Arrowhead Regional Medical Center
400 North Pepper Avenue, Colton, CA 92324 · Acute care hospital · Emergency room
These are Arrowhead Regional Medical Center's own posted figures from its standard-charges file dated February 25, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
233 of the services we track have a posted price here; 153 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 | $8,218.00 | $8,218.00 | $121.60 – $5,958.05 |
| Emergency room visit, level 1 (minor) CPT 99281 | $478.00 | $478.00 | $15.18 – $346.55 |
| Emergency room visit, level 2 CPT 99282 | $852.00 | $852.00 | $24.38 – $617.70 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,433.00 | $1,433.00 | $44.60 – $1,038.93 |
| Emergency room visit, level 4 CPT 99284 | $2,664.00 | $2,664.00 | $68.35 – $1,931.40 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $4,013.00 | $4,013.00 | $108.08 – $2,909.43 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $807.00 | $807.00 | $86.58 – $585.08 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $731.00 | $731.00 | $47.52 – $529.98 |
| Abdominal X-ray, 1 view CPT 74018 | $402.00 | $402.00 | $24.63 – $291.45 |
| Ankle X-ray, 3 or more views CPT 73610 | $802.00 | $802.00 | $25.14 – $581.45 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $626.00 | $626.00 | $34.27 – $453.85 |
| Breast ultrasound, one breast, complete CPT 76641 | $572.00 | $572.00 | $96.23 – $414.70 |
| Breast ultrasound, one breast, limited CPT 76642 | $572.00 | $572.00 | $78.46 – $414.70 |
| Chest X-ray, 1 view CPT 71045 | $402.00 | $402.00 | $17.67 – $291.45 |
| Chest X-ray, 2 views CPT 71046 | $402.00 | $402.00 | $27.48 – $291.45 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $5,585.00 | $5,585.00 | $225.59 – $4,049.13 |
| CT angiogram of the head CPT 70496 | $5,585.00 | $5,585.00 | $225.59 – $4,049.13 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,947.00 | $4,947.00 | $281.80 – $3,586.58 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,516.00 | $5,516.00 | $319.24 – $3,999.10 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,202.00 | $3,202.00 | $174.31 – $2,321.45 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,202.00 | $3,202.00 | $131.18 – $2,321.45 |
| CT scan of the chest, with contrast CPT 71260 | $4,947.00 | $4,947.00 | $160.94 – $3,586.58 |
| CT scan of the chest, without contrast CPT 71250 | $3,202.00 | $3,202.00 | $127.32 – $2,321.45 |
| CT scan of the head, without contrast CPT 70450 | $3,202.00 | $3,202.00 | $101.27 – $2,321.45 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,202.00 | $3,202.00 | $124.99 – $2,321.45 |
| CT scan of the pelvis, with contrast CPT 72193 | $4,947.00 | $4,947.00 | $204.45 – $3,586.58 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $3,202.00 | $3,202.00 | $123.35 – $2,321.45 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,311.00 | $1,311.00 | $148.03 – $950.48 |
| Diagnostic mammogram, one breast CPT 77065 | $1,178.00 | $1,178.00 | $117.08 – $854.05 |
| Foot X-ray, 3 or more views CPT 73630 | $802.00 | $802.00 | $24.22 – $581.45 |
| Hand X-ray, 3 or more views CPT 73130 | $802.00 | $802.00 | $25.14 – $581.45 |
| Knee X-ray, 3 views CPT 73562 | $804.00 | $804.00 | $23.38 – $582.90 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,691.00 | $1,691.00 | $168.24 – $1,225.98 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,069.00 | $1,069.00 | $84.56 – $775.03 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $402.00 | $402.00 | $30.29 – $291.45 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $337.84 – $511.23 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $6,455.00 | $6,455.00 | $333.52 – $4,679.88 |
| MRI of the brain, without and with contrast CPT 70553 | $6,455.00 | $6,455.00 | $311.06 – $4,679.88 |
| MRI of the brain, without contrast CPT 70551 | $4,152.00 | $4,152.00 | $190.16 – $3,010.20 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $8,302.00 | $8,302.00 | $306.88 – $6,018.95 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $4,152.00 | $4,152.00 | $186.00 – $3,010.20 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $4,152.00 | $4,152.00 | $185.35 – $3,010.20 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,152.00 | $4,152.00 | $185.65 – $3,010.20 |
| MRI of the pelvis, without and with contrast CPT 72197 | $6,455.00 | $6,455.00 | $332.91 – $4,679.88 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $8,302.00 | $8,302.00 | $4,151.00 – $6,018.95 |
| Neck X-ray, 2 or 3 views CPT 72040 | $402.00 | $402.00 | $25.98 – $291.45 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,064.00 | $1,064.00 | $67.65 – $771.40 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,064.00 | $1,064.00 | $127.94 – $771.40 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,064.00 | $1,064.00 | $110.81 – $771.40 |
