QuikTrip: disclosed hospital rates

iDirect answer

Based on the published hospital price files, QuikTrip appears in disclosed negotiated rates across 1 hospital and 2916 services. This is public hospital price transparency data, not a guaranteed estimate of your bill.

Actual patient responsibility may vary based on your insurance plan, deductible, coinsurance, network status, diagnosis, setting, bundled services, clinical circumstances, and hospital billing practices.

2,916 prices shown.

Service	Hospital	Code	List price	Cash price	Negotiated range	Allowed (median)
abacavir 20 mg/mL oral solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$294	$177	$162 – $206	—
abacavir 20 mg/mL oral solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$294	$177	$162 – $206	—
abciximab 10 mg/5 mL intravenous solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63600034 CDM	$4,073	$2,444	$2,240 – $2,851	—
abciximab 10 mg/5 mL intravenous solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63600034 CDM	$4,073	$2,444	$2,240 – $2,851	—
acamprosate 333 mg tablet,delayed release Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$1.64	$0.98	$0.90 – $1.15	—
acamprosate 333 mg tablet,delayed release Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$1.64	$0.98	$0.90 – $1.15	—
acarbose 50 mg tablet Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$1.02	$0.61	$0.56 – $0.71	—
acarbose 50 mg tablet Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$1.02	$0.61	$0.56 – $0.71	—
acebutoloL 200 mg capsule Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$1.56	$0.94	$0.86 – $1.09	—
acebutoloL 200 mg capsule Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$1.56	$0.94	$0.86 – $1.09	—
acebutoloL 400 mg capsule Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$2.06	$1.24	$1.13 – $1.44	—
acebutoloL 400 mg capsule Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700032 CDM	$2.06	$1.24	$1.13 – $1.44	—
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63600001 CDM	$65.40	$39.24	$35.97 – $45.78	—
acetaminophen 1,000 mg/100 mL (10 mg/mL) intravenous solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63600001 CDM	$65.40	$39.24	$35.97 – $45.78	—
acetaminophen 120 mg rectal suppository Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$0.62	$0.37	$0.34 – $0.43	—
acetaminophen 120 mg rectal suppository Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$0.62	$0.37	$0.34 – $0.43	—
acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.17	$1.90	$1.74 – $2.22	—
acetaminophen 120 mg-codeine 12 mg/5 mL (5 mL) oral solution,acetaminophen 120 mg-codeine 12 mg/5 mL oral solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.17	$1.90	$1.74 – $2.22	—
acetaminophen 120 mg-codeine 12 mg/5 mL oral solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.09	$1.85	$1.70 – $2.16	—
acetaminophen 120 mg-codeine 12 mg/5 mL oral solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.09	$1.85	$1.70 – $2.16	—
acetaminophen 160 mg/5 mL (5 mL) oral solution Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.24	$1.94	$1.78 – $2.27	—
acetaminophen 160 mg/5 mL (5 mL) oral solution Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.24	$1.94	$1.78 – $2.27	—
acetaminophen 160 mg/5 mL oral liquid Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$8.51	$5.11	$4.68 – $5.96	—
acetaminophen 160 mg/5 mL oral liquid Outpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$8.51	$5.11	$4.68 – $5.96	—
acetaminophen 300 mg-codeine 30 mg tablet Inpatient	BAYLOR SCOTT & WHITE PAVILION - TEMPLE	63700001 CDM	$3.36	$2.02	$1.85 – $2.35	—