Paul Oliver Memorial Hospital — price list
← Hospital overviewVerified from Paul Oliver Memorial 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) | |
|---|---|---|---|---|---|---|
| .Cortisol Pre Injection Outpatient | 82533 CPT | $133 | $113 | $11.49 – $126 | — | |
| .Cortisol Stimulation 60 Minutes Outpatient | 82533 CPT | $133 | $113 | $11.49 – $126 | — | |
| .Glucose 2 Hour- Gestational Outpatient | 82951 CPT | $101 | $85.85 | $9.07 – $95.95 | — | |
| 1 Misc OMNI 300 per cc, admin & discard Outpatient | Q9967 HCPCS | $0.25 | $0.22 | $0.08 – $0.24 | — | |
| 1 Misc Pulse Oximeter Outpatient | 94760 CPT | $12.00 | $10.20 | $2.63 – $11.40 | — | |
| 1,25-Dihydroxyvitamin D, Serum Outpatient | 82652 CPT | $21.40 | $18.19 | $6.63 – $27.14 | — | |
| 1.25 mg/3mL (0.042%) inh soln - albuterol Charge Outpatient | J7613 CPT | $12.00 | $10.20 | $0.08 – $11.40 | — | |
| 11-Desoxycortisol, Serum Outpatient | 82634 CPT | $214 | $181 | $20.64 – $203 | — | |
| 12 Lead EKG Outpatient | 93005 CPT | $254 | $216 | $41.63 – $241 | — | |
| 2,3-Bisphosphoglycerate Mutase, Full Gene Sequencing Analysis, Varies Outpatient | 81479 CPT | $550 | $468 | $171 – $523 | — | |
| 2,3-Dinor 11 Beta-Prostaglandin F2 Alpha, 24 Hour, Urine Outpatient | 84150 CPT | $44.15 | $37.53 | $13.69 – $41.94 | — | |
| 2.5 mg/3 mL (0.083%) inhalation solution - albuterol Charge Outpatient | J7613 HCPCS | $11.00 | $9.35 | $0.08 – $10.45 | — | |
| 21-Hydroxylase Antibodies, Serum Outpatient | 83516 CPT | $409 | $348 | $8.13 – $389 | — | |
| 2201 CTA ABDOMEN Outpatient | 74175 CPT | $3,215 | $2,733 | $124 – $3,054 | — | |
| 2269 US FETAL ECHO FU 2ND FETUS Outpatient | 76819 CPT | $485 | $412 | $73.78 – $461 | — | |
| 2390 MRI PELVIS W/ & W/O CONTRAST Outpatient | 72197 CPT | $4,505 | $3,829 | $246 – $4,280 | — | |
| 2579 3D TOMO SCREEN BIL Outpatient | 77063 CPT | $201 | $171 | $34.25 – $191 | — | |
| 279 EKG TREADMILL ABORT Outpatient | 93017 CPT | $955 | $812 | $152 – $907 | — | |
| 29125 APPLY FOREARM SPLINT Outpatient | 29125 CPT | $656 | $558 | $93.89 – $623 | — | |
| 29126 APPLY FOREARM SPLIN Outpatient | 29126 CPT | $195 | $166 | $60.45 – $185 | — | |
| 29126 APPLY FOREARM SPLIN CO Outpatient | 29126 CPT | $195 | $166 | $60.45 – $185 | — | |
| 300 LIMITED SPECTRAL DOPPL,ER Outpatient | 93321 CPT | $78.00 | $66.30 | $16.70 – $74.10 | — | |
| 303 ECHO FOR STRESS ABORT Outpatient | 93351 CPT | $1,780 | $1,513 | $386 – $1,691 | — | |
| 3068 CT ABD W/O IV CON ORAL ONLY Outpatient | 74150 CPT | $1,416 | $1,204 | $73.78 – $1,345 | — | |
| 3072 CT ABDOMEN W/ IV CONTRAST ONL Outpatient | 74160 CPT | $2,168 | $1,843 | $124 – $2,060 | — | |
| 36430 TRANSFUSION BLOOD BCE Outpatient | 36430 CPT | $1,218 | $1,035 | $311 – $1,157 | — | |
| 3D Processing Outpatient | 76377 CPT | $566 | $481 | $52.67 – $538 | — | |
| 3D Render w/Intrp Postproces Outpatient | 76376 CPT | $432 | $367 | $16.85 – $410 | — | |
| 4 - Patient Antigen Type Bill Quantity Outpatient | 86905 CPT | $388 | $330 | $120 – $369 | — | |
| 4557 BONE DENSITY PERIPHERAL SKELE Outpatient | 77081 CPT | $361 | $307 | $61.41 – $343 | — |