Saint Francis Hospital-Evanston
355 Ridge Ave, Evanston, IL 60202 · Acute care hospital · Emergency room
These are Saint Francis Hospital-Evanston's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
196 of the services we track have a posted price here; 182 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 | $880.00 | $5,389.00 | $220.19 – $4,472.87 |
| Emergency room visit, level 1 (minor) CPT 99281 | $89.00 | $473.00 | $12.39 – $468.00 |
| Emergency room visit, level 2 CPT 99282 | $163.00 | $923.00 | $45.42 – $766.09 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $291.00 | $1,381.00 | $78.55 – $1,146.23 |
| Emergency room visit, level 4 CPT 99284 | $444.00 | $2,598.00 | $134.09 – $2,156.34 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $635.00 | $4,023.00 | $193.15 – $3,339.09 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $213.00 | $354.00 | $52.12 – $354.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | not posted | $509.00 | $44.37 – $422.47 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $677.00 | $78.84 – $561.91 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $852.00 | $128.00 – $707.16 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $1,106.00 | $176.87 – $917.98 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $255.00 | $33.85 – $211.65 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $339.00 | $61.70 – $281.37 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $852.00 | $91.09 – $707.16 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $1,106.00 | $135.45 – $917.98 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $250.00 | $8.16 – $207.50 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $23.00 | $186.00 | $22.32 – $186.00 |
| Abdominal X-ray, 1 view CPT 74018 | $92.00 | $550.00 | $21.58 – $550.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $92.00 | $797.00 | $29.30 – $797.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $111.00 | $1,317.00 | $30.64 – $1,093.11 |
| Breast ultrasound, one breast, complete CPT 76641 | $111.00 | $1,073.00 | $67.23 – $1,073.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $92.00 | $975.00 | $52.80 – $975.00 |
| Chest X-ray, 1 view CPT 71045 | $92.00 | $550.00 | $17.55 – $550.00 |
| Chest X-ray, 2 views CPT 71046 | $92.00 | $605.00 | $23.59 – $605.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $187.00 | $3,016.00 | $177.69 – $2,503.28 |
| CT angiogram of the head CPT 70496 | $187.00 | $2,103.00 | $177.69 – $1,745.49 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $372.00 | $6,385.00 | $218.38 – $5,299.55 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $372.00 | $7,026.00 | $247.68 – $5,831.58 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $254.00 | $3,904.00 | $104.59 – $3,240.32 |
| CT scan of the abdomen, without contrast CPT 74150 | $111.00 | $3,678.00 | $82.34 – $3,052.74 |
| CT scan of the chest, with contrast CPT 71260 | $187.00 | $2,464.00 | $114.32 – $2,045.12 |
| CT scan of the chest, without contrast CPT 71250 | $111.00 | $1,825.00 | $84.01 – $1,514.75 |
| CT scan of the head, without contrast CPT 70450 | $111.00 | $4,076.00 | $67.90 – $3,383.08 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $111.00 | $1,793.00 | $85.02 – $1,606.42 |
| CT scan of the pelvis, with contrast CPT 72193 | $187.00 | $2,197.00 | $174.07 – $1,823.51 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $111.00 | $2,103.00 | $89.39 – $1,745.49 |
| Diagnostic mammogram, both breasts CPT 77066 | $111.00 | $877.00 | $59.97 – $877.00 |
| Diagnostic mammogram, one breast CPT 77065 | $87.00 | $647.00 | $59.97 – $647.00 |
| Foot X-ray, 3 or more views CPT 73630 | $92.00 | $882.00 | $26.61 – $882.00 |
| Hand X-ray, 3 or more views CPT 73130 | $92.00 | $820.00 | $29.97 – $820.00 |
| Knee X-ray, 3 views CPT 73562 | $92.00 | $800.00 | $33.66 – $800.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $254.00 | $2,113.00 | $154.03 – $1,753.79 |
| Leg or arm vein ultrasound, one side CPT 93971 | $111.00 | $1,924.00 | $97.20 – $1,596.92 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $111.00 | $431.00 | $30.31 – $431.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $5,335.00 | $236.27 – $4,428.05 |
| MRI of the abdomen, without and with contrast CPT 74183 | $372.00 | $6,155.00 | $236.94 – $5,108.65 |
