Kaiser Foundation Hospital - Orange County - Anaheim
3440 E la Palma Ave, Anaheim, CA 92806 · Acute care hospital · Emergency room
These are Kaiser Foundation Hospital - Orange County - Anaheim's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
209 of the services we track have a posted price here; 177 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 | $5,487.56 | $10,553.00 | $1,794.00 – $5,335.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $420.68 | $809.00 | $187.00 – $555.00 |
| Emergency room visit, level 2 CPT 99282 | $747.24 | $1,437.00 | $336.00 – $1,000.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,207.96 | $2,323.00 | $590.00 – $1,755.00 |
| Emergency room visit, level 4 CPT 99284 | $1,953.12 | $3,756.00 | $906.00 – $2,695.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,284.32 | $6,316.00 | $1,305.00 – $3,880.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $551.20 | $1,060.00 | $197.00 – $586.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $89.44 | $172.00 | $20.00 – $60.00 |
| Abdominal X-ray, 1 view CPT 74018 | $301.60 | $580.00 | $81.00 – $240.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $405.60 | $780.00 | $81.00 – $240.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $473.20 | $910.00 | $96.00 – $285.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $556.40 | $1,070.00 | $96.00 – $285.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $327.60 | $630.00 | $81.00 – $240.00 |
| Chest X-ray, 1 view CPT 71045 | $364.00 | $700.00 | $81.00 – $240.00 |
| Chest X-ray, 2 views CPT 71046 | $384.80 | $740.00 | $81.00 – $240.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,120.00 | $6,000.00 | $257.00 – $765.00 |
| CT angiogram of the head CPT 70496 | $2,964.00 | $5,700.00 | $257.00 – $765.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,004.00 | $7,700.00 | $324.00 – $965.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,472.00 | $8,600.00 | $350.00 – $1,040.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,808.00 | $5,400.00 | $220.00 – $655.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,872.00 | $3,600.00 | $116.00 – $345.00 |
| CT scan of the chest, with contrast CPT 71260 | $2,340.00 | $4,500.00 | $161.00 – $480.00 |
| CT scan of the chest, without contrast CPT 71250 | $1,820.00 | $3,500.00 | $119.00 – $355.00 |
| CT scan of the head, without contrast CPT 70450 | $2,288.00 | $4,400.00 | $96.00 – $285.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,912.00 | $5,600.00 | $121.00 – $360.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,548.00 | $4,900.00 | $247.00 – $735.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,184.00 | $4,200.00 | $124.00 – $370.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $421.72 | $811.00 | $99.00 – $295.00 |
| Diagnostic mammogram, one breast CPT 77065 | $353.08 | $679.00 | $79.00 – $235.00 |
| Foot X-ray, 3 or more views CPT 73630 | $395.20 | $760.00 | $81.00 – $240.00 |
| Hand X-ray, 3 or more views CPT 73130 | $421.20 | $810.00 | $81.00 – $240.00 |
| Knee X-ray, 3 views CPT 73562 | $405.60 | $780.00 | $81.00 – $240.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,381.12 | $2,656.00 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $843.96 | $1,623.00 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $457.60 | $880.00 | $96.00 – $285.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,196.00 | $2,300.00 | $335.00 – $995.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,368.00 | $8,400.00 | $336.00 – $1,000.00 |
| MRI of the brain, without and with contrast CPT 70553 | $3,068.00 | $5,900.00 | $324.00 – $965.00 |
| MRI of the brain, without contrast CPT 70551 | $2,600.00 | $5,000.00 | $220.00 – $655.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,392.00 | $4,600.00 | $220.00 – $655.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,496.00 | $4,800.00 | $220.00 – $655.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,392.00 | $4,600.00 | $220.00 – $655.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,444.00 | $4,700.00 | $220.00 – $655.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,860.00 | $5,500.00 | $335.00 – $995.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,444.00 | $4,700.00 | $220.00 – $655.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $431.60 | $830.00 | $81.00 – $240.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,040.00 | $2,000.00 | $96.00 – $285.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $728.00 | $1,400.00 | $99.00 – $295.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $696.80 | $1,340.00 | $96.00 – $285.00 |
