Southern California Hospital at Hollywood
6245 de Longpre Ave, Hollywood, CA 90028 · Acute care hospital · Emergency room
These are Southern California Hospital at Hollywood's own posted figures from its standard-charges file dated March 18, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
235 of the services we track have a posted price here; 103 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 | $6,346.80 | $6,346.80 | $11.85 – $5,458.25 |
| Emergency room visit, level 1 (minor) CPT 99281 | not posted | $1.28 – $2,387.00 | |
| Emergency room visit, level 2 CPT 99282 | not posted | $2.20 – $2,387.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | not posted | $3.46 – $2,387.00 | |
| Emergency room visit, level 4 CPT 99284 | not posted | $5.57 – $2,387.00 | |
| Emergency room visit, level 5 (most severe) CPT 99285 | not posted | $8.23 – $2,387.00 | |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $2.13 – $846.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $1.56 – $109.59 | |
| Abdominal X-ray, 1 view CPT 74018 | $286.65 | $286.65 | $1.58 – $283.80 |
| Ankle X-ray, 3 or more views CPT 73610 | $785.12 | $785.12 | $1.14 – $675.20 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $1.82 – $342.78 | |
| Breast ultrasound, one breast, complete CPT 76641 | $999.24 | $999.24 | $2.33 – $859.35 |
| Breast ultrasound, one breast, limited CPT 76642 | $500.78 | $500.78 | $2.33 – $430.67 |
| Chest X-ray, 1 view CPT 71045 | $330.39 | $330.39 | $1.58 – $284.14 |
| Chest X-ray, 2 views CPT 71046 | $842.68 | $842.68 | $1.58 – $724.70 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,877.23 | $3,877.23 | $8.61 – $3,334.42 |
| CT angiogram of the head CPT 70496 | $4,512.71 | $4,512.71 | $8.61 – $3,880.93 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $8,322.39 | $8,322.39 | $14.77 – $7,157.26 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $9,624.05 | $9,624.05 | $14.77 – $8,276.68 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $6,642.44 | $6,642.44 | $10.31 – $5,712.50 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,557.22 | $3,557.22 | $4.88 – $3,059.21 |
| CT scan of the chest, with contrast CPT 71260 | $3,923.30 | $3,923.30 | $7.65 – $3,374.04 |
| CT scan of the chest, without contrast CPT 71250 | $3,146.24 | $3,146.24 | $4.88 – $2,705.77 |
| CT scan of the head, without contrast CPT 70450 | $4,063.74 | $4,063.74 | $4.88 – $3,494.82 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $4,403.35 | $4,403.35 | $4.88 – $3,786.88 |
| CT scan of the pelvis, with contrast CPT 72193 | $4,155.84 | $4,155.84 | $7.65 – $3,574.02 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $4,062.21 | $4,062.21 | $4.88 – $3,493.50 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $128.29 – $336.91 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $100.64 – $266.88 | |
| Foot X-ray, 3 or more views CPT 73630 | $785.12 | $785.12 | $1.14 – $675.20 |
| Hand X-ray, 3 or more views CPT 73130 | $785.12 | $785.12 | $1.14 – $675.20 |
| Knee X-ray, 3 views CPT 73562 | $782.82 | $782.82 | $1.14 – $673.23 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,640.85 | $2,640.85 | $3.87 – $2,271.13 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,712.89 | $1,712.89 | $2.45 – $1,574.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $861.10 | $861.10 | $1.14 – $740.55 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $292.32 – $833.85 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $8,766.53 | $8,766.53 | $13.59 – $7,539.22 |
| MRI of the brain, without and with contrast CPT 70553 | $9,126.87 | $9,126.87 | $13.59 – $7,849.11 |
| MRI of the brain, without contrast CPT 70551 | $6,670.07 | $6,670.07 | $8.61 – $5,736.26 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $5,328.63 | $5,328.63 | $8.61 – $4,582.62 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $6,504.98 | $6,504.98 | $8.61 – $5,594.28 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $5,693.16 | $5,693.16 | $8.61 – $4,896.12 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $5,690.02 | $5,690.02 | $8.61 – $4,893.42 |
| MRI of the pelvis, without and with contrast CPT 72197 | $9,231.62 | $9,231.62 | $13.59 – $7,939.19 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $5,497.28 | $5,497.28 | $8.61 – $4,727.66 |
