Northwestern Medicine McHenry
4201 Medical Center Drive, McHenry, IL 60050 · Acute care hospital · Emergency room
These are Northwestern Medicine McHenry'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.
215 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 | $844.57 – $4,376.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $399.70 | $571.00 | $110.20 – $571.00 |
| Emergency room visit, level 2 CPT 99282 | $757.40 | $1,082.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,810.90 | $2,587.00 | |
| Emergency room visit, level 4 CPT 99284 | $4,245.85 | $6,065.50 | $2,274.00 – $2,527.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $9,892.05 | $14,131.50 | $2,274.00 – $2,527.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $549.50 | $785.00 | $151.51 – $785.00 |
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 | $59.44 – $308.00 |
| New patient office visit, about 30 minutes CPT 99203 | $380.10 | $543.00 | $104.80 – $543.00 |
| New patient office visit, about 45 minutes CPT 99204 | $438.20 | $626.00 | $120.82 – $626.00 |
| New patient office visit, about 60 minutes CPT 99205 | $640.50 | $915.00 | $176.60 – $915.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $196.00 | $280.00 | $54.04 – $280.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $291.20 | $416.00 | $80.29 – $416.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $398.30 | $569.00 | $109.82 – $569.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $609.00 | $870.00 | $167.91 – $870.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $158.90 | $227.00 | $43.81 – $227.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $125.30 | $179.00 | $34.55 – $179.00 |
| Abdominal X-ray, 1 view CPT 74018 | $396.90 | $567.00 | $109.43 – $567.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $541.80 | $774.00 | $149.38 – $774.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $637.00 | $910.00 | $175.63 – $910.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $532.00 | $760.00 | $146.68 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $438.90 | $627.00 | $121.01 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $537.60 | $768.00 | $148.22 – $768.00 |
| Chest X-ray, 2 views CPT 71046 | $674.10 | $963.00 | $185.86 – $963.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,502.80 | $5,004.00 | $965.77 – $5,004.00 |
| CT angiogram of the head CPT 70496 | $3,656.10 | $5,223.00 | $1,008.04 – $5,223.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,049.40 | $8,642.00 | $1,667.91 – $8,642.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,105.70 | $10,151.00 | $1,959.14 – $10,151.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,802.00 | $6,860.00 | $1,323.98 – $6,860.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,576.00 | $3,680.00 | $710.24 – $3,680.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,173.80 | $4,534.00 | $875.06 – $4,534.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,611.00 | $3,730.00 | $719.89 – $3,730.00 |
| CT scan of the head, without contrast CPT 70450 | $2,474.50 | $3,535.00 | $682.26 – $3,535.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,168.20 | $4,526.00 | $873.52 – $4,526.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,907.80 | $4,154.00 | $801.72 – $4,154.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,606.10 | $3,723.00 | $718.54 – $3,723.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $513.80 | $734.00 | $141.66 – $734.00 |
| Diagnostic mammogram, one breast CPT 77065 | $464.80 | $664.00 | $128.15 – $664.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.30 | $849.00 | $163.86 – $849.00 |
| Hand X-ray, 3 or more views CPT 73130 | $547.40 | $782.00 | $150.93 – $782.00 |
| Knee X-ray, 3 views CPT 73562 | $598.50 | $855.00 | $165.02 – $855.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,626.40 | $3,752.00 | $724.14 – $3,752.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,673.00 | $2,390.00 | $461.27 – $2,390.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $651.70 | $931.00 | $179.68 – $931.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,099.20 | $5,856.00 | $1,130.21 – $5,856.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,385.50 | $6,265.00 | $1,209.15 – $6,265.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,385.10 | $7,693.00 | $1,484.75 – $7,693.00 |
