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.
355 prices shown (filtered).
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 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 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 BONE &/JOINT IMAGING LIMITED AREA Inpatient & outpatient | 972 RC | $36.00 | $36.00 | $16.85 – $67.41 | — | |
| CHG CEPHALOGRAM ORTHODONTIC Inpatient & outpatient | 972 RC | $11.00 | $11.00 | $5.57 – $19.85 | — | |
| CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I Inpatient & outpatient | 972 RC | $48.00 | $48.00 | $19.62 – $85.33 | — | |
| CHG CHANGE PRQ TUBE/DRAINAGE CATH W CONTRAST RS&I Inpatient & outpatient | 972 RC | $285 | $285 | $59.72 – $279 | — | |
| CHG CHOLANGIO&/PANCREATOGRAPHY ADDL SET INTRAOP RS Inpatient & outpatient | 972 RC | $13.00 | $13.00 | $6.08 – $23.20 | — | |
| CHG CISTERNOGRAPHY POSITIVE CONTRAST RS&I Inpatient & outpatient | 972 RC | $71.00 | $71.00 | $32.57 – $130 | — | |
| CHG COMPUTED TOMOGRAPHY THORAX LW DOSE LNG CA SCR C- Inpatient & outpatient | 972 RC | $64.00 | $64.00 | $32.70 – $124 | — | |
| CHG CORPORA CAVERNOSOGRAPY RS&I Inpatient & outpatient | 972 RC | $66.00 | $66.00 | $34.28 – $121 | — | |
| CHG CPLX DYNAMIC PHARYNGEAL&SP EVAL C/V REC Inpatient & outpatient | 972 RC | $52.00 | $52.00 | $22.41 – $93.59 | — | |
| CHG CT ABD&PLV W/O CNTRST 1/BTH FLWD CNTRST 1/BTH Inpatient & outpatient | 972 RC | $118 | $118 | $60.85 – $218 | — | |
| CHG CT ABDOMEN W/CONTRAST MATERIAL Inpatient & outpatient | 972 RC | $76.00 | $76.00 | $38.50 – $139 | — | |
| CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL Inpatient & outpatient | 972 RC | $82.00 | $82.00 | $42.19 – $152 | — | |
| CHG CT ABDOMEN W/O CONTRAST FLWD BY CONTRAST MATRL Inpatient & outpatient | 972 RC | $1,248 | $1,248 | $150 – $1,223 | — | |
| CHG CT ABDOMEN W/O CONTRAST MATERIAL Inpatient & outpatient | 972 RC | $71.00 | $71.00 | $35.96 – $129 | — |