| MRI of the brain, without and with contrast CPT 70553 | $372.00 | $4,255.00 | $214.11 – $3,531.65 |
| MRI of the brain, without contrast CPT 70551 | $254.00 | $2,851.00 | $129.09 – $2,366.33 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $254.00 | $5,957.00 | $143.19 – $4,944.31 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $254.00 | $3,580.00 | $124.73 – $2,971.40 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $254.00 | $2,877.00 | $123.72 – $2,387.91 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $254.00 | $3,121.00 | $124.06 – $2,590.43 |
| MRI of the pelvis, without and with contrast CPT 72197 | $372.00 | $7,967.00 | $235.26 – $6,612.61 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $254.00 | $6,325.00 | $143.53 – $5,249.75 |
| Neck X-ray, 2 or 3 views CPT 72040 | $92.00 | $882.00 | $29.97 – $882.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $111.00 | $2,060.00 | $73.61 – $1,709.80 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $111.00 | $1,440.00 | $71.26 – $1,195.20 |
| Screening mammogram, both breasts CPT 77067 | $92.00 | $720.00 | $59.97 – $720.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $92.00 | $922.00 | $27.29 – $922.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $111.00 | $1,429.00 | $58.17 – $1,186.07 |
| Transvaginal ultrasound CPT 76830 | $111.00 | $1,429.00 | $86.46 – $1,186.07 |
| Ultrasound of the abdomen, complete CPT 76700 | $111.00 | $2,926.00 | $78.07 – $2,428.58 |
| Ultrasound of the neck or thyroid CPT 76536 | $111.00 | $1,732.00 | $83.01 – $1,437.56 |
| Wrist X-ray, 3 or more views CPT 73110 | $92.00 | $828.00 | $34.67 – $828.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $111.00 | $1,238.00 | $41.38 – $1,090.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.00 | $422.00 | $5.08 – $350.26 |
| Blood culture CPT 87040 | $10.00 | $436.00 | $6.19 – $361.88 |
| Blood draw (venipuncture) CPT 36415 | $9.00 | $71.00 | $3.43 – $58.93 |
| BNP test (heart failure) CPT 83880 | $39.00 | $206.00 | $23.56 – $170.98 |
| C-reactive protein (CRP) test CPT 86140 | $5.00 | $100.00 | $3.11 – $83.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.00 | $159.00 | $21.05 – $146.26 |
| Complete blood count (CBC) with differential CPT 85025 | $7.00 | $304.00 | $4.66 – $252.32 |
| Complete blood count (CBC), automated CPT 85027 | $6.00 | $53.00 | $3.88 – $53.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.00 | $596.00 | $6.34 – $494.68 |
| COVID-19 PCR test CPT 87635 | $51.00 | $205.00 | $30.79 – $205.00 |
| D-dimer test (blood clots) CPT 85379 | $10.00 | $294.00 | $4.51 – $244.02 |
| Drug screen, instrument chemistry CPT 80307 | $62.00 | $258.00 | $37.28 – $258.00 |
| Ferritin (iron stores) test CPT 82728 | $13.00 | $132.00 | $8.18 – $132.00 |
| Free T4 (thyroid) test CPT 84439 | $9.00 | $106.00 | $5.41 – $106.00 |
| Glucose (blood sugar) test CPT 82947 | $3.00 | $48.00 | $2.36 – $46.75 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.00 | $141.00 | $21.05 – $141.00 |
| Hemoglobin A1c test CPT 83036 | $9.00 | $118.00 | $5.50 – $98.02 |
| Hepatitis C antibody test CPT 86803 | $14.00 | $116.00 | $8.56 – $116.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.00 | $91.00 | $10.73 – $91.00 |
| Iron test CPT 83540 | $6.00 | $79.00 | $3.88 – $77.37 |
| Kidney function panel CPT 80069 | $8.00 | $144.00 | $5.21 – $144.00 |
| Lipase test (pancreas) CPT 83690 | $6.00 | $99.00 | $4.13 – $99.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.00 | $175.00 | $8.03 – $153.85 |
| Liver function panel CPT 80076 | $8.00 | $206.00 | $4.90 – $184.97 |
| Magnesium test CPT 83735 | $6.00 | $187.00 | $4.02 – $155.21 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.00 | $91.00 | $3.61 – $75.53 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.00 | $563.00 | $9.03 – $467.29 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.00 | $62.00 | $2.57 – $58.13 |
| PSA (prostate specific antigen), free CPT 84154 | $18.00 | $159.00 | $11.03 – $131.97 |
| PSA (prostate specific antigen), total CPT 84153 | $18.00 | $159.00 | $11.03 – $138.80 |
| Rapid strep test CPT 87880 | $16.00 | $83.00 | $9.92 – $68.89 |
| Sed rate (ESR) test CPT 85652 | $2.00 | $56.00 | $1.62 – $50.47 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.00 | $183.00 | $10.08 – $151.89 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $55.00 | $1,202.00 | $35.68 – $997.66 |