| Screening mammogram, both breasts CPT 77067 | $992.00 | $992.00 | $119.45 – $719.20 |
| Shoulder X-ray, 2 or more views CPT 73030 | $802.00 | $802.00 | $25.86 – $581.45 |
| Transvaginal pregnancy ultrasound CPT 76817 | $691.00 | $691.00 | $87.23 – $500.98 |
| Transvaginal ultrasound CPT 76830 | $1,064.00 | $1,064.00 | $67.65 – $771.40 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,064.00 | $1,064.00 | $83.20 – $771.40 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,055.00 | $1,055.00 | $59.74 – $764.88 |
| Wrist X-ray, 3 or more views CPT 73110 | $802.00 | $802.00 | $25.14 – $581.45 |
| X-ray of the lower back, 4 or more views CPT 72110 | $675.00 | $675.00 | $43.85 – $489.38 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $197.00 | $197.00 | $7.27 – $142.83 |
| Blood culture CPT 87040 | $238.00 | $238.00 | $8.98 – $172.55 |
| Blood draw (venipuncture) CPT 36415 | $139.00 | $139.00 | $9.34 – $100.78 |
| BNP test (heart failure) CPT 83880 | $697.00 | $697.00 | $30.15 – $505.33 |
| C-reactive protein (CRP) test CPT 86140 | $110.00 | $110.00 | $4.60 – $79.75 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $511.00 | $511.00 | $25.59 – $370.48 |
| Complete blood count (CBC) with differential CPT 85025 | $179.00 | $179.00 | $6.75 – $129.78 |
| Complete blood count (CBC), automated CPT 85027 | $152.00 | $152.00 | $5.71 – $110.20 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $241.00 | $241.00 | $9.19 – $174.73 |
| COVID-19 PCR test CPT 87635 | $726.00 | $726.00 | $51.31 – $526.35 |
| D-dimer test (blood clots) CPT 85379 | $233.00 | $233.00 | $9.05 – $168.93 |
| Drug screen, instrument chemistry CPT 80307 | $150.00 | $150.00 | $75.00 – $108.75 |
| Ferritin (iron stores) test CPT 82728 | $314.00 | $314.00 | $12.07 – $227.65 |
| Free T4 (thyroid) test CPT 84439 | $209.00 | $209.00 | $7.91 – $151.53 |
| Glucose (blood sugar) test CPT 82947 | $97.00 | $97.00 | $3.30 – $70.33 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $511.00 | $511.00 | $25.36 – $370.48 |
| Hemoglobin A1c test CPT 83036 | $201.00 | $201.00 | $8.54 – $145.73 |
| Hepatitis C antibody test CPT 86803 | $296.00 | $296.00 | $12.57 – $214.60 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $501.00 | $501.00 | $20.26 – $363.23 |
| Iron test CPT 83540 | $144.00 | $144.00 | $5.72 – $104.40 |
| Kidney function panel CPT 80069 | $201.00 | $201.00 | $7.60 – $145.73 |
| Lipase test (pancreas) CPT 83690 | $159.00 | $159.00 | $6.08 – $115.28 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $304.00 | $304.00 | $11.54 – $220.40 |
| Liver function panel CPT 80076 | $189.00 | $189.00 | $6.38 – $137.03 |
| Magnesium test CPT 83735 | $156.00 | $156.00 | $5.96 – $113.10 |
| Obstetric blood test panel CPT 80055 | $718.00 | $718.00 | $35.83 – $520.55 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $142.00 | $142.00 | $5.34 – $102.95 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $312.00 | $312.00 | $13.24 – $226.20 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $97.00 | $97.00 | $3.49 – $70.33 |
| PSA (prostate specific antigen), free CPT 84154 | $13.30 | $13.30 | $7.89 – $25.75 |
| PSA (prostate specific antigen), total CPT 84153 | $378.00 | $378.00 | $16.35 – $274.05 |
| Rapid strep test CPT 87880 | not posted | $6.99 – $23.14 | |
| Sed rate (ESR) test CPT 85652 | $87.00 | $87.00 | $2.40 – $63.08 |
| TB skin test CPT 86580 | $106.00 | $106.00 | $3.36 – $76.85 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $385.00 | $385.00 | $14.76 – $279.13 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $469.00 | $469.00 | $40.99 – $340.03 |
| Troponin test (heart damage) CPT 84484 | $227.00 | $227.00 | $8.47 – $164.58 |
| Urinalysis, automated, with microscope CPT 81001 | $78.00 | $78.00 | $2.77 – $56.55 |
| Urinalysis, automated, without microscope CPT 81003 | $53.00 | $53.00 | $1.96 – $38.43 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $2.58 – $5.63 | |
| Urinalysis, manual, without microscope CPT 81002 | $62.00 | $62.00 | $2.15 – $44.95 |
| Urine culture, colony count CPT 87086 | $187.00 | $187.00 | $5.65 – $135.58 |
| Urine pregnancy test CPT 81025 | $130.00 | $130.00 | $2.80 – $94.25 |
| Vitamin B12 test CPT 82607 | $346.00 | $346.00 | $13.33 – $250.85 |
| Vitamin D test CPT 82306 | $221.00 | $221.00 | $20.72 – $160.23 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,691.00 | $1,691.00 | $156.64 – $1,225.98 |
| ECG tracing only (no interpretation) CPT 93005 | $218.00 | $218.00 | $16.40 – $158.05 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,960.00 | $2,960.00 | $239.76 – $2,146.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $16.23 – $38.46 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $76.01 – $148.53 | |
