COREWELL HEALTH WATERVLIET HOSPITAL

Legal name: LAKELAND COMMUNITY HOSPITAL WATERVLIET

WATERVLIET, MI 490989225 (269) 463-3111 273Y00000X

Published Procedure Prices

Procedure	CPT	Cash Price	Insurance Range
METOPROLOL SUCCINATE ER 25 MG PO TB24 [29858]	10006	N/A	N/A
LATANOPROST 0.005 % OPTH SOLN [18621]	11917	N/A	N/A
CEPHALEXIN 250 MG PO CAPS [9499]	13107	N/A	N/A
DIPHENHYDRAMINE HCL 50 MG/ML IJ SOLN [2508]	13668	N/A	N/A
METOPROLOL TARTRATE 25 MG PO TABS [37637]	13811	N/A	N/A
GADOPICLENOL 0.5 MMOL/ML IV SOLN [171476]	16571	N/A	N/A
INFLUENZA VAC A&B SURF ANT ADJ 0.5 ML IM SUSY [128933]	16729	N/A	N/A
LORATADINE 10 MG PO TABS [10466]	17478	N/A	N/A
CEFTRIAXONE SODIUM 2 G IJ SOLR [9488]	20555	N/A	N/A
ORPHENADRINE CITRATE 30 MG/ML IJ SOLN [5886]	23155	N/A	N/A
LANTHANUM CARBONATE 500 MG PO CHEW [39975]	24286	N/A	N/A
PILOCARPINE HCL 1 % OPTH SOLN [6279]	25021	N/A	N/A
CEFTRIAXONE 1 G/10 ML IV PUSH SYRINGE [408020282]	27241	N/A	N/A
PROPOFOL 500 MG/50ML IV EMUL [126876]	27808	N/A	N/A
DICLOFENAC SODIUM 1 % EXT GEL [160118]	31722	N/A	N/A
MIDAZOLAM HCL (PF) 2 MG/2ML IJ SOLN [154920]	36000	N/A	N/A
BUPIVACAINE HCL (PF) 0.5 % IJ SOLN [100498]	41100	N/A	N/A
FUROSEMIDE 20 MG PO TABS [3294]	42023	N/A	N/A
WARFARIN SODIUM 2 MG PO TABS [8749]	42192	N/A	N/A
VANCOMYCIN HCL 125 MG PO CAPS [11628]	42292	N/A	N/A
MORPHINE 200 MG/20 ML (10 MG/ML) PCA SYRINGE (ADULT) [4080391]	42806	N/A	N/A
POTASSIUM CHLORIDE CRYS ER 20 MEQ PO TBCR [35943]	42858	N/A	N/A
ALUM & MAG HYDROXIDE-SIMETH 400-400-40 MG/5ML PO SUSP [9014]	43547	N/A	N/A

Prices shown are published rates from hospital chargemaster files and insurer rate data. Your actual cost depends on your insurance plan, deductible status, and services rendered.