Valleywise Health Medical Center
2601 East Roosevelt Street, Phoenix, AZ 85008 · Acute care hospital
These are Valleywise Health Medical Center's own posted figures from its standard-charges file dated June 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
229 of the services we track have a posted price here; 169 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $1,013.66 | $8,000.00 | $396.00 – $6,722.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $103.48 | $1,000.00 | $89.98 – $1,702.00 |
| Emergency room visit, level 2 CPT 99282 | $188.42 | $1,240.00 | $163.84 – $1,702.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $334.98 | $2,050.00 | $291.29 – $1,702.00 |
| Emergency room visit, level 4 CPT 99284 | $512.04 | $2,790.00 | $396.00 – $1,702.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $730.80 | $22,000.00 | $396.00 – $1,702.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $246.21 | $560.00 | $168.00 – $3,949.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | not posted | $320.00 | $28.31 – $894.40 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $330.00 | $48.87 – $956.00 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $370.00 | $59.99 – $1,432.33 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $380.00 | $59.99 – $1,159.50 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $800.00 | $114.32 – $640.00 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $1,200.00 | $171.48 – $960.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $320.00 | $20.97 – $1,868.65 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $330.00 | $39.30 – $1,787.45 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $340.00 | $58.03 – $2,016.67 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $370.00 | $59.99 – $284.13 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $310.00 | $5.30 – $1,654.55 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $450.00 | $16.28 – $257.79 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $460.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $76.18 | $120.00 | $36.00 – $100.04 |
| Abdominal X-ray, 1 view CPT 74018 | $106.79 | $380.00 | $158.08 – $304.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $106.79 | $900.00 | $92.86 – $185.73 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $128.29 | $750.00 | $111.56 – $223.12 |
| Breast ultrasound, one breast, complete CPT 76641 | $128.29 | $950.00 | $395.20 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $106.79 | $800.00 | $332.80 – $640.00 |
| Chest X-ray, 1 view CPT 71045 | $106.79 | $480.00 | $199.68 – $384.00 |
| Chest X-ray, 2 views CPT 71046 | $106.79 | $500.00 | $208.00 – $400.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $215.24 | $4,000.00 | $129.45 – $844.80 |
| CT angiogram of the head CPT 70496 | $215.24 | $3,820.00 | $187.17 – $374.33 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $428.12 | $7,500.00 | $241.82 – $1,013.80 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $428.12 | $7,000.00 | $241.82 – $1,144.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $292.80 | $6,200.00 | $120.34 – $780.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $128.29 | $4,500.00 | $79.00 – $780.00 |
| CT scan of the chest, with contrast CPT 71260 | $215.24 | $3,200.00 | $129.45 – $780.00 |
| CT scan of the chest, without contrast CPT 71250 | $128.29 | $2,700.00 | $79.00 – $780.00 |
| CT scan of the head, without contrast CPT 70450 | $128.29 | $4,000.00 | $111.56 – $223.12 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $128.29 | $5,000.00 | $79.00 – $780.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $215.24 | $4,200.00 | $129.45 – $808.20 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $128.29 | $2,500.00 | $111.56 – $223.12 |
| Diagnostic mammogram, both breasts CPT 77066 | $245.04 | $680.00 | $152.83 – $305.66 |
| Diagnostic mammogram, one breast CPT 77065 | $193.33 | $450.00 | $120.67 – $241.34 |
| Foot X-ray, 3 or more views CPT 73630 | $106.79 | $680.00 | $92.86 – $185.73 |
| Hand X-ray, 3 or more views CPT 73130 | $106.79 | $850.00 | $92.86 – $185.73 |
| Knee X-ray, 3 views CPT 73562 | $106.79 | $700.00 | $291.20 – $560.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $292.80 | $2,590.00 | $1,077.44 – $2,072.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $128.29 | $1,240.00 | $515.84 – $992.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $128.29 | $800.00 | $332.80 – $640.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,800.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $428.12 | $5,300.00 | $266.89 – $1,290.00 |
| MRI of the brain, without and with contrast CPT 70553 | $428.12 | $5,500.00 | $248.02 – $1,290.00 |
