Northwestern Medicine Delnor Community Hospital
300 Randall Rd, Geneva, IL 60134 · Acute care hospital · Emergency room
These are Northwestern Medicine Delnor Community 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.
214 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 | $3,147.90 | $4,497.00 | $733.01 – $4,497.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,177.40 | $1,682.00 | |
| Emergency room visit, level 2 CPT 99282 | $757.40 | $1,082.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,883.70 | $2,691.00 | |
| Emergency room visit, level 4 CPT 99284 | $4,706.10 | $6,723.00 | |
| Emergency room visit, level 5 (most severe) CPT 99285 | $9,973.60 | $14,248.00 | |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $709.80 | $1,014.00 | $68.95 – $1,014.00 |
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 | $45.89 – $308.00 |
| New patient office visit, about 30 minutes CPT 99203 | $380.10 | $543.00 | $80.91 – $543.00 |
| New patient office visit, about 45 minutes CPT 99204 | $438.20 | $626.00 | $93.27 – $626.00 |
| New patient office visit, about 60 minutes CPT 99205 | $640.50 | $915.00 | $136.34 – $915.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $196.00 | $280.00 | $41.72 – $280.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $291.20 | $416.00 | $61.98 – $416.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $398.30 | $569.00 | $84.78 – $569.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $609.00 | $870.00 | $129.63 – $870.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $158.90 | $227.00 | $33.82 – $227.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $125.30 | $179.00 | $26.67 – $179.00 |
| Abdominal X-ray, 1 view CPT 74018 | $396.90 | $567.00 | $84.48 – $567.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $541.80 | $774.00 | $115.33 – $774.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $637.00 | $910.00 | $135.59 – $910.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $532.00 | $760.00 | $113.24 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $438.90 | $627.00 | $93.42 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $537.60 | $768.00 | $114.43 – $768.00 |
| Chest X-ray, 2 views CPT 71046 | $674.10 | $963.00 | $143.49 – $963.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,502.80 | $5,004.00 | $745.60 – $5,004.00 |
| CT angiogram of the head CPT 70496 | $3,656.10 | $5,223.00 | $778.23 – $5,223.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,049.40 | $8,642.00 | $1,287.66 – $8,642.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,105.70 | $10,151.00 | $1,512.50 – $10,151.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,802.00 | $6,860.00 | $1,022.14 – $6,860.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,576.00 | $3,680.00 | $548.32 – $3,680.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,173.80 | $4,534.00 | $675.57 – $4,534.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,611.00 | $3,730.00 | $555.77 – $3,730.00 |
| CT scan of the head, without contrast CPT 70450 | $2,474.50 | $3,535.00 | $526.72 – $3,535.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,168.20 | $4,526.00 | $674.37 – $4,526.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,907.80 | $4,154.00 | $618.95 – $4,154.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,606.10 | $3,723.00 | $554.73 – $3,723.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $513.80 | $734.00 | $109.37 – $734.00 |
| Diagnostic mammogram, one breast CPT 77065 | $464.80 | $664.00 | $98.94 – $664.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.30 | $849.00 | $126.50 – $849.00 |
| Hand X-ray, 3 or more views CPT 73130 | $547.40 | $782.00 | $116.52 – $782.00 |
| Knee X-ray, 3 views CPT 73562 | $598.50 | $855.00 | $127.40 – $855.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,626.40 | $3,752.00 | $559.05 – $3,752.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,673.00 | $2,390.00 | $356.11 – $2,390.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $651.70 | $931.00 | $138.72 – $931.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,099.20 | $5,856.00 | $872.54 – $5,856.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,385.50 | $6,265.00 | $933.49 – $6,265.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,385.10 | $7,693.00 | $1,146.26 – $7,693.00 |
