Pricing Transparency - Troy Community Hospital

Charge Code Description CPT Code Our Charge
11000000 HC ROOM AND BOARD - PRIVATE $1639.00
11000001 HC ROOM AND BOARD - SKILLED $599.75
19000000 HC ROOM AND BOARD - VENT $938.25
19000001 HC ROOM AND BOARD - SWING $1265.25
25000000 Acarbose Tab 50 MG $3.31
25000000 Acetaminophen Soln 160 MG/5ML $26.05
25000000 Acetaminophen Suppos 120 MG $2.46
25000000 Acetaminophen Suppos 650 MG $3.71
25000000 Acetaminophen Susp 160 MG/5ML $4.44
25000000 Acetaminophen Tab 325 MG $0.12
25000000 Acetaminophen Tab 500 MG $0.10
25000000 Acetaminophen w/ Codeine Soln 120-12 MG/5ML $10.32
25000000 Acetaminophen w/ Codeine Tab 300-30 MG $1.62
25000000 Acetazolamide Cap ER 12HR 500 MG $11.59
25000000 Acetazolamide Tab 125 MG $9.13
25000000 Acetazolamide Tab 250 MG $21.57
25000000 Acetic Acid Otic Soln 2% $143.92
25000000 Acetic Acid Soln $122.22
25000000 Acetylcholine Chloride Intraocular For Soln 20 MG (1:100) $503.30
25000000 Acetylcysteine Inhal Soln 20% $70.09
25000000 Acyclovir Cap 200 MG $1.59
25000000 Acyclovir Susp 200 MG/5ML $20.60
25000000 Albuterol Sulfate Inhal Aero 108 MCG/ACT (90MCG Base Equiv) $32.51
25000000 Albuterol Sulfate Soln Nebu 0.083% (2.5 MG/3ML) $0.94
25000000 Albuterol Sulfate Soln Nebu 0.5% (5 MG/ML) $5.34
25000000 Alcohol Absolute Inj 98% $583.25
25000000 Allopurinol Tab 100 MG $1.55
25000000 Allopurinol Tab 300 MG $2.98
25000000 Alprazolam Tab 0.25 MG $0.25
25000000 Alprazolam Tab 0.5 MG $0.39
25000000 Alprazolam Tab 1 MG $0.76
25000000 Alteplase For Inj 100 MG J2997 $49696.44
25000000 Alum & Mag Hydroxide-Simethicone Susp 400-400-40 MG/5ML $21.37
25000000 Alum (Ammonium) Powder $54.64
25000000 Aluminum Sulfate & Calcium Acetate Powd Pack $4.64
25000000 Amantadine HCl Cap 100 MG $6.23
25000000 AMIKACIN SULFATE 250 MG/mL IJ SOLN $122.27
25000000 Amikacin Sulfate Inj 250 MG/mL $26.36
25000000 Amiloride HCl Tab 5 MG $6.48
25000000 Amino Acid Electrolyte w/Cal Infusion 4.25% in D5W $249.85
25000000 Amino Acid Electrolyte w/Cal Infusion 5% in D15W $290.73
25000000 Amino Acid Electrolyte w/Cal Infusion 5% in D20W $290.73
25000000 Amino Acid Infusion 5% in D20W $326.63
25000000 Amino Acid Infusion 5% in D25W $213.17
25000000 Aminocaproic Acid Inj 250 MG/ML $36.42
25000000 Aminocaproic Acid Oral Soln 0.25 GM/ML $1824.12
25000000 Aminocaproic Acid Tab 500 MG $174.94
25000000 Amiodarone HCl Tab 100 MG $17.08
25000000 Amiodarone HCl Tab 200 MG $2.26
25000000 Amitriptyline HCl Tab 10 MG $0.93
Showing 1-50 of 3557 Results