| MRI of the brain, without contrast CPT 70551 | $292.80 | $3,000.00 | $149.50 – $1,290.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $292.80 | $2,800.00 | $254.61 – $509.22 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $292.80 | $3,200.00 | $142.97 – $1,290.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $292.80 | $5,200.00 | $142.59 – $1,290.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $292.80 | $5,500.00 | $142.21 – $1,290.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $428.12 | $5,500.00 | $266.89 – $1,290.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $292.80 | $2,400.00 | $164.41 – $1,290.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $106.79 | $700.00 | $291.20 – $560.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $128.29 | $1,800.00 | $748.80 – $1,440.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $128.29 | $880.00 | $366.08 – $704.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $128.29 | $830.00 | $345.28 – $664.00 |
| Screening mammogram, both breasts CPT 77067 | $198.19 | $580.00 | $122.92 – $245.84 |
| Shoulder X-ray, 2 or more views CPT 73030 | $106.79 | $800.00 | $332.80 – $640.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $128.29 | $950.00 | $395.20 – $760.00 |
| Transvaginal ultrasound CPT 76830 | $128.29 | $1,650.00 | $686.40 – $1,320.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $128.29 | $1,100.00 | $457.60 – $880.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $128.29 | $1,400.00 | $582.40 – $1,120.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $106.79 | $880.00 | $366.08 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $128.29 | $1,000.00 | $416.00 – $800.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $9.73 | $350.00 | $5.50 – $23.68 |
| Blood culture CPT 87040 | $11.87 | $200.00 | $6.71 – $28.88 |
| Blood draw (venipuncture) CPT 36415 | $10.74 | $34.00 | $9.34 – $18.68 |
| BNP test (heart failure) CPT 83880 | $45.15 | $300.00 | $39.26 – $78.52 |
| C-reactive protein (CRP) test CPT 86140 | $5.96 | $30.00 | $3.37 – $14.52 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $40.35 | $160.00 | $22.81 – $98.12 |
| Complete blood count (CBC) with differential CPT 85025 | $8.94 | $140.00 | $7.77 – $15.54 |
| Complete blood count (CBC), automated CPT 85027 | $7.44 | $110.00 | $6.47 – $12.94 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $12.14 | $380.00 | $6.86 – $29.52 |
| COVID-19 PCR test CPT 87635 | $59.01 | $190.00 | $51.31 – $102.62 |
| D-dimer test (blood clots) CPT 85379 | $11.71 | $190.00 | $10.18 – $20.36 |
| Drug screen, instrument chemistry CPT 80307 | $71.46 | $300.00 | $40.39 – $173.80 |
| Ferritin (iron stores) test CPT 82728 | $15.67 | $130.00 | $8.86 – $38.12 |
| Free T4 (thyroid) test CPT 84439 | $10.37 | $100.00 | $9.02 – $18.04 |
| General health panel (blood tests) CPT 80050 | not posted | $250.00 | $22.84 – $101.04 |
| Glucose (blood sugar) test CPT 82947 | $4.52 | $57.00 | $2.55 – $11.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $40.35 | $160.00 | $22.81 – $98.12 |
| Hemoglobin A1c test CPT 83036 | $11.17 | $100.00 | $6.31 – $27.16 |
| Hepatitis C antibody test CPT 86803 | $16.41 | $170.00 | $9.28 – $39.92 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $27.69 | $160.00 | $13.28 – $53.12 |
| Iron test CPT 83540 | $7.44 | $80.00 | $6.47 – $12.94 |
| Kidney function panel CPT 80069 | $9.98 | $160.00 | $5.64 – $24.28 |
| Lipase test (pancreas) CPT 83690 | $7.92 | $160.00 | $6.89 – $13.78 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $15.40 | $220.00 | $8.70 – $37.44 |
| Liver function panel CPT 80076 | $9.40 | $250.00 | $5.31 – $22.84 |
| Magnesium test CPT 83735 | $7.71 | $150.00 | $6.70 – $13.40 |
| Obstetric blood test panel CPT 80055 | $54.98 | $31.08 – $133.72 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.91 | $120.00 | $3.91 – $16.80 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $17.31 | $280.00 | $9.78 – $42.08 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.93 | $80.00 | $2.79 – $12.00 |
| PSA (prostate specific antigen), free CPT 84154 | $21.15 | $80.00 | $11.95 – $51.44 |
| PSA (prostate specific antigen), total CPT 84153 | $21.15 | $160.00 | $11.95 – $51.44 |
| Rapid strep test CPT 87880 | $19.01 | $70.00 | $16.53 – $33.06 |
| Sed rate (ESR) test CPT 85652 | $3.11 | $65.00 | $1.76 – $7.56 |
| TB skin test CPT 86580 | $35.49 | $39.00 | $11.70 – $61.73 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $19.32 | $170.00 | $16.80 – $33.60 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $63.95 | $330.00 | $22.77 – $119.40 |
| Troponin test (heart damage) CPT 84484 | $14.34 | $190.00 | $8.11 – $34.88 |
| Urinalysis, automated, with microscope CPT 81001 | $3.65 | $90.00 | $2.06 – $8.88 |
| Urinalysis, automated, without microscope CPT 81003 | $2.59 | $45.00 | $1.46 – $6.28 |
| Urinalysis, manual, with microscope CPT 81000 | $4.62 | $31.00 | $2.61 – $11.24 |
| Urinalysis, manual, without microscope CPT 81002 | $4.00 | $51.00 | $2.26 – $9.72 |
