Plains Regional Medical Center — price list
← Hospital overviewVerified from Plains Regional Medical Center’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) | |
|---|---|---|---|---|---|---|
| Acetaminophen 160 mg/5 ml (5 ml) oral susp Inpatient & outpatient | 35402 CDM | $12.00 | $8.40 | — | — | |
| Acute hepatitis panel Inpatient & outpatient | 30100005 CDM | $210 | $147 | — | — | |
| Alanine amino (alt) (sgpt) Inpatient & outpatient | 30100289 CDM | $101 | $70.70 | — | — | |
| Alpha-fetoprotein serum Inpatient & outpatient | 30100055 CDM | $169 | $118 | — | — | |
| Alteplase 2 mg inj solr Inpatient & outpatient | 12619 CDM | $800 | $560 | — | — | |
| Amoxicillin-pot clavulanate 400 mg-57 mg/5 ml oral susp Inpatient & outpatient | 35402 CDM | $11.00 | $7.70 | — | — | |
| Antithrombin iii test Inpatient & outpatient | 30000044 CDM | $224 | $157 | — | — | |
| Assay glucose blood quant Inpatient & outpatient | 30100148 CDM | $26.00 | $18.20 | — | — | |
| Assay of lactic acid Inpatient & outpatient | 30100179 CDM | $135 | $94.50 | — | — | |
| Assay of phenytoin total Inpatient & outpatient | 30100028 CDM | $96.00 | $67.20 | — | — | |
| Assay of vitamin b-1 Inpatient & outpatient | 30100278 CDM | $93.00 | $65.10 | — | — | |
| Assay thyroid stim hormone Inpatient & outpatient | 30100284 CDM | $201 | $141 | — | — | |
| Assay vitamin nos Inpatient & outpatient | 30100306 CDM | $103 | $72.10 | — | — | |
| Atezolizumab 1,200 mg/20 ml (60 mg/ml) IV soln Inpatient & outpatient | 31766 CDM | $23,792 | $16,654 | — | — | |
| Atezolizumab 840 mg/14 ml (60 mg/ml) IV soln Inpatient & outpatient | 31766 CDM | $35,526 | $24,868 | — | — | |
| Avelumab 20 mg/ml IV soln Inpatient & outpatient | 34738 CDM | $14,907 | $10,435 | — | — | |
| Benralizumab 30 mg/ml subq atin Inpatient & outpatient | 35333 CDM | $14,769 | $10,338 | — | — | |
| Bevacizumab 25 mg/ml IV soln Inpatient & outpatient | 22666 CDM | $32,040 | $22,428 | — | — | |
| Bevacizumab-awwb 25 mg/ml IV soln Inpatient & outpatient | 31881 CDM | $5,777 | $4,044 | — | — | |
| Blood clot inhibitor c activity Inpatient & outpatient | 30000046 CDM | $449 | $314 | — | — | |
| Blood clot inhibitor s free Inpatient & outpatient | 30000047 CDM | $148 | $104 | — | — | |
| Blood gases any combination Inpatient & outpatient | 30100142 CDM | $197 | $138 | — | — | |
| Blood gases w/ o2 saturation Inpatient & outpatient | 30100143 CDM | $176 | $123 | — | — | |
| Body fluid not bld cell count Inpatient & outpatient | 30000304 CDM | $31.00 | $21.70 | — | — | |
| Body fluid not bld w/ diff count Inpatient & outpatient | 30000305 CDM | $78.00 | $54.60 | — | — | |
| Bordetella antibody Inpatient & outpatient | 30000130 CDM | $162 | $113 | — | — | |
| Bupivacaine (pf) 0.25 % (2.5 mg/ml) inj soln Inpatient & outpatient | 35402 CDM | $54.00 | $37.80 | — | — | |
| Carbamazepine 200 mg oral tab Inpatient & outpatient | 35402 CDM | $9.00 | $6.30 | — | — | |
| Cardiac Rehabilitation Outpatient | 5771 OTHER | — | — | — | $406 | |
| Cardiolipin antibody each ig class Inpatient & outpatient | 30000085 CDM | $544 | $381 | — | — |