Loyola University Medical Center
2160 S 1st Avenue, Maywood, IL 60153 · Acute care hospital · Emergency room
These are Loyola University Medical Center's own posted figures from its standard-charges file dated March 31, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
224 of the services we track have a posted price here; 160 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 | $973.59 | $4,233.00 | $1,358.79 – $4,082.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $126.50 | $550.00 | $176.55 – $579.70 |
| Emergency room visit, level 2 CPT 99282 | $191.82 | $834.00 | $153.52 – $848.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $414.00 | $1,800.00 | $268.43 – $3,792.00 |
| Emergency room visit, level 4 CPT 99284 | $782.00 | $3,400.00 | $1,091.40 – $3,583.60 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $874.00 | $3,800.00 | $594.37 – $3,887.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $115.69 | $503.00 | $166.52 – $304.48 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $29.21 | $127.00 | $127.00 – $180.69 |
| New patient office visit, about 30 minutes CPT 99203 | $30.36 | $132.00 | $57.95 – $139.13 |
| New patient office visit, about 45 minutes CPT 99204 | $38.18 | $166.00 | |
| New patient office visit, about 60 minutes CPT 99205 | $56.58 | $246.00 | $107.99 – $259.28 |
| Office consultation, about 60 minutes CPT 99244 | $121.21 | $527.00 | $527.00 – $527.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $30.59 | $133.00 | $46.15 – $140.18 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $30.36 | $132.00 | |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $42.09 | $183.00 | $63.50 – $192.88 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $69.00 | $300.00 | $300.00 – $551.86 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $28.75 | $125.00 | $33.98 – $125.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $68.08 | $296.00 | $66.75 – $195.84 |
| Abdominal X-ray, 1 view CPT 74018 | $129.49 | $563.00 | $79.22 – $134.92 |
| Ankle X-ray, 3 or more views CPT 73610 | $200.79 | $873.00 | $567.45 – $920.14 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $182.62 | $794.00 | $516.10 – $836.88 |
| Breast ultrasound, one breast, complete CPT 76641 | $235.29 | $1,023.00 | $103.09 – $396.67 |
| Breast ultrasound, one breast, limited CPT 76642 | $220.57 | $959.00 | $623.35 – $1,010.79 |
| Chest X-ray, 1 view CPT 71045 | $117.53 | $511.00 | $79.22 – $134.92 |
| Chest X-ray, 2 views CPT 71046 | $129.49 | $563.00 | $79.22 – $134.92 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $739.45 | $3,215.00 | $172.58 – $1,121.83 |
| CT angiogram of the head CPT 70496 | $701.96 | $3,052.00 | $172.58 – $1,102.22 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,332.85 | $5,795.00 | $3,766.75 – $4,954.73 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,542.61 | $6,707.00 | $3,929.00 – $5,734.49 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,064.67 | $4,629.00 | $3,008.85 – $4,082.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $584.89 | $2,543.00 | $1,652.95 – $2,680.32 |
| CT scan of the chest, with contrast CPT 71260 | $705.64 | $3,068.00 | $1,994.20 – $3,233.67 |
| CT scan of the chest, without contrast CPT 71250 | $560.05 | $2,435.00 | $1,582.75 – $2,566.49 |
| CT scan of the head, without contrast CPT 70450 | $575.23 | $2,501.00 | $103.09 – $456.97 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $614.33 | $2,671.00 | $1,736.15 – $2,815.23 |
| CT scan of the pelvis, with contrast CPT 72193 | $685.17 | $2,979.00 | $1,936.35 – $3,139.87 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $531.76 | $2,312.00 | $103.09 – $509.33 |
| Diagnostic mammogram, both breasts CPT 77066 | $201.71 | $877.00 | $385.00 – $924.36 |
| Diagnostic mammogram, one breast CPT 77065 | $172.27 | $749.00 | $328.81 – $789.45 |
| Foot X-ray, 3 or more views CPT 73630 | $223.33 | $971.00 | $631.15 – $1,023.43 |
| Hand X-ray, 3 or more views CPT 73130 | $198.03 | $861.00 | $79.22 – $148.19 |
| Knee X-ray, 3 views CPT 73562 | $186.99 | $813.00 | $79.22 – $161.73 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $473.80 | $2,060.00 | $234.34 – $737.80 |
| Leg or arm vein ultrasound, one side CPT 93971 | $314.64 | $1,368.00 | $103.09 – $472.35 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $161.00 | $700.00 | $455.00 – $737.80 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,324.57 | $5,759.00 | $2,528.20 – $4,117.69 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,268.91 | $5,517.00 | $2,421.96 – $4,082.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,204.28 | $5,236.00 | $346.22 – $1,259.47 |
