Northwestern Medicine Kishwaukee Hospital
One Kish Hospital Drive, Dekalb, IL 60115 · Acute care hospital · Emergency room
These are Northwestern Medicine Kishwaukee 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.
208 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 | $1,598.10 | $2,283.00 | $417.79 – $2,283.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,032.50 | $1,475.00 | |
| Emergency room visit, level 2 CPT 99282 | $757.40 | $1,082.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,823.85 | $2,605.50 | $2,429.00 – $3,238.00 |
| Emergency room visit, level 4 CPT 99284 | $4,197.90 | $5,997.00 | |
| Emergency room visit, level 5 (most severe) CPT 99285 | $9,565.15 | $13,664.50 | $2,429.00 – $3,238.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $390.60 | $558.00 | $102.11 – $558.00 |
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 | $56.36 – $308.00 |
| New patient office visit, about 30 minutes CPT 99203 | $380.10 | $543.00 | $99.37 – $543.00 |
| New patient office visit, about 45 minutes CPT 99204 | $438.20 | $626.00 | $114.56 – $626.00 |
| New patient office visit, about 60 minutes CPT 99205 | $640.50 | $915.00 | $167.45 – $915.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $196.00 | $280.00 | $51.24 – $280.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $291.20 | $416.00 | $76.13 – $416.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $398.30 | $569.00 | $104.13 – $569.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $609.00 | $870.00 | $159.21 – $870.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $158.90 | $227.00 | $41.54 – $227.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $125.30 | $179.00 | $32.76 – $179.00 |
| Abdominal X-ray, 1 view CPT 74018 | $396.90 | $567.00 | $103.76 – $567.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $541.80 | $774.00 | $141.64 – $774.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $637.00 | $910.00 | $166.53 – $910.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $532.00 | $760.00 | $139.08 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $438.90 | $627.00 | $114.74 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $537.60 | $768.00 | $140.54 – $768.00 |
| Chest X-ray, 2 views CPT 71046 | $674.10 | $963.00 | $176.23 – $963.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,502.80 | $5,004.00 | $915.73 – $5,004.00 |
| CT angiogram of the head CPT 70496 | $3,656.10 | $5,223.00 | $955.81 – $5,223.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,049.40 | $8,642.00 | $1,581.49 – $8,642.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,105.70 | $10,151.00 | $1,857.63 – $10,151.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,802.00 | $6,860.00 | $1,255.38 – $6,860.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,576.00 | $3,680.00 | $673.44 – $3,680.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,173.80 | $4,534.00 | $829.72 – $4,534.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,611.00 | $3,730.00 | $682.59 – $3,730.00 |
| CT scan of the head, without contrast CPT 70450 | $2,474.50 | $3,535.00 | $646.91 – $3,535.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,168.20 | $4,526.00 | $828.26 – $4,526.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,907.80 | $4,154.00 | $760.18 – $4,154.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,606.10 | $3,723.00 | $681.31 – $3,723.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $513.80 | $734.00 | $134.32 – $734.00 |
| Diagnostic mammogram, one breast CPT 77065 | $464.80 | $664.00 | $121.51 – $664.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.30 | $849.00 | $155.37 – $849.00 |
| Hand X-ray, 3 or more views CPT 73130 | $547.40 | $782.00 | $143.11 – $782.00 |
| Knee X-ray, 3 views CPT 73562 | $598.50 | $855.00 | $156.47 – $855.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,626.40 | $3,752.00 | $686.62 – $3,752.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,673.00 | $2,390.00 | $437.37 – $2,390.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $651.70 | $931.00 | $170.37 – $931.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,099.20 | $5,856.00 | $1,071.65 – $5,856.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,385.50 | $6,265.00 | $1,146.50 – $6,265.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,385.10 | $7,693.00 | $1,407.82 – $7,693.00 |
