suppository 12 each Box Inpatient & outpatient	00000RX00713011812 CDM	$0.06	$0.05	—	—
acetaminophen 325 mg tablet 100 each BLIST PACK Inpatient & outpatient	00000RX00904677361 CDM	$0.25	$0.22	—	—
acetaminophen 325 mg tablet 100 each Bottle Inpatient & outpatient	00000RX00536132701 CDM	$0.25	$0.22	—	—
acetaminophen 325 mg tablet 100 each Bottle Inpatient & outpatient	00000RX50580049698 CDM	$0.25	$0.22	—	—
acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup Inpatient & outpatient	00000RX00121131400 CDM	$4.82	$4.34	—	—
acetaminophen 325 mg/10.15 mL solution 10.15 mL Cup Inpatient & outpatient	00000RX00121131411 CDM	$4.82	$4.34	—	—
acetaminophen 650 mg suppository 1 each BLIST PACK Inpatient & outpatient	00000RX45802073000 CDM	$0.99	$0.89	—	—
acetaminophen 650 mg suppository 100 each Box Inpatient & outpatient	00000RX45802073033 CDM	$0.73	$0.66	—	—
acetaminophen 650 mg suppository 50 each Box Inpatient & outpatient	00000RX45802073032 CDM	$0.99	$0.89	—	—
acetaZOLAMIDE 250 mg tablet 100 each BLIST PACK Inpatient & outpatient	00000RX00904666361 CDM	$8.56	$7.70	—	—
acetaZOLAMIDE 250 mg tablet 100 each Bottle Inpatient & outpatient	00000RX00527105001 CDM	$3.19	$2.87	—	—
acetaZOLAMIDE 500 mg recon soln 1 each Vial Inpatient & outpatient	J1120 HCPCS	$46.89	$42.20	—	—
acetic acid 0.25 % solution 1,000 mL Bottle Inpatient & outpatient	00000RX00338065604 CDM	$28.42	$25.58	—	—
acetylcholine chloride 1 % (10 mg/mL) kit 1 each KIT Inpatient & outpatient	00000RX24208053920 CDM	$318	$286	—	—
acetylcysteine 200 mg/mL (20 %) solution 30 mL Vial Inpatient & outpatient	J0132 HCPCS	$33.00	$29.70	—	—
acetylcysteine 200 mg/mL (20 %) solution 4 mL Vial Inpatient & outpatient	00000RX00517760425 CDM	$52.31	$47.08	—	—
activated charcoal 50 gram/240 mL suspension 240 mL Bottle Inpatient & outpatient	00000RX00574012108 CDM	$67.23	$60.51	—	—
activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Bottle Inpatient & outpatient	00000RX00574012008 CDM	$67.23	$60.51	—	—
activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Bottle Inpatient & outpatient	00000RX00574052008 CDM	$67.23	$60.51	—	—
activated charcoal-sorbitoL 50 gram/240 mL suspension 240 mL Tube Inpatient & outpatient	00000RX00574052076 CDM	$67.23	$60.51	—	—
acyclovir 200 mg capsule 100 each BLIST PACK Inpatient & outpatient	00000RX00904578961 CDM	$0.25	$0.22	—	—
acyclovir 400 mg tablet 1 each BLIST PACK Inpatient & outpatient	00000RX50268006111 CDM	$0.76	$0.68	—	—
acyclovir 400 mg tablet 50 each BLIST PACK Inpatient & outpatient	00000RX50268006115 CDM	$0.76	$0.68	—	—
adenosine (diagnostic) 3 mg/mL solution 30 mL Vial Inpatient & outpatient	J0153 HCPCS	$8.73	$7.86	—	—