Saint Francis Hospital — price list
← Hospital overviewVerified from Saint Francis Hospital’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) | |
|---|---|---|---|---|---|---|
| 2-OCTYL CYANOACRYLATE TOPICAL LIQUID Inpatient & outpatient | 9994-0826-69 NDC | $78.97 | $31.59 | — | — | |
| ABACAVIR SULFATE 300 MG PO TABS Inpatient & outpatient | 65862-073-60 NDC | $19.30 | $7.72 | — | — | |
| ABLYSINOL IA SOLN Inpatient & outpatient | 54288-105-02 NDC | $2,473 | $989 | — | — | |
| ACAMPROSATE CALCIUM 333 MG PO TBEC Inpatient & outpatient | 68382-569-28 NDC | $10.86 | $4.34 | — | — | |
| ACARBOSE 50 MG PO TABS Inpatient & outpatient | 72789-132-60 NDC | $2.71 | $1.08 | — | — | |
| ACEPHEN 120 MG RE SUPP Inpatient & outpatient | 0713-0118-01 NDC | $3.75 | $1.50 | — | — | |
| ACETADOTE 200 MG/ML IV SOLN Inpatient & outpatient | 66220-207-30 NDC | $9.25 | $3.70 | — | — | |
| ACETAMINOPHEN 10 MG/ML IV SOLN Inpatient & outpatient | 0781-3156-95 NDC | $2.32 | $0.93 | — | — | |
| ACETAMINOPHEN 160 MG/5ML ORAL SYRINGE REPACKAGING FORMULA Inpatient & outpatient | 9994-0840-24 NDC | $5.87 | $2.35 | — | — | |
| ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient & outpatient | 81033-002-05 NDC | $4.51 | $1.80 | — | — | |
| ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient & outpatient | 0121-0657-00 NDC | $13.13 | $5.25 | — | — | |
| ACETAMINOPHEN 160 MG/5ML PO SUSP Inpatient & outpatient | 68094-231-01 NDC | $13.40 | $5.36 | — | — | |
| ACETAMINOPHEN 650 MG/20.3ML PO SOLN Inpatient & outpatient | 0904-7321-03 NDC | $15.59 | $6.24 | — | — | |
| ACETAMINOPHEN EXTRA STRENGTH 500 MG PO TABS Inpatient & outpatient | 0904-6720-59 NDC | $0.57 | $0.23 | — | — | |
| ACETAMINOPHEN-CODEINE 300-15 MG PO TABS Inpatient & outpatient | 0406-0483-01 NDC | $4.06 | $1.62 | — | — | |
| ACETAMINOPHEN-CODEINE 300-60 MG PO TABS Inpatient & outpatient | 0406-0485-01 NDC | $5.20 | $2.08 | — | — | |
| ACETAZOLAMIDE 125 MG PO TABS Inpatient & outpatient | 51672-4022-1 NDC | $13.46 | $5.38 | — | — | |
| ACETAZOLAMIDE 250 MG PO TABS Inpatient & outpatient | 70756-721-11 NDC | $18.50 | $7.40 | — | — | |
| ACETAZOLAMIDE 250 MG PO TABS Inpatient & outpatient | 52817-201-10 NDC | $0.88 | $0.35 | — | — | |
| ACETAZOLAMIDE ER 500 MG PO CP12 Inpatient & outpatient | 23155-787-01 NDC | $5.30 | $2.12 | — | — | |
| ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient & outpatient | 67457-853-50 NDC | $273 | $109 | — | — | |
| ACETYLCYSTEINE 10 % INH SOLN Inpatient & outpatient | 63323-695-04 NDC | $50.39 | $20.16 | — | — | |
| ACETYLCYSTEINE 20 % IN SOLN Inpatient & outpatient | 0054-3026-02 NDC | $12.43 | $4.97 | — | — | |
| ACTHIB IM SOLR Inpatient & outpatient | 49281-545-03 NDC | $183 | $73.13 | — | — | |
| ACTHIB IM SOLR Inpatient & outpatient | 49281-547-58 NDC | $217 | $86.62 | — | — | |
| ACTIDOSE-AQUA 25 GM/120ML PO LIQD Inpatient & outpatient | 0574-0521-74 NDC | $54.25 | $21.70 | — | — | |
| ACTIDOSE-AQUA 50 GM/240ML PO LIQD Inpatient & outpatient | 0574-0521-76 NDC | $98.75 | $39.50 | — | — | |
| ACYCLOVIR 200 MG/5ML PO SUSP Inpatient & outpatient | 0472-0082-16 NDC | $4.70 | $1.88 | — | — | |
| ACYCLOVIR 400 MG PO TABS Inpatient & outpatient | 31722-777-01 NDC | $1.43 | $0.57 | — | — | |
| ACYCLOVIR 5 % EX OINT Inpatient & outpatient | 65162-835-94 NDC | $177 | $70.92 | — | — |