| MRI of the brain, without contrast CPT 70551 | $3,887.10 | $5,553.00 | $1,016.20 – $5,553.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,835.30 | $5,479.00 | $1,002.66 – $5,479.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,837.40 | $5,482.00 | $1,003.21 – $5,482.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,809.40 | $5,442.00 | $995.89 – $5,442.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,171.30 | $5,959.00 | $1,090.50 – $5,959.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,765.60 | $6,808.00 | $1,245.86 – $6,808.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,591.70 | $5,131.00 | $938.97 – $5,131.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $665.70 | $951.00 | $174.03 – $951.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,509.90 | $2,157.00 | $394.73 – $2,157.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,206.10 | $1,723.00 | $315.31 – $1,723.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $940.80 | $1,344.00 | $245.95 – $1,344.00 |
| Screening mammogram, both breasts CPT 77067 | $523.60 | $748.00 | $136.88 – $748.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $623.00 | $890.00 | $162.87 – $890.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $749.00 | $1,070.00 | $195.81 – $1,070.00 |
| Transvaginal ultrasound CPT 76830 | $1,079.40 | $1,542.00 | $282.19 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,772.40 | $2,532.00 | $463.36 – $2,532.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,343.30 | $1,919.00 | $351.18 – $1,919.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $492.80 | $704.00 | $128.83 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $909.30 | $1,299.00 | $237.72 – $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 | $57.46 – $314.00 |
| Blood culture CPT 87040 | $739.90 | $1,057.00 | $193.43 – $1,057.00 |
| Blood draw (venipuncture) CPT 36415 | $33.60 | $48.00 | $16.32 – $48.00 |
| BNP test (heart failure) CPT 83880 | $206.50 | $295.00 | $53.99 – $295.00 |
| C-reactive protein (CRP) test CPT 86140 | $102.90 | $147.00 | $26.90 – $147.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $151.90 | $217.00 | $39.71 – $217.00 |
| Complete blood count (CBC) with differential CPT 85025 | $124.60 | $178.00 | $32.57 – $178.00 |
| Complete blood count (CBC), automated CPT 85027 | $90.30 | $129.00 | $23.61 – $129.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $306.60 | $438.00 | $80.15 – $438.00 |
| COVID-19 PCR test CPT 87635 | $125.30 | $179.00 | $32.76 – $179.00 |
| D-dimer test (blood clots) CPT 85379 | $165.90 | $237.00 | $43.37 – $237.00 |
| Drug screen, instrument chemistry CPT 80307 | $298.90 | $427.00 | $78.14 – $427.00 |
| Ferritin (iron stores) test CPT 82728 | $144.20 | $206.00 | $37.70 – $206.00 |
| Free T4 (thyroid) test CPT 84439 | $121.10 | $173.00 | $31.66 – $173.00 |
| Glucose (blood sugar) test CPT 82947 | $64.40 | $92.00 | $16.84 – $92.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $151.20 | $216.00 | $39.53 – $216.00 |
| Hemoglobin A1c test CPT 83036 | $116.90 | $167.00 | $30.56 – $167.00 |
| Hepatitis C antibody test CPT 86803 | $175.00 | $250.00 | $45.75 – $250.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $170.10 | $243.00 | $44.47 – $243.00 |
| Iron test CPT 83540 | $79.10 | $113.00 | $20.68 – $113.00 |
| Kidney function panel CPT 80069 | $148.40 | $212.00 | $38.80 – $212.00 |
| Lipase test (pancreas) CPT 83690 | $143.50 | $205.00 | $37.52 – $205.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $184.10 | $263.00 | $48.13 – $263.00 |
| Liver function panel CPT 80076 | $169.40 | $242.00 | $44.29 – $242.00 |
| Magnesium test CPT 83735 | $81.20 | $116.00 | $21.23 – $116.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $88.20 | $126.00 | $23.06 – $126.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $204.40 | $292.00 | $53.44 – $292.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $60.20 | $86.00 | $15.74 – $86.00 |
| PSA (prostate specific antigen), free CPT 84154 | $95.90 | $137.00 | $25.07 – $137.00 |
| PSA (prostate specific antigen), total CPT 84153 | $218.40 | $312.00 | $57.10 – $312.00 |
| Rapid strep test CPT 87880 | $133.00 | $190.00 | $34.77 – $190.00 |
| Sed rate (ESR) test CPT 85652 | $77.00 | $110.00 | $20.13 – $110.00 |
| TB skin test CPT 86580 | $32.20 | $46.00 | $8.42 – $46.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $162.40 | $232.00 | $42.46 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $8,605.29 | $12,293.27 | |
| Troponin test (heart damage) CPT 84484 | $170.80 | $244.00 | $44.65 – $244.00 |
| Urinalysis, automated, with microscope CPT 81001 | $60.20 | $86.00 | $15.74 – $86.00 |
