Providence Holy Cross Medical Center — price list
← Hospital overviewVerified from Providence Holy Cross Medical Center’s published price file
Includes cash prices, list prices. 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) | |
|---|---|---|---|---|---|---|
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82306 HCPCS | $262 | $91.70 | — | — | |
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Outpatient | 82306 HCPCS | $146 | $51.10 | — | — | |
| HC ACC SYS BMX96 80 STR 105 BER BMX9680BER105 Inpatient & outpatient | C1887 HCPCS | $4,536 | $1,588 | — | — | |
| HC ACC SYS BMX96 90 STR 125 BER BMX9690BER125 Inpatient & outpatient | C1887 HCPCS | $4,536 | $1,588 | — | — | |
| HC ACCUSTICK II INTRODUCER KIT M001207030 Inpatient & outpatient | PX0000117521L CDM | $361 | $126 | — | — | |
| HC ACETONE ASSAY Inpatient & outpatient | 82010 HCPCS | $530 | $186 | — | — | |
| HC ACETONE ASSAY Outpatient | 82010 HCPCS | $92.00 | $32.20 | — | — | |
| HC ACTH STIMULATION PANEL Inpatient & outpatient | 80400 HCPCS | $315 | $110 | — | — | |
| HC ALANINE AMINO (ALT) (SGPT) Inpatient & outpatient | 84460 HCPCS | $185 | $64.75 | — | — | |
| HC ALANINE AMINO (ALT) (SGPT) Outpatient | 84460 HCPCS | $52.00 | $18.20 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Inpatient & outpatient | 82040 HCPCS | $185 | $64.75 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Outpatient | 82040 HCPCS | $52.00 | $18.20 | — | — | |
| HC ALGRFT DERM FLXHD THIN 6X16CM 96SQCM HP1616 Inpatient & outpatient | Q4128 HCPCS | $109 | $38.17 | — | — | |
| HC ALGRFT DERM PLIABLE THCK 10X17 170SQCM SF1502 Inpatient & outpatient | Q4128 HCPCS | $75.25 | $26.34 | — | — | |
| HC ALGRFT DERM PLIABLE THIN 10X17 170SQCM SF1500 Inpatient & outpatient | Q4128 HCPCS | $75.25 | $26.34 | — | — | |
| HC ALGRFT STRAVIX DRSG 2X4CM 8SQCM PS60005 Inpatient & outpatient | Q4133 HCPCS | $962 | $337 | — | — | |
| HC ALGRFT STRAVIX DRSG 3X6CM 18SQCM PS60008 Inpatient & outpatient | Q4133 HCPCS | $710 | $248 | — | — | |
| HC ALKALINE PHOS Inpatient & outpatient | 84075 HCPCS | $185 | $64.75 | — | — | |
| HC ALKALINE PHOS Outpatient | 84075 HCPCS | $52.00 | $18.20 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM CDM Inpatient & outpatient | 82105 HCPCS | $431 | $151 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM CDM Outpatient | 82105 HCPCS | $186 | $65.10 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM LAB Inpatient & outpatient | 82105 HCPCS | $431 | $151 | — | — | |
| HC ALPHA-FETOPROTEIN SERUM LAB Outpatient | 82105 HCPCS | $186 | $65.10 | — | — | |
| HC AMPLATZ SS 260CM .035 3MMJ M001465021 Inpatient & outpatient | C1769 HCPCS | $173 | $60.45 | — | — | |
| HC AMYLASE Inpatient & outpatient | 82150 HCPCS | $424 | $148 | — | — | |
| HC AMYLASE Outpatient | 82150 HCPCS | $98.00 | $34.30 | — | — | |
| HC AMYLASE URINE Inpatient & outpatient | 82150 HCPCS | $478 | $167 | — | — | |
| HC ANA SCREEN BODY FLUID Inpatient & outpatient | 86038 HCPCS | $435 | $152 | — | — | |
| HC ANA SCREEN BODY FLUID Outpatient | 86038 HCPCS | $94.00 | $32.90 | — | — | |
| HC ANALGESICS NON-OPIOID 1 OR 2 Inpatient & outpatient | 80329 HCPCS | $919 | $322 | — | — |