| Troponin test (heart damage) CPT 84484 | $12.00 | $412.00 | $7.48 – $341.96 |
| Urinalysis, automated, with microscope CPT 81001 | $3.00 | $16.00 | $1.90 – $16.00 |
| Urinalysis, automated, without microscope CPT 81003 | $2.00 | $58.00 | $1.35 – $48.14 |
| Urinalysis, manual, with microscope CPT 81000 | $4.00 | $22.00 | $2.41 – $22.00 |
| Urinalysis, manual, without microscope CPT 81002 | $3.00 | $9.00 | $1.97 – $9.00 |
| Urine culture, colony count CPT 87086 | $8.00 | $89.00 | $4.84 – $89.00 |
| Urine pregnancy test CPT 81025 | $8.00 | $271.00 | $3.07 – $224.93 |
| Vitamin B12 test CPT 82607 | $15.00 | $158.00 | $9.05 – $143.62 |
| Vitamin D test CPT 82306 | $29.00 | $189.00 | $17.76 – $189.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $254.00 | $931.00 | $153.69 – $931.00 |
| ECG tracing only (no interpretation) CPT 93005 | $62.00 | $598.00 | $7.48 – $496.34 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $582.00 | $4,786.00 | $131.20 – $3,972.38 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,457.00 | $26,001.00 | $728.56 – $21,580.83 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,380.00 | $8,670.00 | $358.16 – $7,196.10 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $7,737.00 | $30,581.00 | $558.00 – $25,382.23 |
| Appendix removal, laparoscopic CPT 44970 | $6,446.00 | $15,982.00 | $684.22 – $14,253.76 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,761.00 | $5,453.00 | $146.10 – $4,550.00 |
| Carpal tunnel release CPT 64721 | $2,082.00 | $8,688.00 | $468.29 – $7,211.04 |
| Colonoscopy with biopsy CPT 45380 | $1,276.00 | $8,480.00 | $196.91 – $7,038.40 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,276.00 | $8,268.00 | $246.84 – $6,862.44 |
| Colonoscopy, diagnostic CPT 45378 | $991.00 | $13,712.00 | $183.37 – $11,380.96 |
| Cystoscopy (bladder scope) CPT 52000 | $743.00 | $8,267.00 | $80.22 – $6,861.61 |
| Ear tubes, under general anesthesia CPT 69436 | $1,654.00 | $5,474.00 | $157.54 – $4,816.03 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $991.00 | $5,895.00 | $59.27 – $4,892.85 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,446.00 | $30,198.00 | $750.83 – $25,064.34 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $58,792.00 | $1,957.47 – $48,797.36 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $11,335.00 | $57,202.00 | $961.77 – $47,477.66 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,451.00 | $10,762.00 | $236.73 – $8,932.46 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,446.00 | $27,608.00 | $496.96 – $22,914.64 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $3,818.00 | $19,280.00 | $599.41 – $16,002.40 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,758.00 | $18,080.00 | $577.29 – $15,006.40 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,489.00 | $15,087.00 | $579.07 – $12,522.21 |
| Prostate biopsy CPT 55700 | $2,138.00 | $11,874.00 | $488.00 – $9,855.42 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $11,335.00 | $50,215.33 | $1,210.66 – $41,678.72 |
| Removal of a breast lump, open surgery CPT 19120 | $4,175.00 | $12,635.00 | $472.73 – $10,487.05 |
| Rotator cuff repair, arthroscopic CPT 29827 | $7,737.00 | $25,061.00 | $785.00 – $20,800.63 |
| Screening colonoscopy, average risk HCPCS G0121 | $991.00 | $13,712.00 | $184.13 – $11,380.96 |
| Screening colonoscopy, high risk HCPCS G0105 | $991.00 | $4,752.00 | $183.37 – $3,944.16 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,535.00 | $6,610.15 | $660.28 – $6,610.15 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $9,458.24 | $173.56 – $7,850.34 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $21,132.00 | $1,232.99 – $17,539.56 |
| Total hip replacement CPT 27130 | $13,690.00 | $41,544.00 | $1,343.61 – $34,481.52 |
| Total knee replacement CPT 27447 | $13,690.00 | $40,674.00 | $1,339.63 – $33,759.42 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $967.00 | $6,790.00 | $135.99 – $5,635.70 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $967.00 | $6,320.00 | $121.59 – $5,245.60 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| IUD insertion CPT 58300 | not posted | $9,090.00 | $116.69 – $7,544.70 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,521.00 | $4,009.50 – $15,424.44 | |
| C-section, without complications MS-DRG 788 | $10,267.00 | $6,122.90 – $16,634.06 | |