| Screening mammogram, both breasts CPT 77067 | $380.12 | $731.00 | $84.00 – $250.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $509.60 | $980.00 | $81.00 – $240.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $577.20 | $1,110.00 | $96.00 – $285.00 |
| Transvaginal ultrasound CPT 76830 | $514.80 | $990.00 | $96.00 – $285.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,190.80 | $2,290.00 | $96.00 – $285.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $826.80 | $1,590.00 | $96.00 – $285.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $431.60 | $830.00 | $81.00 – $240.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $681.20 | $1,310.00 | $96.00 – $285.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $248.04 | $477.00 | $5.00 – $15.00 |
| Blood culture CPT 87040 | $279.76 | $538.00 | $7.00 – $20.00 |
| Blood draw (venipuncture) CPT 36415 | $26.52 | $51.00 | |
| BNP test (heart failure) CPT 83880 | $230.36 | $443.00 | $27.00 – $80.00 |
| C-reactive protein (CRP) test CPT 86140 | $46.80 | $90.00 | $3.00 – $10.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $54.60 | $105.00 | $24.00 – $70.00 |
| Complete blood count (CBC) with differential CPT 85025 | $110.76 | $213.00 | $5.00 – $15.00 |
| Complete blood count (CBC), automated CPT 85027 | $75.92 | $146.00 | $5.00 – $15.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $268.84 | $517.00 | $7.00 – $20.00 |
| COVID-19 PCR test CPT 87635 | $95.68 | $184.00 | $35.00 – $105.00 |
| D-dimer test (blood clots) CPT 85379 | $143.52 | $276.00 | $7.00 – $20.00 |
| Drug screen, instrument chemistry CPT 80307 | $433.16 | $833.00 | $42.00 – $125.00 |
| Ferritin (iron stores) test CPT 82728 | $77.48 | $149.00 | $10.00 – $30.00 |
| Free T4 (thyroid) test CPT 84439 | $68.12 | $131.00 | $7.00 – $20.00 |
| General health panel (blood tests) CPT 80050 | $251.68 | $484.00 | $32.00 – $95.00 |
| Glucose (blood sugar) test CPT 82947 | $26.52 | $51.00 | $3.00 – $10.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $66.04 | $127.00 | $24.00 – $70.00 |
| Hemoglobin A1c test CPT 83036 | $64.48 | $124.00 | $7.00 – $20.00 |
| Hepatitis C antibody test CPT 86803 | $42.12 | $81.00 | $10.00 – $30.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $87.36 | $168.00 | $17.00 – $50.00 |
| Iron test CPT 83540 | $44.20 | $85.00 | $5.00 – $15.00 |
| Kidney function panel CPT 80069 | $48.36 | $93.00 | $7.00 – $20.00 |
| Lipase test (pancreas) CPT 83690 | $147.68 | $284.00 | $5.00 – $15.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $101.40 | $195.00 | $8.00 – $25.00 |
| Liver function panel CPT 80076 | $151.32 | $291.00 | $5.00 – $15.00 |
| Magnesium test CPT 83735 | $106.08 | $204.00 | $5.00 – $15.00 |
| Obstetric blood test panel CPT 80055 | $248.04 | $477.00 | $34.00 – $100.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $111.28 | $214.00 | $3.00 – $10.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $202.80 | $390.00 | $10.00 – $30.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $95.16 | $183.00 | $3.00 – $10.00 |
| PSA (prostate specific antigen), free CPT 84154 | $28.60 | $55.00 | $13.00 – $40.00 |
| PSA (prostate specific antigen), total CPT 84153 | $46.80 | $90.00 | $13.00 – $40.00 |
| Rapid strep test CPT 87880 | $110.76 | $213.00 | $12.00 – $35.00 |
| Sed rate (ESR) test CPT 85652 | $34.84 | $67.00 | $2.00 – $6.00 |
| TB skin test CPT 86580 | $58.76 | $113.00 | $27.00 – $80.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $108.68 | $209.00 | $12.00 – $35.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $197.60 | $380.00 | $61.00 – $180.00 |
| Troponin test (heart damage) CPT 84484 | $189.80 | $365.00 | $8.00 – $25.00 |
| Urinalysis, automated, with microscope CPT 81001 | $93.08 | $179.00 | $2.00 – $6.00 |
| Urinalysis, automated, without microscope CPT 81003 | $59.80 | $115.00 | $2.00 – $5.00 |
| Urinalysis, manual, with microscope CPT 81000 | $31.72 | $61.00 | $3.00 – $10.00 |
| Urinalysis, manual, without microscope CPT 81002 | $50.44 | $97.00 | $2.00 – $7.00 |
| Urine culture, colony count CPT 87086 | $139.36 | $268.00 | $5.00 – $15.00 |