| MRI of the brain, without contrast CPT 70551 | $911.26 | $3,962.00 | $2,575.30 – $4,082.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,493.16 | $6,492.00 | $234.34 – $807.48 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $948.29 | $4,123.00 | $234.34 – $751.91 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $900.68 | $3,916.00 | $234.34 – $750.54 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $913.33 | $3,971.00 | $2,581.15 – $4,082.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,249.82 | $5,434.00 | $346.22 – $1,336.77 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,419.10 | $6,170.00 | $234.34 – $808.85 |
| Neck X-ray, 2 or 3 views CPT 72040 | $142.83 | $621.00 | $403.65 – $654.53 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $380.65 | $1,655.00 | $103.09 – $409.07 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $270.71 | $1,177.00 | $103.09 – $520.59 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $154.10 | $670.00 | $294.13 – $706.18 |
| Screening mammogram, both breasts CPT 77067 | $168.59 | $733.00 | $321.79 – $772.58 |
| Shoulder X-ray, 2 or more views CPT 73030 | $253.23 | $1,101.00 | $79.22 – $136.78 |
| Transvaginal pregnancy ultrasound CPT 76817 | $147.89 | $643.00 | $282.28 – $677.72 |
| Transvaginal ultrasound CPT 76830 | $264.73 | $1,151.00 | $103.09 – $463.18 |
| Ultrasound of the abdomen, complete CPT 76700 | $416.53 | $1,811.00 | $103.09 – $448.74 |
| Ultrasound of the neck or thyroid CPT 76536 | $338.33 | $1,471.00 | $103.09 – $432.72 |
| Wrist X-ray, 3 or more views CPT 73110 | $219.19 | $953.00 | $79.22 – $164.84 |
| X-ray of the lower back, 4 or more views CPT 72110 | $230.92 | $1,004.00 | $652.60 – $1,058.22 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $60.49 | $263.00 | $115.46 – $277.20 |
| Blood culture CPT 87040 | $58.88 | $256.00 | $128.00 – $269.82 |
| Blood draw (venipuncture) CPT 36415 | $14.03 | $61.00 | $3.64 – $3.64 |
| BNP test (heart failure) CPT 83880 | $65.09 | $283.00 | $124.24 – $298.28 |
| C-reactive protein (CRP) test CPT 86140 | $35.42 | $154.00 | $13.25 – $13.25 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $51.98 | $226.00 | $68.40 – $68.40 |
| Complete blood count (CBC) with differential CPT 85025 | $34.73 | $151.00 | |
| Complete blood count (CBC), automated CPT 85027 | $26.91 | $117.00 | |
| Comprehensive metabolic panel (blood test) CPT 80053 | $73.60 | $320.00 | $140.48 – $337.28 |
| COVID-19 PCR test CPT 87635 | $92.00 | $400.00 | $47.72 – $75.43 |
| D-dimer test (blood clots) CPT 85379 | $42.55 | $185.00 | |
| Drug screen, instrument chemistry CPT 80307 | $136.16 | $592.00 | $259.89 – $623.97 |
| Ferritin (iron stores) test CPT 82728 | $53.36 | $232.00 | $116.00 – $244.53 |
| Free T4 (thyroid) test CPT 84439 | $44.39 | $193.00 | $96.50 – $203.42 |
| General health panel (blood tests) CPT 80050 | not posted | $10.65 – $10.65 | |
| Glucose (blood sugar) test CPT 82947 | $26.22 | $114.00 | $57.00 – $120.16 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $55.89 | $243.00 | |
| Hemoglobin A1c test CPT 83036 | $46.69 | $203.00 | $101.50 – $213.96 |
| Hepatitis C antibody test CPT 86803 | $86.94 | $378.00 | $13.25 – $13.25 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $45.31 | $197.00 | $11.60 – $11.60 |
| Iron test CPT 83540 | $31.74 | $138.00 | $6.41 – $6.41 |
| Kidney function panel CPT 80069 | $70.38 | $306.00 | $134.33 – $322.52 |
| Lipase test (pancreas) CPT 83690 | $42.55 | $185.00 | $6.41 – $6.41 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $58.88 | $256.00 | $10.65 – $10.65 |
| Liver function panel CPT 80076 | $60.72 | $264.00 | $115.90 – $278.26 |
| Magnesium test CPT 83735 | $30.36 | $132.00 | $6.41 – $6.41 |
| Obstetric blood test panel CPT 80055 | not posted | $10.65 – $10.65 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $29.44 | $128.00 | |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $62.10 | $270.00 | $15.58 – $15.58 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $28.75 | $125.00 | |
| PSA (prostate specific antigen), free CPT 84154 | $43.93 | $191.00 | $14.20 – $14.20 |
| PSA (prostate specific antigen), total CPT 84153 | $53.36 | $232.00 | $14.20 – $14.20 |
| Rapid strep test CPT 87880 | $40.25 | $175.00 | |
| Sed rate (ESR) test CPT 85652 | $21.39 | $93.00 | |
| TB skin test CPT 86580 | $11.27 | $49.00 | $13.25 – $40.77 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $67.85 | $295.00 | $15.58 – $15.58 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $147.20 | $640.00 | $394.24 – $674.56 |
| Troponin test (heart damage) CPT 84484 | $58.65 | $255.00 | $14.20 – $14.20 |
| Urinalysis, automated, with microscope CPT 81001 | $64.63 | $281.00 | |
| Urinalysis, automated, without microscope CPT 81003 | $16.33 | $71.00 | |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.46 – $3.46 | |
