Marinhealth Medical Center
250 Bon Air Road, Greenbrae, CA 94904 · Acute care hospital · Emergency room
These are Marinhealth Medical Center's own posted figures from its standard-charges file dated March 26, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
207 of the services we track have a posted price here; 178 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 | $16,682.40 | $27,804.00 | $1,165.89 – $7,345.11 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,212.85 | $2,021.42 | $119.01 – $3,326.00 |
| Emergency room visit, level 2 CPT 99282 | $2,371.64 | $3,952.74 | $216.72 – $3,326.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,980.93 | $4,968.22 | $385.29 – $9,293.00 |
| Emergency room visit, level 4 CPT 99284 | $6,726.97 | $11,211.62 | $588.94 – $9,293.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $7,663.16 | $12,771.94 | $721.00 – $9,293.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $788.64 | $1,314.40 | $283.19 – $8,430.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $151.41 | $252.35 | $45.84 – $2,330.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $402.57 | $670.95 | $34.46 – $2,330.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $482.72 | $804.54 | $64.36 – $2,330.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $579.68 | $966.14 | $94.34 – $2,330.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $625.42 | $1,042.36 | $140.71 – $2,330.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $278.72 | $464.53 | $8.61 – $2,330.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $120.20 | $200.34 | $31.90 – $2,330.00 |
| Abdominal X-ray, 1 view CPT 74018 | $518.98 | $864.96 | $30.28 – $2,330.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $674.16 | $1,123.60 | $22.54 – $2,330.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $636.23 | $1,060.38 | $121.30 – $2,330.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $1,088.40 | $1,814.00 | $83.50 – $2,330.00 |
| Chest X-ray, 1 view CPT 71045 | $429.04 | $715.06 | $19.40 – $2,330.00 |
| Chest X-ray, 2 views CPT 71046 | $531.70 | $886.16 | $35.87 – $2,330.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $5,626.20 | $9,377.00 | $247.57 – $5,614.00 |
| CT angiogram of the head CPT 70496 | $5,973.00 | $9,955.00 | $247.57 – $5,614.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $5,817.49 | $9,695.82 | $308.55 – $5,614.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $6,058.80 | $10,098.00 | $407.93 – $5,614.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $5,324.40 | $8,874.00 | $161.70 – $5,614.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,219.00 | $5,365.00 | $147.56 – $5,614.00 |
| CT scan of the chest, with contrast CPT 71260 | $4,097.40 | $6,829.00 | $247.57 – $5,614.00 |
| CT scan of the chest, without contrast CPT 71250 | $3,548.24 | $5,913.74 | $147.56 – $5,614.00 |
| CT scan of the head, without contrast CPT 70450 | $4,216.68 | $7,027.80 | $147.56 – $5,614.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $4,278.00 | $7,130.00 | $147.56 – $5,614.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $3,697.47 | $6,162.45 | $247.57 – $5,614.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $3,379.07 | $5,631.78 | $147.56 – $5,614.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $729.60 | $1,216.00 | $53.18 – $2,330.00 |
| Diagnostic mammogram, one breast CPT 77065 | $584.48 | $974.14 | $43.26 – $2,330.00 |
| Foot X-ray, 3 or more views CPT 73630 | $645.54 | $1,075.90 | $22.54 – $2,330.00 |
| Hand X-ray, 3 or more views CPT 73130 | $677.34 | $1,128.90 | $22.54 – $2,330.00 |
| Knee X-ray, 3 views CPT 73562 | $1,294.80 | $2,158.00 | $24.23 – $2,330.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,126.78 | $3,544.64 | $192.99 – $2,330.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,460.26 | $2,433.76 | $147.56 – $2,330.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $782.92 | $1,304.86 | $28.48 – $2,330.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,466.63 | $7,444.38 | $121.45 – $4,593.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $6,429.00 | $10,715.00 | $492.42 – $4,593.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,952.00 | $9,920.00 | $492.42 – $4,593.00 |
