Sharp Mesa Vista Hospital — price list
← Hospital overviewVerified from Sharp Mesa Vista 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.
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.
667 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACAMPROSATE 333 MG TABLETDELAYED RELEASE Inpatient | 68462-435-18 NDC | $0.49 | $0.37 | $0.09 – $0.40 | — | |
| ACETAMINOPHEN 160 MG/5 ML (5 ML) ORAL LIQUID (WRAPPER) Inpatient | 68094-231-61 NDC | $0.17 | $0.12 | $0.01 – $0.16 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPER) Inpatient | 45802-201-26 NDC | $0.02 | $0.01 | $0.01 – $0.02 | — | |
| ACETAMINOPHEN 325 MG TABLET Outpatient | 0904-6773-61 NDC | $0.04 | $0.03 | $0.01 – $1.15 | — | |
| ACETAMINOPHEN 325 MG TABLET Outpatient | 50580-458-11 NDC | $0.17 | $0.13 | $0.03 – $136 | — | |
| ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID (WRAPPER) Inpatient | 81033-002-30 NDC | $0.10 | $0.07 | $0.01 – $725 | — | |
| ACETIC ACID 0.25 % IRRIGATION SOLUTION Inpatient | 0338-0656-04 NDC | $0.06 | $0.04 | $0.02 – $0.06 | — | |
| ACYCLOVIR SODIUM 50 MG/ML INTRAVENOUS SOLUTION Inpatient | 63323-325-20 NDC | $2.68 | $2.01 | $0.40 – $2.62 | — | |
| ADENOSINE (DIAGNOSTIC) 3 MG/ML INTRAVENOUS SOLUTION Outpatient | 67457-857-30 NDC | $11.84 | $8.88 | $1.00 – $10.65 | — | |
| ADENOSINE 3 MG/ML INTRAVENOUS SOLUTION Outpatient | 67457-855-00 NDC | $8.60 | $6.45 | $1.30 – $8.43 | — | |
| ALBUMIN HUMAN 25 % INTRAVENOUS SOLUTION Inpatient | 44206-251-91 NDC | $5.91 | $4.44 | $1.66 – $5.80 | — | |
| ALBUMIN HUMAN 5 % INTRAVENOUS SOLUTION Inpatient | 68516-5214-3 NDC | $1.53 | $1.14 | $0.21 – $725 | — | |
| ALBUTEROL SULFATE 0.63 MG/3 ML SOLUTION FOR NEBULIZATION Outpatient | 76204-010-11 NDC | $0.42 | $0.31 | $0.03 – $5,186 | — | |
| ALBUTEROL SULFATE 2.5 MG/3 ML (0.083 %) SOLUTION FOR NEBULIZATION Outpatient | 76204-200-01 NDC | $0.07 | $0.05 | $0.01 – $1.10 | — | |
| ALLOPURINOL 100 MG TABLET Inpatient | 55111-729-01 NDC | $0.06 | $0.04 | $0.02 – $0.05 | — | |
| ALLOPURINOL 300 MG TABLET Outpatient | 55111-730-01 NDC | $0.12 | $0.09 | $0.02 – $1.10 | — | |
| ALPHA-1-PROTEINASE INHIBITOR (HUMAN) 1000 MG (+/-)/20 ML IV SOLUTION Outpatient | 13533-705-01 NDC | $1,738 | $1,303 | $0.39 – $1,564 | — | |
| ALPRAZOLAM 0.5 MG TABLET Outpatient | 0781-1077-05 NDC | $0.04 | $0.03 | $0.01 – $1.30 | — | |
| ALTEPLASE 2 MG INTRA-CATHETER SOLUTION Outpatient | 50242-041-10 NDC | $1,520 | $1,140 | $1.00 – $1,170 | — | |
| ALUMINUM-MAG HYDROXIDE-SIMETHICONE 400 MG-400 MG-40 MG/5 ML ORAL SUSP Outpatient | 0904-5725-14 NDC | $0.01 | $0.01 | $0.01 – $1.15 | — | |
| AMIODARONE 50 MG/ML INTRAVENOUS SOLUTION Inpatient | 63323-616-01 NDC | $4.59 | $3.44 | $0.29 – $4.50 | — | |
| AMLODIPINE 10 MG TABLET Inpatient | 0904-6371-61 NDC | $0.05 | $0.04 | $0.01 – $0.05 | — | |
| AMMONIUM LACTATE 12 % LOTION Outpatient | 63044-484-09 NDC | $0.12 | $0.09 | $0.03 – $1.00 | — | |
| AMOXICILLIN 200 MG/5 ML ORAL SUSPENSION Outpatient | 0781-6156-57 NDC | $0.02 | $0.01 | $0.01 – $1.00 | — | |
| AMOXICILLIN 250 MG/5 ML ORAL SUSPENSION Inpatient | 0093-4155-79 NDC | $0.04 | $0.03 | $0.01 – $0.03 | — | |
| AMOXICILLIN 400 MG-POTASSIUM CLAVULANATE 57 MG/5 ML ORAL SUSPENSION Outpatient | 65862-534-50 NDC | $0.09 | $0.06 | $0.01 – $1.30 | — | |
| AMOXICILLIN 875 MG-POTASSIUM CLAVULANATE 125 MG TABLET Outpatient | 65862-503-01 NDC | $0.45 | $0.33 | $0.13 – $1.30 | — | |
| AMPICILLIN 1 GRAM SOLUTION FOR INJECTION Outpatient | 72485-421-01 NDC | $0.01 | $0.01 | $0.01 – $1.15 | — | |
| AMPICILLIN 1 GRAM SOLUTION FOR INJECTION Outpatient | 67457-351-10 NDC | $14.01 | $10.51 | $1.00 – $12.61 | — | |
| AMPICILLIN-SULBACTAM 3 GRAM SOLUTION FOR INJECTION Inpatient | 72485-417-01 NDC | $33.48 | $25.11 | $5.02 – $32.81 | — |