UCHealth Memorial Hospital North — price list
← Hospital overviewVerified from UCHealth Memorial Hospital North’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.
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.
89 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| ALBENDAZOLE 200 MG TABLET Inpatient | 0250 RC | $30.45 | $13.71 | $9.77 – $21.62 | — | |
| AMITRIPTYLINE 25 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| AMLODIPINE 2.5 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| ARIPIPRAZOLE 10 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| ASPIRIN 25 MG-DIPYRIDAMOLE 200 MG CAPSULE,EXT.RELEASE 12 HR MULTIPHASE Inpatient | 0250 RC | $5.15 | $2.32 | $1.65 – $3.66 | — | |
| AZELASTINE 137 MCG (0.1 %) NASAL SPRAY Inpatient | 0250 RC | $22.05 | $9.93 | $7.08 – $15.66 | — | |
| BELLADONNA ALKALOIDS-OPIUM 16.2 MG-60 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $27.15 | $12.22 | $8.72 – $19.28 | — | |
| BENZOIN TOPICAL TINCTURE Inpatient | 0250 RC | $14.45 | $6.51 | $4.64 – $10.26 | — | |
| BENZTROPINE 1 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| BETAMETHASONE, AUGMENTED 0.05 % TOPICAL OINTMENT Inpatient | 0250 RC | $67.00 | $30.15 | $21.51 – $47.57 | — | |
| BIMATOPROST 0.01 % EYE DROPS Inpatient | 0250 RC | $535 | $241 | $172 – $380 | — | |
| BRINZOLAMIDE 1 % EYE DROPS,SUSPENSION Inpatient | 0250 RC | $297 | $134 | $95.26 – $211 | — | |
| BUPIVACAINE-EPINEPHRINE (PF) 0.5 %-1:200,000 INJECTION SOLUTION Inpatient | 0250 RC | $282 | $127 | $90.63 – $200 | — | |
| BUPRENORPHINE HCL 600 MCG BUCCAL FILM Inpatient | 0250 RC | $17.40 | $7.83 | $5.59 – $12.35 | — | |
| BUSPIRONE 10 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| CALCIUM 250 MG (AS CARBONATE)-VITAMIN D3 3.125 MCG (125 UNIT) TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| CALCIUM POLYCARBOPHIL 625 MG TABLET Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| CEFOTETAN 1 GRAM SOLUTION FOR INJECTION Inpatient | 0250 RC | $410 | $184 | $132 – $291 | — | |
| CHLORHEXIDINE GLUCONATE 4 % TOPICAL LIQUID Inpatient | 0250 RC | $5.80 | $2.61 | $1.86 – $4.12 | — | |
| CISATRACURIUM CONCENTRATE 10 MG/ML (ICU USE ONLY) INTRAVENOUS SOLUTION Inpatient | 0250 RC | $823 | $370 | $264 – $584 | — | |
| CLINDAMYCIN HCL 150 MG CAPSULE Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| CYCLOPENTOLATE 1 % EYE DROPS Inpatient | 0250 RC | $3.70 | $1.67 | $1.19 – $2.63 | — | |
| DARUNAVIR 600 MG TABLET Inpatient | 0250 RC | $36.50 | $16.43 | $11.72 – $25.92 | — | |
| DIAZEPAM 5 MG/5 ML (1 MG/ML, 5 ML) ORAL SOLUTION Inpatient | 0250 RC | $3.10 | $1.40 | $1.00 – $2.20 | — | |
| DILUENT FOR HAEMOPHILUS B VACCINE (TETANUS CONJUGATE)(0.9 % NACL) VIAL Inpatient | 0250 RC | $0.05 | $0.03 | $0.02 – $0.04 | — | |
| DIPHENOXYLATE-ATROPINE 2.5 MG-0.025 MG/5 ML ORAL LIQUID Inpatient | 0250 RC | $70.95 | $31.93 | $22.77 – $50.37 | — | |
| DOFETILIDE 250 MCG CAPSULE Inpatient | 0250 RC | $1.00 | $0.45 | $0.32 – $0.71 | — | |
| EPINEPHRINE 1 MG/ML NASAL SOLUTION (FROM INJECTION VIAL) Inpatient | 0250 RC | $125 | $56.46 | $40.27 – $89.07 | — | |
| ERYTHROMYCIN 500 MG TABLET,DELAYED RELEASE Inpatient | 0250 RC | $7.85 | $3.54 | $2.52 – $5.57 | — |