University Medical Center — price list

← Hospital overviewVerified from University 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.

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.

105 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Cable neurostimulator 64cm interstim twist lock screen nonsterile latex free Outpatient	SUP-721097 CDM	$380	$83.60	$131 – $380	$4.09
Cannula perfusion 24cm 20fr axillary aorta subclavian 38in blunt vent connector optisite dod Outpatient	SUP-774582 CDM	$1,315	$289	$1,315 – $744	$12.44
Catheter ablation df curve qdot micro bidirectional thermocouple Outpatient	SUP-213050 CDM	$20,375	$4,483	$11,532 – $7,967	$854
Catheter exchange system trapper latex free disposable Outpatient	SUP-226453 CDM	$1,500	$330	$1,500 – $849	$0.71
Catheter sizing 8fr 30mm 80cm 4cm braid inner lumen pvc free dehp free radiopaque latex free pts-x accepts .035in guidewire 8fr Outpatient	SUP-796471 CDM	$1,475	$324	$1,475 – $835	$22.17
Clip aneurysm 5mm 2.5mm codman slim-line mp35n graft blade nonsterile latex free Outpatient	SUP-718390 CDM	$361	$79.45	$125 – $361	$2.23
Clip aneurysm 5mm sundt slim-line 6 mini forward angle sterile latex free Outpatient	SUP-204813 CDM	$250	$54.97	$141 – $97.69	$2.23
Dasatinib 140 mg tablet Outpatient	RX-149133 CDM	$490	$490	$169 – $93.98	$1.62
Device tissue removal 25.25in 3mm myosure handheld 17oz sterile latex free disposable Outpatient	SUP-774422 CDM	$1,336	$294	$1,336 – $756	$111
Diphenhydramine 12.5 mg/5 ml oral elixir Outpatient	RX-2511 CDM	$3.00	$3.00	$0.03 – $3.00	$0.01
Diphenhydramine 12.5 mg/5 ml oral liquid Outpatient	RX-12556 CDM	$9.50	$9.50	$0.18 – $9.50	$0.01
Diphenhydramine 50 mg capsule Outpatient	RX-2510 CDM	$3.00	$3.00	$0.03 – $3.00	$0.01
Graft endovascular 11.5cm 20mm 16.5-18.5mm gore excluder contralateral leg eptfe nitinol sinusoidal stent seal cuff bond film Outpatient	SUP-720875 CDM	$23,050	$5,071	$13,046 – $9,013	$158
Graft endovascular 12cm 14.5mm 28.5mm excluder trunk ipsilateral leg conformable active control 5.5cm endoprosthesis AAA Outpatient	SUP-796303 CDM	$64,380	$14,164	$11,138 – $64,380	$158
Graft soft tissue 12x2cm amniofix purion amniotic membrane sheet Outpatient	SUP-703661 CDM	$5,740	$1,263	$1,981 – $5,740	$200
Graft soft tissue speedgraft tendon allograft presuture Outpatient	SUP-710932 CDM	$12,000	$2,640	$12,000 – $6,792	$200
Graft stent 60mm 7mm 8fr fluency plus endovascular radiopaque 80cm accepts .035in guidewire Outpatient	SUP-710581 CDM	$14,500	$3,190	$14,500 – $8,207	$158
Hydroxyzine pamoate 50 mg capsule Outpatient	RX-3778 CDM	$3.00	$3.00	$0.42 – $3.00	$0.01
Implant nasal 16mm propel contour 370 mcg mini mometasone furoate Outpatient	SUP-705738 CDM	$4,375	$963	$1,510 – $4,375	$20.68
Introducer sheath .035in 10fr 80mm delivery system angled amplatzer trevisio latex free sterile Outpatient	SUP-206625 CDM	$3,400	$748	$1,174 – $3,400	$81.68
Introducer sheath .035in 7fr 80mm delivery system angled amplatzer trevisio latex free sterile Outpatient	SUP-206130 CDM	$3,400	$748	$1,174 – $3,400	$81.68
Inv-acetaminophen or placebo (aster) injection Outpatient	RX-80900006 CDM	$0.25	$0.25	$0.05 – $0.25	$1.62
Inv-acr-368 injection Outpatient	RX-8080220 CDM	$0.25	$0.25	$0.09 – $99.17	$0.01
Inv-al3818(anlotinib) 6 mg capsule Outpatient	RX-2248594 CDM	$0.25	$0.25	$0.05 – $0.25	$1.62
Inv-albuterol sulfate hfa 90 mcg/actuation inhaler (staccato-162) Outpatient	RX-8080056 CDM	$0.25	$0.25	$0.05 – $0.25	$1.62
Inv-aldesleukin 18 million int'l units intravenous suolution Outpatient	RX-6008993 CDM	$0.25	$0.25	$0.09 – $0.25	$0.01
Inv-alprazolam 2 mg inhaler (staccato-165) Outpatient	RX-8080054 CDM	$0.25	$0.25	$0.05 – $0.25	$1.62
Inv-atezolizumab 60 mg/ml intravenous solution Outpatient	RX-6000182 CDM	$0.25	$0.25	$0.05 – $0.25	$1.62
Inv-atezolizumab intravenous solution or placebo (nsabp b-59) Outpatient	RX-805000009 CDM	$0.25	$0.25	$0.09 – $0.25	$1.62
Inv-avutometinib (vs-6766) 0.8 mg capsule (vs-6766-301) Outpatient	RX-8080384 CDM	$0.25	$0.25	$0.09 – $0.25	$0.01