Three Rivers Hospital

Cost Estimator

Three Rivers Hospital| Cash Pricing| Medication| Select a Service

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You may need to get a specific service code from your provider.

Code

Description

PNEUMOCOCCAL 13-VALENT 0.5ML SYRINGE

CL-SHINGRIX IM SUSP 50MCG/0.5ML

CL-COVID-19 VACCINE mRNA SPIKEVAX 25/26

*ATORVASTATIN 20MG TABLET (LIPITOR) BULK

*LEVOCETIRIZINE 5MG TABLET BULK

*RIFAXIMIN 200MG TABLET (XIFAXAN) BULK

*TRAMADOL HCL 50MG TABLET BULK

ACETAMINOPHEN 120MG SUPP

ACETAMINOPHEN 160MG/5ML ELIX (TYLENOL)

ACETAMINOPHEN 325MG SUPP

ACETAMINOPHEN 500MG TABLET (TYLENOL) UD

ACETAMINOPHEN 650MG SUPP

ACYCLOVIR 200MG CAPSULE UD

ALBUTEROL AMP 2.5MG/3ML (0.083%)

ALLOPURINOL 100MG TABLET UD

ALPRAZOLAM 0.25MG TABLET (XANAX) UD

AMIODARONE 200MG TABLET UD

AMITRIPTYLINE 25MG TABLET UD

AMLODIPINE 5MG TABLET (NORVASC) UD

AMOX/CLAV 875/125MG TABLET UD

AMOXICILLIN 500MG CAPSULE UD

ARTIFICIAL TEARS BOTTLE

ASCORBIC ACID 500MG TABLET (VIT C) UD

ASPIRIN 325MG TABLET UD

ASPIRIN 81MG TABLET (CHLD CHEW) UD

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