Sanford Jackson Hospital — price list
← Hospital overviewVerified from Sanford Jackson 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.
332 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $54.34 | $43.48 | $29.12 – $51.41 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $5.95 | $4.76 | $3.19 – $5.63 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $8.79 | $7.04 | $4.71 – $8.32 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $16.42 | $13.14 | $8.80 – $15.53 | — | |
| Acetic Acid Irrigation Soln 0.25% Inpatient | 0250 RC | $17.90 | $14.32 | $9.59 – $16.93 | — | |
| Acetylcysteine Cap 600 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $21.75 | $17.40 | $11.65 – $20.58 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) Inpatient | 0250 RC | $35.98 | $28.79 | $19.28 – $34.04 | — | |
| Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) Inpatient | 0250 RC | $4.77 | $3.82 | $2.56 – $4.51 | — | |
| Allopurinol Tab 100 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Alprazolam Tab 0.25 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Alum & Mag Hydroxide-Simethicone Susp 200-200-20 MG/5ML Inpatient | 0250 RC | $9.15 | $7.32 | $4.90 – $8.66 | — | |
| Aluminum Chloride Soln 20% Inpatient | 0250 RC | $22.39 | $17.92 | $12.00 – $21.18 | — | |
| Amantadine HCl Cap 100 MG Inpatient | 0250 RC | $6.36 | $5.09 | $3.41 – $6.02 | — | |
| Amiodarone HCl Tab 200 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amitriptyline HCl Tab 10 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amitriptyline HCl Tab 25 MG Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amlodipine Besylate Tab 10 MG (Base Equivalent) Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amlodipine Besylate Tab 2.5 MG (Base Equivalent) Inpatient | 0250 RC | $1.50 | $1.20 | $0.80 – $1.42 | — | |
| Amoxicillin (Trihydrate) Cap 500 MG Inpatient | 0250 RC | $16.32 | $13.06 | $8.74 – $15.44 | — | |
| Amoxicillin (Trihydrate) For Susp 250 MG/5ML Inpatient | 0250 RC | $6.95 | $5.56 | $3.72 – $6.57 | — | |
| Amoxicillin (Trihydrate) For Susp 400 MG/5ML Inpatient | 0250 RC | $9.36 | $7.49 | $5.02 – $8.85 | — | |
| Amoxicillin & K Clavulanate For Susp 400-57 MG/5ML Inpatient | 0250 RC | $28.65 | $22.92 | $15.35 – $27.10 | — | |
| Amoxicillin & K Clavulanate For Susp 600-42.9 MG/5ML Inpatient | 0250 RC | $17.20 | $13.76 | $9.22 – $16.27 | — | |
| Amoxicillin & K Clavulanate Tab 875-125 MG Inpatient | 0250 RC | $17.54 | $14.04 | $9.40 – $16.59 | — | |
| Apixaban Tab 5 MG Inpatient | 0250 RC | $13.67 | $10.94 | $7.32 – $12.93 | — | |
| Arformoterol Tartrate Soln Nebu 15 MCG/2ML (Base Equiv) Inpatient | 0250 RC | $12.64 | $10.12 | $6.77 – $11.96 | — |