Northwestern Lake Forest Hospital
1000 N Westmoreland Road, Lake Forest, IL 60045 · Acute care hospital · Emergency room
These are Northwestern Lake Forest Hospital's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
210 of the services we track have a posted price here. 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 | $3,063.20 | $4,376.00 | $726.42 – $4,376.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $399.70 | $571.00 | $94.79 – $571.00 |
| Emergency room visit, level 2 CPT 99282 | $757.40 | $1,082.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,751.05 | $2,501.50 | |
| Emergency room visit, level 4 CPT 99284 | $4,274.02 | $6,105.74 | $2,274.00 – $2,527.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $9,942.80 | $14,204.00 | $2,274.00 – $2,527.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $3,618.82 | $5,169.74 | $692.00 – $770.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $215.60 | $308.00 | $64.68 – $308.00 |
| New patient office visit, about 30 minutes CPT 99203 | $380.10 | $543.00 | $114.03 – $543.00 |
| New patient office visit, about 45 minutes CPT 99204 | $438.20 | $626.00 | $131.46 – $626.00 |
| New patient office visit, about 60 minutes CPT 99205 | $640.50 | $915.00 | $192.15 – $915.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $196.00 | $280.00 | $58.80 – $280.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $291.20 | $416.00 | $87.36 – $416.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $398.30 | $569.00 | $119.49 – $569.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $609.00 | $870.00 | $182.70 – $870.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $158.90 | $227.00 | $47.67 – $227.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $125.30 | $179.00 | $29.71 – $179.00 |
| Abdominal X-ray, 1 view CPT 74018 | $396.90 | $567.00 | $94.12 – $567.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $541.80 | $774.00 | $128.48 – $774.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $637.00 | $910.00 | $151.06 – $910.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $532.00 | $760.00 | $126.16 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $438.90 | $627.00 | $104.08 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $537.60 | $768.00 | $127.49 – $768.00 |
| Chest X-ray, 2 views CPT 71046 | $674.10 | $963.00 | $159.86 – $963.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,502.80 | $5,004.00 | $830.66 – $5,004.00 |
| CT angiogram of the head CPT 70496 | $3,656.10 | $5,223.00 | $867.02 – $5,223.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,049.40 | $8,642.00 | $1,434.57 – $8,642.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,105.70 | $10,151.00 | $1,685.07 – $10,151.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,802.00 | $6,860.00 | $1,138.76 – $6,860.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,576.00 | $3,680.00 | $610.88 – $3,680.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,173.80 | $4,534.00 | $752.64 – $4,534.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,611.00 | $3,730.00 | $619.18 – $3,730.00 |
| CT scan of the head, without contrast CPT 70450 | $2,474.50 | $3,535.00 | $586.81 – $3,535.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,168.20 | $4,526.00 | $751.32 – $4,526.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,907.80 | $4,154.00 | $689.56 – $4,154.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,606.10 | $3,723.00 | $618.02 – $3,723.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $513.80 | $734.00 | $121.84 – $734.00 |
| Diagnostic mammogram, one breast CPT 77065 | $464.80 | $664.00 | $110.22 – $664.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.30 | $849.00 | $140.93 – $849.00 |
| Hand X-ray, 3 or more views CPT 73130 | $547.40 | $782.00 | $129.81 – $782.00 |
| Knee X-ray, 3 views CPT 73562 | $598.50 | $855.00 | $141.93 – $855.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,626.40 | $3,752.00 | $622.83 – $3,752.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,673.00 | $2,390.00 | $396.74 – $2,390.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $651.70 | $931.00 | $154.55 – $931.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,099.20 | $5,856.00 | $972.10 – $5,856.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,385.50 | $6,265.00 | $1,039.99 – $6,265.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,385.10 | $7,693.00 | $1,277.04 – $7,693.00 |
