Children's Hospital Colorado
13123 E 16th Ave, Aurora, CO 80045 · Children's hospital · Emergency room
These are Children's Hospital Colorado's own posted figures from its standard-charges file dated April 17, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
228 of the services we track have a posted price here; 155 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 | $6,449.30 | $9,922.00 | $650.00 – $9,128.24 |
| Emergency room visit, level 1 (minor) CPT 99281 | $447.20 | $688.00 | $103.20 – $650.00 |
| Emergency room visit, level 2 CPT 99282 | $1,127.75 | $1,735.00 | $260.25 – $1,596.20 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,541.50 | $3,910.00 | $586.50 – $3,597.20 |
| Emergency room visit, level 4 CPT 99284 | $4,017.00 | $6,180.00 | $650.00 – $5,685.60 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $9,621.30 | $14,802.00 | $650.00 – $13,617.84 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $351.65 | $541.00 | $54.10 – $497.72 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $74.30 – $74.30 | |
| Abdominal X-ray, 1 view CPT 74018 | $369.20 | $568.00 | $56.80 – $522.56 |
| Ankle X-ray, 3 or more views CPT 73610 | $221.00 | $340.00 | $34.00 – $312.80 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $414.05 | $637.00 | $63.70 – $586.04 |
| Breast ultrasound, one breast, complete CPT 76641 | not posted | $146.87 – $146.87 | |
| Breast ultrasound, one breast, limited CPT 76642 | $624.00 | $960.00 | $96.00 – $883.20 |
| Chest X-ray, 1 view CPT 71045 | $458.25 | $705.00 | $70.50 – $648.60 |
| Chest X-ray, 2 views CPT 71046 | $503.10 | $774.00 | $77.40 – $712.08 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,811.55 | $2,787.00 | $278.70 – $2,564.04 |
| CT angiogram of the head CPT 70496 | $1,811.55 | $2,787.00 | $278.70 – $2,564.04 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,232.10 | $3,434.00 | $343.40 – $3,159.28 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,795.00 | $4,300.00 | $430.00 – $3,956.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,946.10 | $2,994.00 | $299.40 – $2,754.48 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,742.65 | $2,681.00 | $268.10 – $2,466.52 |
| CT scan of the chest, with contrast CPT 71260 | $1,831.05 | $2,817.00 | $281.70 – $2,591.64 |
| CT scan of the chest, without contrast CPT 71250 | $1,539.85 | $2,369.00 | $236.90 – $2,179.48 |
| CT scan of the head, without contrast CPT 70450 | $1,539.85 | $2,369.00 | $236.90 – $2,179.48 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,539.85 | $2,369.00 | $236.90 – $2,179.48 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,811.55 | $2,787.00 | $278.70 – $2,564.04 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,742.65 | $2,681.00 | $268.10 – $2,466.52 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $230.40 – $230.40 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $181.87 – $181.87 | |
| Foot X-ray, 3 or more views CPT 73630 | $233.35 | $359.00 | $35.90 – $330.28 |
| Hand X-ray, 3 or more views CPT 73130 | $208.65 | $321.00 | $32.10 – $295.32 |
| Knee X-ray, 3 views CPT 73562 | $297.70 | $458.00 | $45.80 – $421.36 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $876.20 | $1,348.00 | $134.80 – $1,240.16 |
| Leg or arm vein ultrasound, one side CPT 93971 | $543.40 | $836.00 | $83.60 – $769.12 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $252.20 | $388.00 | $38.80 – $356.96 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $498.43 – $498.43 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,182.40 | $4,896.00 | $489.60 – $4,504.32 |
| MRI of the brain, without and with contrast CPT 70553 | $3,182.40 | $4,896.00 | $489.60 – $4,504.32 |
| MRI of the brain, without contrast CPT 70551 | $2,451.15 | $3,771.00 | $377.10 – $3,469.32 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,773.55 | $4,267.00 | $426.70 – $3,925.64 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,773.55 | $4,267.00 | $426.70 – $3,925.64 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,601.65 | $5,541.00 | $554.10 – $5,097.72 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,773.55 | $4,267.00 | $426.70 – $3,925.64 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,601.65 | $5,541.00 | $554.10 – $5,097.72 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,773.55 | $4,267.00 | $426.70 – $3,925.64 |
| Neck X-ray, 2 or 3 views CPT 72040 | $247.65 | $381.00 | $38.10 – $350.52 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $773.50 | $1,190.00 | $119.00 – $1,094.80 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $926.25 | $1,425.00 | $142.50 – $1,311.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $624.00 | $960.00 | $96.00 – $883.20 |
