Providence Seward Hospital — price list

← Hospital overviewVerified from Providence Seward 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.

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.

20 prices shown (filtered).

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
HC ASSAY OF VANCOMYCIN Inpatient & outpatient	80202 HCPCS	$219	$171	—	—
HC BIOPSY MUSCLE PERCUTANEOUS NEEDLE CDM Inpatient & outpatient	20206 HCPCS	$2,884	$2,250	—	—
HC DRUG ASSAY METHOTREXATE LAB Inpatient & outpatient	80204 HCPCS	$59.00	$46.02	—	—
HC DRUG SCREEN QUANTITATIVE TOPIRAMATE LAB Inpatient & outpatient	80201 HCPCS	$145	$113	—	—
HC DRUG SCREEN QUANTITATIVE VANCOMYCIN LAB Inpatient & outpatient	80202 HCPCS	$219	$171	—	—
HC DRUG SCREEN QUANTITATIVE ZONISAMIDE LAB Inpatient & outpatient	80203 HCPCS	$105	$81.90	—	—
HC ED ADJ TISS TRS S/A/L DEF 10SQCM CDM Inpatient & outpatient	14020 HCPCS	$4,315	$3,366	—	—
HC ED CLOSURE OF SPLIT WOUND SIMPLE CLOSURE CDM Inpatient & outpatient	12020 HCPCS	$1,646	$1,284	—	—
HC ED DECOMPRESS FOREARM 1 SPACE CDM Inpatient & outpatient	25020 HCPCS	$3,828	$2,986	—	—
HC ED DRAINAGE OF NASAL SEPTUM ABSCESS/HEMATOMA CDM Inpatient & outpatient	30020 HCPCS	$1,142	$891	—	—
HC ED DRAINAGE OF PELVIC FLUID CDM Inpatient & outpatient	57020 HCPCS	$11,588	$9,039	—	—
HC ED DRAINAGE TENDON SHEATH DIGIT&/PALM EACH CDM Inpatient & outpatient	26020 HCPCS	$7,442	$5,805	—	—
HC ED DRESS/DEBRID P-THICK BURN S LT/5% TBSA CDM Inpatient & outpatient	16020 HCPCS	$910	$710	—	—
HC ED INCISION OF BREAST LESION CDM Inpatient & outpatient	19020 HCPCS	$3,749	$2,924	—	—
HC ED INCISION OF URETHRA CDM Inpatient & outpatient	53020 HCPCS	$4,637	$3,617	—	—
HC ED PERICARDIOTOMY REMOVAL CLOT/FOREIGN BODY PRIMARY CDM Inpatient & outpatient	33020 HCPCS	$4,595	$3,584	—	—
HC ED PLACEMENT SETON CDM Inpatient & outpatient	46020 HCPCS	$6,424	$5,011	—	—
HC ED VENTRICULAR PUNCTURE PREVIOUS BURR HOLE W/O NJX Inpatient & outpatient	61020 HCPCS	$2,171	$1,693	—	—
HC HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS CDM Inpatient & outpatient	83020 HCPCS	$47.00	$36.66	—	—
HC HEMOGLOBIN FRACTJ/QUANTJ ELECTROPHORESIS LAB Inpatient & outpatient	83020 HCPCS	$39.00	$30.42	—	—