William P Clements Jr University Hospital — price list
← Hospital overviewVerified from William P Clements Jr University Hospital’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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| .028 guide wire Outpatient | 0272 RC | $158 | $78.75 | $22.75 – $139 | — | |
| #2 XBraid S, White/Blue, Passing Loop Suture Outpatient | 0272 RC | $198 | $99.00 | $28.60 – $174 | — | |
| #205-212 aveta fluid management accessory Outpatient | 0272 RC | $468 | $234 | $67.61 – $412 | — | |
| 10mm hollow drill bit multiloc humeral nailing system Outpatient | 0272 RC | $1,362 | $681 | $197 – $1,199 | — | |
| 2.0 drill bit Outpatient | 0272 RC | $333 | $166 | $48.03 – $293 | — | |
| 2.0 Long Drill Outpatient | 0272 RC | $538 | $269 | $77.78 – $474 | — | |
| 2.1 Cannulated Drill Outpatient | 0272 RC | $1,285 | $643 | $186 – $1,131 | — | |
| 2.5mm drill bit Outpatient | 0272 RC | $445 | $222 | $64.23 – $391 | — | |
| 20+ CC syringe only Inpatient & outpatient | A4213 HCPCS | — | — | $0.45 – $1.50 | — | |
| 25cm lsb placemnt wrench Outpatient | 0272 RC | $4,695 | $2,348 | $678 – $4,132 | — | |
| 2cm peripheral cutting balloon Outpatient | C1725 HCPCS | $2,800 | $1,400 | $404 – $2,464 | — | |
| 400u Bare Laser Fiber Inpatient | 0272 RC | $356 | $178 | $129 – $314 | — | |
| 5 mm carbide Outpatient | 0272 RC | $917 | $458 | $132 – $807 | — | |
| 6.5 x 40 screw Outpatient | C1713 HCPCS | $9,612 | $4,806 | $1,389 – $8,459 | — | |
| Abcess culture Inpatient & outpatientapprox. match | 87070 CPT | $16.00 | $12.00 | $1.89 – $30.01 | — | |
| Abutment support g Outpatient | 0272 RC | $5,400 | $2,700 | $780 – $4,752 | — | |
| Accessory lead adaptor Outpatient | C1883 HCPCS | $833 | $416 | $322 – $807 | — | |
| Accs neurstim suretek bur h cvr spr kit ster Outpatient | C1713 HCPCS | $463 | $231 | $66.81 – $407 | — | |
| Accs neurstim vercise chrg sys Outpatient | C1820 HCPCS | $5,550 | $2,775 | $802 – $4,884 | — | |
| Acetylcholine recept Inpatient & outpatient | 84238 CPT | $69.00 | $51.75 | $1.89 – $128 | — | |
| Acetylcholine receptor, modulating antibody Inpatient & outpatient | 83520 CPT | $130 | $97.50 | $5.00 – $117 | — | |
| Acetylcholinesterase amn Inpatient & outpatient | 82013 CPT | $21.00 | $15.75 | $1.89 – $27.22 | — | |
| Acid phos stain Inpatient & outpatient | 88313 CPT | $77.00 | $57.75 | $8.18 – $69.30 | — | |
| acyclovir 7 mg/mL Soln 1 mL Syringe Inpatient | J0133 HCPCS | $10.00 | $5.00 | $2.42 – $8.80 | — | |
| Adapter syringe purastat Outpatient | 0272 RC | $92.50 | $46.25 | $13.36 – $81.40 | — | |
| Additive for enteral formula Inpatient & outpatient | B4104 HCPCS | — | — | $0.06 – $0.26 | — | |
| Adh skn clsr sylke h2o resis 14 day wr tm or re chg 50 un 32 Outpatient | 0272 RC | $241 | $120 | $34.74 – $212 | — | |
| Adhesive medical sc-4320 Outpatient | 0272 RC | $148 | $74.00 | $21.38 – $130 | — | |
| Adhesive remover, wipes Inpatient & outpatient | A4456 HCPCS | — | — | $0.15 – $1.19 | — | |
| Adptr endo cln air h2o chnl evis 160/140/240/oes-40 Outpatient | 0272 RC | $508 | $254 | $73.34 – $447 | — |