| Urine pregnancy test CPT 81025 | $117.00 | $225.00 | $7.00 – $20.00 |
| Vitamin B12 test CPT 82607 | $43.16 | $83.00 | $10.00 – $30.00 |
| Vitamin D test CPT 82306 | $63.96 | $123.00 | $20.00 – $60.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $973.44 | $1,872.00 | |
| ECG tracing only (no interpretation) CPT 93005 | $338.00 | $650.00 | |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,688.40 | $5,170.00 | |
| Left heart catheterization CPT 93452 | $9,900.80 | $19,040.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | $12,927.20 | $24,860.00 | $3,191.00 – $9,490.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,676.40 | $7,070.00 | $1,185.00 – $3,525.00 |
| Treadmill stress test, complete CPT 93015 | $270.40 | $520.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $9,001.20 | $17,310.00 | $7,087.00 – $21,078.00 |
| Appendix removal, laparoscopic CPT 44970 | $8,008.00 | $15,400.00 | $5,788.00 – $17,215.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,213.60 | $6,180.00 | $1,607.00 – $4,781.00 |
| Carpal tunnel release CPT 64721 | $3,608.80 | $6,940.00 | $1,937.00 – $5,762.00 |
| Colonoscopy with biopsy CPT 45380 | $2,080.00 | $4,000.00 | $1,170.00 – $3,479.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,288.00 | $4,400.00 | $1,170.00 – $3,479.00 |
| Colonoscopy, diagnostic CPT 45378 | $2,080.00 | $4,000.00 | $904.00 – $2,690.00 |
| Colposcopy with biopsy CPT 57454 | $946.40 | $1,820.00 | $302.00 – $898.00 |
| Cystoscopy (bladder scope) CPT 52000 | $1,617.20 | $3,110.00 | $662.00 – $1,969.00 |
| Ear tubes, under general anesthesia CPT 69436 | $3,062.80 | $5,890.00 | $1,470.00 – $4,371.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,872.00 | $3,600.00 | $904.00 – $2,690.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $13,208.00 | $25,400.00 | $5,788.00 – $17,215.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $4,435.60 | $8,530.00 | $10,328.00 – $30,719.00 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $7,087.60 | $13,630.00 | $3,154.00 – $9,381.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $15,906.80 | $30,590.00 | $5,788.00 – $17,215.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $7,389.20 | $14,210.00 | $3,501.00 – $10,413.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $6,510.40 | $12,520.00 | $3,421.00 – $10,176.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $5,148.00 | $9,900.00 | $3,219.00 – $9,573.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $2,288.00 | $4,400.00 | $1,170.00 – $3,479.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $540.80 | $1,040.00 | $193.00 – $573.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $10,328.00 – $30,719.00 | |
| Removal of a breast lump, open surgery CPT 19120 | $4,196.40 | $8,070.00 | $3,799.00 – $11,299.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,744.80 | $18,740.00 | $7,087.00 – $21,078.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,700.40 | $3,270.00 | $904.00 – $2,690.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,773.20 | $3,410.00 | $904.00 – $2,690.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $4,924.40 | $9,470.00 | $3,217.00 – $9,569.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $4,035.20 | $7,760.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $4,321.20 | $8,310.00 | $5,869.00 – $17,455.00 |
| Total hip replacement CPT 27130 | not posted | $12,764.00 – $37,964.00 | |
| Total knee replacement CPT 27447 | not posted | $12,764.00 – $37,964.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,768.00 | $3,400.00 | $930.00 – $2,766.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,872.00 | $3,600.00 | $930.00 – $2,766.00 |
| Vasectomy CPT 55250 | $3,863.60 | $7,430.00 | $2,032.00 – $6,044.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $508.04 | $977.00 | $200.00 – $594.00 |
| IUD insertion CPT 58300 | $587.60 | $1,130.00 |
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 | $1,669.00 – $5,746.00 | |
| C-section, without complications MS-DRG 788 | not posted | $5,834.00 – $24,719.00 | |
| Chest pain MS-DRG 313 | not posted | $4,838.00 – $16,649.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $4,438.00 – $15,272.00 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $3,821.00 – $13,150.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $4,427.00 – $15,238.00 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $4,538.00 – $15,616.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $4,456.00 – $15,337.00 | |