| Urine culture, colony count CPT 87086 | $9.28 | $110.00 | $5.25 – $22.56 |
| Urine pregnancy test CPT 81025 | $9.90 | $90.00 | $5.60 – $24.08 |
| Vitamin B12 test CPT 82607 | $17.34 | $180.00 | $9.80 – $42.16 |
| Vitamin D test CPT 82306 | $34.04 | $190.00 | $19.24 – $84.16 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $292.80 | $2,140.00 | $254.61 – $509.22 |
| ECG tracing only (no interpretation) CPT 93005 | $72.39 | $370.00 | $7.85 – $271.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $670.53 | $2,460.00 | $157.56 – $1,269.72 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $47.00 | $17.97 – $271.00 |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $81.74 – $650.44 | |
| Left heart catheterization CPT 93452 | $3,978.32 | $7,600.00 | $2,280.00 – $6,918.82 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,978.32 | $10,400.00 | $3,120.00 – $6,918.82 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,588.72 | $5,500.00 | $2,288.00 – $4,400.00 |
| Treadmill stress test, complete CPT 93015 | not posted | $85.14 – $550.76 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $8,904.43 | $2,250.00 – $15,485.96 | |
| Appendix removal, laparoscopic CPT 44970 | $7,418.74 | $12,600.00 | $2,731.52 – $12,902.15 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,026.75 | $3,870.00 | $1,161.00 – $3,949.00 |
| Carpal tunnel release CPT 64721 | $2,396.28 | $1,392.16 – $4,167.44 | |
| Colonoscopy with biopsy CPT 45380 | $1,468.45 | $3,520.00 | $1,056.00 – $2,553.83 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,468.45 | $3,520.00 | $1,056.00 – $2,553.83 |
| Colonoscopy, diagnostic CPT 45378 | $1,141.19 | $3,010.00 | $903.00 – $1,984.68 |
| Colposcopy with biopsy CPT 57454 | $373.95 | $1,580.00 | $325.17 – $1,582.00 |
| Cystoscopy (bladder scope) CPT 52000 | $855.68 | $1,790.00 | $537.00 – $1,488.15 |
| Ear tubes, under general anesthesia CPT 69436 | $1,904.02 | $1,422.00 – $3,311.34 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,141.19 | $2,490.00 | $747.00 – $1,984.68 |
| Gallbladder removal, laparoscopic CPT 47562 | $7,418.74 | $3,264.00 – $12,902.15 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,075.00 – $8,300.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $13,044.35 | $3,784.00 – $22,685.82 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,972.42 | $6,100.00 | $1,830.00 – $6,908.56 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $7,418.74 | $2,862.00 – $12,902.15 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,393.67 | $2,596.00 – $7,641.17 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,325.66 | $11,200.00 | $3,360.00 – $9,229.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $4,015.22 | $2,596.00 – $6,982.99 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,468.45 | $3,340.00 | $1,002.00 – $2,553.83 |
| Nasal endoscopy, diagnostic CPT 31231 | $244.95 | $1,170.00 | $213.00 – $3,949.00 |
| Prostate biopsy CPT 55700 | not posted | $5,300.00 | $1,325.00 – $4,240.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $13,044.35 | $3,264.00 – $22,685.82 | |
| Removal of a breast lump, open surgery CPT 19120 | $4,804.80 | $7,300.00 | $2,190.00 – $8,356.18 |
| Rotator cuff repair, arthroscopic CPT 29827 | $8,904.43 | $3,264.00 – $15,485.96 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,141.19 | $1,730.00 | $519.00 – $1,984.68 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,141.19 | $792.00 – $1,984.68 | |
| Septoplasty (nasal septum repair) CPT 30520 | $4,068.55 | $1,839.00 – $7,075.74 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $255.00 – $3,104.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $2,340.92 – $9,363.68 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $7,264.49 | $7,500.00 | $1,839.00 – $12,633.89 |
| Total hip replacement CPT 27130 | $15,754.92 | $3,264.00 – $27,399.86 | |
| Total knee replacement CPT 27447 | $15,754.92 | $3,264.00 – $27,399.86 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,113.00 | $2,270.00 | $681.00 – $1,935.66 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,113.00 | $3,390.00 | $967.83 – $1,935.66 |
| Vasectomy CPT 55250 | $2,565.20 | $4,680.00 | $1,392.16 – $4,461.22 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | not posted | $3,500.00 | $62.18 – $4,220.17 |
| Fetal non-stress test CPT 59025 | $248.09 | $480.00 | $170.40 – $384.00 |
| IUD insertion CPT 58300 | not posted | $1,690.00 | $1,108.80 – $3,949.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,542.00 – $6,168.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,800.00 | $490.93 – $3,811.89 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $9,231.44 – $56,710.46 | |
| C-section, without complications MS-DRG 788 | not posted | $3,900.00 – $57,986.13 | |
