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.
18 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| AMOXICILLIN 250 MG/5ML PO SUSR Outpatient | 0637 RC | $0.16 | $0.16 | $0.06 – $0.16 | — | |
| APIXABAN 5 MG PO TABS Outpatient | 0637 RC | $10.33 | $10.33 | $4.03 – $10.02 | — | |
| AZITHROMYCIN 200 MG/5ML PO SUSR Outpatient | 0637 RC | $20.45 | $20.45 | $7.98 – $19.84 | — | |
| BUDESONIDE-FORMOTEROL FUMARATE 80-4.5 MCG/ACT IN AERO Outpatient | 0637 RC | $141 | $141 | $55.16 – $137 | — | |
| BUPRENORPHINE HCL-NALOXONE HCL 2-0.5 MG SL FILM Outpatient | 0637 RC | $2.28 | $2.28 | $0.89 – $2.21 | — | |
| BUPRENORPHINE HCL-NALOXONE HCL 8-2 MG SL FILM Outpatient | 0637 RC | $2.88 | $2.88 | $1.12 – $2.79 | — | |
| CAPTOPRIL 3.125 MG PO PARTIAL TABS Outpatient | 0637 RC | $1.47 | $1.47 | $0.57 – $1.43 | — | |
| CEFADROXIL 500 MG/5ML PO SUSR Outpatient | 0637 RC | $3.44 | $3.44 | $1.34 – $3.34 | — | |
| CHLORDIAZEPOXIDE HCL 25 MG PO CAPS Outpatient | 0637 RC | $0.55 | $0.55 | $0.21 – $0.53 | — | |
| CLARITHROMYCIN 250 MG/5ML PO SUSR Outpatient | 0637 RC | $8.92 | $8.92 | $3.48 – $8.65 | — | |
| CLOTRIMAZOLE 10 MG MT TROC Outpatient | 0637 RC | $2.81 | $2.81 | $1.10 – $2.73 | — | |
| COLCHICINE 0.6 MG PO CAPS Outpatient | 0637 RC | $6.95 | $6.95 | $2.71 – $6.74 | — | |
| COLESTIPOL HCL 1 G PO TABS Outpatient | 0637 RC | $1.08 | $1.08 | $0.42 – $1.05 | — | |
| DIGOXIN 0.05 MG/ML PO SOLN Outpatient | 0637 RC | $3.10 | $3.10 | $1.21 – $3.01 | — | |
| DOFETILIDE 125 MCG PO CAPS Outpatient | 0637 RC | $7.00 | $7.00 | $2.73 – $6.79 | — | |
| DOXEPIN HCL 10 MG PO CAPS Outpatient | 0637 RC | $0.55 | $0.55 | $0.21 – $0.53 | — | |
| EMPAGLIFLOZIN 25 MG PO TABS Outpatient | 0637 RC | $21.45 | $21.45 | $8.37 – $20.81 | — | |
| ENTACAPONE 100 MG PO PARTIAL TABS Outpatient | 0637 RC | $2.26 | $2.26 | $0.88 – $2.19 | — |