Tri-City Medical Center — price list
← Hospital overviewVerified from Tri-City 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.
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) | |
|---|---|---|---|---|---|---|
| abacavir 300 mg Tab [CITY] Outpatient | 137601147 CDM | $65.23 | $39.14 | $9.78 – $51.47 | — | |
| abatacept 250 mg IV Inj [CITY] Outpatient | 137600645 CDM | $3,527 | $2,116 | $34.47 – $2,469 | — | |
| ABLATION, SOFT TISSUE OF INFERIOR TURBINATES, UNILATERAL OR BILATERAL, ANY METHOD (EG, ELECTROCAUTERY, RADIOFREQUENCY ABLATION, OR TISSUE VOLUME REDUCTION); SUPERFICIAL Outpatient | 360 RC | — | — | $57.90 – $6,640 | — | |
| acarbose 50 mg Tab [CITY] Outpatient | 137674073 CDM | $19.84 | $11.91 | $2.98 – $15.65 | — | |
| acetaminophen 10 mg/mL (1,000mg/100mL) IV PREMIX Bag [CITY] Outpatient | 137600918 CDM | $63.36 | $38.02 | $0.06 – $44.35 | — | |
| acetaminophen 10 mg/mL (1,000mg/100mL) IV Soln Vial [CITY] Outpatient | 137600928 CDM | $244 | $147 | $0.06 – $171 | — | |
| acetaminophen 120 mg Supp [CITY] Outpatient | 137622635 CDM | $2.24 | $1.34 | $0.34 – $1.77 | — | |
| acetaminophen 325 mg Tab [CITY] Outpatient | 137612610 CDM | $0.13 | $0.08 | $0.02 – $0.10 | — | |
| acetaminophen 325 mg/10.15 mL Liq UD [CITY] Outpatient | 137644837 CDM | $2.55 | $1.53 | $0.38 – $2.01 | — | |
| acetaminophen 500 mg Tab [CITY] Outpatient | 137612628 CDM | $0.09 | $0.05 | $0.01 – $0.07 | — | |
| acetaminophen 650 mg Supp [CITY] Outpatient | 137640934 CDM | $1.33 | $0.80 | $0.20 – $1.05 | — | |
| acetaminophen 650 mg/20.3 mL Oral Liq [CITY] Outpatient | 137643391 CDM | $1.27 | $0.76 | $0.19 – $1.00 | — | |
| acetaminophen-codeine 120 mg-12 mg/5 mL Oral Liq Bulk [CITY] Outpatient | 137624961 CDM | $56.07 | $33.64 | $8.41 – $44.24 | — | |
| acetaminophen-codeine 300 mg-30 mg Tab [CITY] Outpatient | 137612701 CDM | $19.57 | $11.74 | $2.94 – $15.44 | — | |
| acetaminophen-codeine 300 mg-60 mg Tab [CITY] Outpatient | 137612719 CDM | $20.55 | $12.33 | $3.08 – $16.21 | — | |
| acetaminophen-HYDROcodone 325 mg-10 mg Tab [CITY] Outpatient | 137601619 CDM | $21.05 | $12.63 | $3.16 – $16.61 | — | |
| acetaminophen-HYDROcodone 325 mg-5 mg Tab [CITY] Outpatient | 137631768 CDM | $18.98 | $11.39 | $2.85 – $14.98 | — | |
| acetaminophen-HYDROcodone 325 mg-7.5 mg/15 mL Oral Sol 15 mL [CITY] Outpatient | 137672788 CDM | $39.60 | $23.76 | $5.94 – $31.24 | — | |
| acetaminophen-oxyCODONE 325 mg-10 mg Tab [CITY] Outpatient | 137601043 CDM | $22.18 | $13.31 | $3.33 – $17.50 | — | |
| acetaminophen-oxyCODONE 325 mg-5 mg Tab [CITY] Outpatient | 137614962 CDM | $21.84 | $13.11 | $3.28 – $17.23 | — | |
| acetaZOLAMIDE 250 mg Tab [CITY] Outpatient | 137632584 CDM | $28.80 | $17.28 | $4.32 – $22.72 | — | |
| acetaZOLAMIDE 500 mg ER Cap [CITY] Outpatient | 137604567 CDM | $36.47 | $21.88 | $5.47 – $28.77 | — | |
| acetaZOLAMIDE 500 mg Pow [CITY] Outpatient | 137604575 CDM | $290 | $174 | $24.54 – $203 | — | |
| acetic acid 2% (15mL) Otic Sol [CITY] Outpatient | 137600101 CDM | $255 | $153 | $38.25 – $201 | — | |
| acetic acid Top 0.25% Sol 1000 mL [CITY] Outpatient | 137627196 CDM | $47.50 | $28.50 | $7.12 – $37.48 | — | |
| acetic acid Top 5% Sol [CITY] Outpatient | 137600733 CDM | $37.26 | $22.35 | $5.59 – $29.40 | — | |
| acetylcholine ophthalmic 1% Pwdr for Recon [CITY] Outpatient | 137614848 CDM | $632 | $379 | $94.87 – $499 | — | |
| acetylcysteine 20% Inh Sol 4 mL [CITY] Outpatient | 137620258 CDM | $111 | $66.49 | $16.62 – $87.44 | — | |
| acetylcysteine 20% IV Sol 30 mL [CITY] Outpatient | 137600573 CDM | $1,225 | $735 | $0.39 – $858 | — | |
| acyclovir 200 mg Cap [CITY] Outpatient | 137644076 CDM | $16.50 | $9.90 | $2.48 – $13.02 | — |