| MRI of the brain, without contrast CPT 70551 | $3,887.10 | $5,553.00 | $921.80 – $5,553.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,835.30 | $5,479.00 | $909.51 – $5,479.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,837.40 | $5,482.00 | $910.01 – $5,482.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,809.40 | $5,442.00 | $903.37 – $5,442.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,171.30 | $5,959.00 | $989.19 – $5,959.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,765.60 | $6,808.00 | $1,130.13 – $6,808.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,591.70 | $5,131.00 | $851.75 – $5,131.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $665.70 | $951.00 | $157.87 – $951.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,509.90 | $2,157.00 | $358.06 – $2,157.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,206.10 | $1,723.00 | $286.02 – $1,723.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $940.80 | $1,344.00 | $223.10 – $1,344.00 |
| Screening mammogram, both breasts CPT 77067 | $523.60 | $748.00 | $124.17 – $748.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $623.00 | $890.00 | $147.74 – $890.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $749.00 | $1,070.00 | $177.62 – $1,070.00 |
| Transvaginal ultrasound CPT 76830 | $1,079.40 | $1,542.00 | $255.97 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,772.40 | $2,532.00 | $420.31 – $2,532.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,343.30 | $1,919.00 | $318.55 – $1,919.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $492.80 | $704.00 | $116.86 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $909.30 | $1,299.00 | $215.63 – $1,299.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $219.80 | $314.00 | $52.12 – $314.00 |
| Blood culture CPT 87040 | $739.90 | $1,057.00 | $175.46 – $1,057.00 |
| Blood draw (venipuncture) CPT 36415 | $702.80 | $1,004.00 | $3.00 – $36.49 |
| BNP test (heart failure) CPT 83880 | $256.20 | $366.00 | $60.76 – $366.00 |
| C-reactive protein (CRP) test CPT 86140 | $205.10 | $293.00 | $48.64 – $293.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $275.10 | $393.00 | $65.24 – $393.00 |
| Complete blood count (CBC) with differential CPT 85025 | $121.80 | $174.00 | $28.88 – $174.00 |
| Complete blood count (CBC), automated CPT 85027 | $104.30 | $149.00 | $24.73 – $149.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $306.60 | $438.00 | $72.71 – $438.00 |
| COVID-19 PCR test CPT 87635 | $125.30 | $179.00 | $29.71 – $179.00 |
| D-dimer test (blood clots) CPT 85379 | $140.70 | $201.00 | $33.37 – $201.00 |
| Drug screen, instrument chemistry CPT 80307 | $693.70 | $991.00 | $164.51 – $991.00 |
| Ferritin (iron stores) test CPT 82728 | $144.20 | $206.00 | $34.20 – $206.00 |
| Free T4 (thyroid) test CPT 84439 | $121.10 | $173.00 | $28.72 – $173.00 |
| Glucose (blood sugar) test CPT 82947 | $83.30 | $119.00 | $19.75 – $119.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $275.10 | $393.00 | $65.24 – $393.00 |
| Hemoglobin A1c test CPT 83036 | $116.90 | $167.00 | $27.72 – $167.00 |
| Hepatitis C antibody test CPT 86803 | $253.40 | $362.00 | $60.09 – $362.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $112.00 | $160.00 | $26.56 – $160.00 |
| Iron test CPT 83540 | $79.10 | $113.00 | $18.76 – $113.00 |
| Kidney function panel CPT 80069 | $219.10 | $313.00 | $51.96 – $313.00 |
| Lipase test (pancreas) CPT 83690 | $163.10 | $233.00 | $38.68 – $233.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $184.10 | $263.00 | $43.66 – $263.00 |
| Liver function panel CPT 80076 | $276.50 | $395.00 | $65.57 – $395.00 |
| Magnesium test CPT 83735 | $81.20 | $116.00 | $19.26 – $116.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $113.40 | $162.00 | $26.89 – $162.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $235.90 | $337.00 | $55.94 – $337.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $77.70 | $111.00 | $18.43 – $111.00 |
| PSA (prostate specific antigen), free CPT 84154 | $166.60 | $238.00 | $39.51 – $238.00 |
| PSA (prostate specific antigen), total CPT 84153 | $176.40 | $252.00 | $41.83 – $252.00 |
| Rapid strep test CPT 87880 | $133.00 | $190.00 | $31.54 – $190.00 |
| Sed rate (ESR) test CPT 85652 | $79.80 | $114.00 | $18.92 – $114.00 |
| TB skin test CPT 86580 | $32.20 | $46.00 | $7.64 – $46.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $162.40 | $232.00 | $38.51 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $8,089.20 | $11,556.00 | $75.28 – $149.49 |
| Troponin test (heart damage) CPT 84484 | $170.80 | $244.00 | $40.50 – $244.00 |
| Urinalysis, automated, with microscope CPT 81001 | $102.20 | $146.00 | $24.24 – $146.00 |
| Urinalysis, automated, without microscope CPT 81003 | $102.20 | $146.00 | $24.24 – $146.00 |
| Urinalysis, manual, without microscope CPT 81002 | $110.60 | $158.00 | $26.23 – $158.00 |
| Urine culture, colony count CPT 87086 | $177.10 | $253.00 | $42.00 – $253.00 |
| Urine pregnancy test CPT 81025 | $125.30 | $179.00 | $29.71 – $179.00 |
| Vitamin B12 test CPT 82607 | $135.10 | $193.00 | $32.04 – $193.00 |