| MRI of the brain, without contrast CPT 70551 | $3,887.10 | $5,553.00 | $1,071.73 – $5,553.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,835.30 | $5,479.00 | $1,057.45 – $5,479.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,837.40 | $5,482.00 | $1,058.03 – $5,482.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,809.40 | $5,442.00 | $1,050.31 – $5,442.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,171.30 | $5,959.00 | $1,150.09 – $5,959.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,765.60 | $6,808.00 | $1,313.94 – $6,808.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,591.70 | $5,131.00 | $990.28 – $5,131.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $665.70 | $951.00 | $183.54 – $951.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,509.90 | $2,157.00 | $416.30 – $2,157.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,206.10 | $1,723.00 | $332.54 – $1,723.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $940.80 | $1,344.00 | $259.39 – $1,344.00 |
| Screening mammogram, both breasts CPT 77067 | $523.60 | $748.00 | $144.36 – $748.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $623.00 | $890.00 | $171.77 – $890.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $749.00 | $1,070.00 | $206.51 – $1,070.00 |
| Transvaginal ultrasound CPT 76830 | $1,079.40 | $1,542.00 | $297.61 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,772.40 | $2,532.00 | $488.68 – $2,532.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,343.30 | $1,919.00 | $370.37 – $1,919.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $492.80 | $704.00 | $135.87 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $909.30 | $1,299.00 | $250.71 – $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 | $60.60 – $314.00 |
| Blood culture CPT 87040 | $739.90 | $1,057.00 | $204.00 – $1,057.00 |
| Blood draw (venipuncture) CPT 36415 | $1,262.10 | $1,803.00 | $3.00 – $13.64 |
| BNP test (heart failure) CPT 83880 | $256.20 | $366.00 | $70.64 – $366.00 |
| C-reactive protein (CRP) test CPT 86140 | $205.10 | $293.00 | $56.55 – $293.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $275.10 | $393.00 | $75.85 – $393.00 |
| Complete blood count (CBC) with differential CPT 85025 | $121.80 | $174.00 | $33.58 – $174.00 |
| Complete blood count (CBC), automated CPT 85027 | $104.30 | $149.00 | $28.76 – $149.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $306.60 | $438.00 | $84.53 – $438.00 |
| COVID-19 PCR test CPT 87635 | $125.30 | $179.00 | $34.55 – $179.00 |
| D-dimer test (blood clots) CPT 85379 | $140.70 | $201.00 | $38.79 – $201.00 |
| Drug screen, instrument chemistry CPT 80307 | $693.70 | $991.00 | $191.26 – $991.00 |
| Ferritin (iron stores) test CPT 82728 | $144.20 | $206.00 | $39.76 – $206.00 |
| Free T4 (thyroid) test CPT 84439 | $121.10 | $173.00 | $33.39 – $173.00 |
| Glucose (blood sugar) test CPT 82947 | $83.30 | $119.00 | $22.97 – $119.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $275.10 | $393.00 | $75.85 – $393.00 |
| Hemoglobin A1c test CPT 83036 | $116.90 | $167.00 | $32.23 – $167.00 |
| Hepatitis C antibody test CPT 86803 | $253.40 | $362.00 | $69.87 – $362.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $112.00 | $160.00 | $30.88 – $160.00 |
| Iron test CPT 83540 | $79.10 | $113.00 | $21.81 – $113.00 |
| Kidney function panel CPT 80069 | $219.10 | $313.00 | $60.41 – $313.00 |
| Lipase test (pancreas) CPT 83690 | $163.10 | $233.00 | $44.97 – $233.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $184.10 | $263.00 | $50.76 – $263.00 |
| Liver function panel CPT 80076 | $276.50 | $395.00 | $76.24 – $395.00 |
| Magnesium test CPT 83735 | $81.20 | $116.00 | $22.39 – $116.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $113.40 | $162.00 | $31.27 – $162.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $235.90 | $337.00 | $65.04 – $337.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $77.70 | $111.00 | $21.42 – $111.00 |
| PSA (prostate specific antigen), free CPT 84154 | $166.60 | $238.00 | $45.93 – $238.00 |
| PSA (prostate specific antigen), total CPT 84153 | $176.40 | $252.00 | $48.64 – $252.00 |
| Rapid strep test CPT 87880 | $133.00 | $190.00 | $36.67 – $190.00 |
| Sed rate (ESR) test CPT 85652 | $79.80 | $114.00 | $22.00 – $114.00 |
| TB skin test CPT 86580 | $32.20 | $46.00 | $8.88 – $46.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $162.40 | $232.00 | $44.78 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $11,293.97 | $16,134.24 | $50.75 – $75.28 |
| Troponin test (heart damage) CPT 84484 | $170.80 | $244.00 | $47.09 – $244.00 |
| Urinalysis, automated, with microscope CPT 81001 | $102.20 | $146.00 | $28.18 – $146.00 |
| Urinalysis, automated, without microscope CPT 81003 | $102.20 | $146.00 | $28.18 – $146.00 |
| Urinalysis, manual, without microscope CPT 81002 | $110.60 | $158.00 | $30.49 – $158.00 |
| Urine culture, colony count CPT 87086 | $177.10 | $253.00 | $48.83 – $253.00 |
| Urine pregnancy test CPT 81025 | $125.30 | $179.00 | $34.55 – $179.00 |
| Vitamin B12 test CPT 82607 | $135.10 | $193.00 | $37.25 – $193.00 |
| Vitamin D test CPT 82306 | $191.10 | $273.00 | $52.69 – $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 | $644.23 – $3,338.00 |
