Sanford Wheaton — price list
← Hospital overviewVerified from Sanford Wheaton’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) | |
|---|---|---|---|---|---|---|
| ,Insulin Aspart Soln Pen-injector 100 Unit/ML,Insulin Aspart Soln Cartridge 100 Unit/ML Inpatient | 0250 RC | $71.12 | $56.90 | $39.12 – $67.28 | — | |
| 5 hiaa (5 hydroxy) random urine 83497.901 Inpatient | 83497 CPT | $57.00 | $45.60 | $31.35 – $53.92 | — | |
| A1at phenotype so 82104.901 Inpatient | 82104 CPT | $67.00 | $53.60 | $36.85 – $63.38 | — | |
| Abatacept For IV Soln 250 MG Inpatient | J0129 HCPCS | $2,879 | $2,303 | $1,583 – $2,723 | — | |
| Acamprosate Calcium Tab Delayed Release 333 MG Inpatient | 0250 RC | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen Liquid 160 MG/5ML Inpatient | J3490 HCPCS | $7.19 | $5.76 | $3.95 – $6.80 | — | |
| Acetaminophen Suppos 120 MG Inpatient | 0250 RC | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen Suppos 325 MG Inpatient | 0250 RC | $3.65 | $2.92 | $2.01 – $3.45 | — | |
| Acetaminophen Suppos 650 MG Inpatient | 0250 RC | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen Susp 160 MG/5ML Inpatient | 0250 RC | $6.24 | $5.00 | $3.43 – $5.90 | — | |
| Acetaminophen Tab 325 MG Inpatient | J3490 HCPCS | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen Tab 500 MG Inpatient | J3490 HCPCS | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen Tab ER 650 MG Inpatient | 0250 RC | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acetaminophen w/ Codeine Soln 120-12 MG/5ML Inpatient | 0250 RC | $3.51 | $2.81 | $1.93 – $3.32 | — | |
| Acetaminophen w/ Codeine Tab 300-30 MG Inpatient | 0250 RC | $7.64 | $6.12 | $4.20 – $7.23 | — | |
| Acetazolamide Sodium For Inj 500 MG Inpatient | J1120 HCPCS | $72.37 | $57.90 | $39.80 – $68.46 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | 0250 RC | $18.00 | $14.40 | $9.90 – $17.03 | — | |
| Acetylcysteine Inhal Soln 20% Inpatient | J7608 HCPCS | $18.00 | $14.40 | $9.90 – $17.03 | — | |
| Acetylcysteine Inj 200 MG/ML Inpatient | J0132 HCPCS | $87.80 | $70.24 | $48.29 – $83.06 | — | |
| Activated protein c apc resistance assay 85307 Inpatient | 85307 CPT | $170 | $136 | $93.50 – $161 | — | |
| Acute hepatitis panel 80074 Inpatient | 80074 CPT | $265 | $212 | $146 – $251 | — | |
| Acyclovir Sodium IV Soln 50 MG/ML Inpatient | J0133 HCPCS | $33.50 | $26.80 | $18.43 – $31.69 | — | |
| Acyclovir Tab 400 MG Inpatient | 0250 RC | $3.00 | $2.40 | $1.65 – $2.84 | — | |
| Acylcarnitines quant each spec so 82017.900 Inpatient | 82017 CPT | $72.00 | $57.60 | $39.60 – $68.11 | — | |
| Adenosine IV Soln 6 MG/2ML Inpatient | J0153 HCPCS | $34.46 | $27.57 | $18.95 – $32.60 | — | |
| Adenovirus screen 87798.938 Inpatient | 87798 CPT | $159 | $127 | $87.45 – $150 | — | |
| Admin hepatitis b vaccine Inpatient | 90471 CPT | $90.00 | $72.00 | $49.50 – $85.14 | — | |
| Admin influenza vir vac Inpatient | 90471 CPT | $90.00 | $72.00 | $49.50 – $85.14 | — | |
| Admin influenza virus vac Inpatient | 90471 CPT | $90.00 | $72.00 | $49.50 – $85.14 | — | |
| Admin pneumococcal vac Inpatient | 90471 CPT | $90.00 | $72.00 | $49.50 – $85.14 | — |