Rose de Lima Hospital — price list
← Hospital overviewVerified from Rose de Lima 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.
696 prices shown.
| Service | Code | List price | Cash price | Negotiated range | Allowed (median) | |
|---|---|---|---|---|---|---|
| 2171M RL-A-14-3-3 TAU 3001255 Inpatient | 0035U CPT | $647 | $185 | $194 – $466 | — | |
| 2171M RL-A-14-3-3 TAU 3001255 Outpatient | 0035U CPT | $647 | $185 | $50.00 – $647 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 0410097 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 041009C ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 041009K ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 041009Q ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100AF ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100AN ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100AQ ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100J6 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100J9 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100JB ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100JD ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100JE ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100JL ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100JO ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100K6 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100K7 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100K9 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100KE ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100KG ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100KM ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100KN ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100KQ ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100ZL ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100ZM ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100ZN ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 04100ZP ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 0410497 ICD | — | — | $16,704 – $16,704 | — | |
| AAA REPAIR W/ BOARDER BABY Inpatient | 041049E ICD | — | — | $16,704 – $16,704 | — |