| ECG tracing only (no interpretation) CPT 93005 | $238.00 | $340.00 | $65.62 – $340.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,950.50 | $4,215.00 | $813.50 – $2,212.88 |
| Left heart catheterization with coronary angiogram CPT 93458 | $18,926.60 | $27,038.00 | $5,218.33 – $27,038.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,085.50 | $7,265.00 | $1,402.15 – $7,265.00 |
| Treadmill stress test, complete CPT 93015 | $431.20 | $616.00 | $118.89 – $616.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $57,602.08 | $82,288.69 | $7,055.00 – $9,102.00 |
| Appendix removal, laparoscopic CPT 44970 | $26,964.85 | $38,521.21 | $7,055.00 – $7,839.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,747.10 | $5,353.00 | $1,033.13 – $5,353.00 |
| Carpal tunnel release CPT 64721 | $12,552.42 | $17,932.03 | $3,577.00 – $9,102.00 |
| Colonoscopy with biopsy CPT 45380 | $11,484.74 | $16,406.77 | $2,741.00 – $9,102.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $11,424.44 | $16,320.63 | $1,370.50 – $4,551.00 |
| Colonoscopy, diagnostic CPT 45378 | $4,675.65 | $6,679.50 | $2,741.00 – $3,045.00 |
| Colposcopy with biopsy CPT 57454 | $12,941.82 | $18,488.31 | $692.00 – $770.00 |
| Cystoscopy (bladder scope) CPT 52000 | $20,435.95 | $29,194.21 | $667.00 – $4,551.00 |
| Ear tubes, under general anesthesia CPT 69436 | $12,324.82 | $17,606.89 | $1,068.50 – $4,551.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $4,378.78 | $6,255.40 | $10.00 – $10.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $32,322.72 | $46,175.31 | $7,055.00 – $7,839.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $48,023.54 | $68,605.06 | $7,055.00 – $7,839.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $42,453.61 | $60,648.01 | $7,055.00 – $7,839.00 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $17,885.85 | $25,551.21 | $3,577.00 – $9,102.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $39,674.40 | $56,677.71 | $7,055.00 – $9,102.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $27,070.37 | $38,671.96 | $5,282.00 – $9,102.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $24,417.75 | $34,882.50 | $7,055.00 – $7,839.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $20,461.27 | $29,230.39 | $5,282.00 – $9,102.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $8,694.15 | $12,420.21 | $2,137.00 – $2,374.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $25,117.60 | $35,882.29 | $6,162.00 – $6,846.00 |
| Prostate biopsy CPT 55700 | $21,790.08 | $31,128.69 | $2,137.00 – $9,102.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $91,783.00 | $131,118.56 | $10,343.00 – $11,492.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $43,717.09 | $62,452.99 | $4,551.00 – $7,839.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,557.80 | $3,654.00 | $705.22 – $3,654.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $3,322.90 | $4,747.00 | $916.17 – $4,747.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $33,467.66 | $47,810.94 | $3,577.00 – $4,551.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $42,901.27 | $61,287.53 | $346.00 – $4,551.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $40,712.61 | $58,160.87 | $7,055.00 – $7,839.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $19,108.96 | $27,298.51 | $3,577.00 – $9,102.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $11,107.61 | $15,868.01 | $2,137.00 – $9,102.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $4,920.72 | $7,029.60 | $2,137.00 – $2,374.00 |
| Vasectomy CPT 55250 | $15,256.09 | $21,794.41 | $3,577.00 – $9,102.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,376.90 | $1,967.00 | $506.00 – $562.00 |
| IUD insertion CPT 58300 | $21,131.89 | $30,188.41 | $346.00 – $385.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $21,983.32 | $31,404.74 | $6,281.86 – $10,793.11 |
| C-section, without complications MS-DRG 788 | $29,533.22 | $42,190.31 | $6,822.66 – $10,428.87 |
| Chest pain MS-DRG 313 | $28,199.67 | $40,285.24 | $4,951.70 – $7,831.44 |
| COPD flare-up, with major complications MS-DRG 190 | $30,129.57 | $43,042.24 | $7,882.21 – $13,542.74 |
| COPD flare-up, without complications MS-DRG 192 | $20,849.32 | $29,784.74 | $4,492.21 – $7,039.59 |
| Fainting (syncope) MS-DRG 312 | $29,826.12 | $42,608.74 | $6,202.16 – $10,656.18 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $35,414.19 | $50,591.70 | $6,978.50 – $11,990.04 |
| Heart failure, with major complications MS-DRG 291 | $33,932.15 | $48,474.50 | $9,135.31 – $15,695.74 |
| Heart failure, without complications MS-DRG 293 | $34,505.27 | $49,293.24 | $11,618.02 – $19,961.39 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $343,590.00 | $490,842.84 | $69,612.77 – $119,604.51 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $66,627.12 | $95,181.60 | $13,725.73 – $23,582.73 |
| Irregular heartbeat, without complications MS-DRG 310 | $15,596.00 | $22,280.00 | $3,883.48 – $6,157.47 |
