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.

528 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
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	—
ADENOIDECTOMY, PRIMARY; AGE 12 OR OVER Outpatient	360 RC	—	—	$119 – $6,892	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, ANY AREA; DEFECT 30.1 SQ CM TO 60.0 SQ CM Outpatient	360 RC	—	—	$179 – $7,366	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, EYELIDS, NOSE, EARS AND/OR LIPS; DEFECT 10 SQ CM OR LESS Outpatient	360 RC	—	—	$85.36 – $6,640	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, FOREHEAD, CHEEKS, CHIN, MOUTH, NECK, AXILLAE, GENITALIA, HANDS AND/OR FEET; DEFECT 10 SQ CM OR LESS Outpatient	360 RC	—	—	$68.06 – $6,640	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, SCALP, ARMS AND/OR LEGS; DEFECT 10 SQ CM OR LESS Outpatient	360 RC	—	—	$51.14 – $6,640	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10 SQ CM OR LESS Outpatient	360 RC	—	—	$45.13 – $6,640	—
ADJACENT TISSUE TRANSFER OR REARRANGEMENT, TRUNK; DEFECT 10.1 SQ CM TO 30.0 SQ CM Outpatient	360 RC	—	—	$295 – $6,640	—
ALLOGRAFT, MORSELIZED, OR PLACEMENT OF OSTEOPROMOTIVE MATERIAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) Outpatient	360 RC	—	—	$6,640 – $6,640	—
ALLOGRAFT, STRUCTURAL, FOR SPINE SURGERY ONLY (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) Outpatient	360 RC	—	—	$84.61 – $6,640	—
ALPRAZolam 0.25 mg Tab [CITY] Outpatient	137632360 CDM	$18.48	$11.09	$2.77 – $14.58	—
amiodarone 360 mg/200 mL-D5%, RTU [CITY] Outpatient	137600987 CDM	$305	$183	$45.68 – $213	—
amoxicillin 250 mg/5 mL Oral Liq [CITY] Outpatient	137608360 CDM	$16.66	$10.00	$2.50 – $13.14	—
AMPUTATION, FINGER OR THUMB, PRIMARY OR SECONDARY, ANY JOINT OR PHALANX, SINGLE, INCLUDING NEURECTOMIES; WITH LOCAL ADVANCEMENT FLAPS (V-Y, HOOD) Outpatient	360 RC	—	—	$314 – $6,801	—
AMPUTATION, FOOT; TRANSMETATARSAL Outpatient	360 RC	—	—	$426 – $6,801	—
AMPUTATION, FOREARM, THROUGH RADIUS AND ULNA; RE-AMPUTATION Outpatient	360 RC	—	—	$389 – $15,083	—
AMPUTATION, METATARSAL, WITH TOE, SINGLE Outpatient	360 RC	—	—	$256 – $6,801	—
AMPUTATION, TOE; INTERPHALANGEAL JOINT Outpatient	360 RC	—	—	$205 – $6,801	—
AMPUTATION, TOE; METATARSOPHALANGEAL JOINT Outpatient	360 RC	—	—	$231 – $6,801	—
ANORECTAL EXAM, SURGICAL, REQUIRING ANESTHESIA (GENERAL, SPINAL, OR EPIDURAL), DIAGNOSTIC Outpatient	360 RC	—	—	$84.61 – $6,640	—
ANOSCOPY; DIAGNOSTIC, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED (SEPARATE PROCEDURE) Outpatient	360 RC	—	—	$22.19 – $6,640	—
ANOSCOPY; DIAGNOSTIC, WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, INCLUDING COLLECTION OF SPECIMEN(S) BY BRUSHING OR WASHING, WHEN PERFORMED Outpatient	360 RC	—	—	$242 – $6,640	—
ANOSCOPY; WITH ABLATION OF TUMOR(S), POLYP(S), OR OTHER LESION(S) NOT AMENABLE TO REMOVAL BY HOT BIOPSY FORCEPS, BIPOLAR CAUTERY OR SNARE TECHNIQUE Outpatient	360 RC	—	—	$138 – $6,640	—
ANOSCOPY; WITH HIGH-RESOLUTION MAGNIFICATION (HRA) (EG, COLPOSCOPE, OPERATING MICROSCOPE) AND CHEMICAL AGENT ENHANCEMENT, WITH BIOPSY, SINGLE OR MULTIPLE Outpatient	360 RC	—	—	$1,347 – $6,640	—
ANTERIOR COLPORRHAPHY, REPAIR OF CYSTOCELE WITH OR WITHOUT REPAIR OF URETHROCELE, INCLUDING CYSTOURETHROSCOPY, WHEN PERFORMED Outpatient	360 RC	—	—	$554 – $10,399	—
ANTERIOR INSTRUMENTATION; 2 TO 3 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) Outpatient	360 RC	—	—	$72.57 – $6,640	—
ANTERIOR INSTRUMENTATION; 4 TO 7 VERTEBRAL SEGMENTS (LIST SEPARATELY IN ADDITION TO CODE FOR PRIMARY PROCEDURE) Outpatient	360 RC	—	—	$477 – $6,640	—
APPLICATION OF A MULTIPLANE (PINS OR WIRES IN MORE THAN 1 PLANE), UNILATERAL, EXTERNAL FIXATION SYSTEM (EG, ILIZAROV, MONTICELLI TYPE) Outpatient	360 RC	—	—	$268 – $26,688	—
APPLICATION OF SKIN SUBSTITUTE GRAFT TO FACE, SCALP, EYELIDS, MOUTH, NECK, EARS, ORBITS, GENITALIA, HANDS, FEET, AND/OR MULTIPLE DIGITS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA Outpatient	360 RC	—	—	$83.85 – $6,640	—
APPLICATION OF SKIN SUBSTITUTE GRAFT TO TRUNK, ARMS, LEGS, TOTAL WOUND SURFACE AREA UP TO 100 SQ CM; FIRST 25 SQ CM OR LESS WOUND SURFACE AREA Outpatient	360 RC	—	—	$72.95 – $6,640	—