| Vitamin D test CPT 82306 | $191.10 | $273.00 | $45.32 – $273.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,336.60 | $3,338.00 | $554.11 – $3,338.00 |
| ECG tracing only (no interpretation) CPT 93005 | $238.00 | $340.00 | $56.44 – $340.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,950.50 | $4,215.00 | $699.69 – $3,456.30 |
| Left heart catheterization with coronary angiogram CPT 93458 | $18,926.60 | $27,038.00 | $4,488.31 – $27,038.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,085.50 | $7,265.00 | $1,205.99 – $7,265.00 |
| Treadmill stress test, complete CPT 93015 | $431.20 | $616.00 | $102.26 – $616.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $85,032.29 | $121,474.70 | $7,055.00 – $7,839.00 |
| Appendix removal, laparoscopic CPT 44970 | $30,072.48 | $42,960.69 | $7,055.00 – $7,839.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,747.10 | $5,353.00 | $5,353.00 – $5,353.00 |
| Carpal tunnel release CPT 64721 | $13,738.86 | $19,626.94 | $3,577.00 – $3,975.00 |
| Colonoscopy with biopsy CPT 45380 | $11,528.19 | $16,468.84 | $1,635.00 – $3,045.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $7,901.69 | $11,288.13 | $2,741.00 – $3,045.00 |
| Colonoscopy, diagnostic CPT 45378 | $4,336.60 | $6,195.14 | $2,741.00 – $3,045.00 |
| Colposcopy with biopsy CPT 57454 | $8,640.62 | $12,343.74 | $692.00 – $770.00 |
| Cystoscopy (bladder scope) CPT 52000 | $7,855.41 | $11,222.01 | $1,334.00 – $1,481.00 |
| Ear tubes, under general anesthesia CPT 69436 | $7,317.06 | $10,452.94 | $1,068.50 – $1,798.50 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $4,252.78 | $6,075.40 | $1,334.00 – $1,481.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $28,364.78 | $40,521.11 | $7,055.00 – $7,839.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $77,704.97 | $111,007.10 | $3,270.00 – $7,839.00 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $19,061.64 | $27,230.91 | $3,577.00 – $3,975.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $51,330.45 | $73,329.21 | $7,055.00 – $7,839.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $16,438.71 | $23,483.87 | $5,282.00 – $5,868.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $16,169.78 | $23,099.69 | $7,055.00 – $7,839.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $20,694.66 | $29,563.80 | $5,282.00 – $5,868.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $12,241.49 | $17,487.84 | $1,068.50 – $1,798.50 |
| Nasal endoscopy, diagnostic CPT 31231 | $34,225.51 | $48,893.59 | $7,923.00 – $8,802.00 |
| Prostate biopsy CPT 55700 | $13,124.54 | $18,749.34 | $2,137.00 – $2,374.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $108,892.64 | $155,560.90 | $3,270.00 – $11,492.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $57,371.98 | $81,959.97 | $1,635.00 – $7,839.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,557.80 | $3,654.00 | $606.56 – $3,654.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $3,322.90 | $4,747.00 | $788.00 – $4,747.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $32,729.44 | $46,756.34 | $3,577.00 – $3,975.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $52,610.89 | $75,158.41 | $3,270.00 – $7,839.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $13,630.24 | $19,471.77 | $3,577.00 – $3,975.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $11,659.27 | $16,656.10 | $1,068.50 – $3,597.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $7,846.78 | $11,209.69 | $1,068.50 – $3,597.00 |
| Vasectomy CPT 55250 | $9,024.90 | $12,892.71 | $3,577.00 – $3,975.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,604.40 | $2,292.00 | $506.00 – $562.00 |
| IUD insertion CPT 58300 | $20,111.69 | $28,730.99 | $346.00 – $1,798.50 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $25,509.57 | $36,442.24 | $6,332.61 – $12,840.33 |
| C-section, without complications MS-DRG 788 | $36,211.49 | $51,730.70 | $6,877.78 – $6,877.78 |
| Chest pain MS-DRG 313 | $31,632.12 | $45,188.74 | $5,164.79 – $10,472.40 |
| COPD flare-up, with major complications MS-DRG 190 | $40,284.65 | $57,549.50 | $7,945.89 – $16,111.50 |
| COPD flare-up, without complications MS-DRG 192 | $26,453.70 | $37,791.00 | $4,605.27 – $9,337.89 |
| Fainting (syncope) MS-DRG 312 | $32,070.85 | $45,815.50 | $6,252.27 – $12,677.42 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $34,682.26 | $49,546.09 | $7,034.88 – $14,264.28 |
| Heart failure, with major complications MS-DRG 291 | $36,283.97 | $51,834.24 | $9,209.11 – $18,672.87 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $101,290.09 | $144,700.12 | $13,836.63 – $28,055.85 |
| Irregular heartbeat, without complications MS-DRG 310 | $25,599.70 | $36,571.00 | $4,060.82 – $8,233.92 |
