UM R Adams Cowley Shock Trauma Center — price list
← Hospital overviewVerified from UM R Adams Cowley Shock Trauma Center’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) | |
|---|---|---|---|---|---|---|
| ACETAMINOPHEN 120 MG RE SUPP Inpatient & outpatient | 45802-732-00 NDC | $0.94 | $0.92 | $0.92 – $0.94 | — | |
| ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient & outpatient | 99999-9981-40 NDC | $0.42 | $0.41 | $0.41 – $0.42 | — | |
| ACETAMINOPHEN 160 MG/5ML PO SOLN Inpatient & outpatient | 81033-002-50 NDC | $2.27 | $2.22 | $2.22 – $2.27 | — | |
| ACETAMINOPHEN 160 MG/5ML PO SUSP Inpatient & outpatient | 99999-9975-34 NDC | $0.42 | $0.41 | $0.41 – $0.42 | — | |
| ACETAMINOPHEN 162.5 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9988-02 NDC | $0.04 | $0.04 | $0.04 – $0.04 | — | |
| ACETAMINOPHEN 250 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9988-01 NDC | $0.07 | $0.07 | $0.07 – $0.07 | — | |
| ACETAMINOPHEN-CODEINE 300-30 MG PO TABS Inpatient & outpatient | 0406-0484-23 NDC | $0.97 | $0.95 | $0.95 – $0.97 | — | |
| ACETIC ACID 4 % SOLN Inpatient & outpatient | 99999-9991-10 NDC | $0.11 | $0.11 | $0.11 – $0.11 | — | |
| ACETYLCHOLINE 10 % TP SOLN Inpatient & outpatient | 99999-9980-91 NDC | $2.13 | $2.09 | $2.09 – $2.13 | — | |
| ACYCLOVIR 200 MG PO CAPS Inpatient & outpatient | 68084-107-11 NDC | $1.29 | $1.26 | $1.26 – $1.29 | — | |
| ADENOSINE 300 MCG/ML IN NS NURSE DILUTION FOR OSM Inpatient & outpatient | J0153 HCPCS | $2.02 | $1.98 | $1.98 – $2.02 | — | |
| ALBUTEROL SULFATE (2.5 MG/3ML) 0.083% IN NEBU Inpatient & outpatient | J7613 HCPCS | $0.49 | $0.48 | $0.48 – $0.49 | — | |
| ALBUTEROL SULFATE 2 MG/5ML PO SYRP Inpatient & outpatient | 99999-9992-23 NDC | $1.61 | $1.58 | $1.58 – $1.61 | — | |
| ALENDRONATE SODIUM 5 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9982-04 NDC | $0.43 | $0.42 | $0.42 – $0.43 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient & outpatient | 51079-205-01 NDC | $0.95 | $0.93 | $0.93 – $0.95 | — | |
| ALLOPURINOL 100 MG PO TABS Inpatient & outpatient | 60687-677-11 NDC | $1.57 | $1.54 | $1.54 – $1.57 | — | |
| ALLOPURINOL 50 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9987-92 NDC | $0.34 | $0.33 | $0.33 – $0.34 | — | |
| ALPRAZOLAM 0.25 MG PO TABS Inpatient & outpatient | 60687-377-11 NDC | $0.92 | $0.90 | $0.90 – $0.92 | — | |
| ALPRAZOLAM 0.5 MG PO TABS Inpatient & outpatient | 60687-388-11 NDC | $1.12 | $1.10 | $1.10 – $1.12 | — | |
| ALUMINUM HYDROXIDE GEL 320 MG/5ML PO SUSP Inpatient & outpatient | 99999-9997-77 NDC | $1.24 | $1.22 | $1.22 – $1.24 | — | |
| AMIKACIN 0.4 MG/0.1ML INTRAVITREAL SYRINGE Inpatient & outpatient | J0278 HCPCS | $0.02 | $0.02 | $0.02 – $0.02 | — | |
| AMIODARONE 5.4 MG IN DEXTROSE 3 ML FROM PREMIX INFUSION SYRINGE Inpatient & outpatient | 99999-9974-74 NDC | $1.32 | $1.29 | $1.29 – $1.32 | — | |
| AMIODARONE HCL 100 MG PO TABS Inpatient & outpatient | 0245-0144-89 NDC | $1.59 | $1.56 | $1.56 – $1.59 | — | |
| AMIODARONE HCL 200 MG PO TABS Inpatient & outpatient | 0245-0147-89 NDC | $0.88 | $0.86 | $0.86 – $0.88 | — | |
| AMIODARONE HCL 200 MG PO TABS Inpatient & outpatient | 60687-437-11 NDC | $0.96 | $0.94 | $0.94 – $0.96 | — | |
| AMITRIPTYLINE HCL 10 MG PO TABS Inpatient & outpatient | 50268-037-11 NDC | $1.11 | $1.09 | $1.09 – $1.11 | — | |
| AMITRIPTYLINE HCL 12.5 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9987-83 NDC | $1.09 | $1.07 | $1.07 – $1.09 | — | |
| AMITRIPTYLINE HCL 25 MG PO TABS Inpatient & outpatient | 50268-038-11 NDC | $1.11 | $1.09 | $1.09 – $1.11 | — | |
| AMITRIPTYLINE HCL 5 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9987-84 NDC | $0.31 | $0.30 | $0.30 – $0.31 | — | |
| AMLODIPINE BESYLATE 1.25 MG PO PRE-SPLIT TABS Inpatient & outpatient | 99999-9987-82 NDC | $0.43 | $0.42 | $0.42 – $0.43 | — |