| MRI of the brain, without contrast CPT 70551 | $3,887.10 | $5,553.00 | $827.40 – $5,553.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,835.30 | $5,479.00 | $816.37 – $5,479.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,837.40 | $5,482.00 | $816.82 – $5,482.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,809.40 | $5,442.00 | $810.86 – $5,442.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,171.30 | $5,959.00 | $887.89 – $5,959.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,765.60 | $6,808.00 | $1,014.39 – $6,808.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,591.70 | $5,131.00 | $764.52 – $5,131.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $665.70 | $951.00 | $141.70 – $951.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,509.90 | $2,157.00 | $321.39 – $2,157.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,206.10 | $1,723.00 | $256.73 – $1,723.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $940.80 | $1,344.00 | $200.26 – $1,344.00 |
| Screening mammogram, both breasts CPT 77067 | $523.60 | $748.00 | $111.45 – $748.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $623.00 | $890.00 | $132.61 – $890.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $749.00 | $1,070.00 | $159.43 – $1,070.00 |
| Transvaginal ultrasound CPT 76830 | $1,079.40 | $1,542.00 | $229.76 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,772.40 | $2,532.00 | $377.27 – $2,532.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,343.30 | $1,919.00 | $285.93 – $1,919.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $492.80 | $704.00 | $104.90 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $909.30 | $1,299.00 | $193.55 – $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 | $46.79 – $314.00 |
| Blood culture CPT 87040 | $739.90 | $1,057.00 | $157.49 – $1,057.00 |
| Blood draw (venipuncture) CPT 36415 | $573.30 | $819.00 | $3.00 – $36.49 |
| BNP test (heart failure) CPT 83880 | $329.00 | $470.00 | $70.03 – $470.00 |
| C-reactive protein (CRP) test CPT 86140 | $191.80 | $274.00 | $40.83 – $274.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $225.40 | $322.00 | $47.98 – $322.00 |
| Complete blood count (CBC) with differential CPT 85025 | $153.30 | $219.00 | $32.63 – $219.00 |
| Complete blood count (CBC), automated CPT 85027 | $86.10 | $123.00 | $18.33 – $123.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $306.60 | $438.00 | $65.26 – $438.00 |
| COVID-19 PCR test CPT 87635 | $125.30 | $179.00 | $26.67 – $179.00 |
| D-dimer test (blood clots) CPT 85379 | $172.90 | $247.00 | $36.80 – $247.00 |
| Drug screen, instrument chemistry CPT 80307 | $286.30 | $409.00 | $60.94 – $409.00 |
| Ferritin (iron stores) test CPT 82728 | $144.20 | $206.00 | $30.69 – $206.00 |
| Free T4 (thyroid) test CPT 84439 | $121.10 | $173.00 | $25.78 – $173.00 |
| Glucose (blood sugar) test CPT 82947 | $59.50 | $85.00 | $12.67 – $85.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $231.00 | $330.00 | $49.17 – $330.00 |
| Hemoglobin A1c test CPT 83036 | $116.90 | $167.00 | $24.88 – $167.00 |
| Hepatitis C antibody test CPT 86803 | $322.70 | $461.00 | $68.69 – $461.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $210.00 | $300.00 | $44.70 – $300.00 |
| Iron test CPT 83540 | $79.10 | $113.00 | $16.84 – $113.00 |
| Kidney function panel CPT 80069 | $166.60 | $238.00 | $35.46 – $238.00 |
| Lipase test (pancreas) CPT 83690 | $263.20 | $376.00 | $56.02 – $376.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $184.10 | $263.00 | $39.19 – $263.00 |
| Liver function panel CPT 80076 | $186.20 | $266.00 | $39.63 – $266.00 |
| Magnesium test CPT 83735 | $81.20 | $116.00 | $17.28 – $116.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $87.50 | $125.00 | $18.63 – $125.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $341.60 | $488.00 | $72.71 – $488.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $89.60 | $128.00 | $19.07 – $128.00 |
| PSA (prostate specific antigen), free CPT 84154 | $178.50 | $255.00 | $38.00 – $255.00 |
| PSA (prostate specific antigen), total CPT 84153 | $254.10 | $363.00 | $54.09 – $363.00 |
| Rapid strep test CPT 87880 | $133.00 | $190.00 | $28.31 – $190.00 |
| Sed rate (ESR) test CPT 85652 | $67.20 | $96.00 | $14.30 – $96.00 |
| TB skin test CPT 86580 | $32.20 | $46.00 | $6.85 – $46.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $162.40 | $232.00 | $34.57 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $9,468.20 | $13,526.00 | $37.64 – $50.75 |
| Troponin test (heart damage) CPT 84484 | $170.80 | $244.00 | $36.36 – $244.00 |
| Urinalysis, automated, with microscope CPT 81001 | $83.30 | $119.00 | $17.73 – $119.00 |
| Urinalysis, automated, without microscope CPT 81003 | $85.40 | $122.00 | $18.18 – $122.00 |
| Urinalysis, manual, without microscope CPT 81002 | $37.10 | $53.00 | $7.90 – $53.00 |
| Urine culture, colony count CPT 87086 | $115.50 | $165.00 | $24.59 – $165.00 |
| Urine pregnancy test CPT 81025 | $142.10 | $203.00 | $30.25 – $203.00 |
| Vitamin B12 test CPT 82607 | $135.10 | $193.00 | $28.76 – $193.00 |
| Vitamin D test CPT 82306 | $191.10 | $273.00 | $40.68 – $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 | $497.36 – $3,338.00 |
| ECG tracing only (no interpretation) CPT 93005 | $304.50 | $435.00 | $64.82 – $435.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,713.90 | $3,877.00 | $631.95 – $2,710.02 |