| Kidney failure, with complications MS-DRG 683 | $26,381.77 | $37,688.24 | $6,221.20 – $9,693.35 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $24,851.05 | $35,501.50 | $5,806.81 – $11,774.18 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $129,086.78 | $184,409.69 | $17,512.24 – $35,508.71 |
| Normal newborn care MS-DRG 795 | $4,606.87 | $6,581.24 | $1,433.23 – $2,906.09 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $25,241.12 | $36,058.74 | $5,582.28 – $11,318.92 |
| Pneumonia, with complications MS-DRG 194 | $24,632.47 | $35,189.24 | $5,780.98 – $11,721.82 |
| Pneumonia, with major complications MS-DRG 193 | $41,757.80 | $59,654.00 | $9,428.62 – $19,117.95 |
| Pneumonia, without complications MS-DRG 195 | $27,907.60 | $39,868.00 | $4,508.43 – $9,141.53 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $36,596.35 | $52,280.50 | $10,019.70 – $20,316.46 |
| Sepsis, with major complications MS-DRG 871 | $52,451.24 | $74,930.34 | $12,977.40 – $21,499.59 |
| Sepsis, without major complications MS-DRG 872 | $29,726.90 | $42,467.00 | $7,215.72 – $11,325.88 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $22,159.20 | $31,656.00 | $6,164.51 – $9,639.12 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $25,039.52 | $35,770.74 | $5,592.32 – $11,339.28 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $41,015.45 | $58,593.50 | $7,247.21 – $14,694.81 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $56,626.50 | $80,895.00 | $8,899.94 – $18,045.98 |
| Vaginal delivery, without complications MS-DRG 807 | $14,676.72 | $20,966.74 | $4,836.26 – $4,836.26 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $900.90 | $1,287.00 | $1,287.00 – $1,287.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $3,222.39 | $4,603.41 | $2.28 – $2.28 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,965.56 | $2,807.94 | $16.00 – $16.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $97,338.12 | $139,054.45 | $3,270.00 – $11,492.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $14,202.99 | $20,289.99 | $3,577.00 – $3,975.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $256.90 | $367.00 | $60.92 – $367.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $931.70 | $1,331.00 | $220.95 – $1,331.00 |
| Sleep study with CPAP titration CPT 95811 | $5,038.60 | $7,198.00 | $1,194.87 – $7,198.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,558.40 | $6,512.00 | $1,080.99 – $6,512.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $469.00 | $670.00 | $111.22 – $670.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $214.20 | $306.00 | $50.80 – $306.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $293.30 | $419.00 | $69.55 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.10 | $503.00 | $83.50 – $503.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $165.20 | $236.00 | $39.18 – $236.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.70 | $241.00 | $40.01 – $241.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $319.20 | $456.00 | $75.70 – $456.00 |
| Group psychotherapy CPT 90853 | $319.90 | $457.00 | $75.86 – $457.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,337.70 | $1,911.00 | $317.23 – $1,911.00 |
| Psychotherapy, 30 minutes CPT 90832 | $196.70 | $281.00 | $46.65 – $281.00 |
| Psychotherapy, 45 minutes CPT 90834 | $274.40 | $392.00 | $65.07 – $392.00 |
| Psychotherapy, 60 minutes CPT 90837 | $555.80 | $794.00 | $131.80 – $794.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $148.40 | $212.00 | $35.19 – $212.00 |
| IV hydration, each additional hour CPT 96361 | $159.60 | $228.00 | $37.85 – $228.00 |
| IV hydration, first hour CPT 96360 | $432.60 | $618.00 | $102.59 – $618.00 |
| IV push injection of a drug, first CPT 96374 | $301.70 | $431.00 | $71.55 – $431.00 |
| IV push injection, each additional drug CPT 96375 | $301.70 | $431.00 | $71.55 – $431.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $32.02 | $45.75 | $7.59 – $45.75 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $39.90 | $57.00 | $9.46 – $57.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $236.07 | $337.25 | $55.98 – $337.25 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $179.72 | $256.75 | $42.62 – $256.75 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $8.40 | $12.00 | $1.99 – $12.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $158.90 | $227.00 | $37.68 – $227.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $1,739.50 | $2,485.00 | $412.51 – $2,485.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $2.80 | $4.00 | ? – $4.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $54.42 | $77.75 | $12.91 – $77.75 |
| Saline IV solution, 1000 ml HCPCS J7030 | $97.30 | $139.00 | $23.07 – $139.00 |
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.