The Miriam Hospital — price list

← Hospital overviewVerified from The Miriam Hospital’s published price file

Includes 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.

145 prices shown.

Service	Code	List price	Cash price	Negotiated range	Allowed (median)
Brachytx, stranded, C-131 Outpatient	2642 OTHER	—	—	—	$8,725
Cardiac Rehabilitation Outpatient	5771 OTHER	—	—	—	$836
Cath coronary drug-delivery Outpatient	2050 OTHER	—	—	—	$6,753
Cath renal denerv radiofreq Outpatient	2051 OTHER	—	—	—	$2,879
Clinic Visits and Related Services Outpatient	5012 OTHER	—	—	—	$142
Clinical Diagnostic Lab Services Outpatient	N800 OTHER	—	—	—	$41.93
Complex GI Procedures Outpatient	5331 OTHER	—	—	—	$6,528
Critical Care Outpatient	5041 OTHER	—	—	—	$2,165
Dialysis Outpatient	5401 OTHER	—	—	—	$2,080
Endo, single, urinary tract Outpatient	2040 OTHER	—	—	—	$7,217
Heart And/Or Lung Transplant Inpatient	21 APR-DRG	—	—	$171,508 – $211,519	—
Heart And/Or Lung Transplant Inpatient	22 APR-DRG	—	—	$184,540 – $272,660	—
Heart And/Or Lung Transplant Inpatient	23 APR-DRG	—	—	$292,994 – $327,653	—
Influenza Vaccines & Pneumococcal Pneumonia Vaccines Outpatient	N903 OTHER	—	—	—	$0.01
Inj, bumetanide, 0.5 mg Outpatient	794 OTHER	—	—	—	$2,919
Inj, cabote rilpivir 2mg 3mg Outpatient	9414 OTHER	—	—	—	$0.10
Ketorolac tromethamine inj Outpatient	764 OTHER	—	—	—	$30,355
Level 1 Abdominal/Peritoneal/Biliary and Related Procedures Outpatient	5341 OTHER	—	—	—	$3,873
Level 1 Airway Endoscopy Outpatient	5151 OTHER	—	—	—	$3,700
Level 1 Blood Product Exchange and Related Services Outpatient	5241 OTHER	—	—	—	$918
Level 1 Breast/Lymphatic Surgery and Related Procedures Outpatient	5091 OTHER	—	—	—	$4,197
Level 1 Diagnostic Tests and Related Services Outpatient	5721 OTHER	—	—	—	$172
Level 1 Drug Administration Outpatient	5691 OTHER	—	—	—	$102
Level 1 Electronic Analysis of Devices Outpatient	5741 OTHER	—	—	—	$41.70
Level 1 Endovascular Procedures Outpatient	5191 OTHER	—	—	—	$3,545
Level 1 ENT Procedures Outpatient	5161 OTHER	—	—	—	$6,672
Level 1 Excision/ Biopsy/ Incision and Drainage Outpatient	5071 OTHER	—	—	—	$777
Level 1 Health and Behavior Services Outpatient	5821 OTHER	—	—	—	$30.00
Level 1 ICD and Similar Procedures Outpatient	5231 OTHER	—	—	—	$24,598
Level 1 Imaging with Contrast Outpatient	5571 OTHER	—	—	—	$477