Franciscan Health Crown Point
1201 S Main St., Crown Point, IN 46307 · Acute care hospital · Emergency room
These are Franciscan Health Crown Point's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
211 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 | $4,271.45 | $16,556.00 | $16,556.00 – $16,556.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $106.81 | $414.00 | $414.00 – $414.00 |
| Emergency room visit, level 2 CPT 99282 | $213.88 | $829.00 | $829.00 – $829.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $498.46 | $1,932.00 | $1,932.00 – $1,932.00 |
| Emergency room visit, level 4 CPT 99284 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,067.86 | $4,139.00 | $4,139.00 – $4,139.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $71.47 | $277.00 | $277.00 – $277.00 |
| New patient office visit, about 30 minutes CPT 99203 | $93.14 | $361.00 | $361.00 – $361.00 |
| New patient office visit, about 45 minutes CPT 99204 | $117.65 | $456.00 | $456.00 – $456.00 |
| New patient office visit, about 60 minutes CPT 99205 | $167.70 | $650.00 | $650.00 – $650.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $71.47 | $277.00 | $277.00 – $277.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $93.14 | $361.00 | $361.00 – $361.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $114.55 | $444.00 | $444.00 – $444.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $167.70 | $650.00 | $650.00 – $650.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $60.89 | $236.00 | $236.00 – $236.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $35.86 | $139.00 | $139.00 – $139.00 |
| Abdominal X-ray, 1 view CPT 74018 | $149.64 | $580.00 | $580.00 – $580.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $188.86 | $732.00 | $732.00 – $1,464.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $284.57 | $1,103.00 | $1,103.00 – $1,103.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $302.63 | $1,173.00 | $1,173.00 – $1,173.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $206.40 | $800.00 | $800.00 – $1,600.00 |
| Chest X-ray, 1 view CPT 71045 | $103.72 | $402.00 | $402.00 – $402.00 |
| Chest X-ray, 2 views CPT 71046 | $178.28 | $691.00 | $691.00 – $691.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| CT angiogram of the head CPT 70496 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,424.16 | $5,520.00 | $5,520.00 – $5,520.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,601.92 | $6,209.00 | $6,209.00 – $6,209.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| CT scan of the chest, with contrast CPT 71260 | $854.50 | $3,312.00 | $3,312.00 – $3,312.00 |
| CT scan of the chest, without contrast CPT 71250 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| CT scan of the head, without contrast CPT 70450 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $854.50 | $3,312.00 | $3,312.00 – $3,312.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $712.08 | $2,760.00 | $2,760.00 – $2,760.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $170.80 | $662.00 | $662.00 – $662.00 |
| Diagnostic mammogram, one breast CPT 77065 | $124.87 | $484.00 | $484.00 – $484.00 |
| Foot X-ray, 3 or more views CPT 73630 | $181.37 | $703.00 | $703.00 – $1,406.00 |
| Hand X-ray, 3 or more views CPT 73130 | $174.92 | $678.00 | $678.00 – $1,356.00 |
| Knee X-ray, 3 views CPT 73562 | $188.86 | $732.00 | $732.00 – $1,464.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $534.06 | $2,070.00 | $2,070.00 – $2,070.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $427.25 | $1,656.00 | $1,656.00 – $1,656.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $256.71 | $995.00 | $995.00 – $995.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $402.22 | $1,559.00 | $1,559.00 – $3,118.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,601.92 | $6,209.00 | $6,209.00 – $6,209.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,601.92 | $6,209.00 | $6,209.00 – $6,209.00 |