| MRI of the brain, without contrast CPT 70551 | $4,960.20 | $8,267.00 | $336.77 – $4,593.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $4,337.52 | $7,229.20 | $336.77 – $4,593.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $4,900.80 | $8,168.00 | $336.77 – $4,593.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $4,900.80 | $8,168.00 | $336.77 – $4,593.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,900.80 | $8,168.00 | $336.77 – $4,593.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $5,857.80 | $9,763.00 | $492.42 – $4,593.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $4,574.75 | $7,624.58 | $336.77 – $4,593.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $753.66 | $1,256.10 | $25.58 – $2,330.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,298.08 | $2,163.46 | $65.19 – $2,330.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $979.20 | $1,632.00 | $87.12 – $2,330.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,324.20 | $2,207.00 | $46.63 – $2,330.00 |
| Screening mammogram, both breasts CPT 77067 | $613.80 | $1,023.00 | $40.35 – $2,330.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $677.40 | $1,129.00 | $24.24 – $2,330.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $996.60 | $1,661.00 | $66.54 – $2,330.00 |
| Transvaginal ultrasound CPT 76830 | $986.40 | $1,644.00 | $65.19 – $2,330.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,543.57 | $2,572.62 | $83.98 – $2,330.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,375.03 | $2,291.72 | $60.47 – $2,330.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $715.50 | $1,192.50 | $22.54 – $2,330.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,083.60 | $1,806.00 | $38.90 – $2,330.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $300.19 | $500.32 | $8.46 – $2,330.00 |
| Blood culture CPT 87040 | $374.60 | $624.34 | $10.32 – $2,330.00 |
| Blood draw (venipuncture) CPT 36415 | $50.24 | $83.74 | $3.16 – $2,330.00 |
| BNP test (heart failure) CPT 83880 | $378.04 | $630.06 | $39.26 – $2,330.00 |
| C-reactive protein (CRP) test CPT 86140 | $111.94 | $186.56 | $5.18 – $2,330.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $202.25 | $337.08 | $35.09 – $2,330.00 |
| Complete blood count (CBC) with differential CPT 85025 | $250.58 | $417.64 | $7.77 – $2,330.00 |
| Complete blood count (CBC), automated CPT 85027 | $91.80 | $153.00 | $6.47 – $2,330.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $337.08 | $561.80 | $10.56 – $2,330.00 |
| COVID-19 PCR test CPT 87635 | $102.64 | $171.06 | $51.31 – $2,330.00 |
| D-dimer test (blood clots) CPT 85379 | $238.43 | $397.38 | $10.18 – $2,330.00 |
| Drug screen, instrument chemistry CPT 80307 | $110.40 | $184.00 | $62.14 – $2,330.00 |
| Ferritin (iron stores) test CPT 82728 | $190.80 | $318.00 | $13.63 – $2,330.00 |
| Free T4 (thyroid) test CPT 84439 | $190.94 | $318.24 | $9.02 – $2,330.00 |
| Glucose (blood sugar) test CPT 82947 | $116.39 | $193.98 | $3.93 – $2,330.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $202.25 | $337.08 | $35.09 – $2,330.00 |
| Hemoglobin A1c test CPT 83036 | $181.90 | $303.16 | $9.71 – $2,330.00 |
| Hepatitis C antibody test CPT 86803 | $150.73 | $251.22 | $14.27 – $2,330.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $234.05 | $390.08 | $24.08 – $2,330.00 |
| Iron test CPT 83540 | $119.18 | $198.64 | $6.47 – $2,330.00 |
| Kidney function panel CPT 80069 | $294.53 | $490.88 | $8.68 – $2,330.00 |
| Lipase test (pancreas) CPT 83690 | $178.72 | $297.86 | $6.89 – $2,330.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $328.18 | $546.96 | $13.39 – $2,330.00 |
| Liver function panel CPT 80076 | $247.10 | $411.84 | $8.17 – $2,330.00 |
| Magnesium test CPT 83735 | $160.27 | $267.12 | $6.70 – $2,330.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $174.00 | $290.00 | $6.01 – $2,330.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $314.82 | $524.70 | $15.05 – $2,330.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $133.56 | $222.60 | $4.29 – $2,330.00 |
| PSA (prostate specific antigen), free CPT 84154 | $319.49 | $532.48 | $18.39 – $2,330.00 |
| PSA (prostate specific antigen), total CPT 84153 | $319.49 | $532.48 | $18.39 – $2,330.00 |
| Rapid strep test CPT 87880 | $249.95 | $416.58 | $13.35 – $2,330.00 |
| Sed rate (ESR) test CPT 85652 | $114.48 | $190.80 | $2.70 – $2,330.00 |
| TB skin test CPT 86580 | $935.83 | $1,559.71 | $10.57 – $2,330.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $298.28 | $497.14 | $16.80 – $2,330.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $2,340.00 | $3,900.00 | $20.04 – $2,330.00 |
| Troponin test (heart damage) CPT 84484 | $1,076.40 | $1,794.00 | $12.47 – $2,330.00 |
| Urinalysis, automated, with microscope CPT 81001 | $132.29 | $220.48 | $3.17 – $2,330.00 |
| Urinalysis, automated, without microscope CPT 81003 | $81.12 | $135.20 | $2.25 – $2,330.00 |
| Urinalysis, manual, without microscope CPT 81002 | $53.66 | $89.44 | $3.48 – $2,330.00 |
| Urine culture, colony count CPT 87086 | $221.96 | $369.94 | $8.07 – $2,330.00 |
