Hospital Bill Data

Providence Saint John's Health Centerprice list

← Hospital overviewVerified from Providence Saint John's Health 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.

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM
Inpatient & outpatient
82306
HCPCS
$253$88.55
HC ACCESS PROCEDURE WATCHMAN LAA
Inpatient & outpatient
PX0000480429L
CDM
$2,950$1,033
HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB
Inpatient & outpatient
82040
HCPCS
$276$96.60
HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB
Outpatient
82040
HCPCS
$34.00$11.90
HC ALGRFT DERM PRE-THCK 19X22CM 418SQCM PP1502
Inpatient & outpatient
Q4128
HCPCS
$126$44.10
HC ALGRFT STRAVIX 3X6CM - 18SQCM PS61036
Inpatient & outpatient
Q4133
HCPCS
$710$248
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
$215$75.25
HC ALKALINE PHOS
Outpatient
84075
HCPCS
$34.00$11.90
HC ALPHA-1-ANTITRYPSIN TOTAL LAB
Inpatient & outpatient
82103
HCPCS
$425$149
HC ALPHA-1-ANTITRYPSIN TOTAL LAB
Outpatient
82103
HCPCS
$165$57.75
HC ALPHA-FETOPROTEIN SERUM CDM
Inpatient & outpatient
82105
HCPCS
$157$54.95
HC AMPLATZ SS 180CM .038 ST M001465191
Inpatient & outpatient
C1769
HCPCS
$132$46.32
HC AMPLATZ SS 260CM .035 3MMJ M001465021
Inpatient & outpatient
C1769
HCPCS
$173$60.45
HC AMYLASE URINE
Inpatient & outpatient
82150
HCPCS
$425$149
HC AMYLASE URINE
Outpatient
82150
HCPCS
$81.00$28.35
HC ANGIOSEAL VIP 6F 610130
Inpatient & outpatient
C1760
HCPCS
$875$306
HC ANGIOSEAL VIP 8F 610131
Inpatient & outpatient
C1760
HCPCS
$875$306
HC ANTIBODY ELUTION RBC EACH ELUTION LAB
Inpatient & outpatient
86860
HCPCS
$80.50$28.18
HC ANTIBODY ELUTION RBC EACH ELUTION LAB
Outpatient
86860
HCPCS
$409$143
HC ANTIBODY HELICOBACTER PYLORI CDM
Inpatient & outpatient
86677
HCPCS
$477$167
HC ANTIBODY HELICOBACTER PYLORI CDM
Outpatient
86677
HCPCS
$190$66.50
HC ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ CDM
Inpatient & outpatient
86870
HCPCS
$718$251
HC ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ LAB
Inpatient & outpatient
86870
HCPCS
$71.00$24.85
HC ANTIBODY ID RBC ANTIBODIES EA PANEL EA SERUM TQ LAB
Outpatient
86870
HCPCS
$758$265
HC ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES
Inpatient & outpatient
86021
HCPCS
$273$95.68
HC ANTIBODY IDENTIFICATION LEUKOCYTE ANTIBODIES CDM
Inpatient & outpatient
86021
HCPCS
$273$95.68
HC ANTIBODY IDENTIFICATION PLATELET LAB
Inpatient & outpatient
86022
HCPCS
$541$189
HC ANTIBODY SCREEN RBC EACH SERUM TECHNIQUE LAB
Inpatient & outpatient
86850
HCPCS
$43.00$15.05
Providence Saint John's Health Center price list · HospitalBillData