| Chest pain MS-DRG 313 | not posted | $7,529.04 – $53,977.86 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $11,583.22 – $60,485.42 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,713.39 – $52,668.63 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,114.32 – $56,522.48 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $10,255.18 – $58,353.72 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $13,424.70 – $63,441.26 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,918.66 – $51,392.97 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $102,298.74 – $432,936.46 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $20,170.51 – $111,917.01 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,919.71 – $51,394.65 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $9,158.24 – $56,592.96 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,464.94 – $55,480.13 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $25,528.67 – $91,855.69 | |
| Normal newborn care MS-DRG 795 | not posted | $1,000.00 – $45,246.29 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,137.64 – $54,954.75 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,427.30 – $55,419.69 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $13,744.68 – $63,954.87 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,572.22 – $52,442.03 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $14,606.34 – $65,337.96 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $20,312.72 – $74,497.55 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $10,700.65 – $59,068.76 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $9,107.00 – $56,510.72 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,152.28 – $54,978.24 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $10,564.71 – $59,302.06 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $12,974.00 – $62,717.82 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $3,300.00 – $53,209.11 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $15,773.34 – $84,424.72 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $376.67 | $1,400.00 | $327.54 – $1,308.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,085.38 | $2,060.00 | $618.00 – $1,887.61 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $866.22 | $1,830.00 | $549.00 – $3,949.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,085.38 | $1,600.00 | $480.00 – $3,949.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,832.03 | $4,500.00 | $1,350.00 – $4,925.28 |
| Eye exam, new patient, comprehensive CPT 92004 | $163.38 | $320.00 | $113.60 – $256.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $674.93 | $1,830.00 | $549.00 – $1,922.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $157.90 | $430.00 | $152.65 – $344.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $264.97 | $230.41 – $460.82 | |
| Sleep study with CPAP titration CPT 95811 | $1,053.80 | $916.35 – $1,832.69 | |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,053.80 | $916.35 – $1,832.69 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $264.97 | $490.00 | $173.95 – $392.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $40.94 | $440.00 | $62.88 – $352.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $145.39 | $480.00 | $84.03 – $525.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $145.39 | $540.00 | $84.03 – $525.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $42.91 | $360.00 | $20.45 – $525.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $52.20 | $270.00 | $26.43 – $525.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $217.81 | $410.00 | $123.00 – $378.80 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $217.81 | $280.00 | $84.00 – $378.80 |
| Group psychotherapy CPT 90853 | $124.67 | $200.00 | $60.00 – $216.81 |
| Psychiatric diagnostic evaluation CPT 90791 | $217.81 | $560.00 | $198.80 – $448.00 |
| Psychotherapy, 30 minutes CPT 90832 | $217.81 | $370.00 | $131.35 – $296.00 |
| Psychotherapy, 45 minutes CPT 90834 | $217.81 | $410.00 | $123.00 – $378.80 |
| Psychotherapy, 60 minutes CPT 90837 | $217.81 | $500.00 | $150.00 – $378.80 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $88.36 | $150.00 | $53.25 – $120.00 |
| IV hydration, each additional hour CPT 96361 | $57.46 | $220.00 | $78.10 – $176.00 |
| IV hydration, first hour CPT 96360 | $261.02 | $650.00 | $230.75 – $520.00 |
| IV push injection of a drug, first CPT 96374 | $261.02 | $350.00 | $124.25 – $280.00 |
| IV push injection, each additional drug CPT 96375 | $57.46 | $340.00 | $120.70 – $272.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | ? – $2.12 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | ? – $3.68 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | ? – $2.20 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $3.04 – $20.16 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $1.99 – $10.76 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.