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.
29 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetazolamide 250 mg tablet Inpatient & outpatient | 113 CDM | $0.97 | $0.97 | — | — | |
| Adhesive remover liquid Inpatient & outpatient | 113173 CDM | $24.43 | $24.43 | — | — | |
| Bacitracin zinc 500 unit-polymyxin b 10,000 unit/gram top oint packet Inpatient & outpatient | 211309 CDM | $0.80 | $0.80 | — | — | |
| Cefiderocol 1 gram intravenous solution Inpatient & outpatient | 211305 CDM | $635 | $635 | — | — | |
| Desmopressin 10 mcg/spray (0.1 ml) nasal spray (non-refrigerated) Inpatient & outpatient | 21135 CDM | $152 | $152 | — | — | |
| Dexmedetomidine 400 mcg/100 ml (4 mcg/ml) in 0.9 % sodium chloride IV Inpatient & outpatient | 186113 CDM | $27.00 | $27.00 | — | — | |
| Enoxaparin 100 mg/ml subcutaneous syringe Inpatient & outpatient | 113035 CDM | $67.71 | $67.71 | — | — | |
| Enoxaparin 30 mg/0.3 ml subcutaneous syringe Inpatient & outpatient | 113032 CDM | $20.29 | $20.29 | — | — | |
| Enoxaparin 40 mg/0.4 ml subcutaneous syringe Inpatient & outpatient | 113036 CDM | $27.06 | $27.06 | — | — | |
| Enoxaparin 60 mg/0.6 ml subcutaneous syringe Inpatient & outpatient | 113033 CDM | $34.96 | $34.96 | — | — | |
| Enoxaparin 80 mg/0.8 ml subcutaneous syringe Inpatient & outpatient | 113034 CDM | $54.17 | $54.17 | — | — | |
| Gel dressing topical Inpatient & outpatient | 113073 CDM | $38.81 | $38.81 | — | — | |
| Insulin lispro (u-100) 100 unit/ml subcutaneous pen Inpatient & outpatient | 113598 CDM | $53.10 | $53.10 | — | — | |
| Insulin lispro protamine-lispro 100 unit/ml (75-25) subcutaneous pen Inpatient & outpatient | 113815 CDM | $52.65 | $52.65 | — | — | |
| Mepolizumab 100 mg/ml subcutaneous syringe Inpatient & outpatient | 209113 CDM | $11,512 | $11,512 | — | — | |
| Mineral oil-iso myristat-water lotion Inpatient & outpatient | 113551 CDM | $9.94 | $9.94 | — | — | |
| Mycophenolate mofetil 250 mg capsule Inpatient & outpatient | 15113 CDM | $1.14 | $1.14 | — | — | |
| Praziquantel 600 mg tablet Inpatient & outpatient | 11113 CDM | $229 | $229 | — | — | |
| Prochlorperazine 25 mg rectal suppository Inpatient & outpatient | 11138 CDM | $22.08 | $22.08 | — | — | |
| Salicylic acid 17 % topical liquid Inpatient & outpatient | 11323 CDM | $16.53 | $16.53 | — | — | |
| Sennosides 8.6 mg tablet Inpatient & outpatient | 11349 CDM | $0.09 | $0.09 | — | — | |
| Sertraline 100 mg tablet Inpatient & outpatient | 11350 CDM | $1.25 | $1.25 | — | — | |
| Sertraline 50 mg tablet Inpatient & outpatient | 11351 CDM | $0.24 | $0.24 | — | — | |
| Simvastatin 10 mg tablet Inpatient & outpatient | 11364 CDM | $0.42 | $0.42 | — | — | |
| Simvastatin 20 mg tablet Inpatient & outpatient | 11365 CDM | $0.48 | $0.48 | — | — | |
| Simvastatin 40 mg tablet Inpatient & outpatient | 11366 CDM | $0.13 | $0.13 | — | — | |
| Simvastatin 5 mg tablet Inpatient & outpatient | 11367 CDM | $0.57 | $0.57 | — | — | |
| Sincalide 5 mcg solution for injection Inpatient & outpatient | 11368 CDM | $363 | $363 | — | — | |
| Sodium chloride 0.65 % nasal drops Inpatient & outpatient | 102113 CDM | $5.67 | $5.67 | — | — |