University Hospitals Portage Medical Center — price list
← Hospital overviewVerified from University Hospitals Portage 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.
296 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| ABACAVIR 20 MG/ML ORAL SOLUTION Inpatient | 0250 RC | $606 | $454 | $243 – $545 | — | |
| ABACAVIR 300 MG TABLET Inpatient | 0250 RC | $13.61 | $10.21 | $5.47 – $12.25 | — | |
| ABACAVIR 600 MG-DOLUTEGRAVIR 50 MG-LAMIVUDINE 300 MG TABLET Inpatient | 0250 RC | $571 | $428 | $230 – $514 | — | |
| ACAMPROSATE 333 MG TABLET,DELAYED RELEASE Inpatient | 0250 RC | $9.74 | $7.31 | $3.92 – $8.77 | — | |
| ACARBOSE 25 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACARBOSE 50 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACEBUTOLOL 200 MG CAPSULE Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 120 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 120 MG-CODEINE 12 MG/5 ML (5 ML) ORAL SOLUTION Inpatient | 0250 RC | $6.47 | $4.86 | $2.60 – $5.82 | — | |
| ACETAMINOPHEN 160 MG CHEWABLE TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID Inpatient | 0250 RC | $12.18 | $9.14 | $4.90 – $10.96 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL LIQUID (WRAPPED) Inpatient | 0250 RC | $3.58 | $2.69 | $1.44 – $3.22 | — | |
| ACETAMINOPHEN 160 MG/5 ML ORAL SUSPENSION Inpatient | 0250 RC | $6.69 | $5.02 | $2.69 – $6.02 | — | |
| ACETAMINOPHEN 300 MG-CODEINE 30 MG TABLET Inpatient | 0250 RC | $6.47 | $4.86 | $2.60 – $5.82 | — | |
| ACETAMINOPHEN 300 MG-CODEINE 30 MG/12.5 ML (12.5 ML) ORAL SOLUTION Inpatient | 0250 RC | $12.43 | $9.33 | $5.00 – $11.19 | — | |
| ACETAMINOPHEN 300 MG-CODEINE 60 MG TABLET Inpatient | 0250 RC | $6.47 | $4.86 | $2.60 – $5.82 | — | |
| ACETAMINOPHEN 32 MG/ML ORAL SYRINGE (DYE FREE) Inpatient | 0250 RC | $5.88 | $4.41 | $2.36 – $5.29 | — | |
| ACETAMINOPHEN 325 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $3.47 | $2.61 | $1.39 – $3.12 | — | |
| ACETAMINOPHEN 325 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 325 MG/10.15 ML ORAL LIQUID (WRAPPED) Inpatient | 0250 RC | $6.07 | $4.56 | $2.44 – $5.46 | — | |
| ACETAMINOPHEN 500 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 650 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 650 MG/20.3 ML ORAL LIQUID (WRAPPED) Inpatient | 0250 RC | $5.13 | $3.85 | $2.06 – $4.62 | — | |
| ACETAMINOPHEN 80 MG CHEWABLE TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN 80 MG RECTAL SUPPOSITORY Inpatient | 0250 RC | $3.47 | $2.61 | $1.39 – $3.12 | — | |
| ACETAMINOPHEN ER 650 MG TABLET,EXTENDED RELEASE Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAMINOPHEN-CAFFEINE 500 MG-65 MG TABLET Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — | |
| ACETAZOLAMIDE 125 MG TABLET Inpatient | 0250 RC | $6.60 | $4.95 | $2.65 – $5.94 | — | |
| ACETAZOLAMIDE 250 MG TABLET Inpatient | 0250 RC | $13.84 | $10.38 | $5.56 – $12.46 | — | |
| ACETAZOLAMIDE ER 500 MG CAPSULE,EXTENDED RELEASE Inpatient | 0250 RC | $3.23 | $2.43 | $1.30 – $2.91 | — |