| Screening mammogram, both breasts CPT 77067 | not posted | $185.61 – $185.61 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $208.00 | $320.00 | $32.00 – $294.40 |
| Transvaginal pregnancy ultrasound CPT 76817 | $624.00 | $960.00 | $96.00 – $883.20 |
| Transvaginal ultrasound CPT 76830 | $624.00 | $960.00 | $96.00 – $883.20 |
| Ultrasound of the abdomen, complete CPT 76700 | $677.30 | $1,042.00 | $104.20 – $958.64 |
| Ultrasound of the neck or thyroid CPT 76536 | $628.55 | $967.00 | $96.70 – $889.64 |
| Wrist X-ray, 3 or more views CPT 73110 | $195.00 | $300.00 | $30.00 – $276.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $359.45 | $553.00 | $55.30 – $508.76 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $200.20 | $308.00 | $30.80 – $283.36 |
| Blood culture CPT 87040 | $395.85 | $609.00 | $60.90 – $560.28 |
| Blood draw (venipuncture) CPT 36415 | $35.75 | $55.00 | $5.50 – $50.60 |
| BNP test (heart failure) CPT 83880 | $377.00 | $580.00 | $58.00 – $533.60 |
| C-reactive protein (CRP) test CPT 86140 | $92.95 | $143.00 | $14.30 – $131.56 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $283.41 | $436.01 | $43.60 – $401.13 |
| Complete blood count (CBC) with differential CPT 85025 | $148.85 | $229.00 | $22.90 – $210.68 |
| Complete blood count (CBC), automated CPT 85027 | $167.05 | $257.00 | $25.70 – $236.44 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $249.60 | $384.00 | $38.40 – $353.28 |
| COVID-19 PCR test CPT 87635 | $147.55 | $227.00 | $22.70 – $208.84 |
| D-dimer test (blood clots) CPT 85379 | $462.80 | $712.00 | $71.20 – $655.04 |
| Drug screen, instrument chemistry CPT 80307 | $574.60 | $884.00 | $132.60 – $813.28 |
| Ferritin (iron stores) test CPT 82728 | $159.25 | $245.00 | $24.50 – $225.40 |
| Free T4 (thyroid) test CPT 84439 | $119.60 | $184.00 | $18.40 – $169.28 |
| General health panel (blood tests) CPT 80050 | $386.10 | $594.00 | $59.40 – $546.48 |
| Glucose (blood sugar) test CPT 82947 | $88.40 | $136.00 | $13.60 – $125.12 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $183.95 | $283.00 | $28.30 – $260.36 |
| Hemoglobin A1c test CPT 83036 | $84.50 | $130.00 | $13.00 – $119.60 |
| Hepatitis C antibody test CPT 86803 | $242.44 | $372.98 | $37.30 – $343.14 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $67.60 | $104.00 | $10.40 – $95.68 |
| Iron test CPT 83540 | $306.15 | $471.00 | $47.10 – $433.32 |
| Kidney function panel CPT 80069 | $157.30 | $242.00 | $24.20 – $222.64 |
| Lipase test (pancreas) CPT 83690 | $192.40 | $296.00 | $29.60 – $272.32 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $162.50 | $250.00 | $25.00 – $230.00 |
| Liver function panel CPT 80076 | $156.00 | $240.00 | $24.00 – $220.80 |
| Magnesium test CPT 83735 | $228.80 | $352.00 | $52.80 – $323.84 |
| Obstetric blood test panel CPT 80055 | $132.60 | $204.00 | $20.40 – $187.68 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $188.50 | $290.00 | $29.00 – $266.80 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $156.65 | $241.00 | $24.10 – $221.72 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $102.05 | $157.00 | $15.70 – $144.44 |
| PSA (prostate specific antigen), free CPT 84154 | $68.25 | $105.00 | $10.50 – $96.60 |
| PSA (prostate specific antigen), total CPT 84153 | $101.40 | $156.00 | $15.60 – $143.52 |
| Rapid strep test CPT 87880 | $83.20 | $128.00 | $12.80 – $117.76 |
| Sed rate (ESR) test CPT 85652 | $59.80 | $92.00 | $9.20 – $84.64 |
| TB skin test CPT 86580 | $292.50 | $450.00 | $45.00 – $414.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $180.05 | $277.00 | $27.70 – $254.84 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $1,827.80 | $2,812.00 | $281.20 – $2,587.04 |
| Troponin test (heart damage) CPT 84484 | $165.75 | $255.00 | $25.50 – $234.60 |
| Urinalysis, automated, with microscope CPT 81001 | $135.20 | $208.00 | $20.80 – $191.36 |
| Urinalysis, automated, without microscope CPT 81003 | $68.90 | $106.00 | $10.60 – $97.52 |
| Urinalysis, manual, without microscope CPT 81002 | $77.35 | $119.00 | $11.90 – $109.48 |
| Urine culture, colony count CPT 87086 | $140.40 | $216.00 | $21.60 – $198.72 |
| Urine pregnancy test CPT 81025 | $122.85 | $189.00 | $18.90 – $173.88 |
| Vitamin B12 test CPT 82607 | $140.40 | $216.00 | $21.60 – $198.72 |
| Vitamin D test CPT 82306 | $215.80 | $332.00 | $33.20 – $305.44 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $931.45 | $1,433.00 | $143.30 – $1,318.36 |
