Alice Hyde Medical Center — price list
← Hospital overviewVerified from Alice Hyde Medical Center’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) | |
|---|---|---|---|---|---|---|
| CHG 3-D RADIOTHERAPY PLAN DOSE-VOLUME HISTOGRAMS Inpatient & outpatient | 636 RC | $281 | $281 | $146 – $513 | — | |
| CHG 3D RENDERING W/INTERP & POSTPROCESS SUPERVISION Inpatient & outpatient | 974 RC | $12.00 | $12.00 | $5.57 – $40.00 | — | |
| CHG 3D RENDERING W/INTERP&POSTPROC DIFF WORK STATION Inpatient & outpatient | 974 RC | $48.00 | $48.00 | $21.48 – $86.28 | — | |
| CHG ACUTE GASTROINTESTINAL BLOOD LOSS IMAGING Inpatient & outpatient | 960 RC | $58.00 | $58.00 | $26.65 – $106 | — | |
| CHG ACUTE VENOUS THROMBOSIS IMAGING PEPTIDE Inpatient & outpatient | 960 RC | $58.00 | $58.00 | $27.85 – $106 | — | |
| CHG ADRENAL IMAGING CORTEX &/MEDULLA Inpatient & outpatient | 960 RC | $44.00 | $44.00 | $19.60 – $80.54 | — | |
| CHG ANGIOGRAPHY ADRENAL BILATERAL SLCTV RS&I Inpatient & outpatient | 972 RC | $76.00 | $76.00 | $38.85 – $139 | — | |
| CHG ANGIOGRAPHY ADRENAL UNILATERAL SLCTV RS&I Inpatient & outpatient | 972 RC | $67.00 | $67.00 | $31.73 – $124 | — | |
| CHG ANGIOGRAPHY EXTREMITY BILATERAL RS&I Inpatient & outpatient | 75716 CPT | $113 | $113 | $36.04 – $206 | — | |
| CHG ANGIOGRAPHY EXTREMITY UNILATERAL RS&I Inpatient & outpatient | 75710 CPT | $101 | $101 | $30.74 – $185 | — | |
| CHG ANGIOGRAPHY INTERNAL MAMMARY RS&I Inpatient & outpatient | 972 RC | $67.00 | $67.00 | $34.73 – $124 | — | |
| CHG ANGIOGRAPHY PELVIC SLCTV/SUPRASLCTV RS&I Inpatient & outpatient | 972 RC | $64.00 | $64.00 | $30.93 – $118 | — | |
| CHG ANGIOGRAPHY PULMONARY BILATERAL SLCTV RS&I Inpatient & outpatient | 972 RC | $95.00 | $95.00 | $45.53 – $174 | — | |
| CHG ANGIOGRAPHY PULMONARY UNILATERAL SLCTV RS&I Inpatient & outpatient | 972 RC | $75.00 | $75.00 | $35.90 – $137 | — | |
| CHG ANGIOGRAPHY SPINAL SELECTIVE RS&I Inpatient & outpatient | 972 RC | $141 | $141 | $59.14 – $258 | — | |
| CHG ANGIOGRAPHY VISCERAL SLCTV/SUPRASLCTV RS&I Inpatient & outpatient | 972 RC | $115 | $115 | $31.25 – $214 | — | |
| CHG ANGRPH CATH F-UP STD TCAT OTHER THAN THROMBYLSIS Inpatient & outpatient | 972 RC | $110 | $110 | $47.23 – $200 | — | |
| CHG ANGRPH PULMONARY NONSLCTV CATH/VEN NJX RS&I Inpatient & outpatient | 972 RC | $65.00 | $65.00 | $31.27 – $120 | — | |
| CHG ANGRPH SLCTV EA VSL STUDIED AFTER BASIC XM RS&I Inpatient & outpatient | 972 RC | $57.00 | $57.00 | $9.99 – $105 | — | |
| CHG ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ Inpatient & outpatient | 972 RC | $30.00 | $30.00 | $9.99 – $54.60 | — | |
| CHG ANTEGRADE UROGRAPHY RADIOLOGICAL SUPVJ & INTERPJ Inpatient & outpatient | 972 RC | $246 | $246 | $49.18 – $309 | — | |
| CHG AORTOGRAPHY ABDL BI ILIOFEM LOW EXTREM CATH RS&I Inpatient & outpatient | 972 RC | $115 | $115 | $49.06 – $210 | — | |
| CHG AORTOGRAPHY ABDOMINAL SERIALOGRAPHY RS&I Inpatient & outpatient | 972 RC | $82.00 | $82.00 | $31.59 – $150 | — | |
| CHG AORTOGRAPHY THORACIC SERIALOGRAPHY RS&I Inpatient & outpatient | 972 RC | $65.00 | $65.00 | $31.66 – $120 | — | |
| CHG AORTOGRAPHY THORACIC W/O SERIALOGRAPHY RS&I Inpatient & outpatient | 75600 CPT | $29.00 | $29.00 | $13.90 – $53.13 | — | |
| CHG AQMBF PET REST AND PHARMACOLOGIC STRESS Inpatient & outpatient | 78434 CPT | $36.00 | $36.00 | $18.56 – $67.65 | — | |
| CHG BASIC RADIATION DOSIMETRY CALCULATION Inpatient & outpatient | 636 RC | $41.00 | $41.00 | $21.22 – $74.84 | — | |
| CHG BONE &/JOINT IMAGING 3 PHASE STUDY Inpatient & outpatient | 960 RC | $59.00 | $59.00 | $27.39 – $110 | — | |
| CHG BONE &/JOINT IMAGING LIMITED AREA Inpatient & outpatient | 972 RC | $36.00 | $36.00 | $16.85 – $67.41 | — | |
| CHG BONE &/JOINT IMAGING LIMITED AREA Inpatient & outpatient | 960 RC | $1,073 | $1,073 | $66.40 – $1,052 | — |