Norton Audubon Hospital — price list

← Hospital overviewVerified from Norton Audubon 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 160 MG/5ML PO LIQD Inpatient	0637 RC	$1.42	$0.29	$0.23 – $1.31	—
ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient	A9270 HCPCS	$0.65	$0.13	$0.11 – $0.60	—
ACETAMINOPHEN CHILDRENS 160 MG/5ML PO SUSP Inpatient	#N/A RC	$0.42	$0.09	$0.07 – $0.38	—
ACUTE AND SUBACUTE ENDOCARDITIS WITH CC Inpatient	289 MS-DRG	—	—	$10,772 – $25,059	—
ACYCLOVIR SODIUM 50 MG/ML IV SOLN Inpatient	J0133 HCPCS	$176	$35.28	$29.11 – $163	—
ADENOSINE 6 MG/2ML IV SOLN Inpatient	J0153 HCPCS	$1.56	$0.32	$0.26 – $1.44	—
ALBUMIN HUMAN 25 % IV SOLN Inpatient	P9047 HCPCS	$469	$93.83	$77.41 – $433	—
ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU Inpatient	J7611 HCPCS	$3.48	$0.70	$0.57 – $3.21	—
ALLOPURINOL 100 MG PO TABS Inpatient	A9270 HCPCS	$0.99	$0.20	$0.16 – $0.91	—
ALMOTRIPTAN MALATE 12.5 MG PO TABS Inpatient	A9270 HCPCS	$109	$21.89	$18.05 – $101	—
ALPRAZOLAM 0.5 MG PO TABS Inpatient	A9270 HCPCS	$2.44	$0.49	$0.40 – $2.25	—
ALUM HYDROXIDE-MAG CARBONATE 160-105 MG PO CHEW Inpatient	A9270 HCPCS	$0.13	$0.03	$0.02 – $0.12	—
ALUM HYDROXIDE-MAG CARBONATE 95-358 MG/15ML PO SUSP Inpatient	A9270 HCPCS	$3.91	$0.79	$0.64 – $3.60	—
ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP Inpatient	A9270 HCPCS	$4.73	$0.95	$0.78 – $4.36	—
AMIKACIN SULFATE 500 MG/2ML IJ SOLN Inpatient	J0278 HCPCS	$1.71	$0.35	$0.28 – $1.58	—
AMIODARONE HCL 200 MG PO TABS Inpatient	A9270 HCPCS	$1.58	$0.32	$0.26 – $1.46	—
AMITRIPTYLINE HCL 25 MG PO TABS Inpatient	A9270 HCPCS	$1.66	$0.34	$0.27 – $1.53	—
AMLODIPINE BENZOATE 1 MG/ML PO SUSP Inpatient	A9270 HCPCS	$2,004	$401	$331 – $1,847	—
AMOXAPINE 50 MG PO TABS Inpatient	A9270 HCPCS	$0.51	$0.11	$0.08 – $0.47	—
AMOXICILLIN-POT CLAVULANATE 875-125 MG PO TABS Inpatient	A9270 HCPCS	$13.19	$2.64	$2.18 – $12.16	—
AMPHETAMINE-DEXTROAMPHET ER 15 MG PO CAP SR24 Inpatient	0637 RC	$22.31	$4.47	$3.68 – $20.57	—
AMPHETAMINE-DEXTROAMPHETAMINE 5 MG PO TABS Inpatient	A9270 HCPCS	$0.04	$0.01	$0.01 – $0.03	—
AMPHOTERICIN B LIPOSOME 50 MG IV SUSR Inpatient	J0289 HCPCS	$1,284	$257	$212 – $1,184	—
AMPICILLIN SODIUM 10 G IV SOLR Inpatient	J0290 HCPCS	$328	$65.52	$54.05 – $302	—
AMPICILLIN-SULBACTAM SODIUM 1.5 (1-0.5) G IJ SOLR Inpatient	J0295 HCPCS	$2.26	$0.46	$0.37 – $2.08	—
AMPUTATION OF LOWER LIMB FOR ENDOCRINE, NUTRITIONAL AND METABOLIC DISORDERS WITH CC Inpatient	617 MS-DRG	—	—	$11,803 – $26,381	—
ANTIHEMOPHIL FACTOR (RAHF-PFM) 2000 UNITS IV SOLR Inpatient	J7192 HCPCS	$19,740	$3,948	$3,257 – $18,200	—
ANTIHEMOPHILIC FACTOR VIII (ALPHANATE) 1000 UNITS IV SOLR Inpatient	J7186 HCPCS	$6,972	$1,394	$1,150 – $6,428	—
ANTIHEMOPHILIC FACTOR VIII (ALPHANATE) 1500 UNITS IV SOLR Inpatient	J7192 HCPCS	$10,458	$2,092	$1,726 – $9,642	—
APREPITANT 80 MG PO CAPS Inpatient	J8501 HCPCS	$532	$106	$87.75 – $490	—