| MRI of the brain, without contrast CPT 70551 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,601.92 | $6,209.00 | $6,209.00 – $6,209.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,246.14 | $4,830.00 | $4,830.00 – $4,830.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $178.28 | $691.00 | $691.00 – $691.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $338.24 | $1,311.00 | $1,311.00 – $1,311.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $323.79 | $1,255.00 | $1,255.00 – $1,255.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $306.76 | $1,189.00 | $1,189.00 – $1,189.00 |
| Screening mammogram, both breasts CPT 77067 | $114.55 | $444.00 | $444.00 – $444.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $199.69 | $774.00 | $774.00 – $1,548.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $210.27 | $815.00 | $815.00 – $815.00 |
| Transvaginal ultrasound CPT 76830 | $292.31 | $1,133.00 | $1,133.00 – $1,133.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $355.78 | $1,379.00 | $1,379.00 – $1,379.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $331.27 | $1,284.00 | $1,284.00 – $1,284.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $174.92 | $678.00 | $678.00 – $1,356.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $342.37 | $1,327.00 | $1,327.00 – $1,327.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $85.66 | $332.00 | $332.00 – $332.00 |
| Blood culture CPT 87040 | $71.47 | $277.00 | $277.00 – $277.00 |
| Blood draw (venipuncture) CPT 36415 | $9.29 | $36.00 | $36.00 – $36.00 |
| BNP test (heart failure) CPT 83880 | $60.89 | $236.00 | $236.00 – $236.00 |
| C-reactive protein (CRP) test CPT 86140 | $57.28 | $222.00 | $222.00 – $222.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $93.14 | $361.00 | $361.00 – $361.00 |
| Complete blood count (CBC) with differential CPT 85025 | $49.79 | $193.00 | $193.00 – $193.00 |
| Complete blood count (CBC), automated CPT 85027 | $39.47 | $153.00 | $153.00 – $153.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $132.10 | $512.00 | $512.00 – $512.00 |
| COVID-19 PCR test CPT 87635 | $92.62 | $359.00 | $359.00 – $359.00 |
| D-dimer test (blood clots) CPT 85379 | $114.55 | $444.00 | $444.00 – $444.00 |
| Drug screen, instrument chemistry CPT 80307 | $93.14 | $361.00 | $361.00 – $361.00 |
| Ferritin (iron stores) test CPT 82728 | $85.66 | $332.00 | $332.00 – $332.00 |
| Free T4 (thyroid) test CPT 84439 | $78.95 | $306.00 | $306.00 – $306.00 |
| General health panel (blood tests) CPT 80050 | $235.30 | $912.00 | $912.00 – $912.00 |
| Glucose (blood sugar) test CPT 82947 | $35.86 | $139.00 | $139.00 – $139.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $82.30 | $319.00 | $319.00 – $319.00 |
| Hemoglobin A1c test CPT 83036 | $74.82 | $290.00 | $290.00 – $290.00 |
| Hepatitis C antibody test CPT 86803 | $124.87 | $484.00 | $484.00 – $484.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $46.44 | $180.00 | $180.00 – $180.00 |
| Iron test CPT 83540 | $49.79 | $193.00 | $193.00 – $193.00 |
| Kidney function panel CPT 80069 | $60.89 | $236.00 | $236.00 – $236.00 |
| Lipase test (pancreas) CPT 83690 | $64.24 | $249.00 | $249.00 – $249.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $117.65 | $456.00 | $456.00 – $456.00 |
| Liver function panel CPT 80076 | $121.26 | $470.00 | $470.00 – $470.00 |
| Magnesium test CPT 83735 | $35.86 | $139.00 | $139.00 – $139.00 |
| Obstetric blood test panel CPT 80055 | $157.38 | $610.00 | $610.00 – $610.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $32.25 | $125.00 | $125.00 – $125.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $106.81 | $414.00 | $414.00 – $414.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $3.61 | $14.00 | $14.00 – $14.00 |
| PSA (prostate specific antigen), free CPT 84154 | $78.95 | $306.00 | $306.00 – $306.00 |
| PSA (prostate specific antigen), total CPT 84153 | $78.95 | $306.00 | $306.00 – $306.00 |
| Rapid strep test CPT 87880 | $43.34 | $168.00 | $168.00 – $168.00 |
| Sed rate (ESR) test CPT 85652 | $32.25 | $125.00 | $125.00 – $125.00 |
| TB skin test CPT 86580 | $17.80 | $69.00 | $69.00 – $69.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $99.85 | $387.00 | $387.00 – $387.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $85.66 | $332.00 | $332.00 – $332.00 |
