Providence St Mary Medical Center — price list
← Hospital overviewVerified from Providence St Mary Medical Center’s published price file
Includes cash prices, list prices. 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.
1,500 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| HC 1 25 DIHYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82652 HCPCS | $67.00 | $46.90 | — | — | |
| HC 17-HYDROXYPREGNENOLONE CDM Inpatient & outpatient | 84143 HCPCS | $47.00 | $32.90 | — | — | |
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED CDM Inpatient & outpatient | 82306 HCPCS | $68.00 | $47.60 | — | — | |
| HC 25 HYDROXY INCLUDES FRACTIONS IF PERFORMED LAB Inpatient & outpatient | 82306 HCPCS | $36.00 | $25.20 | — | — | |
| HC ABG Inpatient & outpatient | 82803 HCPCS | $557 | $390 | — | — | |
| HC ABG WITH 02 SAT Inpatient & outpatient | 82805 HCPCS | $557 | $390 | — | — | |
| HC ABL1 GENE ANALYSIS KINASE DOMAIN VARIANTS CDM Inpatient & outpatient | 81170 HCPCS | $904 | $633 | — | — | |
| HC ACCESS KIT SCREEN SNAP LID SCS 355531 Inpatient & outpatient | PX0000367889L CDM | $800 | $560 | — | — | |
| HC ACE POLYMORPHISM Inpatient & outpatient | 81400 HCPCS | $409 | $286 | — | — | |
| HC ACETYL REC MD PANEL UMMUNOASSAY Inpatient & outpatient | 83519 HCPCS | $126 | $88.20 | — | — | |
| HC ACETYL RECEPT BLOCKING AB Inpatient & outpatient | 83519 HCPCS | $85.00 | $59.50 | — | — | |
| HC ACETYLCHOL MODULATING AB ASSAY Inpatient & outpatient | 83519 HCPCS | $85.00 | $59.50 | — | — | |
| HC ACETYLCHOL RECEP AB PNL Inpatient & outpatient | 83519 HCPCS | $72.00 | $50.40 | — | — | |
| HC ACETYLCHOLINE RECEPTOR AB.ASSY Inpatient & outpatient | 83519 HCPCS | $543 | $380 | — | — | |
| HC ACETYLCHOLINESTERASE ASSAY Inpatient & outpatient | 82013 HCPCS | $99.00 | $69.30 | — | — | |
| HC ACTH STIMULATION PANEL Inpatient & outpatient | 80400 HCPCS | $306 | $214 | — | — | |
| HC ACTH STIMULATION PANEL ADRENAL INSUFFICIENCY CDM Inpatient & outpatient | 80400 HCPCS | $32.00 | $22.40 | — | — | |
| HC ACTIN SMOOTH MUSCLE ANTIBODY EACH LAB Inpatient & outpatient | 86015 HCPCS | $29.00 | $20.30 | — | — | |
| HC ACYLCARNITINES QUANT Inpatient & outpatient | 82017 HCPCS | $178 | $125 | — | — | |
| HC ACYLCARNITINES QUANTIATIVE EACH SPECIMEN LAB Inpatient & outpatient | 82017 HCPCS | $63.00 | $44.10 | — | — | |
| HC ADENOSINE DEAMINASE CSF/FLUID Inpatient & outpatient | 84311 HCPCS | $135 | $94.50 | — | — | |
| HC ADENOVIRUS INFECTIOUS AGENT Inpatient & outpatient | 87260 HCPCS | $59.00 | $41.30 | — | — | |
| HC ADRENOCORTICOTROPIC HORMONE ACTH CDM Inpatient & outpatient | 82024 HCPCS | $33.00 | $23.10 | — | — | |
| HC AFP-L3 FRACTION ISOFORM & TOTAL AFP W/RATIO LAB Inpatient & outpatient | 82107 HCPCS | $91.00 | $63.70 | — | — | |
| HC ALANINE AMINO (ALT) (SGPT) Inpatient & outpatient | 84460 HCPCS | $25.00 | $17.50 | — | — | |
| HC ALBUMIN CSF Inpatient & outpatient | 82042 HCPCS | $110 | $77.00 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD CDM Inpatient & outpatient | 82040 HCPCS | $125 | $87.50 | — | — | |
| HC ALBUMIN SERUM PLASMA/WHOLE BLOOD LAB Inpatient & outpatient | 82040 HCPCS | $8.00 | $5.60 | — | — | |
| HC ALCOHOL URINE RANDOM SCREEN Inpatient & outpatient | 80320 HCPCS | $40.00 | $28.00 | — | — | |
| HC ALDOSTERONE BLD Inpatient & outpatient | 82088 HCPCS | $84.00 | $58.80 | — | — |