St. Elizabeth Healthcare Grant — price list
← Hospital overviewVerified from St. Elizabeth Healthcare Grant’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.
30 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen 120 mg rectal suppository Inpatient & outpatient | 103 CDM | $0.81 | $0.81 | — | — | |
| Alteplase 100 mg intravenous solution Inpatient & outpatient | 103513 CDM | $25,477 | $25,477 | — | — | |
| Ammonium lactate 12 % lotion Inpatient & outpatient | 10380 CDM | $49.28 | $49.28 | — | — | |
| Calcium chloride 100 mg/ml (10 %) intravenous solution Inpatient & outpatient | 103743 CDM | $13.89 | $13.89 | — | — | |
| Carbidopa 25 mg tablet Inpatient & outpatient | 103141 CDM | $2.04 | $2.04 | — | — | |
| Hydrochloric acid (bulk) 37 % liquid Inpatient & outpatient | 103045 CDM | $94.50 | $94.50 | — | — | |
| Iohexol 300 mg iodine/ml intravenous solution Inpatient & outpatient | 10322 CDM | $27.00 | $27.00 | — | — | |
| Iohexol 350 mg iodine/ml intravenous solution Inpatient & outpatient | 10323 CDM | $60.00 | $60.00 | — | — | |
| Iopamidol 250 mg iodine/ml (51 %) intravenous solution Inpatient & outpatient | 10326 CDM | $15.60 | $15.60 | — | — | |
| Iopamidol 370 mg iodine/ml (76 %) intravenous solution Inpatient & outpatient | 10328 CDM | $31.13 | $31.13 | — | — | |
| Isosorbide mononitrate 10 mg tablet Inpatient & outpatient | 10356 CDM | $6.39 | $6.39 | — | — | |
| Isradipine 2.5 mg capsule Inpatient & outpatient | 10362 CDM | $3.94 | $3.94 | — | — | |
| Isradipine 5 mg capsule Inpatient & outpatient | 10363 CDM | $5.76 | $5.76 | — | — | |
| Itraconazole 100 mg capsule Inpatient & outpatient | 10364 CDM | $3.66 | $3.66 | — | — | |
| Ketoconazole 2 % topical cream Inpatient & outpatient | 10368 CDM | $38.12 | $38.12 | — | — | |
| Ketoconazole 200 mg tablet Inpatient & outpatient | 10369 CDM | $1.95 | $1.95 | — | — | |
| Ketorolac 10 mg tablet Inpatient & outpatient | 10371 CDM | $2.94 | $2.94 | — | — | |
| Ketorolac 60 mg/2 ml intramuscular solution Inpatient & outpatient | 10370 CDM | $11.18 | $11.18 | — | — | |
| Labetalol 100 mg tablet Inpatient & outpatient | 10373 CDM | $0.54 | $0.54 | — | — | |
| Labetalol 200 mg tablet Inpatient & outpatient | 10374 CDM | $0.78 | $0.78 | — | — | |
| Labetalol 5 mg/ml intravenous solution Inpatient & outpatient | 10372 CDM | $27.12 | $27.12 | — | — | |
| Lactobacillus 100 million cell oral granules packet Inpatient & outpatient | 10384 CDM | $3.40 | $3.40 | — | — | |
| Levobunolol 0.5 % eye drops Inpatient & outpatient | 10394 CDM | $43.14 | $43.14 | — | — | |
| Methylnaltrexone 12 mg/0.6 ml subcutaneous syringe Inpatient & outpatient | 179103 CDM | $463 | $463 | — | — | |
| Morphine 10 mg/ml intravenous solution Inpatient & outpatient | 103925 CDM | $6.92 | $6.92 | — | — | |
| Neomycin sulfate (bulk) powder Inpatient & outpatient | 103410 CDM | $555 | $555 | — | — | |
| Phenobarb-hyoscy-atropine-scop 16.2 mg-0.1037 mg-0.0194 mg/5 ml elixir Inpatient & outpatient | 100314 CDM | $1,388 | $1,388 | — | — | |
| Sacubitril 97 mg-valsartan 103 mg tablet Inpatient & outpatient | 194678 CDM | $31.73 | $31.73 | — | — | |
| Sodium bicarbonate 4.2 % intravenous solution Inpatient & outpatient | 103209 CDM | $11.45 | $11.45 | — | — | |
| Thrombin (bovine) 20,000 unit topical solution Inpatient & outpatient | 103456 CDM | $437 | $437 | — | — |