| Kidney failure, with complications MS-DRG 683 | $26,126.62 | $37,323.74 | $6,232.05 – $10,707.53 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $23,138.15 | $33,054.50 | $5,180.80 – $14,265.82 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $119,537.38 | $170,767.69 | $17,371.88 – $29,847.33 |
| Normal newborn care MS-DRG 795 | $5,480.47 | $7,829.24 | $1,421.74 – $2,442.75 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $21,892.32 | $31,274.74 | $5,537.54 – $9,514.27 |
| Pneumonia, with complications MS-DRG 194 | $26,040.70 | $37,201.00 | $5,734.65 – $9,852.93 |
| Pneumonia, with major complications MS-DRG 193 | $33,710.07 | $48,157.24 | $9,353.05 – $16,069.85 |
| Pneumonia, without complications MS-DRG 195 | $18,749.67 | $26,785.24 | $4,472.30 – $7,684.04 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $21,357.00 | $30,510.00 | $9,784.02 – $15,192.99 |
| Sepsis, with major complications MS-DRG 871 | $42,871.44 | $61,244.91 | $13,822.50 – $23,749.01 |
| Sepsis, without major complications MS-DRG 872 | $27,199.87 | $38,856.96 | $7,281.63 – $12,510.87 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $20,611.32 | $29,444.74 | $6,197.18 – $10,647.62 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $24,344.13 | $34,777.33 | $5,547.50 – $9,531.39 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $39,235.70 | $56,051.00 | $7,189.13 – $12,351.93 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $43,844.16 | $62,634.51 | $8,828.61 – $15,168.80 |
| Vaginal delivery, without complications MS-DRG 807 | $14,928.02 | $21,325.74 | $4,797.49 – $7,333.27 |
| Weight loss surgery, without complications MS-DRG 621 | $43,021.40 | $61,459.14 | $10,733.52 – $18,441.70 |
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 | $248.39 – $1,287.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,570.22 | $3,671.74 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,339.05 | $3,341.50 | $5.68 – $5.68 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $47,582.70 | $67,975.29 | $7,055.00 – $7,839.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $10,710.69 | $15,300.99 | $3,577.00 – $9,102.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $256.90 | $367.00 | $70.83 – $367.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $931.70 | $1,331.00 | $256.88 – $1,331.00 |
| Sleep study with CPAP titration CPT 95811 | $5,038.60 | $7,198.00 | $1,389.21 – $7,198.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,558.40 | $6,512.00 | $1,256.82 – $6,512.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $469.00 | $670.00 | $129.31 – $670.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $214.20 | $306.00 | $59.06 – $306.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $293.30 | $419.00 | $80.87 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.10 | $503.00 | $97.08 – $503.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $165.20 | $236.00 | $45.55 – $236.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.70 | $241.00 | $46.51 – $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 | $88.01 – $456.00 |
| Group psychotherapy CPT 90853 | $319.90 | $457.00 | $88.20 – $457.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,337.70 | $1,911.00 | $368.82 – $1,911.00 |
| Psychotherapy, 30 minutes CPT 90832 | $196.70 | $281.00 | $54.23 – $281.00 |
| Psychotherapy, 45 minutes CPT 90834 | $274.40 | $392.00 | $75.66 – $392.00 |
| Psychotherapy, 60 minutes CPT 90837 | $555.80 | $794.00 | $153.24 – $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 | $40.92 – $212.00 |
| IV hydration, each additional hour CPT 96361 | $159.60 | $228.00 | $44.00 – $228.00 |
| IV hydration, first hour CPT 96360 | $432.60 | $618.00 | $119.27 – $618.00 |
| IV push injection of a drug, first CPT 96374 | $301.70 | $431.00 | $83.18 – $431.00 |
| IV push injection, each additional drug CPT 96375 | $301.70 | $431.00 | $83.18 – $431.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $108.85 | $155.50 | $30.01 – $155.50 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $42.70 | $61.00 | $11.77 – $61.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $117.25 | $167.50 | $32.33 – $167.50 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $145.60 | $208.00 | $40.14 – $208.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $9.10 | $13.00 | $2.51 – $13.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $13.30 | $19.00 | $3.67 – $19.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $1,408.57 | $2,012.25 | $388.36 – $2,012.25 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $8.92 | $12.75 | $2.46 – $12.75 |
| Propofol injection, per 10 mg HCPCS J2704 | $57.40 | $82.00 | $15.83 – $82.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $97.30 | $139.00 | $26.83 – $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.