Our Lady of the Angels Hospital — price list
← Hospital overviewVerified from Our Lady of the Angels 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.
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.
190 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E-z disk 700 mg tablet Outpatient | 100992_ERX CDM | $12.18 | $6.09 | $4.03 – $11.45 | $8.03 | |
| fat emulsion 20 % Emul 250 mL Bag Outpatient | 10014_ERX CDM | $1,679 | $840 | $556 – $1,578 | $51.95 | |
| Flumazenil 0.1 mg/ml vial Outpatient | 10055_ERX CDM | $417 | $208 | $138 – $392 | $51.95 | |
| Fluorescite 10% vial Outpatient | 10059_ERX CDM | $274 | $137 | $90.53 – $257 | $51.95 | |
| Haemophilus influenzae type b vaccine, PRP-OMP conjugate Outpatient | 10153_ERX CDM | $140 | $69.98 | $29.03 – $140 | $69.98 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1002602_SUP CDM | $1,286 | $643 | $426 – $1,208 | $643 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1015106_SUP CDM | $2,364 | $1,182 | $782 – $2,222 | $1,558 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1025999_SUP CDM | $412 | $206 | $136 – $387 | $196 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038073_SUP CDM | $252 | $126 | $83.31 – $237 | $166 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038089_SUP CDM | $735 | $368 | $243 – $691 | $484 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038925_SUP CDM | $12,250 | $6,125 | $4,055 – $11,515 | $5,816 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039148_SUP CDM | $3,913 | $1,956 | $1,295 – $3,678 | $1,295 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039249_SUP CDM | $7,862 | $3,931 | $2,602 – $7,390 | $2,602 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039296_SUP CDM | $1,113 | $557 | $368 – $1,046 | $368 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039318_SUP CDM | $944 | $472 | $312 – $887 | $622 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039733_SUP CDM | $832 | $416 | $275 – $782 | $548 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039802_SUP CDM | $7,770 | $3,885 | $2,572 – $7,304 | $5,120 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039986_SUP CDM | $5,499 | $2,750 | $1,820 – $5,169 | $3,624 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040172_SUP CDM | $504 | $252 | $167 – $474 | $332 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040241_SUP CDM | $2,961 | $1,481 | $980 – $2,783 | $1,951 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040273_SUP CDM | $819 | $410 | $271 – $770 | $540 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040284_SUP CDM | $2,636 | $1,318 | $873 – $2,478 | $1,737 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040575_SUP CDM | $1,701 | $851 | $563 – $1,599 | $808 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1041546_SUP CDM | $4,563 | $2,281 | $1,510 – $4,289 | $3,007 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042577_SUP CDM | $1,460 | $730 | $483 – $1,372 | $483 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042656_SUP CDM | $2,205 | $1,103 | $730 – $2,073 | $1,047 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042707_SUP CDM | $5,014 | $2,507 | $1,660 – $4,713 | $2,381 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1043178_SUP CDM | $1,491 | $746 | $494 – $1,402 | $983 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1043942_SUP CDM | $3,960 | $1,980 | $1,311 – $3,722 | $2,610 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1044505_SUP CDM | $4,463 | $2,231 | $1,477 – $4,195 | $2,941 |