| Urine pregnancy test CPT 81025 | $98.18 | $163.63 | $7.58 – $2,330.00 |
| Vitamin B12 test CPT 82607 | $181.58 | $302.64 | $15.08 – $2,330.00 |
| Vitamin D test CPT 82306 | $168.94 | $281.56 | $29.60 – $2,330.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,043.00 | $3,405.00 | $203.06 – $2,330.00 |
| ECG tracing only (no interpretation) CPT 93005 | $873.60 | $1,456.00 | $23.42 – $2,330.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $4,843.80 | $8,073.00 | $337.51 – $5,268.27 |
| Left heart catheterization CPT 93452 | $24,116.21 | $40,193.69 | $2,330.00 – $33,674.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $33,515.40 | $55,859.00 | $2,330.00 – $33,674.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $7,383.60 | $12,306.00 | $531.41 – $12,482.42 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $35,972.40 | $59,954.00 | $2,330.00 – $69,961.12 |
| Appendix removal, laparoscopic CPT 44970 | $28,328.40 | $47,214.00 | $2,330.00 – $58,288.24 |
| Breast biopsy with ultrasound guidance CPT 19083 | $7,916.40 | $13,194.00 | $2,330.00 – $15,923.95 |
| Carpal tunnel release CPT 64721 | $18,075.60 | $30,126.00 | $2,330.00 – $18,827.33 |
| Colonoscopy with biopsy CPT 45380 | $5,280.00 | $8,800.00 | $1,688.98 – $15,538.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $7,920.00 | $13,200.00 | $1,688.98 – $15,538.00 |
| Colonoscopy, diagnostic CPT 45378 | $8,744.40 | $14,574.00 | $1,312.58 – $15,538.00 |
| Colposcopy with biopsy CPT 57454 | $18,075.60 | $30,126.00 | $430.11 – $8,796.00 |
| Cystoscopy (bladder scope) CPT 52000 | $12,825.60 | $21,376.00 | $984.19 – $8,430.00 |
| Ear tubes, under general anesthesia CPT 69436 | $12,291.00 | $20,485.00 | $2,189.97 – $15,623.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $8,744.40 | $14,574.00 | $1,312.58 – $8,966.23 |
| Gallbladder removal, laparoscopic CPT 47562 | $33,150.00 | $55,250.00 | $2,330.00 – $58,288.24 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $43,932.60 | $73,221.00 | $2,330.00 – $102,488.02 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $22,397.40 | $37,329.00 | $2,330.00 – $31,210.91 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $21,864.80 | $36,441.34 | $2,330.00 – $58,288.24 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $22,838.40 | $38,064.00 | $2,330.00 – $34,520.66 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $18,075.60 | $30,126.00 | $2,330.00 – $33,986.27 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $27,567.79 | $45,946.32 | $2,330.00 – $31,547.13 |
| Nasal endoscopy, diagnostic CPT 31231 | $475.20 | $792.00 | $281.73 – $8,796.00 |
| Prostate biopsy CPT 55700 | $12,409.80 | $20,683.00 | $2,330.00 – $15,538.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $29,766.60 | $49,611.00 | $2,330.00 – $102,488.02 |
| Removal of a breast lump, open surgery CPT 19120 | $13,241.40 | $22,069.00 | $2,330.00 – $37,750.84 |
| Rotator cuff repair, arthroscopic CPT 29827 | $10,992.30 | $18,320.50 | $2,330.00 – $69,961.12 |
| Screening colonoscopy, average risk HCPCS G0121 | $8,744.40 | $14,574.00 | $1,312.58 – $15,538.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $8,744.40 | $14,574.00 | $1,312.58 – $15,538.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $21,551.20 | $35,918.67 | $2,330.00 – $31,966.14 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $21,984.60 | $36,641.00 | $158.25 – $15,623.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $13,696.80 | $22,828.00 | $2,330.00 – $57,076.35 |
| Total hip replacement CPT 27130 | $42,183.00 | $70,305.00 | $2,330.00 – $123,784.76 |
| Total knee replacement CPT 27447 | $45,536.40 | $75,894.00 | $2,330.00 – $123,784.76 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $10,560.00 | $17,600.00 | $1,280.16 – $15,538.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $8,448.00 | $14,080.00 | $1,280.16 – $8,744.77 |
| Vasectomy CPT 55250 | $23,351.40 | $38,919.00 | $2,330.00 – $20,154.52 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $5,058.00 | $8,430.00 | $70.00 – $2,330.00 |
| IUD insertion CPT 58300 | $4,136.60 | $6,894.33 | $2,330.00 – $8,430.00 |
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 | $3,070.00 – $30,582.97 | |
| C-section, without complications MS-DRG 788 | not posted | $10,783.91 – $33,106.60 | |
| Chest pain MS-DRG 313 | not posted | $3,070.00 – $25,177.13 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $3,070.00 – $38,050.93 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $3,070.00 – $22,587.06 | |
| Fainting (syncope) MS-DRG 312 | not posted | $3,070.00 – $30,211.10 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $3,070.00 – $33,833.83 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $3,070.00 – $43,898.48 | |