| Chest pain MS-DRG 313 | $7,921.00 | $4,597.92 – $12,833.35 | |
| COPD flare-up, with major complications MS-DRG 190 | $11,730.00 | $7,073.77 – $25,815.79 | |
| COPD flare-up, without complications MS-DRG 192 | $7,155.00 | $4,099.81 – $14,718.20 | |
| Fainting (syncope) MS-DRG 312 | $9,411.00 | $5,566.04 – $15,246.19 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $10,483.00 | $6,262.75 – $20,470.17 | |
| Heart failure, with major complications MS-DRG 291 | $13,460.00 | $7,747.97 – $34,481.19 | |
| Heart failure, without complications MS-DRG 293 | $6,408.00 | $3,614.48 – $19,934.53 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $96,960.00 | $60,006.19 – $230,315.95 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $19,798.00 | $12,317.96 – $32,074.06 | |
| Irregular heartbeat, without complications MS-DRG 310 | $6,409.00 | $3,615.11 – $11,940.54 | |
| Kidney failure, with complications MS-DRG 683 | $9,452.00 | $5,478.34 – $25,913.61 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $8,801.00 | $5,169.47 – $17,159.85 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $24,832.00 | $19,609.81 – $40,229.35 | |
| Normal newborn care MS-DRG 795 | $2,811.00 | $1,275.92 – $5,708.50 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $8,493.00 | $4,969.59 – $18,150.26 | |
| Pneumonia, with complications MS-DRG 194 | $8,765.00 | $5,146.48 – $18,885.29 | |
| Pneumonia, with major complications MS-DRG 193 | $13,761.00 | $8,393.76 – $33,128.34 | |
| Pneumonia, without complications MS-DRG 195 | $7,022.00 | $4,013.60 – $12,171.35 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $14,571.00 | $6,784.57 – $23,605.21 | |
| Sepsis, with major complications MS-DRG 871 | $19,932.00 | $9,338.64 – $41,800.75 | |
| Sepsis, without major complications MS-DRG 872 | $10,901.00 | $6,534.79 – $49,327.72 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $9,404.00 | $5,561.57 – $18,788.41 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $8,507.00 | $4,978.53 – $13,781.92 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $10,773.00 | $6,451.78 – $29,497.04 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $13,037.00 | $7,923.11 – $26,152.66 | |
| Vaginal delivery, without complications MS-DRG 807 | $7,471.00 | $4,305.44 – $12,104.40 | |
| Weight loss surgery, without complications MS-DRG 621 | $15,667.00 | $9,632.64 – $45,426.07 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $327.00 | $1,424.00 | $45.60 – $1,424.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $230.00 | $586.00 | $59.61 – $509.08 |
| Sleep study with CPAP titration CPT 95811 | $915.00 | $9,439.00 | $594.09 – $7,834.37 |
| Sleep study, overnight in a sleep lab CPT 95810 | $915.00 | $8,168.00 | $563.35 – $6,779.44 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $230.00 | $863.00 | $21.91 – $716.29 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $28.00 | $283.00 | $26.90 – $234.89 |
| Physical therapy evaluation, low complexity CPT 97161 | $98.00 | $365.00 | $73.00 – $302.95 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $98.00 | $402.00 | $80.40 – $333.66 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $29.00 | $289.00 | $28.19 – $239.87 |
| Therapeutic activities, 15 minutes CPT 97530 | $35.00 | $246.00 | $33.92 – $204.18 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $189.00 | $287.00 | $57.40 – $287.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $189.00 | $261.00 | $52.20 – $261.00 |
| Group psychotherapy CPT 90853 | $108.00 | $388.00 | $24.98 – $388.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $189.00 | $463.00 | $92.60 – $418.48 |
| Psychotherapy, 30 minutes CPT 90832 | $189.00 | $217.00 | $43.40 – $217.00 |
| Psychotherapy, 45 minutes CPT 90834 | $189.00 | $332.00 | $66.40 – $332.00 |
| Psychotherapy, 60 minutes CPT 90837 | $189.00 | $473.00 | $94.60 – $473.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $76.00 | $156.00 | $15.88 – $156.00 |
| IV hydration, each additional hour CPT 96361 | $49.00 | $449.00 | $13.53 – $449.00 |
| IV hydration, first hour CPT 96360 | $226.00 | $814.00 | $34.01 – $675.62 |
| IV push injection of a drug, first CPT 96374 | $226.00 | $488.00 | $38.81 – $488.00 |
| IV push injection, each additional drug CPT 96375 | $49.00 | $268.00 | $16.21 – $222.44 |
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.