Valley Presbyterian Hospital
15107 Vanowen St., Van Nuys, CA 91405 · Acute care hospital · Emergency room
These are Valley Presbyterian Hospital's own posted figures from its standard-charges file dated July 9, 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; 135 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 | $4,446.00 | $4,446.00 | $1,041.16 – $4,001.40 |
| Emergency room visit, level 1 (minor) CPT 99281 | $506.00 | $506.00 | $90.00 – $475.24 |
| Emergency room visit, level 2 CPT 99282 | $837.00 | $837.00 | $129.00 – $786.11 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,787.00 | $1,787.00 | $236.00 – $1,678.35 |
| Emergency room visit, level 4 CPT 99284 | $2,449.00 | $2,449.00 | $335.00 – $2,461.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,177.00 | $3,177.00 | $506.00 – $3,095.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $824.00 | $824.00 | $206.00 – $1,683.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $55.99 – $126.80 | |
| Abdominal X-ray, 1 view CPT 74018 | $430.00 | $430.00 | $73.27 – $387.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,114.00 | $1,114.00 | $54.91 – $1,002.60 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $118.51 – $510.80 | |
| Breast ultrasound, one breast, complete CPT 76641 | $1,177.00 | $1,177.00 | $131.77 – $1,059.30 |
| Breast ultrasound, one breast, limited CPT 76642 | $590.00 | $590.00 | $109.69 – $531.00 |
| Chest X-ray, 1 view CPT 71045 | $371.00 | $371.00 | $46.94 – $333.90 |
| Chest X-ray, 2 views CPT 71046 | $501.00 | $501.00 | $86.77 – $450.90 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $6,424.00 | $6,424.00 | $221.08 – $5,781.60 |
| CT angiogram of the head CPT 70496 | $5,572.00 | $5,572.00 | $221.08 – $5,014.80 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,594.00 | $4,594.00 | $439.74 – $4,134.60 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,850.00 | $5,850.00 | $439.74 – $5,265.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,084.00 | $4,084.00 | $300.74 – $3,675.60 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,959.00 | $3,959.00 | $131.77 – $3,563.10 |
| CT scan of the chest, with contrast CPT 71260 | $4,453.00 | $4,453.00 | $221.08 – $4,007.70 |
| CT scan of the chest, without contrast CPT 71250 | $4,077.00 | $4,077.00 | $131.77 – $3,669.30 |
| CT scan of the head, without contrast CPT 70450 | $3,432.00 | $3,432.00 | $131.77 – $3,088.80 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $4,682.00 | $4,682.00 | $131.77 – $4,213.80 |
| CT scan of the pelvis, with contrast CPT 72193 | $4,487.00 | $4,487.00 | $221.08 – $4,038.30 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $4,348.00 | $4,348.00 | $131.77 – $3,913.20 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $176.08 – $501.19 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $138.97 – $333.97 | |
| Foot X-ray, 3 or more views CPT 73630 | $1,111.00 | $1,111.00 | $54.91 – $999.90 |
| Hand X-ray, 3 or more views CPT 73130 | $1,114.00 | $1,114.00 | $54.91 – $1,002.60 |
| Knee X-ray, 3 views CPT 73562 | $509.00 | $509.00 | $59.02 – $458.10 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,652.00 | $1,652.00 | $300.74 – $1,486.80 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,234.00 | $1,234.00 | $802.10 – $14,779.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $511.00 | $511.00 | $69.37 – $510.80 |
| MRI of both breasts, without and with contrast CPT 77049 | $2,504.00 | $2,504.00 | $380.68 – $2,253.60 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,137.00 | $4,137.00 | $439.74 – $4,154.08 |
| MRI of the brain, without and with contrast CPT 70553 | $4,522.00 | $4,522.00 | $439.74 – $4,206.82 |
| MRI of the brain, without contrast CPT 70551 | $3,950.00 | $3,950.00 | $300.74 – $3,555.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $6,653.00 | $6,653.00 | $300.74 – $5,987.70 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $4,137.00 | $4,137.00 | $300.74 – $3,723.30 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,698.00 | $1,698.00 | $300.74 – $2,099.77 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,137.00 | $4,137.00 | $300.74 – $3,723.30 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,941.00 | $3,941.00 | $439.74 – $4,154.08 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,409.00 | $3,409.00 | $300.74 – $3,068.10 |
| Neck X-ray, 2 or 3 views CPT 72040 | $511.00 | $511.00 | $62.31 – $510.80 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $891.00 | $891.00 | $131.77 – $801.90 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $912.00 | $912.00 | $131.77 – $820.80 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $729.00 | $729.00 | $113.59 – $779.13 |
