Stephens Memorial Hospital — price list
← Hospital overviewVerified from Stephens Memorial 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.
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.
5 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETYLCYSTEINE 20 % IN SOLN (FOR ORAL USE) Outpatient | 0250 RC | $30.29 | $30.29 | $11.81 – $29.38 | — | |
| CARBOPROST TROMETHAMINE 250 MCG/ML IM SOLN Outpatient | 0250 RC | $1,438 | $1,438 | $561 – $1,394 | — | |
| CEFOTETAN DISODIUM 1 GM/10ML IJ (WET SOLR VIAL) Outpatient | 0250 RC | $161 | $161 | $62.91 – $156 | — | |
| CLINIMIX E/DEXTROSE (4.25/10) 4.25 % IV SOLN Outpatient | 0250 RC | $475 | $475 | $185 – $461 | — | |
| CYCLOPENTOLATE HCL 1 % OP SOLN Outpatient | 0250 RC | $12.37 | $12.37 | $4.82 – $12.00 | — |