Brigham and Women’s Faulkner Hospital — price list
← Hospital overviewVerified from Brigham and Women’s Faulkner Hospital’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.
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.
1,001 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 1 25 Dihydroxy Inc Fraction Inpatient & outpatient | PX-30000412 CDM | $325 | $244 | $37.73 – $237 | $179 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Inpatient & outpatient | PX-98300811 CDM | $407 | $305 | $83.70 – $407 | $74.28 | |
| 1st Hospital IP/Obs Care Sf/Low Mdm 40 Minutes Outpatient | PX-98300811 CDM | $407 | $305 | $200 – $5,129 | $295 | |
| Abdomen Peritoneum Omentum Unlstd Inpatient & outpatient | PX-75000344 CDM | $6,749 | $5,062 | $1,058 – $6,418 | $3,449 | |
| Abdominal Pain,MAJOR Inpatient | 251 MS-DRG | $24,666 | — | $4,619 – $28,781 | $18,166 | |
| Abdominal Pain,MINOR Inpatient | 251 MS-DRG | $24,050 | — | $4,619 – $28,781 | $11,448 | |
| Abdominal Pain,MODERATE Inpatient | 251 MS-DRG | $24,417 | — | $4,619 – $28,781 | $14,417 | |
| Abdominal Paracentesis W/ Imaging Inpatient & outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,677 | $1,187 | |
| Abdominal Paracentesis W/ Imaging Outpatient | PX-75000278 CDM | $2,152 | $1,614 | $762 – $1,874 | $1,258 | |
| ACETABULAR AUGMENT 10MM SIZE 50 ZIMMER TRABECULAR METAL 22 Inpatient & outpatient | SUP-ITM-10019435 CDM | $3,281 | $2,461 | $1,459 – $3,281 | $1,634 | |
| ACETABULAR AUGMENT 10MM SIZE 50 ZIMMER TRABECULAR METAL 22 Outpatient | SUP-ITM-10019435 CDM | $3,281 | $2,461 | $1,641 – $2,574 | $1,549 | |
| ACETABULAR AUGMENT 10X50 52MM GRIPTION TF REVISION TI TRUEBOND LOCKING SLOT 21 Inpatient & outpatient | SUP-ITM-10118696 CDM | $3,750 | $2,813 | $1,667 – $3,750 | $1,634 | |
| ACETABULAR AUGMENT 10X50 52MM GRIPTION TF REVISION TI TRUEBOND LOCKING SLOT 21 Outpatient | SUP-ITM-10118696 CDM | $3,750 | $2,813 | $1,875 – $2,942 | $1,549 | |
| ACETABULAR CUP 48MM RESTORATION ADM SHELL RT 09 Inpatient & outpatient | SUP-ITM-10073228 CDM | $2,400 | $1,800 | $1,067 – $2,400 | $1,634 | |
| ACETABULAR CUP 48MM RESTORATION ADM SHELL RT 09 Outpatient | SUP-ITM-10073228 CDM | $2,400 | $1,800 | $1,200 – $1,883 | $1,549 | |
| ACETABULAR CUP 58MM SHELL COBALT HA COATING POROUS IMPACTOR Inpatient & outpatient | SUP-ITM-10019768 CDM | $5,474 | $4,106 | $2,433 – $5,474 | $1,634 | |
| ACETABULAR CUP 58MM SHELL COBALT HA COATING POROUS IMPACTOR Outpatient | SUP-ITM-10019768 CDM | $5,474 | $4,106 | $2,737 – $4,294 | $1,549 | |
| ACETABULAR INSERT 22MM 10DEG LINER TRIDENT CROSSFIRE POLYETHYLENE SIZE C Inpatient & outpatient | SUP-ITM-10034879 CDM | $900 | $675 | $400 – $900 | $1,634 | |
| ACETABULAR INSERT 22MM 10DEG LINER TRIDENT CROSSFIRE POLYETHYLENE SIZE C Outpatient | SUP-ITM-10034879 CDM | $900 | $675 | $450 – $706 | $1,549 | |
| ACETABULAR INSERT 28MM 0DEG SIZE D TRIDENT POLYETHYLENE Inpatient & outpatient | SUP-ITM-10016790 CDM | $1,650 | $1,238 | $733 – $1,650 | $1,634 | |
| ACETABULAR INSERT 28MM 0DEG SIZE D TRIDENT POLYETHYLENE Outpatient | SUP-ITM-10016790 CDM | $1,650 | $1,238 | $825 – $1,294 | $1,549 | |
| ACETABULAR INSERT 28X60MM RESTORATION CROSSLINKED POLYETHYLENE DUAL MOBILITY Inpatient & outpatient | SUP-ITM-10086319 CDM | $2,100 | $1,575 | $933 – $2,100 | $1,634 | |
| ACETABULAR INSERT 28X60MM RESTORATION CROSSLINKED POLYETHYLENE DUAL MOBILITY Outpatient | SUP-ITM-10086319 CDM | $2,100 | $1,575 | $1,050 – $1,647 | $1,549 | |
| ACETABULAR INSERT 28X61MM 0DEG CONSTRAINED PLASTIC Inpatient & outpatient | SUP-ITM-10002178 CDM | $3,465 | $2,599 | $1,540 – $3,465 | $1,634 | |
| ACETABULAR INSERT 28X61MM 0DEG CONSTRAINED PLASTIC Outpatient | SUP-ITM-10002178 CDM | $3,465 | $2,599 | $1,733 – $2,718 | $1,549 | |
| ACETABULAR INSERT 32MM 10DEG TRIDENT POLYETHYLENE SIZE D Inpatient & outpatient | SUP-ITM-10016632 CDM | $1,650 | $1,238 | $733 – $1,650 | $1,634 | |
| ACETABULAR INSERT 32MM 10DEG TRIDENT POLYETHYLENE SIZE D Outpatient | SUP-ITM-10016632 CDM | $1,650 | $1,238 | $825 – $1,294 | $1,549 | |
| ACETABULAR INSERT 32X46 48MM 10DEG LINER SHELL ECCENTRIC POLYETHYLENE Inpatient & outpatient | SUP-ITM-10016847 CDM | $2,298 | $1,724 | $1,021 – $2,298 | $1,634 | |
| ACETABULAR INSERT 32X46 48MM 10DEG LINER SHELL ECCENTRIC POLYETHYLENE Outpatient | SUP-ITM-10016847 CDM | $2,298 | $1,724 | $1,149 – $1,803 | $1,549 | |
| ACETABULAR INSERT 32X54 56MM 10DEG LINER CROSSFIRE SERIES II HIGHLY CROSSLINKED POLYETHYLENE Inpatient & outpatient | SUP-ITM-10006911 CDM | $1,047 | $785 | $465 – $1,047 | $1,634 |