| ECG tracing only (no interpretation) CPT 93005 | $223.60 | $344.00 | $34.40 – $316.48 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,225.90 | $1,886.00 | $188.60 – $1,735.12 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $22.20 – $22.20 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $103.66 – $103.66 | |
| Left heart catheterization CPT 93452 | $14,565.85 | $22,409.00 | $2,240.90 – $20,616.28 |
| Left heart catheterization with coronary angiogram CPT 93458 | $15,889.25 | $24,445.00 | $2,444.50 – $22,489.40 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | not posted | $631.79 – $631.79 | |
| Treadmill stress test, complete CPT 93015 | not posted | $107.16 – $107.16 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,254.79 – $1,254.79 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $807.35 – $807.35 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,532.70 | $2,358.00 | $235.80 – $2,169.36 |
| Carpal tunnel release CPT 64721 | not posted | $605.49 – $605.49 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $250.70 – $250.70 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $315.27 – $315.27 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $232.13 – $232.13 | |
| Colposcopy with biopsy CPT 57454 | $622.70 | $958.00 | $95.80 – $881.36 |
| Cystoscopy (bladder scope) CPT 52000 | $779.35 | $1,199.00 | $119.90 – $1,103.08 |
| Ear tubes, under general anesthesia CPT 69436 | $3,944.85 | $6,069.00 | $606.90 – $5,583.48 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $76.52 – $76.52 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $881.19 – $881.19 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,239.76 – $2,239.76 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $1,159.52 – $1,159.52 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $427.70 | $658.00 | $65.80 – $605.36 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $595.22 – $595.22 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $710.77 – $710.77 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $736.71 – $736.71 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $733.01 – $733.01 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $319.35 – $319.35 | |
| Nasal endoscopy, diagnostic CPT 31231 | $624.00 | $960.00 | $96.00 – $883.20 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,520.83 – $1,520.83 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $574.28 – $574.28 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,376.98 – $1,376.98 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $232.50 – $232.50 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $232.13 – $232.13 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $883.51 – $883.51 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $205.11 – $205.11 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,371.71 – $1,371.71 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $370.78 – $370.78 | |
| Total hip replacement CPT 27130 | not posted | $1,630.87 – $1,630.87 | |
| Total knee replacement CPT 27447 | not posted | $1,627.29 – $1,627.29 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $174.85 – $174.85 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,307.50 | $3,550.00 | $355.00 – $3,266.00 |
| Vasectomy CPT 55250 | not posted | $311.33 – $311.33 |
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 | $3,412.43 – $3,412.43 | |
| Fetal non-stress test CPT 59025 | $538.85 | $829.00 | $82.90 – $762.68 |
| IUD insertion CPT 58300 | $1,342.90 | $2,066.00 | $206.60 – $1,900.72 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,213.08 – $3,213.08 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,069.23 – $3,069.23 |
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 | $13,123.70 – $31,890.27 | |
| C-section, without complications MS-DRG 788 | not posted | $11,310.96 – $25,669.95 | |
| Chest pain MS-DRG 313 | not posted | $10,703.52 – $26,009.28 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $16,467.07 – $40,014.55 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $9,543.97 – $23,191.61 | |
| Fainting (syncope) MS-DRG 312 | not posted | $12,957.21 – $31,485.68 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $14,579.09 – $35,426.81 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $19,084.97 – $46,375.99 | |
| Heart failure, without complications MS-DRG 293 | not posted | $8,414.16 – $20,446.18 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $115,407.69 – $283,143.58 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $22,755.23 – $55,828.15 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $8,415.64 – $20,449.80 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $13,019.64 – $31,637.40 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $12,034.03 – $29,242.38 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $28,800.02 – $70,658.55 | |