| Left heart catheterization CPT 93452 | $10,777.90 | $15,397.00 | $2,509.71 – $15,397.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $12,549.60 | $17,928.00 | $2,922.26 – $17,928.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,866.70 | $8,381.00 | $1,248.77 – $8,381.00 |
| Treadmill stress test, complete CPT 93015 | $431.20 | $616.00 | $91.78 – $616.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $77,478.83 | $110,684.04 | $1,785.00 – $7,839.00 |
| Appendix removal, laparoscopic CPT 44970 | $34,314.01 | $49,020.01 | $700.00 – $7,839.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $4,846.80 | $6,924.00 | $6,924.00 – $6,924.00 |
| Carpal tunnel release CPT 64721 | $17,921.02 | $25,601.46 | $784.00 – $1,987.50 |
| Colonoscopy with biopsy CPT 45380 | $12,254.04 | $17,505.77 | $1,568.00 – $3,045.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $12,432.73 | $17,761.04 | $784.00 – $1,522.50 |
| Colonoscopy, diagnostic CPT 45378 | $5,034.34 | $7,191.91 | $2,741.00 – $3,045.00 |
| Colposcopy with biopsy CPT 57454 | $13,958.51 | $19,940.73 | $692.00 – $770.00 |
| Cystoscopy (bladder scope) CPT 52000 | $12,287.83 | $17,554.04 | $667.00 – $758.50 |
| Ear tubes, under general anesthesia CPT 69436 | $7,307.77 | $10,439.67 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $5,121.55 | $7,316.50 | $1,334.00 – $1,481.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $30,640.64 | $43,772.34 | $7,055.00 – $7,839.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $85,119.24 | $121,598.91 | $700.00 – $7,839.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $52,934.16 | $75,620.23 | $7,055.00 – $7,839.00 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $20,583.09 | $29,404.41 | $3,577.00 – $3,975.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $40,993.36 | $58,561.94 | $7,030.00 – $7,839.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $25,156.40 | $35,937.71 | $5,282.00 – $5,868.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $12,705.35 | $18,150.50 | $7,055.00 – $7,839.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $22,713.54 | $32,447.91 | $5,282.00 – $5,868.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $17,087.10 | $24,410.14 | $784.00 – $3,045.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $16,102.03 | $23,002.90 | $784.00 – $3,975.00 |
| Prostate biopsy CPT 55700 | $12,438.85 | $17,769.79 | $2,137.00 – $2,374.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $84,657.59 | $120,939.41 | $700.00 – $11,492.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $52,862.78 | $75,518.26 | $2,325.00 – $7,839.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,878.40 | $4,112.00 | $612.69 – $4,112.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,898.00 | $4,140.00 | $616.86 – $4,140.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $24,106.10 | $34,437.29 | $2,109.00 – $5,962.50 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $52,294.98 | $74,707.11 | $892.50 – $7,839.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $74,263.22 | $106,090.31 | $700.00 – $7,839.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $12,898.04 | $18,425.77 | $3,577.00 – $3,975.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $11,416.60 | $16,309.43 | $1,068.50 – $1,725.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $8,083.00 | $11,547.14 | $689.50 – $1,187.00 |
| Vasectomy CPT 55250 | $13,405.68 | $19,150.97 | $3,577.00 – $3,975.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,792.70 | $2,561.00 | $506.00 – $562.00 |
| IUD insertion CPT 58300 | $24,719.55 | $35,313.64 | $346.00 – $758.50 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $24,288.42 | $34,697.74 | $5,822.19 – $6,639.54 |
| C-section, without complications MS-DRG 788 | $30,187.86 | $43,125.51 | $6,822.66 – $6,822.66 |
| Chest pain MS-DRG 313 | $23,276.92 | $33,252.74 | $5,123.40 – $11,222.64 |
| COPD flare-up, with major complications MS-DRG 190 | $36,533.17 | $52,190.24 | $7,882.21 – $17,265.72 |
| COPD flare-up, without complications MS-DRG 192 | $27,529.25 | $39,327.50 | $4,568.36 – $10,006.85 |
| Fainting (syncope) MS-DRG 312 | $29,667.40 | $42,382.00 | $6,202.16 – $13,585.63 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $38,839.64 | $55,485.20 | $6,978.50 – $15,286.17 |
| Heart failure, with major complications MS-DRG 291 | $39,429.07 | $56,327.24 | $9,135.31 – $20,010.59 |
| Heart failure, without complications MS-DRG 293 | $24,800.30 | $35,429.00 | $4,027.56 – $8,822.24 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $79,296.49 | $113,280.70 | $13,725.73 – $30,065.76 |
| Irregular heartbeat, without complications MS-DRG 310 | $14,787.85 | $21,125.50 | $4,028.27 – $4,257.64 |
