The Miriam Hospital
The Miriam Hospital in Providence, RI publishes cash prices for 30 common procedures listed here, from its own machine-readable price file updated —. Click a procedure to compare it with other hospitals nearby.
164 Summit Avenue, Providence, RI 02906 Collected Sep 22, 2026 Source price file
Lab tests
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC LDL LIPID PANEL SO | $108.60 | $108.60 | — |
| Cholesterol and triglycerides (lipid panel) blood test inpatient CPT 80061 HC LDL LIPID PANEL SO | $108.60 | $108.60 | — |
| Complete blood count (CBC) with differential CPT 85025 HC AUTO CBC WITH DIFF | $52.00 | $52.00 | — |
| Complete blood count (CBC) with differential inpatient CPT 85025 HC AUTO CBC WITH DIFF | $52.00 | $52.00 | — |
| Complete blood count (CBC), no differential CPT 85027 HC AUTO CBC NO DIFF | $48.00 | $48.00 | — |
| Complete blood count (CBC), no differential inpatient CPT 85027 HC AUTO CBC NO DIFF | $48.00 | $48.00 | — |
| PSA (prostate-specific antigen) blood test, free CPT 84154 HC PSA FREE | $147.00 | $147.00 | — |
| PSA (prostate-specific antigen) blood test, free inpatient CPT 84154 HC PSA FREE | $147.00 | $147.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN | $115.00 | $115.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PSA POST PROSTATECTOMY | $115.00 | $115.00 | — |
| PSA (prostate-specific antigen) blood test, total CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT | $115.00 | $115.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PSA POST PROSTATECTOMY | $115.00 | $115.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATIC SPECIFIC ANTIGEN | $115.00 | $115.00 | — |
| PSA (prostate-specific antigen) blood test, total inpatient CPT 84153 HC PROSTATE SPECIFIC ANTIGEN (PSA) TOTAL SEND OUT | $115.00 | $115.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC APTT | $47.00 | $47.00 | — |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC SILICA CLOTTING TIME RATIO | $47.00 | $47.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC SILICA CLOTTING TIME RATIO | $47.00 | $47.00 | — |
| Partial thromboplastin time (PTT) clotting test inpatient CPT 85730 HC APTT | $47.00 | $47.00 | — |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC PROTHROMBIN TIME | $37.00 | $37.00 | — |
| Prothrombin time (PT/INR) clotting test inpatient CPT 85610 HC PROTHROMBIN TIME | $37.00 | $37.00 | — |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC TSH 3RD GENERATION | $107.00 | $107.00 | — |
| Thyroid-stimulating hormone (TSH) blood test inpatient CPT 84443 HC TSH 3RD GENERATION | $107.00 | $107.00 | — |
| Urinalysis with microscope exam, automated CPT 81001 HC URINALYSIS W/MICRO | $25.00 | $25.00 | — |
| Urinalysis with microscope exam, automated inpatient CPT 81001 HC URINALYSIS W/MICRO | $25.00 | $25.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT | $27.00 | $27.00 | — |
| Urinalysis without microscope exam, automated CPT 81003 HC ROUTINE URINALYSIS | $27.00 | $27.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC ROUTINE URINALYSIS | $27.00 | $27.00 | — |
| Urinalysis without microscope exam, automated inpatient CPT 81003 HC URINALYSIS DIP STICK/TABLET AUTO WO MICRO SEND OUT | $27.00 | $27.00 | — |
Surgery and procedures
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Colonoscopy with endoscopic ultrasound CPT 45391 HC COLON W EUS LIMITED RECTUM/LG INTEST | $4,316.00 | $4,316.00 | — |
| Colonoscopy with endoscopic ultrasound inpatient CPT 45391 HC COLON W EUS LIMITED RECTUM/LG INTEST | $4,316.00 | $4,316.00 | — |
| Colonoscopy with polyp removal CPT 45385 HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE | $3,671.00 | $3,671.00 | — |
| Colonoscopy with polyp removal inpatient CPT 45385 HC COLONOSCOPY W REM TUMOR(S)/POLYP(S)/OTH LESION(S) SNARE TECHNIQUE | $3,671.00 | $3,671.00 | — |
| Colonoscopy with tissue sample CPT 45380 HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE | $3,671.00 | $3,671.00 | — |
| Colonoscopy with tissue sample inpatient CPT 45380 HC COLONOSCOPY W BIOPSY SINGLE OR MULTIPLE | $3,671.00 | $3,671.00 | — |
| Colonoscopy, diagnostic CPT 45378 HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF | $3,671.00 | $3,671.00 | — |
| Colonoscopy, diagnostic inpatient CPT 45378 HC COLONOSCOPY FLEX DIAG INCL COLL SPECIMEN(S) BRUSH/WASH WH PERF | $3,671.00 | $3,671.00 | — |
| Lower-back epidural injection, with imaging guidance CPT 62323 HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID | $2,678.00 | $2,678.00 | — |
| Lower-back epidural injection, with imaging guidance inpatient CPT 62323 HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL W IMG GUID | $2,678.00 | $2,678.00 | — |
| Lower-back epidural injection, without imaging guidance CPT 62322 HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID | $2,700.00 | $2,700.00 | — |
