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.
32 prices shown (filtered).
| 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 BASIC RADIATION DOSIMETRY CALCULATION Inpatient & outpatient | 636 RC | $41.00 | $41.00 | $21.22 – $74.84 | — | |
| CHG BRACHYTX ISODOSE PLN CPLX W/DOSIMETRY CAL Inpatient & outpatient | 636 RC | $190 | $190 | $98.86 – $346 | — | |
| CHG BRACHYTX ISODOSE PLN INTERMED W/DOSIMETRY CAL Inpatient & outpatient | 636 RC | $121 | $121 | $62.46 – $219 | — | |
| CHG BRACHYTX ISODOSE PLN SMPL W/DOSIMETRY CAL Inpatient & outpatient | 636 RC | $91.00 | $91.00 | $47.67 – $168 | — | |
| CHG CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE Inpatient & outpatient | 636 RC | $15.00 | $15.00 | $7.54 – $26.92 | — | |
| CHG CT BONE MINERL DENSITY STUDY 1/> SITS AXIAL SKE Inpatient & outpatient | 636 RC | $350 | $350 | $26.40 – $343 | — | |
| CHG DIAGNOSTIC MAMMOGRAPHY COMPUTER-AIDED DETCJ UNI Inpatient & outpatient | 636 RC | $49.00 | $49.00 | $24.51 – $88.59 | — | |
| CHG DXA BONE DENSITY STD 1/> AXL SKEL W/VRT FX ASSMT Inpatient & outpatient | 636 RC | $18.00 | $18.00 | $9.06 – $33.08 | — | |
| CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL Inpatient & outpatient | 636 RC | $12.00 | $12.00 | $5.91 – $21.60 | — | |
| CHG DXA BONE DENSITY STUDY 1/> SITES AXIAL SKEL Inpatient & outpatient | 636 RC | $268 | $268 | $21.60 – $263 | — | |
| CHG DXA BONE DENSITY STUDY 1/>SITES APPENDICLR SKEL Inpatient & outpatient | 636 RC | $12.00 | $12.00 | $5.34 – $22.40 | — | |
| CHG HYPERTHERMIA EXTERNALLY GENERATED DEEP Inpatient & outpatient | 636 RC | $123 | $123 | $62.70 – $224 | — | |
| CHG JOINT SURVEY SINGLE VIEW 2 OR MORE JOINTS Inpatient & outpatient | 636 RC | $21.00 | $21.00 | $9.04 – $37.49 | — | |
| CHG MLC IMRT DESIGN & CONSTRUCTION PER IMRT PLAN Inpatient & outpatient | 636 RC | $281 | $281 | $146 – $513 | — | |
| CHG MRI BONE MARROW BLOOD SUPPLY Inpatient & outpatient | 636 RC | $95.00 | $95.00 | $35.99 – $178 | — | |
| CHG NTSTY MODUL RADTHX PLN DOSE-VOL HISTOS Inpatient & outpatient | 636 RC | $522 | $522 | $273 – $957 | — | |
| CHG RADIATION TREATMENT MANAGEMENT 5 TREATMENTS Inpatient & outpatient | 636 RC | $648 | $648 | $124 – $635 | — | |
| CHG RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE Inpatient & outpatient | 636 RC | $33.00 | $33.00 | $14.62 – $60.41 | — | |
| CHG RADIOLOGIC EXAMINATION OSSEOUS SURVEY COMPLETE Inpatient & outpatient | 636 RC | $381 | $381 | $59.20 – $373 | — | |
| CHG RADIOLOGIC EXAMINATION OSSEOUS SURVEY INFANT Inpatient & outpatient | 636 RC | $42.00 | $42.00 | $18.68 – $76.63 | — | |
| CHG RESPIRATORY MOTION MANAGEMENT SIMULATION Inpatient & outpatient | 636 RC | $131 | $131 | $68.08 – $239 | — | |
| CHG SCREENING DIGITAL BREAST TOMOSYNTHESIS BI Inpatient & outpatient | 636 RC | $137 | $137 | $33.30 – $134 | — | |
| CHG SPEC DOSIM ONLY PRESCRIBED TREATING PHYS Inpatient & outpatient | 636 RC | $58.00 | $58.00 | $29.77 – $104 | — | |
| CHG SPEC TELETHX PORT PLN PARTS HEMIBDY TOT BDY Inpatient & outpatient | 636 RC | $63.00 | $63.00 | $32.06 – $114 | — | |
| CHG TELETHX ISODOSE PLN CPLX W/BASIC DOSIMETRY Inpatient & outpatient | 636 RC | $190 | $190 | $99.07 – $347 | — | |
| CHG TELETHX ISODOSE PLN SMPL W/DOSIMETRY CALCULATION Inpatient & outpatient | 636 RC | $91.00 | $91.00 | $47.67 – $168 | — | |
| CHG THER RAD SIMULAJ-AIDED FIELD SETTING INTERMED Inpatient & outpatient | 636 RC | $71.00 | $71.00 | $35.76 – $129 | — | |
| CHG THER RAD SIMULAJ-AIDED FIELD SETTING SIMPLE Inpatient & outpatient | 636 RC | $48.00 | $48.00 | $23.76 – $86.35 | — | |
| CHG TX DEVICES DESIGN & CONSTRUCTION COMPLEX Inpatient & outpatient | 636 RC | $76.00 | $76.00 | $39.09 – $137 | — |