| Left heart catheterization CPT 93452 | not posted | $762.86 – $5,837.53 | |
| Left heart catheterization with coronary angiogram CPT 93458 | $10,528.00 | $10,528.00 | $950.01 – $7,632.80 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,853.00 | $5,853.00 | $348.12 – $4,243.43 |
| Treadmill stress test, complete CPT 93015 | not posted | $78.31 – $128.52 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $674.61 – $13,065.79 | |
| Appendix removal, laparoscopic CPT 44970 | $15,230.00 | $15,230.00 | $273.27 – $11,041.75 |
| Breast biopsy with ultrasound guidance CPT 19083 | $7,174.00 | $7,174.00 | $613.92 – $5,201.15 |
| Carpal tunnel release CPT 64721 | $9,070.00 | $9,070.00 | $316.83 – $6,575.75 |
| Colonoscopy with biopsy CPT 45380 | $4,812.00 | $4,812.00 | $330.23 – $3,488.70 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $4,812.00 | $4,812.00 | $400.22 – $3,488.70 |
| Colonoscopy, diagnostic CPT 45378 | $4,812.00 | $4,812.00 | $295.23 – $3,488.70 |
| Colposcopy with biopsy CPT 57454 | $2,025.00 | $2,025.00 | $153.04 – $1,468.13 |
| Cystoscopy (bladder scope) CPT 52000 | $3,833.00 | $3,833.00 | $86.75 – $2,778.93 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $120.63 – $2,793.83 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $3,237.00 | $3,237.00 | $54.73 – $2,346.83 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $466.12 – $10,885.78 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $948.37 – $2,291.70 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $807.81 – $19,140.44 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $5,397.00 | $5,397.00 | $1,278.35 – $5,828.88 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $264.71 – $10,885.78 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $344.01 – $6,446.99 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $670.14 – $6,347.20 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $551.00 – $5,891.67 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $4,859.00 | $4,859.00 | $169.65 – $3,522.78 |
| Nasal endoscopy, diagnostic CPT 31231 | $1,212.00 | $1,212.00 | $49.14 – $878.70 |
| Prostate biopsy CPT 55700 | $5,593.00 | $5,593.00 | $87.49 – $4,054.93 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $953.26 – $19,140.44 | |
| Removal of a breast lump, open surgery CPT 19120 | $9,884.00 | $9,884.00 | $210.72 – $7,165.90 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $493.96 – $13,065.79 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,196.08 – $1,674.51 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,196.08 – $1,674.51 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $372.30 – $5,969.93 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $149.46 – $565.24 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,001.57 – $1,438.28 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $168.65 – $10,659.45 | |
| Total hip replacement CPT 27130 | not posted | $1,489.20 – $23,117.76 | |
| Total knee replacement CPT 27447 | not posted | $1,489.20 – $23,117.76 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $4,576.00 | $4,576.00 | $234.18 – $3,317.60 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $4,576.00 | $4,576.00 | $224.12 – $3,317.60 |
| Vasectomy CPT 55250 | $9,169.00 | $9,169.00 | $260.61 – $6,647.53 |
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 | $2,297.54 – $3,497.64 | |
| Fetal non-stress test CPT 59025 | $735.00 | $735.00 | $43.87 – $532.88 |
| IUD insertion CPT 58300 | $274.00 | $274.00 | $112.23 – $225.41 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,173.65 – $3,293.70 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,091.21 – $3,143.18 |
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 | $17,071.34 – $23,899.88 | |
| C-section, without complications MS-DRG 788 | not posted | $17,998.05 – $25,197.27 | |
| Chest pain MS-DRG 313 | not posted | $15,086.25 – $21,120.75 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $19,813.65 – $27,739.11 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $14,135.17 – $19,789.24 | |
| Fainting (syncope) MS-DRG 312 | not posted | $16,934.79 – $23,708.71 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $18,265.08 – $25,571.11 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $21,960.90 – $30,745.26 | |