| Urinalysis, automated, without microscope CPT 81003 | $56.00 | $80.00 | $14.64 – $80.00 |
| Urinalysis, manual, without microscope CPT 81002 | $53.20 | $76.00 | $13.91 – $76.00 |
| Urine culture, colony count CPT 87086 | $128.80 | $184.00 | $33.67 – $184.00 |
| Urine pregnancy test CPT 81025 | $103.60 | $148.00 | $27.08 – $148.00 |
| Vitamin B12 test CPT 82607 | $135.10 | $193.00 | $35.32 – $193.00 |
| Vitamin D test CPT 82306 | $191.10 | $273.00 | $49.96 – $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 | $610.85 – $3,338.00 |
| ECG tracing only (no interpretation) CPT 93005 | $200.90 | $287.00 | $52.52 – $287.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,926.70 | $4,181.00 | $765.12 – $3,595.66 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,764.20 | $6,806.00 | $1,245.50 – $6,806.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,242.40 | $4,632.00 | $847.66 – $4,632.00 |
| Treadmill stress test, complete CPT 93015 | $431.20 | $616.00 | $112.73 – $616.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $106,675.84 | $152,394.06 | |
| Appendix removal, laparoscopic CPT 44970 | $36,730.77 | $52,472.53 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,769.90 | $3,957.00 | $1,986.41 – $3,957.00 |
| Carpal tunnel release CPT 64721 | $19,196.44 | $27,423.49 | |
| Colonoscopy with biopsy CPT 45380 | $12,301.08 | $17,572.97 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | $11,052.00 | $15,788.57 | |
| Colonoscopy, diagnostic CPT 45378 | $4,398.68 | $6,283.83 | |
| Colposcopy with biopsy CPT 57454 | $11,833.82 | $16,905.46 | |
| Cystoscopy (bladder scope) CPT 52000 | $9,786.06 | $13,980.09 | |
| Ear tubes, under general anesthesia CPT 69436 | $6,100.86 | $8,715.51 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,854.85 | $2,649.79 | $7.52 – $7.52 |
| Gallbladder removal, laparoscopic CPT 47562 | $35,620.15 | $50,885.93 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $55,822.85 | $79,746.93 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $18,795.57 | $26,850.81 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $41,217.07 | $58,881.53 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $28,799.46 | $41,142.09 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $17,460.97 | $24,944.24 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $33,292.62 | $47,560.89 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $4,094.30 | $5,849.00 | $1,070.37 – $5,849.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $13,048.97 | $18,641.39 | |
| Prostate biopsy CPT 55700 | $17,132.54 | $24,475.06 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | $87,657.04 | $125,224.34 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $84,727.41 | $121,039.16 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,979.60 | $2,828.00 | $517.52 – $2,828.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,389.80 | $3,414.00 | $624.76 – $3,414.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $20,351.10 | $29,073.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $84,573.03 | $120,818.61 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $13,740.14 | $19,628.77 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $11,181.04 | $15,972.91 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $4,437.85 | $6,339.79 | |
| Vasectomy CPT 55250 | $9,629.12 | $13,755.89 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,986.77 | $2,838.24 | |
| IUD insertion CPT 58300 | $21,082.12 | $30,117.31 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $19,845.70 | $28,351.00 | $6,281.86 – $6,281.86 |
| C-section, without complications MS-DRG 788 | $32,526.02 | $46,465.74 | $6,822.66 – $17,972.71 |
| Chest pain MS-DRG 313 | $22,691.20 | $32,416.00 | $5,123.40 – $13,496.40 |
| COPD flare-up, with major complications MS-DRG 190 | $25,240.25 | $36,057.50 | $7,882.21 – $20,763.84 |
| COPD flare-up, without complications MS-DRG 192 | $15,823.15 | $22,604.50 | $4,568.36 – $12,034.29 |
| Fainting (syncope) MS-DRG 312 | $27,228.07 | $38,897.24 | $6,202.16 – $16,338.14 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $30,091.93 | $42,988.47 | $6,978.50 – $18,383.22 |
| Heart failure, with major complications MS-DRG 291 | $27,631.97 | $39,474.24 | $9,135.31 – $24,064.83 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $64,531.73 | $92,188.19 | $13,725.73 – $36,157.23 |
| Irregular heartbeat, without complications MS-DRG 310 | $15,300.77 | $21,858.24 | $4,028.27 – $10,611.54 |