| Troponin test (heart damage) CPT 84484 | $78.95 | $306.00 | $306.00 – $306.00 |
| Urinalysis, automated, with microscope CPT 81001 | $35.86 | $139.00 | $139.00 – $139.00 |
| Urinalysis, automated, without microscope CPT 81003 | $21.16 | $82.00 | $82.00 – $82.00 |
| Urinalysis, manual, with microscope CPT 81000 | $25.54 | $99.00 | $99.00 – $99.00 |
| Urinalysis, manual, without microscope CPT 81002 | $28.64 | $111.00 | $111.00 – $111.00 |
| Urine culture, colony count CPT 87086 | $46.44 | $180.00 | $180.00 – $180.00 |
| Urine pregnancy test CPT 81025 | $53.66 | $208.00 | $208.00 – $208.00 |
| Vitamin B12 test CPT 82607 | $78.95 | $306.00 | $306.00 – $306.00 |
| Vitamin D test CPT 82306 | $99.85 | $387.00 | $387.00 – $387.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $569.41 | $2,207.00 | $2,207.00 – $2,207.00 |
| ECG tracing only (no interpretation) CPT 93005 | $124.87 | $484.00 | $484.00 – $484.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $818.63 | $3,173.00 | $3,173.00 – $3,173.00 |
| Left heart catheterization CPT 93452 | $4,271.45 | $16,556.00 | $16,556.00 – $16,556.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $7,118.22 | $27,590.00 | $27,590.00 – $27,590.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,135.72 | $8,278.00 | $8,278.00 – $8,278.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $15,457.64 | $59,913.34 | $59,913.34 – $59,913.34 |
| Appendix removal, laparoscopic CPT 44970 | $9,807.49 | $38,013.52 | $38,013.52 – $38,013.52 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,530.71 | $5,933.00 | $5,933.00 – $5,933.00 |
| Carpal tunnel release CPT 64721 | $3,150.57 | $12,211.51 | $12,211.51 – $15,550.53 |
| Colonoscopy with biopsy CPT 45380 | $2,153.96 | $8,348.69 | $8,348.69 – $9,422.19 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,233.84 | $8,658.31 | $8,658.31 – $8,658.31 |
| Colonoscopy, diagnostic CPT 45378 | $1,783.81 | $6,914.00 | $5,947.00 – $6,914.00 |
| Cystoscopy (bladder scope) CPT 52000 | $3,184.93 | $12,344.70 | $12,344.70 – $12,344.70 |
| Ear tubes, under general anesthesia CPT 69436 | $2,539.47 | $9,842.89 | $9,215.81 – $9,842.89 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,773.01 | $6,872.15 | $6,872.15 – $6,872.15 |
| Gallbladder removal, laparoscopic CPT 47562 | $14,433.72 | $55,944.66 | $55,944.66 – $55,944.66 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $20,847.21 | $80,803.13 | $80,803.13 – $80,803.13 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $5,695.53 | $22,075.70 | $22,075.70 – $22,075.70 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $16,005.99 | $62,038.74 | $62,038.74 – $73,859.06 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $5,840.88 | $22,639.07 | $22,639.07 – $69,271.80 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,355.68 | $16,882.50 | $15,994.95 – $16,882.50 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $5,622.74 | $21,793.55 | $21,793.55 – $21,937.72 |
| Prostate biopsy CPT 55700 | $4,017.40 | $15,571.30 | $15,571.30 – $15,571.30 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $25,917.41 | $100,455.09 | $100,455.09 – $100,455.09 |
| Removal of a breast lump, open surgery CPT 19120 | $3,930.82 | $15,235.75 | $15,235.75 – $25,527.71 |
| Rotator cuff repair, arthroscopic CPT 29827 | $13,786.04 | $53,434.26 | $53,434.26 – $53,434.26 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,785.40 | $6,920.15 | $6,865.15 – $6,920.15 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,791.28 | $6,942.95 | $6,865.15 – $6,942.95 |
| Septoplasty (nasal septum repair) CPT 30520 | $5,694.45 | $22,071.53 | $13,863.62 – $22,071.53 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $12,970.58 | $50,273.55 | $50,273.55 – $50,273.55 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $4,032.90 | $15,631.39 | $15,631.39 – $15,631.39 |
| Total hip replacement CPT 27130 | $17,656.44 | $68,435.83 | $68,435.83 – $124,983.41 |