| Urinalysis, manual, without microscope CPT 81002 | $8.74 | $38.00 | $3.46 – $3.46 |
| Urine culture, colony count CPT 87086 | $38.18 | $166.00 | $83.00 – $174.96 |
| Urine pregnancy test CPT 81025 | $40.02 | $174.00 | |
| Vitamin B12 test CPT 82607 | $49.45 | $215.00 | $107.50 – $226.61 |
| Vitamin D test CPT 82306 | $68.31 | $297.00 | $32.99 – $32.99 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $554.30 | $2,410.00 | $836.27 – $2,540.14 |
| ECG tracing only (no interpretation) CPT 93005 | $99.36 | $432.00 | $25.53 – $91.02 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $748.42 | $3,254.00 | $531.55 – $840.19 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $37.06 – $37.06 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $83.64 – $83.64 | |
| Left heart catheterization CPT 93452 | $2,147.74 | $9,338.00 | $3,118.15 – $12,442.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,188.03 | $13,861.00 | $5,086.99 – $9,910.62 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,529.27 | $6,649.00 | $2,486.73 – $5,684.90 |
| Treadmill stress test, complete CPT 93015 | not posted | $243.47 – $243.47 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $6,925.49 – $13,247.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,656.12 – $8,940.32 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,176.45 | $5,115.00 | $1,815.83 – $4,373.33 |
| Carpal tunnel release CPT 64721 | $792.81 | $3,447.00 | $1,626.88 – $2,992.34 |
| Colonoscopy with biopsy CPT 45380 | $1,233.26 | $5,362.00 | $744.92 – $5,161.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $982.33 | $4,271.00 | $943.57 – $5,161.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,063.06 | $4,622.00 | $1,640.81 – $3,558.94 |
| Colposcopy with biopsy CPT 57454 | $325.91 | $1,417.00 | $294.90 – $745.20 |
| Cystoscopy (bladder scope) CPT 52000 | $907.58 | $3,946.00 | $1,266.67 – $4,082.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,436.03 – $5,161.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $384.33 | $1,671.00 | $206.60 – $4,183.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $5,181.27 – $8,940.32 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $7,444.67 – $7,444.67 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $8,339.83 – $15,953.71 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $1,179.44 | $5,128.00 | $860.68 – $4,872.18 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $5,217.11 – $13,247.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $2,500.79 | $10,873.00 | $3,490.23 – $7,774.20 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $1,471.54 | $6,398.00 | $2,143.35 – $5,285.05 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,093.54 – $9,762.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $445.05 | $1,935.00 | $957.80 – $5,161.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $133.17 | $579.00 | $188.21 – $297.49 |
| Prostate biopsy CPT 55700 | $996.82 | $4,334.00 | $1,538.57 – $3,705.57 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $6,445.26 – $15,953.71 | |
| Removal of a breast lump, open surgery CPT 19120 | $867.33 | $3,771.00 | $1,338.71 – $3,974.63 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $6,925.49 – $13,247.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $883.86 – $1,422.61 | |
| Screening colonoscopy, high risk HCPCS G0105 | $852.61 | $3,707.00 | $1,286.33 – $2,854.39 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,144.00 – $6,625.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,320.00 – $3,093.54 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $4,819.36 – $4,819.36 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $3,076.05 – $9,064.91 | |
| Total hip replacement CPT 27130 | not posted | $12,473.75 – $19,716.57 | |
| Total knee replacement CPT 27447 | not posted | $12,473.75 – $19,716.57 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $789.82 | $3,434.00 | $1,102.31 – $3,619.44 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $765.44 | $3,328.00 | $453.37 – $1,436.68 |
| Vasectomy CPT 55250 | not posted | $1,985.93 – $4,100.04 |
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 | $3,777.53 – $3,777.53 | |
| Fetal non-stress test CPT 59025 | $180.09 | $783.00 | $176.32 – $308.26 |
| IUD insertion CPT 58300 | $80.04 | $348.00 | $123.54 – $366.79 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,415.88 – $3,415.88 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,415.88 – $3,415.88 |
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 | $9,498.65 – $16,743.27 | |
| C-section, without complications MS-DRG 788 | not posted | $9,371.00 – $16,309.93 | |