| Kidney failure, with complications MS-DRG 683 | $23,141.12 | $33,058.74 | $6,232.05 – $16,416.87 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $23,322.60 | $33,318.00 | $5,760.27 – $15,174.08 |
| Normal newborn care MS-DRG 795 | $4,577.30 | $6,539.00 | $1,421.74 – $3,745.25 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $25,910.15 | $37,014.50 | $5,537.54 – $14,587.36 |
| Pneumonia, with complications MS-DRG 194 | $21,819.52 | $31,170.74 | $5,734.65 – $15,106.60 |
| Pneumonia, with major complications MS-DRG 193 | $31,869.77 | $45,528.24 | $9,353.05 – $24,638.43 |
| Pneumonia, without complications MS-DRG 195 | $18,367.47 | $26,239.24 | $4,472.30 – $11,781.23 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $25,138.22 | $35,911.74 | $9,784.02 – $26,183.02 |
| Sepsis, with major complications MS-DRG 871 | $44,461.07 | $63,515.81 | $13,822.50 – $50,640.98 |
| Sepsis, without major complications MS-DRG 872 | $26,320.70 | $37,601.00 | $7,281.63 – $19,181.76 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $20,226.85 | $28,895.50 | $6,197.18 – $22,704.36 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $24,764.49 | $35,377.84 | $5,547.50 – $14,613.60 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $35,942.72 | $51,346.74 | $7,189.13 – $18,938.07 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $49,143.77 | $70,205.39 | $8,828.61 – $23,256.92 |
| Vaginal delivery, without complications MS-DRG 807 | $13,148.62 | $18,783.74 | $4,797.49 – $4,797.49 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $207.90 | $297.00 | $149.09 – $297.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $6,749.40 | $9,642.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,927.40 | $4,182.00 | $2,099.36 – $4,182.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $10,852.99 | $15,504.27 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $256.90 | $367.00 | $67.16 – $367.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $4,379.90 | $6,257.00 | $1,145.03 – $6,257.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,509.80 | $5,014.00 | $917.56 – $5,014.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $405.30 | $579.00 | $105.96 – $579.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $214.20 | $306.00 | $56.00 – $306.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $293.30 | $419.00 | $76.68 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.10 | $503.00 | $92.05 – $503.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $165.20 | $236.00 | $43.19 – $236.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.70 | $241.00 | $44.10 – $241.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $160.30 | $229.00 | $41.91 – $229.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $141.40 | $202.00 | $36.97 – $202.00 |
| Group psychotherapy CPT 90853 | $203.70 | $291.00 | $53.25 – $291.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $343.00 | $490.00 | $89.67 – $490.00 |
| Psychotherapy, 30 minutes CPT 90832 | $111.30 | $159.00 | $29.10 – $159.00 |
| Psychotherapy, 45 minutes CPT 90834 | $133.70 | $191.00 | $34.95 – $191.00 |
| Psychotherapy, 60 minutes CPT 90837 | $160.30 | $229.00 | $41.91 – $229.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $109.20 | $156.00 | $28.55 – $156.00 |
| IV hydration, each additional hour CPT 96361 | $182.70 | $261.00 | $47.76 – $261.00 |
| IV hydration, first hour CPT 96360 | $420.70 | $601.00 | $109.98 – $601.00 |
| IV push injection of a drug, first CPT 96374 | $172.90 | $247.00 | $45.20 – $247.00 |
| IV push injection, each additional drug CPT 96375 | $141.40 | $202.00 | $36.97 – $202.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $208.07 | $297.25 | $54.40 – $297.25 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $458.85 | $655.50 | $119.96 – $655.50 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $301.35 | $430.50 | $78.78 – $430.50 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $351.05 | $501.50 | $91.77 – $501.50 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $94.32 | $134.75 | $24.66 – $134.75 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $303.62 | $433.75 | $79.38 – $433.75 |
| Morphine injection, up to 10 mg HCPCS J2270 | $2,083.72 | $2,976.75 | $544.75 – $2,976.75 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $37.10 | $53.00 | $9.70 – $53.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $473.90 | $677.00 | $123.89 – $677.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $279.65 | $399.50 | $73.11 – $399.50 |
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.