Presbyterian Hospital — price list

← Hospital overviewVerified from Presbyterian 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.

1,175 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Adjuvant as01b (pf)vial 1 of 2 IM susp Inpatient & outpatient	15298 CDM	$763	$534	—	—
Alteplase 2 mg inj solr Inpatient & outpatient	12619 CDM	$800	$560	—	—
Bevacizumab 25 mg/ml IV soln Inpatient & outpatient	22666 CDM	$32,040	$22,428	—	—
Brachytx, non-str,Yttrium-90 Outpatient	2616 OTHER	—	—	—	$17,725
Cardiac Rehabilitation Outpatient	5771 OTHER	—	—	—	$860
Cath atherec rota advncr withburr Inpatient & outpatient	27200030 CDM	$5,597	$3,918	—	—
Cath coronary drug-delivery Outpatient	2050 OTHER	—	—	—	$14,037
Cath PICC dual lumen 1.9frx30cm Inpatient & outpatient	27200091 CDM	$360	$252	—	—
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$15.73
Clinical Diagnostic Lab Services Outpatient	N800 OTHER	—	—	—	$23.06
Cochlear Implant Procedure Outpatient	5166 OTHER	—	—	—	$351
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$7,350
Critical Care Outpatient	5041 OTHER	—	—	—	$2,581
Darbepoetin alfa in polysorbat 40 mcg/0.4 ml inj syrg Inpatient & outpatient	19694 CDM	$1,096	$767	—	—
Darbepoetin alfa in polysorbat 60 mcg/0.3 ml inj syrg Inpatient & outpatient	19694 CDM	$1,282	$897	—	—
Darbepoetin alfa in polysorbat 100 mcg/0.5 ml inj syrg Inpatient & outpatient	19694 CDM	$651	$456	—	—
Darbepoetin alfa in polysorbat 200 mcg/0.4 ml inj syrg Inpatient & outpatient	19694 CDM	$4,273	$2,991	—	—
Darbepoetin alfa in polysorbat 25 mcg/0.42 ml inj syrg Inpatient & outpatient	19694 CDM	$2,007	$1,405	—	—
Darbepoetin alfa in polysorbat 300 mcg/0.6 ml inj syrg Inpatient & outpatient	19694 CDM	$4,592	$3,214	—	—
Darbepoetin alfa in polysorbat 500 mcg/ml inj syrg Inpatient & outpatient	19694 CDM	$8,545	$5,982	—	—
Degarelix 120 mg subq solr Inpatient & outpatient	23523 CDM	$4,207	$2,945	—	—
Degarelix 80 mg subq solr Inpatient & outpatient	23523 CDM	$1,349	$944	—	—
Denosumab 120 mg/1.7 ml (70 mg/ml) subq soln Inpatient & outpatient	24760 CDM	$9,522	$6,665	—	—
Denosumab 60 mg/ml subq syrg Inpatient & outpatient	24760 CDM	$5,177	$3,624	—	—
Dental Procedures Outpatient	5871 OTHER	—	—	—	$4,700
Dexamethasone 4 mg oral tab Inpatient & outpatient	21732 CDM	$14.00	$9.80	—	—
Dexrazoxane 500 mg IV solr Inpatient & outpatient	10528 CDM	$3,252	$2,276	—	—
Dialysis Outpatient	5401 OTHER	—	—	—	$2,533
Diph,pertus(acel),tet,polio(pf)(kinrix) 25 lf-58 mcg-10 lf/0.5 ml IM syringe Inpatient & outpatient	19537 CDM	$318	$223	—	—
Diphenhydramine 50 mg cap Inpatient & outpatient	11467 CDM	$7.00	$4.90	—	—