| Normal newborn care MS-DRG 795 | not posted | $2,970.23 – $7,002.79 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $11,568.72 – $28,111.70 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $11,980.51 – $29,112.33 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $19,539.87 – $47,481.39 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $9,343.28 – $22,703.93 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $20,764.83 – $50,458.00 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $28,877.21 – $70,170.87 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $15,212.38 – $36,965.69 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $12,946.80 – $31,460.39 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $11,589.53 – $28,162.27 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $15,019.12 – $36,496.08 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $14,636.54 – $35,909.58 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $10,022.66 – $23,630.04 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $17,794.59 – $43,657.62 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,166.45 | $3,333.00 | $333.30 – $3,066.36 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,028.95 | $1,583.00 | $158.30 – $1,456.36 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,606.80 | $2,472.00 | $247.20 – $2,274.24 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $570.05 | $877.00 | $87.70 – $806.84 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $664.51 – $664.51 | |
| Eye exam, new patient, comprehensive CPT 92004 | $178.10 | $274.00 | $27.40 – $252.08 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $398.57 – $398.57 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $258.70 | $398.00 | $39.80 – $366.16 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $760.00 – $800.00 | |
| Sleep study with CPAP titration CPT 95811 | $6,908.20 | $10,628.00 | $1,062.80 – $9,777.76 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,963.40 | $7,636.00 | $763.60 – $7,025.12 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $325.00 | $500.00 | $50.00 – $460.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $88.40 | $136.00 | $13.60 – $125.12 |
| Physical therapy evaluation, low complexity CPT 97161 | $280.15 | $431.00 | $43.10 – $396.52 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $306.80 | $472.00 | $47.20 – $434.24 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $88.40 | $136.00 | $13.60 – $125.12 |
| Therapeutic activities, 15 minutes CPT 97530 | $88.40 | $136.00 | $13.60 – $125.12 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $661.70 | $1,018.00 | $152.70 – $936.56 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $508.30 | $782.00 | $117.30 – $719.44 |
| Group psychotherapy CPT 90853 | $352.30 | $542.00 | $50.00 – $498.64 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,729.65 | $2,661.00 | $399.15 – $2,448.12 |
| Psychotherapy, 30 minutes CPT 90832 | $397.15 | $611.00 | $91.65 – $562.12 |
| Psychotherapy, 45 minutes CPT 90834 | $490.10 | $754.00 | $113.10 – $693.68 |
| Psychotherapy, 60 minutes CPT 90837 | $539.50 | $830.00 | $124.50 – $763.60 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $709.15 | $1,091.00 | $109.10 – $1,003.72 |
| IV hydration, each additional hour CPT 96361 | $681.20 | $1,048.00 | $157.20 – $964.16 |
| IV hydration, first hour CPT 96360 | $878.15 | $1,351.00 | $202.65 – $1,242.92 |
| IV push injection of a drug, first CPT 96374 | $985.40 | $1,516.00 | $151.60 – $1,394.72 |
| IV push injection, each additional drug CPT 96375 | $456.95 | $703.00 | $70.30 – $646.76 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $26.71 | $41.09 | $6.16 – $37.80 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $27.96 | $43.01 | $6.45 – $39.57 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $54.53 | $83.88 | $12.58 – $77.17 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $33.26 | $51.16 | $7.67 – $47.07 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $23.10 | $35.53 | $5.33 – $32.69 |
| Morphine injection, up to 10 mg HCPCS J2270 | $128.34 | $197.44 | $29.62 – $181.64 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $14.69 | $22.60 | $3.39 – $20.79 |
| Propofol injection, per 10 mg HCPCS J2704 | $29.44 | $45.28 | $6.79 – $41.66 |
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.