| Screening mammogram, both breasts CPT 77067 | not posted | $142.08 – $507.64 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $833.00 | $833.00 | $59.05 – $749.70 |
| Transvaginal pregnancy ultrasound CPT 76817 | $912.00 | $912.00 | $131.77 – $820.80 |
| Transvaginal ultrasound CPT 76830 | $912.00 | $912.00 | $131.77 – $820.80 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,641.00 | $1,641.00 | $131.77 – $1,476.90 |
| Ultrasound of the neck or thyroid CPT 76536 | $912.00 | $912.00 | $131.77 – $820.80 |
| Wrist X-ray, 3 or more views CPT 73110 | $478.00 | $478.00 | $54.91 – $430.20 |
| X-ray of the lower back, 4 or more views CPT 72110 | $440.00 | $440.00 | $94.76 – $510.80 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $668.00 | $668.00 | $8.29 – $601.20 |
| Blood culture CPT 87040 | $418.00 | $418.00 | $10.11 – $376.20 |
| Blood draw (venipuncture) CPT 36415 | $36.00 | $36.00 | $7.44 – $32.40 |
| BNP test (heart failure) CPT 83880 | $313.00 | $313.00 | $38.47 – $281.70 |
| C-reactive protein (CRP) test CPT 86140 | $196.00 | $196.00 | $5.08 – $176.40 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.00 | $35.00 | $8.75 – $136.82 |
| Complete blood count (CBC) with differential CPT 85025 | $196.00 | $196.00 | $7.61 – $176.40 |
| Complete blood count (CBC), automated CPT 85027 | $155.00 | $155.00 | $6.34 – $139.50 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $725.00 | $725.00 | $10.35 – $652.50 |
| COVID-19 PCR test CPT 87635 | $148.00 | $148.00 | $37.00 – $138.54 |
| D-dimer test (blood clots) CPT 85379 | not posted | $9.98 – $39.66 | |
| Drug screen, instrument chemistry CPT 80307 | $436.00 | $436.00 | $283.40 – $14,779.00 |
| Ferritin (iron stores) test CPT 82728 | $139.00 | $139.00 | $13.36 – $125.10 |
| Free T4 (thyroid) test CPT 84439 | $206.00 | $206.00 | $8.84 – $185.40 |
| General health panel (blood tests) CPT 80050 | $598.00 | $598.00 | $108.59 – $538.20 |
| Glucose (blood sugar) test CPT 82947 | $159.00 | $159.00 | $3.85 – $143.10 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $76.00 | $76.00 | $19.00 – $136.82 |
| Hemoglobin A1c test CPT 83036 | $16.00 | $16.00 | $4.00 – $37.84 |
| Hepatitis C antibody test CPT 86803 | $90.00 | $90.00 | $13.98 – $81.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | $23.60 – $94.51 | |
| Iron test CPT 83540 | $220.00 | $220.00 | $6.34 – $198.00 |
| Kidney function panel CPT 80069 | $677.00 | $677.00 | $8.51 – $609.30 |
| Lipase test (pancreas) CPT 83690 | $242.00 | $242.00 | $6.75 – $217.80 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $386.00 | $386.00 | $13.12 – $347.40 |
| Liver function panel CPT 80076 | $682.00 | $682.00 | $8.01 – $613.80 |
| Magnesium test CPT 83735 | $164.00 | $164.00 | $6.57 – $147.60 |
| Obstetric blood test panel CPT 80055 | $1,032.00 | $1,032.00 | $46.85 – $928.80 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $176.00 | $176.00 | $5.89 – $158.40 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $226.00 | $226.00 | $14.75 – $203.40 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $132.00 | $132.00 | $4.20 – $118.80 |
| PSA (prostate specific antigen), free CPT 84154 | $52.00 | $52.00 | $13.00 – $71.73 |
| PSA (prostate specific antigen), total CPT 84153 | $119.00 | $119.00 | $18.02 – $107.10 |
| Rapid strep test CPT 87880 | $134.00 | $134.00 | $16.20 – $120.60 |
| Sed rate (ESR) test CPT 85652 | not posted | $2.65 – $10.53 | |
| TB skin test CPT 86580 | $159.00 | $159.00 | $19.56 – $143.10 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $158.00 | $158.00 | $16.46 – $142.20 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $581.00 | $581.00 | $48.82 – $522.90 |
| Troponin test (heart damage) CPT 84484 | $177.00 | $177.00 | $12.22 – $159.30 |
| Urinalysis, automated, with microscope CPT 81001 | $139.00 | $139.00 | $3.11 – $125.10 |
| Urinalysis, automated, without microscope CPT 81003 | $104.00 | $104.00 | $2.21 – $93.60 |
| Urinalysis, manual, with microscope CPT 81000 | $54.00 | $54.00 | $3.94 – $48.60 |
| Urinalysis, manual, without microscope CPT 81002 | $57.00 | $57.00 | $3.41 – $51.30 |
| Urine culture, colony count CPT 87086 | $298.00 | $298.00 | $7.91 – $268.20 |
| Urine pregnancy test CPT 81025 | $22.00 | $22.00 | $5.50 – $23.30 |
| Vitamin B12 test CPT 82607 | $139.00 | $139.00 | $14.78 – $125.10 |
| Vitamin D test CPT 82306 | $55.00 | $55.00 | $13.75 – $115.40 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,652.00 | $1,652.00 | $300.74 – $1,486.80 |
