St. Francis Medical Center — price list
← Hospital overviewVerified from St. Francis Medical Center’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.
200 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| E-z disk 700 mg tablet Outpatient | 100992_ERX CDM | $12.18 | $6.09 | $1.60 – $11.57 | $400 | |
| Flumazenil 0.1 mg/ml vial Outpatient | 10055_ERX CDM | $68.88 | $34.44 | $9.04 – $65.44 | $1.37 | |
| Fluorescite 10% vial Outpatient | 10059_ERX CDM | $274 | $137 | $35.91 – $260 | $1.37 | |
| Goserelin acetate implant, per 3.6 mg Outpatient | 10137_ERX CDM | $4,259 | $2,129 | $501 – $6,388 | $559 | |
| Haemophilus influenzae type b vaccine, PRP-OMP conjugate Outpatient | 10153_ERX CDM | $140 | $69.98 | $18.38 – $210 | $92.37 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1002602_SUP CDM | $1,286 | $643 | $169 – $1,543 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1015106_SUP CDM | $2,364 | $1,182 | $310 – $2,836 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1025999_SUP CDM | $412 | $206 | $54.07 – $494 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038073_SUP CDM | $252 | $126 | $33.05 – $302 | $201 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038089_SUP CDM | $735 | $368 | $96.51 – $882 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1038925_SUP CDM | $12,250 | $6,125 | $1,608 – $14,700 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039148_SUP CDM | $3,913 | $1,956 | $514 – $4,695 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039249_SUP CDM | $7,862 | $3,931 | $1,032 – $9,434 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039296_SUP CDM | $1,113 | $557 | $146 – $1,336 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039318_SUP CDM | $944 | $472 | $124 – $1,133 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039733_SUP CDM | $832 | $416 | $109 – $998 | $666 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039802_SUP CDM | $7,770 | $3,885 | $1,020 – $9,324 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1039986_SUP CDM | $5,499 | $2,750 | $722 – $6,599 | $1,320 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040172_SUP CDM | $504 | $252 | $66.15 – $605 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040241_SUP CDM | $2,961 | $1,481 | $389 – $3,553 | $2,369 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040273_SUP CDM | $819 | $410 | $108 – $983 | $197 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040284_SUP CDM | $2,636 | $1,318 | $346 – $3,163 | $346 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1040575_SUP CDM | $1,701 | $851 | $223 – $2,041 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1041546_SUP CDM | $4,563 | $2,281 | $599 – $5,475 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042577_SUP CDM | $1,460 | $730 | $192 – $1,752 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042656_SUP CDM | $2,205 | $1,103 | $290 – $2,646 | $1,103 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1042707_SUP CDM | $5,014 | $2,507 | $658 – $6,017 | $3,764 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1043178_SUP CDM | $1,491 | $746 | $196 – $1,789 | $746 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1043942_SUP CDM | $3,960 | $1,980 | $520 – $4,752 | $3,168 | |
| Anchor/Screw Bn/Bn Tis/Bn Outpatient | 1044505_SUP CDM | $4,463 | $2,231 | $586 – $5,355 | $3,764 |