| Heart failure, without complications MS-DRG 293 | not posted | $3,368.00 – $11,592.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $24,549.00 – $84,487.00 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,439.00 – $53,134.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,803.00 – $13,090.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $3,882.00 – $13,359.00 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $3,748.00 – $12,897.00 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $20,321.00 – $69,938.00 | |
| Normal newborn care MS-DRG 795 | not posted | $792.00 – $2,724.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $3,772.00 – $12,983.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $3,815.00 – $13,131.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $4,641.00 – $15,972.00 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $3,539.00 – $12,178.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,324.00 – $4,557.00 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $5,467.00 – $18,816.00 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $4,099.00 – $14,106.00 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $3,777.00 – $13,000.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $3,864.00 – $13,300.00 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $4,570.00 – $15,726.00 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,974.00 – $37,768.00 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,781.00 – $11,782.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $14,624.00 – $50,331.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $951.60 | $1,830.00 | $293.00 – $871.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,939.60 | $3,730.00 | $883.00 – $2,627.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,220.40 | $4,270.00 | $687.00 – $2,043.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,648.40 | $3,170.00 | $883.00 – $2,627.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $5,044.00 | $9,700.00 | $2,262.00 – $6,729.00 |
| Eye exam, new patient, comprehensive CPT 92004 | $292.24 | $562.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,570.40 | $3,020.00 | $544.00 – $1,619.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $634.40 | $1,220.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $321.88 | $619.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $135.20 | $260.00 | |
| Physical therapy evaluation, low complexity CPT 97161 | $222.56 | $428.00 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | $356.72 | $686.00 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $137.28 | $264.00 | |
| Therapeutic activities, 15 minutes CPT 97530 | $137.28 | $264.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $342.16 | $658.00 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $342.16 | $658.00 | |
| Group psychotherapy CPT 90853 | $271.96 | $523.00 | |
| Psychiatric diagnostic evaluation CPT 90791 | $318.24 | $612.00 | |
| Psychotherapy, 30 minutes CPT 90832 | $318.24 | $612.00 | |
| Psychotherapy, 45 minutes CPT 90834 | $318.24 | $612.00 | |
| Psychotherapy, 60 minutes CPT 90837 | $342.16 | $658.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $135.20 | $260.00 | $71.00 – $210.00 |
| IV hydration, each additional hour CPT 96361 | $213.20 | $410.00 | |
| IV hydration, first hour CPT 96360 | $442.00 | $850.00 | |
| IV push injection of a drug, first CPT 96374 | $353.60 | $680.00 | |
| IV push injection, each additional drug CPT 96375 | $197.60 | $380.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $143.61 | $276.18 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $16.63 | $31.99 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $161.04 | $309.69 | ? – $1.62 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $9.92 | $19.08 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $34.24 | $65.84 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $68.32 | $131.39 | $4.55 – $7.64 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $6.53 | $12.55 | |
| Propofol injection, per 10 mg HCPCS J2704 | $66.25 | $127.40 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $18.94 | $36.42 | $2.28 – $3.83 |
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.