| ECG tracing only (no interpretation) CPT 93005 | $421.00 | $421.00 | $59.92 – $378.90 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,533.00 | $2,533.00 | $633.25 – $2,279.70 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $16.68 – $103.77 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $79.43 – $621.52 | |
| Left heart catheterization CPT 93452 | $12,166.00 | $12,166.00 | $2,700.00 – $10,949.40 |
| Left heart catheterization with coronary angiogram CPT 93458 | $12,750.00 | $12,750.00 | $2,700.00 – $11,475.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,281.00 | $4,281.00 | $1,070.25 – $5,623.30 |
| Treadmill stress test, complete CPT 93015 | not posted | $81.12 – $428.23 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $2,671.00 – $18,692.47 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $2,112.26 – $15,573.67 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $1,577.86 – $4,254.62 | |
| Carpal tunnel release CPT 64721 | not posted | $1,577.86 – $5,229.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,129.86 – $4,198.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,129.86 – $4,198.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $1,129.86 – $4,198.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $384.09 – $2,580.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $878.90 – $3,523.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,577.86 – $4,198.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,129.86 – $3,523.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,500.00 – $15,573.67 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,613.08 – $8,535.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $4,105.00 – $27,383.13 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,577.86 – $8,339.04 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,704.90 – $15,573.67 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $2,704.90 – $9,223.34 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $4,443.04 – $10,062.76 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $2,704.90 – $8,428.88 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,508.30 – $4,198.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $223.00 – $2,580.00 | |
| Prostate biopsy CPT 55700 | not posted | $1,577.86 – $4,198.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $2,085.39 – $27,383.13 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $2,112.26 – $10,086.41 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $3,518.00 – $18,692.47 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,172.16 – $3,523.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,172.16 – $3,523.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,177.00 – $8,540.83 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $147.68 – $3,830.63 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $977.65 – $8,535.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $2,671.00 – $15,249.86 | |
| Total hip replacement CPT 27130 | not posted | $2,671.00 – $33,073.27 | |
| Total knee replacement CPT 27447 | not posted | $2,671.00 – $33,073.27 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,007.00 | $2,007.00 | $501.75 – $4,198.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $1,143.20 – $4,198.00 | |
| Vasectomy CPT 55250 | not posted | $1,577.86 – $5,384.96 |
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 | $2,455.79 – $5,019.08 | |
| Fetal non-stress test CPT 59025 | $734.00 | $734.00 | $170.51 – $1,683.00 |
| IUD insertion CPT 58300 | not posted | $115.94 – $1,683.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,310.83 – $4,722.82 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,216.30 – $4,529.62 |
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 | $9,898.80 – $14,428.01 | |
| C-section, without complications MS-DRG 788 | not posted | $2,150.00 – $13,103.78 | |
| Chest pain MS-DRG 313 | not posted | $8,179.53 – $11,922.08 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $12,273.89 – $17,889.82 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $7,355.80 – $10,721.46 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,780.54 – $14,255.63 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $10,932.69 – $15,934.96 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $14,133.62 – $20,600.47 | |