| Heart failure, without complications MS-DRG 293 | not posted | $3,070.00 – $20,063.46 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $3,070.00 – $326,112.71 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $3,070.00 – $65,319.38 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,070.00 – $20,066.81 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $3,070.00 – $30,350.54 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $3,070.00 – $28,149.01 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $3,070.00 – $82,333.90 | |
| Normal newborn care MS-DRG 795 | not posted | $1,628.00 – $7,903.56 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $3,070.00 – $27,109.70 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $3,070.00 – $28,029.50 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $3,070.00 – $44,914.53 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $3,070.00 – $22,138.81 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $3,070.00 – $47,650.70 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $3,070.00 – $65,770.97 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $3,070.00 – $35,248.39 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $3,070.00 – $30,187.86 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $3,070.00 – $27,156.15 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $3,070.00 – $34,816.69 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $3,070.00 – $42,467.28 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $7,705.63 – $24,150.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $3,070.00 – $51,356.40 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,564.80 | $2,608.00 | $433.25 – $8,430.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $7,660.20 | $12,767.00 | $1,248.38 – $8,527.68 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $12,291.00 | $20,485.00 | $996.30 – $8,430.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $3,750.00 | $6,250.00 | $1,248.38 – $8,527.68 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $1,080.00 | $1,800.00 | $126.00 – $2,330.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $646.20 | $1,077.00 | $22.28 – $2,330.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $148.54 | $247.56 | $34.23 – $2,330.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $365.40 | $609.00 | $121.46 – $2,330.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $425.48 | $709.14 | $121.46 – $2,330.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $236.40 | $394.00 | $35.91 – $2,330.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $193.98 | $323.30 | $44.49 – $2,330.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $565.62 | $942.70 | $250.53 – $2,330.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $418.49 | $697.48 | $250.53 – $2,330.00 |
| Group psychotherapy CPT 90853 | $2,433.60 | $4,056.00 | $143.38 – $2,330.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,369.31 | $2,282.18 | $250.53 – $2,330.00 |
| Psychotherapy, 30 minutes CPT 90832 | $861.00 | $1,435.00 | $250.53 – $2,330.00 |
| Psychotherapy, 45 minutes CPT 90834 | $1,054.20 | $1,757.00 | $250.53 – $2,330.00 |
| Psychotherapy, 60 minutes CPT 90837 | $2,329.80 | $3,883.00 | $250.53 – $2,330.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $738.00 | $1,230.00 | $101.62 – $2,330.00 |
| IV hydration, each additional hour CPT 96361 | $1,546.20 | $2,577.00 | $66.09 – $2,330.00 |
| IV hydration, first hour CPT 96360 | $987.07 | $1,645.12 | $300.22 – $2,330.00 |
| IV push injection of a drug, first CPT 96374 | $424.21 | $707.02 | $300.22 – $2,330.00 |
| IV push injection, each additional drug CPT 96375 | $946.80 | $1,578.00 | $66.09 – $2,330.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $158.10 | $263.50 | $2,330.00 – $2,330.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $78.88 | $131.47 | $2,330.00 – $2,330.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $285.00 | $475.00 | $2,330.00 – $2,330.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $61.26 | $102.10 | ? – $2,330.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $157.18 | $261.96 | $2,330.00 – $2,330.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $165.29 | $275.48 | $2,330.00 – $2,330.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $65.15 | $108.58 | $2,330.00 – $2,330.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $206.16 | $343.60 | $2,330.00 – $2,330.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $129.90 | $216.50 | $2,330.00 – $2,330.00 |
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.