| Kidney failure, with complications MS-DRG 683 | $24,442.77 | $34,918.24 | $6,232.05 – $13,651.09 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $25,891.42 | $36,987.74 | $5,760.27 – $12,617.68 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $98,502.80 | $140,718.30 | $17,371.88 – $38,052.54 |
| Normal newborn care MS-DRG 795 | $7,475.30 | $10,679.00 | $1,421.74 – $3,114.28 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $22,551.02 | $32,215.74 | $5,537.54 – $12,129.80 |
| Pneumonia, with complications MS-DRG 194 | $24,856.12 | $35,508.74 | $5,734.65 – $12,561.56 |
| Pneumonia, with major complications MS-DRG 193 | $32,020.10 | $45,743.00 | $9,353.05 – $20,487.55 |
| Pneumonia, without complications MS-DRG 195 | $14,943.07 | $21,347.24 | $4,472.30 – $9,796.43 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $33,567.62 | $47,953.74 | $9,939.40 – $21,771.92 |
| Sepsis, with major complications MS-DRG 871 | $46,153.42 | $65,933.46 | $13,822.50 – $30,277.75 |
| Sepsis, without major complications MS-DRG 872 | $30,487.27 | $43,553.24 | $7,281.63 – $15,950.18 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $21,099.57 | $30,142.24 | $6,197.18 – $13,574.72 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $24,938.55 | $35,626.50 | $5,547.50 – $12,151.63 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $35,967.40 | $51,382.00 | $7,189.13 – $15,747.55 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $38,273.65 | $54,676.64 | $8,828.61 – $19,338.79 |
| Vaginal delivery, without complications MS-DRG 807 | $11,970.00 | $17,100.00 | $4,797.49 – $4,797.49 |
| Weight loss surgery, without complications MS-DRG 621 | $79,915.25 | $114,164.64 | $10,733.52 – $23,511.43 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $788.90 | $1,127.00 | $1,127.00 – $1,127.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $3,561.42 | $5,087.74 | $2,001.00 – $2,221.50 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,781.62 | $3,973.74 | $1,334.00 – $1,481.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $8,372.52 | $11,960.74 | $10.56 – $10.56 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $13,659.83 | $19,514.04 | $2,325.00 – $3,975.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $256.90 | $367.00 | $59.82 – $367.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,149.40 | $1,642.00 | $244.66 – $1,642.00 |
| Sleep study with CPAP titration CPT 95811 | $5,476.80 | $7,824.00 | $1,165.78 – $7,824.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,389.00 | $6,270.00 | $934.23 – $6,270.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $443.10 | $633.00 | $94.32 – $633.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $214.20 | $306.00 | $45.59 – $306.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $293.30 | $419.00 | $62.43 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.10 | $503.00 | $74.95 – $503.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $165.20 | $236.00 | $35.16 – $236.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.70 | $241.00 | $35.91 – $241.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $179.20 | $256.00 | $38.14 – $256.00 |
| Group psychotherapy CPT 90853 | $845.60 | $1,208.00 | $572.59 – $1,208.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,059.80 | $1,514.00 | $225.59 – $1,514.00 |
| Psychotherapy, 45 minutes CPT 90834 | $143.50 | $205.00 | $30.55 – $205.00 |
| Psychotherapy, 60 minutes CPT 90837 | $179.20 | $256.00 | $38.14 – $256.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $93.10 | $133.00 | $19.82 – $133.00 |
| IV hydration, each additional hour CPT 96361 | $289.80 | $414.00 | $61.69 – $414.00 |
| IV hydration, first hour CPT 96360 | $483.70 | $691.00 | $102.96 – $691.00 |
| IV push injection of a drug, first CPT 96374 | $275.10 | $393.00 | $58.56 – $393.00 |
| IV push injection, each additional drug CPT 96375 | $275.10 | $393.00 | $58.56 – $393.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $342.47 | $489.25 | $72.90 – $489.25 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $154.87 | $221.25 | $32.97 – $221.25 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $283.67 | $405.25 | $60.38 – $405.25 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $242.55 | $346.50 | $51.63 – $346.50 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $29.22 | $41.75 | $6.22 – $41.75 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $425.42 | $607.75 | $90.55 – $607.75 |
| Morphine injection, up to 10 mg HCPCS J2270 | $1,653.22 | $2,361.75 | $351.90 – $2,361.75 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $15.22 | $21.75 | $3.24 – $21.75 |
| Propofol injection, per 10 mg HCPCS J2704 | $159.77 | $228.25 | $34.01 – $228.25 |
| Saline IV solution, 1000 ml HCPCS J7030 | $69.47 | $99.25 | $14.79 – $99.25 |
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.