| Neck X-ray, 2 or 3 views CPT 72040 | $828.87 | $828.87 | $1.14 – $712.83 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,625.50 | $1,625.50 | $2.45 – $1,397.93 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,199.56 | $1,199.56 | $2.45 – $1,031.62 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,199.56 | $1,199.56 | $2.45 – $1,031.62 |
| Screening mammogram, both breasts CPT 77067 | not posted | $106.02 – $273.29 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $751.96 | $751.96 | $1.14 – $646.69 |
| Transvaginal pregnancy ultrasound CPT 76817 | not posted | $1.60 – $342.78 | |
| Transvaginal ultrasound CPT 76830 | $2,004.24 | $2,004.24 | $2.45 – $1,723.65 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,939.78 | $1,939.78 | $2.45 – $1,668.21 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,726.80 | $1,726.80 | $2.45 – $1,485.05 |
| Wrist X-ray, 3 or more views CPT 73110 | $828.87 | $828.87 | $1.14 – $712.83 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,161.56 | $1,161.56 | $1.92 – $998.94 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $633.16 | $633.16 | ? – $544.52 |
| Blood culture CPT 87040 | $544.52 | $544.52 | ? – $468.29 |
| Blood draw (venipuncture) CPT 36415 | $78.28 | $78.28 | ? – $67.32 |
| BNP test (heart failure) CPT 83880 | $493.86 | $493.86 | $1.09 – $424.72 |
| C-reactive protein (CRP) test CPT 86140 | $162.32 | $162.32 | ? – $139.60 |
| Chlamydia test (DNA/NAAT) CPT 87491 | not posted | $1.12 – $104.49 | |
| Complete blood count (CBC) with differential CPT 85025 | $402.92 | $402.92 | ? – $346.51 |
| Complete blood count (CBC), automated CPT 85027 | $202.61 | $202.61 | ? – $174.24 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,139.69 | $1,139.69 | ? – $980.13 |
| COVID-19 PCR test CPT 87635 | $177.21 | $177.21 | $34.38 – $168.93 |
| D-dimer test (blood clots) CPT 85379 | $39.08 | $39.08 | ? – $33.61 |
| Drug screen, instrument chemistry CPT 80307 | $267.08 | $267.08 | $1.80 – $229.69 |
| Ferritin (iron stores) test CPT 82728 | $425.94 | $425.94 | ? – $366.31 |
| Free T4 (thyroid) test CPT 84439 | $217.58 | $217.58 | ? – $187.12 |
| General health panel (blood tests) CPT 80050 | not posted | $104.37 – $104.37 | |
| Glucose (blood sugar) test CPT 82947 | $123.18 | $123.18 | ? – $105.93 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | not posted | $1.12 – $104.49 | |
| Hemoglobin A1c test CPT 83036 | $303.92 | $303.92 | ? – $261.37 |
| Hepatitis C antibody test CPT 86803 | $54.74 | $54.74 | ? – $47.08 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | ? – $72.18 | |
| Iron test CPT 83540 | $202.61 | $202.61 | ? – $174.24 |
| Kidney function panel CPT 80069 | $633.16 | $633.16 | ? – $544.52 |
| Lipase test (pancreas) CPT 83690 | $215.27 | $215.27 | ? – $185.13 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $240.60 | $240.60 | ? – $206.92 |
| Liver function panel CPT 80076 | $1,264.02 | $1,264.02 | ? – $1,087.06 |
| Magnesium test CPT 83735 | $284.34 | $284.34 | ? – $244.53 |
| Obstetric blood test panel CPT 80055 | not posted | $35.83 – $152.61 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $362.63 | $362.63 | ? – $311.86 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $191.10 | $191.10 | ? – $164.35 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $308.52 | $308.52 | ? – $265.33 |
| PSA (prostate specific antigen), free CPT 84154 | not posted | ? – $54.79 | |
| PSA (prostate specific antigen), total CPT 84153 | $575.60 | $575.60 | ? – $495.02 |
| Rapid strep test CPT 87880 | not posted | ? – $33.89 | |
| Sed rate (ESR) test CPT 85652 | not posted | ? – $8.04 | |
| TB skin test CPT 86580 | not posted | ? – $78.95 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $526.10 | $526.10 | ? – $452.45 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $520.35 | $520.35 | ? – $447.50 |
| Troponin test (heart damage) CPT 84484 | $412.13 | $412.13 | ? – $354.43 |
| Urinalysis, automated, with microscope CPT 81001 | $82.89 | $82.89 | ? – $71.29 |
| Urinalysis, automated, without microscope CPT 81003 | $95.55 | $95.55 | ? – $82.17 |
| Urinalysis, manual, with microscope CPT 81000 | $88.64 | $88.64 | ? – $76.23 |
| Urinalysis, manual, without microscope CPT 81002 | not posted | ? – $7.62 | |
| Urine culture, colony count CPT 87086 | not posted | ? – $24.04 | |
| Urine pregnancy test CPT 81025 | $176.14 | $176.14 | ? – $151.48 |
| Vitamin B12 test CPT 82607 | $470.84 | $470.84 | ? – $404.92 |
| Vitamin D test CPT 82306 | $15.00 | $15.00 | ? – $97.45 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,394.11 | $1,394.11 | $3.87 – $1,574.00 |