| Lower-back epidural injection, without imaging guidance inpatient CPT 62322 HC INJ DIAG/THER EPI/SUBARACH LUMB/SACRAL WO IMG GUID | $2,700.00 | $2,700.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ PARAVERT NRV LUMBAR/SAC | $2,700.00 | $2,700.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance CPT 64483 HC INJ PARAVERT LS SNGL LEVEL | $2,700.00 | $2,700.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ PARAVERT NRV LUMBAR/SAC | $2,700.00 | $2,700.00 | — |
| Lower-back nerve root steroid injection, with imaging guidance inpatient CPT 64483 HC INJ PARAVERT LS SNGL LEVEL | $2,700.00 | $2,700.00 | — |
| Upper endoscopy (EGD) with biopsy CPT 43239 HC EGD W BIOPSY SINGL/MULTI | $3,153.00 | $3,153.00 | — |
| Upper endoscopy (EGD) with biopsy inpatient CPT 43239 HC EGD W BIOPSY SINGL/MULTI | $3,153.00 | $3,153.00 | — |
| Upper endoscopy (EGD), diagnostic CPT 43235 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF | $3,153.00 | $3,153.00 | — |
| Upper endoscopy (EGD), diagnostic inpatient CPT 43235 HC EGD DIAG W COLL SPECIMEN(S) BRUSH/WASH W PERF | $3,153.00 | $3,153.00 | — |
Doctor visits and therapy
| Procedure | Cash price | List price | Off list |
|---|---|---|---|
| Family therapy with the patient, 50 minutes CPT 90847 HC PR FAMILY PSYCHOTHERAPY W PT 50MINS | $400.00 | $400.00 | — |
| Family therapy with the patient, 50 minutes inpatient CPT 90847 HC PR FAMILY PSYCHOTHERAPY W PT 50MINS | $400.00 | $400.00 | — |
| Family therapy without the patient, 50 minutes CPT 90846 HC PR FAMILY PSYCHOTHERAPY WO PT 50MINS | $435.00 | $435.00 | — |
| Family therapy without the patient, 50 minutes inpatient CPT 90846 HC PR FAMILY PSYCHOTHERAPY WO PT 50MINS | $435.00 | $435.00 | — |
| Group psychotherapy session CPT 90853 HC PR GROUP PSYCHOTHERAPY | $207.00 | $207.00 | — |
| Group psychotherapy session inpatient CPT 90853 HC PR GROUP PSYCHOTHERAPY | $207.00 | $207.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC PR OPD NEW PT LEVEL III | $299.00 | $299.00 | — |
| New patient office visit, about 30 minutes CPT 99203 HC OPD NEW PT LEVEL III | $299.00 | $299.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC OPD NEW PT LEVEL III | $299.00 | $299.00 | — |
| New patient office visit, about 30 minutes inpatient CPT 99203 HC PR OPD NEW PT LEVEL III | $299.00 | $299.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC OPD NEW PT LEVEL IV | $386.00 | $386.00 | — |
| New patient office visit, about 45 minutes CPT 99204 HC PR OPD NEW PT LEVEL IV | $386.00 | $386.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC PR OPD NEW PT LEVEL IV | $386.00 | $386.00 | — |
| New patient office visit, about 45 minutes inpatient CPT 99204 HC OPD NEW PT LEVEL IV | $386.00 | $386.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC PR OPD NEW PT LEVEL V | $474.00 | $474.00 | — |
| New patient office visit, about 60 minutes CPT 99205 HC OPD NEW PT LEVEL V | $507.00 | $507.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC PR OPD NEW PT LEVEL V | $474.00 | $474.00 | — |
| New patient office visit, about 60 minutes inpatient CPT 99205 HC OPD NEW PT LEVEL V | $507.00 | $507.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC PR NEW PREV EXAM 18 TO 39 YRS | $319.00 | $319.00 | — |
| Preventive checkup, new patient aged 18–39 CPT 99385 HC NEW PREV EXAM 18 TO 39 YRS | $378.00 | $378.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC PR NEW PREV EXAM 18 TO 39 YRS | $319.00 | $319.00 | — |
| Preventive checkup, new patient aged 18–39 inpatient CPT 99385 HC NEW PREV EXAM 18 TO 39 YRS | $378.00 | $378.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC NEW PREV EXAM 40 TO 64 YRS | $378.00 | $378.00 | — |
| Preventive checkup, new patient aged 40–64 CPT 99386 HC PR NEW PREV EXAM 40 TO 64 YRS | $429.00 | $429.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC NEW PREV EXAM 40 TO 64 YRS | $378.00 | $378.00 | — |
| Preventive checkup, new patient aged 40–64 inpatient CPT 99386 HC PR NEW PREV EXAM 40 TO 64 YRS | $429.00 | $429.00 | — |
| Psychotherapy session, 30 minutes CPT 90832 HC PR PSYCHOTHER 30 MIN W PT | $288.00 | $288.00 | — |
| Psychotherapy session, 30 minutes inpatient CPT 90832 HC PR PSYCHOTHER 30 MIN W PT | $288.00 | $288.00 | — |
| Psychotherapy session, 45 minutes CPT 90834 HC PR PSYCHOTHER 45 MIN W PT | $378.00 | $378.00 | — |
| Psychotherapy session, 45 minutes inpatient CPT 90834 HC PR PSYCHOTHER 45 MIN W PT | $378.00 | $378.00 | — |
| Psychotherapy session, 60 minutes CPT 90837 HC PR PSYCHOTHERAPY 60 MIN | $366.00 | $366.00 | — |
| Psychotherapy session, 60 minutes inpatient CPT 90837 HC PR PSYCHOTHERAPY 60 MIN | $366.00 | $366.00 | — |
Source file: https://www.brownhealth.org/sites/default/files/2026-03/05-0258905_the-miriam-hospital_standardcharges.csv