Stormont Vail Healthcare Inc — price list

← Hospital overviewVerified from Stormont Vail Healthcare Inc’s published price file

Includes 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.

1,500 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
ABELCET 5 MG/ML IV SUSP Inpatient & outpatient	57665010141 NDC	$26.09	—	$10.30 – $31.13	—
ABILIFY 10 MG PO TABS Inpatient & outpatient	59148000813 NDC	$110	—	$71.67 – $97.03	—
ABILIFY 2 MG PO TABS Inpatient & outpatient	59148000613 NDC	$61.61	—	$40.05 – $54.22	—
ABILIFY ASIMTUFII 720 MG/2.4ML IM PRSY Inpatient & outpatient	59148010280 NDC	$4,551	—	$6.03 – $4,005	—
ABILIFY MAINTENA 300 MG IM PRSY Inpatient & outpatient	59148004580 NDC	$5,459	—	$6.53 – $4,804	—
ABILIFY MAINTENA 400 MG IM PRSY Inpatient & outpatient	59148007280 NDC	$7,274	—	$6.53 – $6,401	—
ABLYSINOL IA SOLN Inpatient & outpatient	54288010515 NDC	$510	—	$332 – $449	—
ABRAXANE 100 MG IV SUSR Inpatient & outpatient	68817013450 NDC	$3,963	—	$10.54 – $3,488	—
ABREVA 10 % EX CREA Inpatient & outpatient	135030001 NDC	$35.09	—	$22.81 – $30.87	—
ABRYSVO 120 MCG/0.5ML IM SOLR Inpatient & outpatient	69246519 NDC	$780	—	$301 – $686	—
ACCOLATE 20 MG PO TABS Inpatient & outpatient	64380017801 NDC	$22.44	—	$14.59 – $19.75	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient & outpatient	39822019109 NDC	$117	—	$19.94 – $103	—
ACETAZOLAMIDE SODIUM 500 MG IJ SOLR Inpatient & outpatient	67457085350 NDC	$113	—	$73.42 – $99.40	—
ACETYLCYSTEINE 10 % IN SOLN Inpatient & outpatient	70069001825 NDC	$20.84	—	$13.54 – $18.33	—
ACITRETIN 25 MG PO CAPS Inpatient & outpatient	72162222303 NDC	$25.53	—	$16.59 – $22.47	—
ACTEMRA 162 MG/0.9ML SC SOSY Inpatient & outpatient	50242013801 NDC	$3,276	—	$2,130 – $2,883	—
ACTEMRA 200 MG/10ML IV SOLN Inpatient & outpatient	50242013601 NDC	$345	—	$5.71 – $304	—
ACTEMRA 400 MG/20ML IV SOLN Inpatient & outpatient	50242013701 NDC	$345	—	$5.71 – $304	—
ACTEMRA 80 MG/4ML IV SOLN Inpatient & outpatient	50242013501 NDC	$345	—	$5.71 – $304	—
ACTHAR 80 UNIT/ML IJ GEL Inpatient & outpatient	63004871002 NDC	$22,665	—	$4,551 – $19,945	—
ACTIGALL 300 MG PO CAPS Inpatient & outpatient	52544093001 NDC	$36.75	—	$23.88 – $32.34	—
ACTIVASE 100 MG IV SOLR Inpatient & outpatient	50242008527 NDC	$22,014	—	$94.45 – $19,372	—
ACTIVASE 50 MG IV SOLR Inpatient & outpatient	50242004413 NDC	$11,013	—	$94.45 – $9,692	—
ACTIVITE 1 MG PO TABS Inpatient & outpatient	69967000601 NDC	$30.96	—	$20.12 – $27.24	—
ACYCLOVIR 800 MG/20ML PO SUSP Inpatient & outpatient	62135080323 NDC	$24.98	—	$16.24 – $21.98	—
ADCETRIS 50 MG IV SOLR Inpatient & outpatient	51144005001 NDC	$31,702	—	$183 – $27,898	—
ADDERALL 5 MG PO TABS Inpatient & outpatient	57844010501 NDC	$42.29	—	$27.49 – $37.21	—
ADDERALL XR 10 MG PO CP24 Inpatient & outpatient	54092038301 NDC	$30.77	—	$20.00 – $27.08	—
ADDERALL XR 5 MG PO CP24 Inpatient & outpatient	54092038101 NDC	$30.77	—	$20.00 – $27.08	—
ADENOCARD 6 MG/2ML IV SOLN Inpatient & outpatient	469823412 NDC	$58.00	—	$0.57 – $51.04	—