Sharp Mary Birch Hospital for Women and Newborns — price list
← Hospital overviewVerified from Sharp Mary Birch Hospital for Women and Newborns’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) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL LIQUID (WRAPPER) Outpatient | 0121-0939-05 NDC | $0.01 | $0.01 | $0.01 – $1.30 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPER) Outpatient | 45802-201-26 NDC | $0.02 | $0.01 | $0.01 – $1.30 | — | |
| ACETAMINOPHEN 300 MG-CODEINE 30 MG/12.5 ML (12.5 ML) ORAL SOLUTION Outpatient | 99999-007-01 NDC | $0.01 | $0.01 | $0.01 – $0.04 | — | |
| ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID (WRAPPER) Outpatient | 99999-006-99 NDC | $0.06 | $0.04 | $0.01 – $136 | — | |
| ACETAZOLAMIDE 250 MG TABLET Outpatient | 50268-054-15 NDC | $93.97 | $70.48 | $1.15 – $75.18 | — | |
| ACETIC ACID 2 % EAR SOLUTION Inpatient | 60432-741-16 NDC | $9.05 | $6.79 | $1.36 – $6.79 | — | |
| ACTIVATED CHARCOAL 25 GRAM/120 ML ORAL SUSPENSION Outpatient | 0574-0521-74 NDC | $0.10 | $0.08 | $0.01 – $1.30 | — | |
| ACYCLOVIR 5 % TOPICAL OINTMENT Outpatient | 68462-746-35 NDC | $1.86 | $1.39 | $0.26 – $1.43 | — | |
| ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION Outpatient | 67457-855-00 NDC | $8.60 | $6.45 | $1.30 – $8.43 | — | |
| ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION Outpatient | 63323-651-02 NDC | $12.03 | $9.02 | $1.30 – $10.83 | — | |
| ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION Outpatient | 68516-5216-3 NDC | $7.80 | $5.85 | $1.00 – $6.24 | — | |
| ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION Outpatient | 0944-0493-01 NDC | $16.96 | $12.72 | $1.00 – $15.27 | — | |
| ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION Outpatient | 0487-0301-01 NDC | $0.22 | $0.17 | $0.03 – $4,688 | — | |
| ALBUTEROL SULFATE 1.25 MG/3 ML SOLUTION FOR NEBULIZATION Outpatient | 76204-011-55 NDC | $0.20 | $0.15 | $0.06 – $725 | — | |
| ALBUTEROL SULFATE HFA 90 MCG/ACTUATION AEROSOL INHALER Outpatient | 68180-963-01 NDC | $26.71 | $20.03 | $1.00 – $53.82 | — | |
| ALISKIREN 150 MG TABLET Outpatient | 49884-424-11 NDC | $25.48 | $19.11 | $1.00 – $24.97 | — | |
| ALISKIREN 300 MG TABLET Outpatient | 49884-425-11 NDC | $33.29 | $24.97 | $0.57 – $29.96 | — | |
| ALLOPURINOL 300 MG TABLET Outpatient | 55111-730-01 NDC | $0.12 | $0.09 | $0.02 – $1.10 | — | |
| ALPRAZOLAM 0.25 MG TABLET Outpatient | 60687-377-01 NDC | $0.01 | $0.01 | $0.01 – $1.15 | — | |
| AMIKACIN 500 MG/2 ML INJECTION SOLUTION Inpatient | 23155-290-41 NDC | $10.90 | $8.18 | $0.69 – $725 | — | |
| AMINOCAPROIC ACID 500 MG TABLET Inpatient | 49411-050-30 NDC | $98.64 | $73.98 | $29.30 – $725 | — | |
| AMIODARONE 200 MG TABLET Inpatient | 0904-6993-61 NDC | $0.18 | $0.14 | $0.03 – $0.16 | — | |
| AMIODARONE 3 MG/ML INJECTION SOLUTION (NEO/PED) Inpatient | 99999-004-44 NDC | $3.18 | $2.39 | $0.48 – $2.87 | — | |
| AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION Outpatient | 0143-9875-25 NDC | $3.18 | $2.39 | $0.95 – $3.12 | — | |
| AMITRIPTYLINE 10 MG TABLET Outpatient | 29300-419-01 NDC | $0.08 | $0.06 | $0.01 – $1.30 | — | |
| AMITRIPTYLINE 100 MG TABLET Inpatient | 50268-041-15 NDC | $0.01 | $0.01 | $0.01 – $0.01 | — | |
| AMITRIPTYLINE 25 MG TABLET Inpatient | 50268-038-15 NDC | $0.01 | $0.01 | $0.01 – $0.01 | — | |
| AMLODIPINE 5 MG-BENAZEPRIL 10 MG CAPSULE Outpatient | 65862-583-01 NDC | $0.20 | $0.15 | $0.03 – $1.00 | — | |
| AMMONIA AROMATIC 15 % (W/V) SOLUTION FOR INHALATION Outpatient | 39822-9900-1 NDC | $0.37 | $0.28 | $0.11 – $1.30 | — | |
| AMOXICILLIN 125 MG/5 ML ORAL SUSPENSION Outpatient | 65862-706-55 NDC | $0.03 | $0.02 | $0.01 – $14.09 | — |