| ECG tracing only (no interpretation) CPT 93005 | $657.34 | $657.34 | ? – $565.31 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $4,692.30 | $4,692.30 | $9.99 – $4,035.38 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $14.42 – $49.06 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $73.08 – $268.45 | |
| Left heart catheterization CPT 93452 | not posted | $69.17 – $11,671.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $69.17 – $11,671.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $7,355.03 | $7,355.03 | $17.11 – $6,325.33 |
| Treadmill stress test, complete CPT 93015 | not posted | $74.82 – $233.08 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $157.94 – $23,026.51 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $85.45 – $18,806.01 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $26.78 – $5,222.54 | |
| Carpal tunnel release CPT 64721 | not posted | $33.61 – $6,294.41 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $16.67 – $3,855.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $16.67 – $3,855.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $16.67 – $3,855.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $6.20 – $3,521.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $12.05 – $3,521.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $30.04 – $4,774.65 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $11.09 – $3,521.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $85.45 – $18,806.01 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $948.37 – $10,734.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $85.45 – $33,558.67 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $40.95 – $10,248.62 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $85.45 – $18,806.01 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $58.61 – $11,375.28 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $92.71 – $11,117.12 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $52.79 – $10,458.41 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $16.67 – $3,855.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $3.32 – $846.00 | |
| Prostate biopsy CPT 55700 | not posted | $24.63 – $6,602.99 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $953.26 – $33,558.67 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $45.40 – $12,342.99 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $101.48 – $23,026.51 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $14.79 – $3,855.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $14.79 – $3,855.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $44.34 – $10,453.44 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $52.79 – $4,186.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,031.85 – $10,734.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $44.34 – $19,068.05 | |
| Total hip replacement CPT 27130 | not posted | $1,489.20 – $41,473.84 | |
| Total knee replacement CPT 27447 | not posted | $1,489.20 – $41,473.84 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $15.04 – $3,855.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $15.04 – $3,521.00 | |
| Vasectomy CPT 55250 | not posted | $42.01 – $6,602.99 |
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 | $1,390.97 – $5,227.11 | |
| Fetal non-stress test CPT 59025 | not posted | $2.82 – $846.00 | |
| IUD insertion CPT 58300 | not posted | $105.00 – $846.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,390.14 – $5,227.11 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,390.14 – $5,227.11 |
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 | $9,494.25 – $20,649.99 | |
| C-section, without complications MS-DRG 788 | not posted | $7,934.00 – $22,394.87 | |
| Chest pain MS-DRG 313 | not posted | $7,765.92 – $16,912.39 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $11,868.21 – $25,813.36 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,924.61 – $15,121.64 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,376.05 – $20,392.91 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $10,527.65 – $22,897.64 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $13,727.03 – $29,856.29 | |
| Heart failure, without complications MS-DRG 293 | not posted | $6,104.88 – $13,376.84 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $56,991.00 – $224,979.11 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $16,966.00 – $44,666.71 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,105.95 – $13,379.12 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $9,420.36 – $20,489.28 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,720.55 – $18,967.20 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $14,543.00 – $56,430.57 | |
