Summa Health System — price list
← Hospital overviewVerified from Summa Health System’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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Ablysinol ia soln [166645] Inpatient & outpatient | 60687-433-11 NDC | $19,104 | $19,104 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J1439 HCPCS | $6,725 | $6,725 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J3262 HCPCS | $9,946 | $9,946 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J2323 HCPCS | $42,422 | $42,422 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J9303 HCPCS | $24,009 | $24,009 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J0651 HCPCS | $2,129 | $2,129 | — | — | |
| Ablysinol ia soln [166645] Inpatient & outpatient | J0666 HCPCS | $1,652 | $1,652 | — | — | |
| Acamprosate calcium 333 mg po tbec [39720] Inpatient & outpatient | 63323-184-10 NDC | $13.50 | $13.50 | — | — | |
| Acetaminophen 160 mg/5ml po soln [100] Inpatient & outpatient | 60687-742-11 NDC | $8.00 | $8.00 | — | — | |
| Acetaminophen 160 mg/5ml po soln [100] Inpatient & outpatient | 63323-810-00 NDC | $8.25 | $8.25 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | 60687-195-11 NDC | $13.50 | $13.50 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | J9045 HCPCS | $68.50 | $68.50 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | J2515 HCPCS | $5,519 | $5,519 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | 63323-596-03 NDC | $840 | $840 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | J0174 HCPCS | $2,283 | $2,283 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | A9516 HCPCS | $2.50 | $2.50 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | J0651 HCPCS | $398 | $398 | — | — | |
| Acetaminophen 160 mg/5ml po susp [8943] Inpatient & outpatient | J2560 HCPCS | $1,247 | $1,247 | — | — | |
| Acetaminophen 325 mg po tabs [101] Inpatient & outpatient | 61314-019-10 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 325 mg po tabs [101] Inpatient & outpatient | 50268-725-11 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | 62559-157-17 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | 60793-205-05 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | J8540 HCPCS | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | 50268-430-11 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | J9305 HCPCS | $88.25 | $88.25 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | 50268-407-11 NDC | $2.50 | $2.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | Q5116 HCPCS | $23,458 | $23,458 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | J1644 HCPCS | $3.50 | $3.50 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | J0640 HCPCS | $563 | $563 | — | — | |
| Acetaminophen 500 mg po tabs [102] Inpatient & outpatient | J9264 HCPCS | $6,115 | $6,115 | — | — |