Hospital Bill Data

Providence Saint Joseph Medical Centerprice list

← Hospital overviewVerified from Providence Saint Joseph 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.

ServiceCodeList priceCash priceNegotiated rangeAllowed (median)
HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM
Inpatient & outpatient
82306
HCPCS
$161$56.35
HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM
Outpatient
82306
HCPCS
$82.00$28.70
HC ACC SYS BMX96 90 MP 125 BER BMX9690MBER125
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 ACCUDRAIN W/O ANTI REFLUX VAL INS8400
Inpatient & outpatient
C1729
HCPCS
$1,111$389
HC ACCUSTICK II INTRODUCER KIT M001207030
Inpatient & outpatient
PX0000117521L
CDM
$361$126
HC ACURA HOOKWIRE 10CM BLN2010
Inpatient & outpatient
C1819
HCPCS
$126$44.19
HC ACURA HOOKWIRE 3CM BLN2003
Inpatient & outpatient
C1819
HCPCS
$126$44.19
HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB
Inpatient & outpatient
82040
HCPCS
$108$37.80
HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB
Outpatient
82040
HCPCS
$19.00$6.65
HC ALGRFT DERM PLIABLE THCK 11X20 220SQCM SF2002
Inpatient & outpatient
Q4128
HCPCS
$73.75$25.81
HC ALGRFT DERM PLIABLE THIN 10X17 170SQCM SF1500
Inpatient & outpatient
Q4128
HCPCS
$75.25$26.34
HC ALGRFT FLEXHD PERF SM 9X15CM 135SQCM SF1000
Inpatient & outpatient
Q4128
HCPCS
$78.76$27.57
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
$117$40.95
HC ALKALINE PHOS
Outpatient
84075
HCPCS
$19.00$6.65
HC ALPHA-FETOPROTEIN SERUM CDM
Inpatient & outpatient
82105
HCPCS
$267$93.45
HC ALPHA-FETOPROTEIN SERUM CDM
Outpatient
82105
HCPCS
$104$36.40
HC ALPHA-FETOPROTEIN SERUM LAB
Inpatient & outpatient
82105
HCPCS
$267$93.45
HC ALPHA-FETOPROTEIN SERUM LAB
Outpatient
82105
HCPCS
$104$36.40
HC AMPLATZ SS 260CM .035 3MMJ M001465021
Inpatient & outpatient
C1769
HCPCS
$139$48.48
HC AMYLASE URINE
Inpatient & outpatient
82150
HCPCS
$320$112
HC AMYLASE URINE
Outpatient
82150
HCPCS
$50.00$17.50
HC ANALGESICS NON-OPIOID 1 OR 2
Inpatient & outpatient
80329
HCPCS
$1,247$436
HC ANALGESICS NON-OPIOID 1 OR 2
Outpatient
80329
HCPCS
$340$119
HC ANGIOSEAL VIP 6F 610130
Inpatient & outpatient
C1760
HCPCS
$975$341
HC ANGIOSEAL VIP 8F 610131
Inpatient & outpatient
C1760
HCPCS
$975$341
HC ANTIBODY ELUTION RBC EACH ELUTION LAB
Inpatient & outpatient
86860
HCPCS
$80.50$28.18
HC ANTIBODY HERPES SMPLX TYPE 2 CDM
Inpatient & outpatient
86696
HCPCS
$86.00$30.10
Providence Saint Joseph Medical Center price list · HospitalBillData