| Normal newborn care MS-DRG 795 | not posted | $2,155.04 – $4,969.48 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,390.15 – $18,248.58 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,682.53 – $18,884.50 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $14,050.03 – $30,558.82 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,779.00 – $14,811.73 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $14,919.83 – $32,450.63 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $20,679.99 – $44,978.98 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $10,977.32 – $23,875.67 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $9,368.65 – $20,376.81 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $14,543.00 – $14,543.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,404.92 – $18,280.70 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $10,840.08 – $23,577.17 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $13,272.09 – $28,866.80 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,060.00 – $15,860.90 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $16,097.80 – $35,012.72 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $4.65 – $3,521.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $13.30 – $3,521.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $12.91 – $3,521.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $12.91 – $3,521.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $42.50 – $7,351.51 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $2.42 – $415.38 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $9.63 – $3,855.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $2.17 – $504.31 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $4.33 – $504.31 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $20.22 – $3,279.38 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $20.22 – $3,279.38 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $600.93 | $600.93 | $1.32 – $1,090.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $230.24 | $230.24 | ? – $314.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $597.47 | $597.47 | $2.17 – $513.82 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $629.70 | $629.70 | $2.17 – $541.54 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $476.60 | $476.60 | ? – $409.88 |
| Therapeutic activities, 15 minutes CPT 97530 | $503.07 | $503.07 | ? – $432.64 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $3.24 – $517.90 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $3.24 – $517.90 | |
| Group psychotherapy CPT 90853 | not posted | $1.44 – $298.17 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $2.94 – $517.90 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $2.28 – $517.90 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $2.94 – $517.90 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $2.94 – $517.90 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $270.67 | $270.67 | ? – $394.00 |
| IV hydration, each additional hour CPT 96361 | $310.82 | $310.82 | ? – $394.00 |
| IV hydration, first hour CPT 96360 | $620.50 | $620.50 | $1.85 – $679.12 |
| IV push injection of a drug, first CPT 96374 | $724.11 | $724.11 | ? – $679.12 |
| IV push injection, each additional drug CPT 96375 | $310.82 | $310.82 | ? – $394.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $952.04 | $952.04 | ? – $818.75 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $185.34 | $185.34 | ? – $159.39 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $145.05 | $145.05 | $2.43 – $124.74 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $3.89 – $12.33 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $267.08 | $267.08 | ? – $229.69 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $157.71 | $157.71 | ? – $135.63 |
| Morphine injection, up to 10 mg HCPCS J2270 | $77.13 | $77.13 | $4.44 – $66.33 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $14.97 | $14.97 | ? – $12.87 |
| Propofol injection, per 10 mg HCPCS J2704 | $394.87 | $394.87 | ? – $339.59 |
| Saline IV solution, 1000 ml HCPCS J7030 | $382.20 | $382.20 | $5.61 – $328.69 |
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.