| Chest pain MS-DRG 313 | not posted | $7,681.18 – $13,539.62 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $12,091.34 – $21,313.42 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,968.40 – $12,283.21 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,381.29 – $16,536.40 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $10,615.19 – $18,711.40 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $14,022.79 – $24,763.80 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,907.85 – $10,413.78 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $99,601.51 – $183,168.23 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $19,976.99 – $35,784.90 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,024.14 – $10,618.75 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $9,570.79 – $16,870.43 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,641.59 – $15,232.55 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $24,918.15 – $44,930.88 | |
| Normal newborn care MS-DRG 795 | not posted | $2,151.25 – $4,080.66 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,413.33 – $14,830.19 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,828.94 – $15,562.78 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $14,155.05 – $25,008.63 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,704.61 – $11,818.22 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $15,097.35 – $26,752.80 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $20,762.40 – $37,238.70 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $11,100.78 – $19,567.35 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $9,483.57 – $16,716.70 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,401.49 – $14,809.31 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $10,948.96 – $19,299.75 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $12,906.40 – $22,750.13 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,667.00 – $11,489.24 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $15,632.59 – $27,743.50 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $421.59 | $1,833.00 | $168.01 – $452.34 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $554.99 | $2,413.00 | $856.62 – $2,063.12 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $454.71 | $1,977.00 | $701.84 – $1,690.34 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $387.78 | $1,686.00 | $299.80 – $4,183.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,211.06 – $6,625.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | $56.58 | $246.00 | $107.99 – $259.28 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $383.64 | $1,668.00 | $592.14 – $1,758.07 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $115.92 | $504.00 | $174.89 – $531.22 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $171.12 | $744.00 | $151.68 – $365.23 |
| Sleep study with CPAP titration CPT 95811 | $1,614.60 | $7,020.00 | $2,435.94 – $6,002.10 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,281.56 | $5,572.00 | $1,933.48 – $4,764.06 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $160.31 | $697.00 | $241.86 – $734.64 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $51.98 | $226.00 | |
| Physical therapy evaluation, low complexity CPT 97161 | $92.46 | $402.00 | $138.29 – $423.71 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $128.11 | $557.00 | $191.61 – $587.08 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $49.22 | $214.00 | |
| Therapeutic activities, 15 minutes CPT 97530 | $42.78 | $186.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $155.76 – $246.20 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $155.76 – $246.20 | |
| Group psychotherapy CPT 90853 | $63.71 | $277.00 | $89.67 – $358.96 |
| Psychiatric diagnostic evaluation CPT 90791 | $145.13 | $631.00 | $155.76 – $612.77 |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $155.76 – $246.20 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $155.76 – $246.20 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $155.76 – $246.20 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $54.97 | $239.00 | $53.29 – $109.06 |
| IV hydration, each additional hour CPT 96361 | $81.19 | $353.00 | $44.73 – $730.66 |
| IV hydration, first hour CPT 96360 | $130.64 | $568.00 | $122.67 – $404.07 |
| IV push injection of a drug, first CPT 96374 | $88.32 | $384.00 | $73.59 – $322.85 |
| IV push injection, each additional drug CPT 96375 | $77.97 | $339.00 | $117.63 – $357.31 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $1.39 – $1.39 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $7.64 – $7.64 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $19.78 | $86.00 | $86.00 – $86.00 |
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.