| Heart failure, without complications MS-DRG 293 | not posted | $6,553.20 – $9,551.63 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $13,375.00 – $151,422.81 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $20,946.29 – $30,530.29 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,554.25 – $9,553.15 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $9,824.88 – $14,320.27 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $9,124.73 – $13,299.76 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $26,357.57 – $38,417.50 | |
| Normal newborn care MS-DRG 795 | not posted | $2,685.90 – $3,914.83 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,794.18 – $12,817.96 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $9,086.69 – $13,244.31 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $14,456.77 – $21,071.49 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $7,213.24 – $10,513.67 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $15,326.98 – $22,339.86 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $21,089.92 – $30,739.64 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $11,382.58 – $16,590.69 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $9,773.15 – $14,244.86 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,808.95 – $12,839.49 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $11,245.29 – $16,390.59 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $13,678.47 – $19,937.06 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,000.00 – $11,294.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $16,505.54 – $24,057.67 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,542.00 | $1,542.00 | $385.50 – $2,112.26 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $1,114.83 – $3,523.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $306.75 – $3,523.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,165.00 | $1,165.00 | $291.25 – $3,523.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,908.88 – $7,285.56 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $167.81 – $342.97 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $4,317.00 | $4,317.00 | $693.24 – $3,885.30 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $162.19 – $331.47 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $272.16 – $589.93 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $825.40 – $2,829.55 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $716.52 – $2,612.03 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $353.00 | $353.00 | $88.25 – $673.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $196.00 | $196.00 | $29.97 – $299.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $433.00 | $433.00 | $106.13 – $389.70 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $493.00 | $493.00 | $106.13 – $443.70 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $232.00 | $232.00 | $31.43 – $299.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $232.00 | $232.00 | $38.44 – $299.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $72.25 – $457.24 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $62.96 – $457.24 | |
| Group psychotherapy CPT 90853 | not posted | $28.30 – $261.70 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $223.72 – $457.24 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $223.72 – $457.24 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $223.72 – $457.24 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $223.72 – $457.24 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $185.00 | $185.00 | $46.25 – $429.00 |
| IV hydration, each additional hour CPT 96361 | $188.00 | $188.00 | $46.66 – $429.00 |
| IV hydration, first hour CPT 96360 | $318.00 | $318.00 | $79.50 – $547.94 |
| IV push injection of a drug, first CPT 96374 | $854.00 | $854.00 | $178.40 – $768.60 |
| IV push injection, each additional drug CPT 96375 | $294.00 | $294.00 | $59.02 – $264.60 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $891.00 | $891.00 | $212.41 – $14,779.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $97.00 | $97.00 | $2.38 – $87.30 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $412.00 | $412.00 | $98.22 – $14,779.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $54.00 | $54.00 | $2.74 – $48.60 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $72.00 | $72.00 | ? – $64.80 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $343.00 | $343.00 | $1.55 – $308.70 |
| Morphine injection, up to 10 mg HCPCS J2270 | $222.00 | $222.00 | $52.92 – $14,779.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $220.00 | $220.00 | $10.36 – $198.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $193.00 | $193.00 | $17.02 – $173.70 |
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.