| Heart failure, without complications MS-DRG 293 | not posted | $13,208.47 – $18,491.86 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $125,592.88 – $175,830.03 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $29,826.89 – $41,757.65 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $13,209.70 – $18,493.58 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $16,986.00 – $23,780.40 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $16,177.57 – $22,648.60 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $36,074.82 – $50,504.75 | |
| Normal newborn care MS-DRG 795 | not posted | $8,743.23 – $12,240.52 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $15,795.92 – $22,114.29 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $16,133.67 – $22,587.14 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $22,334.04 – $31,267.66 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $13,970.57 – $19,558.80 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $23,338.79 – $32,674.31 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $29,992.73 – $41,989.82 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $18,784.53 – $26,298.34 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $16,926.25 – $23,696.75 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $15,812.97 – $22,138.16 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $18,626.00 – $26,076.40 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $21,435.38 – $30,009.53 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $14,527.80 – $20,338.92 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $24,699.56 – $34,579.38 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,609.00 | $1,609.00 | $58.61 – $1,166.53 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $5,363.00 | $5,363.00 | $143.34 – $3,888.18 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $5,363.00 | $5,363.00 | $220.03 – $3,888.18 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $138.50 – $1,592.61 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $1,005.21 – $4,155.55 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $49.78 – $239.73 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $3,136.00 | $3,136.00 | $186.15 – $2,273.60 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $682.00 | $682.00 | $165.50 – $494.45 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,446.00 | $1,446.00 | $82.72 – $1,048.35 |
| Sleep study with CPAP titration CPT 95811 | not posted | $357.72 – $1,546.28 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $348.07 – $1,546.28 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $467.00 | $467.00 | $25.01 – $388.80 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $221.00 | $221.00 | $22.21 – $160.23 |
| Physical therapy evaluation, low complexity CPT 97161 | $557.00 | $557.00 | $103.17 – $403.83 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $594.00 | $594.00 | $103.17 – $430.65 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $222.00 | $222.00 | $10.96 – $160.95 |
| Therapeutic activities, 15 minutes CPT 97530 | $255.00 | $255.00 | $11.14 – $184.88 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $89.65 – $319.60 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $86.64 – $319.60 | |
| Group psychotherapy CPT 90853 | not posted | $23.96 – $182.93 | |
| Psychiatric diagnostic evaluation CPT 90791 | $21.00 | $21.00 | $12.45 – $319.60 |
| Psychotherapy, 30 minutes CPT 90832 | $279.00 | $279.00 | $67.83 – $319.60 |
| Psychotherapy, 45 minutes CPT 90834 | $304.00 | $304.00 | $89.64 – $319.60 |
| Psychotherapy, 60 minutes CPT 90837 | $329.00 | $329.00 | $131.97 – $319.60 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $207.00 | $207.00 | $18.75 – $150.08 |
| IV hydration, each additional hour CPT 96361 | $579.00 | $579.00 | $14.60 – $419.78 |
| IV hydration, first hour CPT 96360 | $579.00 | $579.00 | $51.30 – $419.78 |
| IV push injection of a drug, first CPT 96374 | $418.00 | $418.00 | $49.82 – $383.00 |
| IV push injection, each additional drug CPT 96375 | $283.00 | $283.00 | $21.29 – $205.18 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $34.80 | $34.80 | $4.91 – $25.23 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $13.41 | $13.41 | $4.58 – $9.72 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $406.10 | $406.10 | $5.45 – $294.42 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $245.91 | $245.91 | $122.96 – $178.28 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $31.48 | $31.48 | ? – $22.82 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $10.13 | $10.13 | $4.60 – $7.34 |
| Morphine injection, up to 10 mg HCPCS J2270 | $4.40 | $4.40 | $2.20 – $5.98 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $3.60 | $3.60 | $1.80 – $6.11 |
| Propofol injection, per 10 mg HCPCS J2704 | $2.14 | $2.14 | ? – $1.55 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.61 – $3.50 |
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.