Wellstar Spalding Regional Hospital — price list
← Hospital overviewVerified from Wellstar Spalding Regional Hospital’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.
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.
978 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| Acetaminophen 1,000 mg/100 ml (10 mg/ml) intravenous solution Inpatient & outpatient | 1264433017 CDM | $103 | $39.98 | — | — | |
| Acetaminophen 120 mg rectal suppository Inpatient & outpatient | 1131914311 CDM | $1.70 | $0.66 | — | — | |
| Acetaminophen 160 mg/5 ml oral liquid (wrapped) Inpatient & outpatient | 1294185691 CDM | $3.90 | $1.52 | — | — | |
| Acetaminophen 160 mg/5 ml oral liquid (wrapped) Inpatient & outpatient | 1300130270 CDM | $4.10 | $1.60 | — | — | |
| Acetaminophen 325 mg tablet Inpatient & outpatient | 1078116969 CDM | $0.60 | $0.23 | — | — | |
| Acetaminophen 325 mg tablet Inpatient & outpatient | 1122810024 CDM | $0.60 | $0.23 | — | — | |
| Acetazolamide 250 mg tablet Inpatient & outpatient | 1103084022 CDM | $16.10 | $6.28 | — | — | |
| Activated charcoal-sorbitol 25 gram/120 ml oral suspension Inpatient & outpatient | 1292450706 CDM | $455 | $177 | — | — | |
| Adult 2-in-1 ppn Inpatient & outpatient | 1281021118 CDM | $315 | $123 | — | — | |
| Albuterol sulfate 2.5 mg/3 ml (0.083 %) solution for nebulization Inpatient & outpatient | 1236475486 CDM | $6.20 | $2.42 | — | — | |
| Allopurinol 100 mg tablet Inpatient & outpatient | 1238038835 CDM | $4.80 | $1.87 | — | — | |
| Alprazolam 0.5 mg tablet Inpatient & outpatient | 1156006556 CDM | $5.70 | $2.22 | — | — | |
| Alprazolam 0.5 mg tablet Inpatient & outpatient | 1234335225 CDM | $14.40 | $5.62 | — | — | |
| Aminolevulinic acid hcl 20 % topical solution Inpatient & outpatient | 1292844740 CDM | $3,016 | $1,176 | — | — | |
| Aminolevulinic acid hcl 20 % topical solution Inpatient & outpatient | 1295428864 CDM | $3,016 | $1,176 | — | — | |
| Amlodipine 5 mg tablet Inpatient & outpatient | 1110600642 CDM | $53.40 | $20.83 | — | — | |
| Amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 ml oral suspension Inpatient & outpatient | 1064501812 CDM | $51.70 | $20.16 | — | — | |
| Amoxicillin 200 mg-potassium clavulanate 28.5 mg/5 ml oral suspension Inpatient & outpatient | 1147560905 CDM | $14.60 | $5.69 | — | — | |
| Amoxicillin 250 mg capsule Inpatient & outpatient | 1225273212 CDM | $4.80 | $1.87 | — | — | |
| Amoxicillin 250 mg-potassium clavulanate 62.5 mg/5 ml oral suspension Inpatient & outpatient | 1065375858 CDM | $116 | $45.20 | — | — | |
| Amoxicillin 250 mg/5 ml oral suspension Inpatient & outpatient | 1181212552 CDM | $46.80 | $18.25 | — | — | |
| Amoxicillin 250 mg/5 ml oral suspension Inpatient & outpatient | 1182716315 CDM | $4.80 | $1.87 | — | — | |
| Amoxicillin 250 mg/5 ml oral suspension Inpatient & outpatient | 1260001129 CDM | $4.80 | $1.87 | — | — | |
| Amoxicillin 250 mg/5 ml oral suspension Inpatient & outpatient | 1293064229 CDM | $4.80 | $1.87 | — | — | |
| Amoxicillin 400 mg/5 ml oral suspension Inpatient & outpatient | 1022981968 CDM | $7.40 | $2.89 | — | — | |
| Amoxicillin 400 mg/5 ml oral suspension Inpatient & outpatient | 1081764371 CDM | $11.20 | $4.37 | — | — | |
| Amoxicillin 400 mg/5 ml oral suspension Inpatient & outpatient | 1201758453 CDM | $6.40 | $2.50 | — | — | |
| Amoxicillin 500 mg capsule Inpatient & outpatient | 1249696171 CDM | $6.80 | $2.65 | — | — | |
| Amoxicillin 500 mg capsule Inpatient & outpatient | 1259830652 CDM | $4.80 | $1.87 | — | — | |
| Amoxicillin 600 mg-potassium clavulanate 42.9 mg/5 ml oral suspension Inpatient & outpatient | 1173635007 CDM | $4.80 | $1.87 | — | — |