| Total knee replacement CPT 27447 | $17,997.01 | $69,755.85 | $69,755.85 – $97,582.96 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,121.45 | $8,222.69 | $8,222.69 – $9,904.43 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,650.92 | $6,398.90 | $6,398.90 – $6,398.90 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $253.36 | $982.00 | $982.00 – $2,224.00 |
| IUD insertion CPT 58300 | $3,429.90 | $13,294.20 | $13,294.20 – $13,294.20 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $6,838.91 | $26,507.40 | $26,507.40 – $26,507.40 |
| C-section, without complications MS-DRG 788 | $8,358.15 | $32,395.92 | $32,395.92 – $32,395.92 |
| Chest pain MS-DRG 313 | $6,991.13 | $27,097.41 | $27,097.41 – $27,097.41 |
| COPD flare-up, with major complications MS-DRG 190 | $8,076.22 | $31,303.17 | $31,303.17 – $31,303.17 |
| COPD flare-up, without complications MS-DRG 192 | $9,657.00 | $37,430.22 | $37,430.22 – $37,430.22 |
| Fainting (syncope) MS-DRG 312 | $8,789.54 | $34,068.00 | $34,068.00 – $34,068.00 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $9,248.04 | $35,845.12 | $35,845.12 – $35,845.12 |
| Heart failure, with major complications MS-DRG 291 | $9,016.26 | $34,946.75 | $34,946.75 – $34,946.75 |
| Heart failure, without complications MS-DRG 293 | $6,891.34 | $26,710.63 | $26,710.63 – $26,710.63 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $72,728.85 | $281,894.75 | $281,894.75 – $281,894.75 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $20,750.87 | $80,429.72 | $80,429.72 – $80,429.72 |
| Irregular heartbeat, without complications MS-DRG 310 | $7,104.40 | $27,536.45 | $27,536.45 – $27,536.45 |
| Kidney failure, with complications MS-DRG 683 | $7,477.88 | $28,984.05 | $28,984.05 – $28,984.05 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $6,767.22 | $26,229.55 | $26,229.55 – $26,229.55 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $28,312.84 | $109,739.68 | $109,739.68 – $109,739.68 |
| Normal newborn care MS-DRG 795 | $1,502.97 | $5,825.45 | $5,825.45 – $5,825.45 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $6,356.81 | $24,638.81 | $24,638.81 – $24,638.81 |
| Pneumonia, with complications MS-DRG 194 | $6,975.18 | $27,035.57 | $27,035.57 – $27,035.57 |
| Pneumonia, with major complications MS-DRG 193 | $8,978.28 | $34,799.55 | $34,799.55 – $34,799.55 |
| Pneumonia, without complications MS-DRG 195 | $4,837.00 | $18,748.05 | $18,748.05 – $18,748.05 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $10,012.44 | $38,807.90 | $38,807.90 – $38,807.90 |
| Sepsis, with major complications MS-DRG 871 | $13,651.70 | $52,913.55 | $52,913.55 – $52,913.55 |
| Sepsis, without major complications MS-DRG 872 | $8,279.72 | $32,091.95 | $32,091.95 – $32,091.95 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $5,338.21 | $20,690.75 | $20,690.75 – $20,690.75 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $7,814.16 | $30,287.45 | $30,287.45 – $30,287.45 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $11,409.51 | $44,222.89 | $44,222.89 – $44,222.89 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $11,266.25 | $43,667.64 | $43,667.64 – $43,667.64 |
| Vaginal delivery, without complications MS-DRG 807 | $3,781.43 | $14,656.70 | $14,656.70 – $14,656.70 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,177.14 | $8,438.52 | $8,438.52 – $8,438.52 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,238.73 | $8,677.25 | $8,677.25 – $8,702.70 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,413.36 | $9,354.12 | $9,228.87 – $9,354.12 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $16,979.08 | $65,810.38 | $65,810.38 – $65,810.38 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $3,968.44 | $15,381.54 | $15,381.54 – $15,381.54 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $181.37 | $703.00 | $703.00 – $703.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $427.25 | $1,656.00 | $1,656.00 – $1,656.00 |
| Sleep study with CPAP titration CPT 95811 | $2,064.26 | $8,001.00 | $8,001.00 – $8,001.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,886.75 | $7,313.00 | $7,313.00 – $7,313.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $142.67 | $553.00 | $553.00 – $553.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $32.25 | $125.00 | $125.00 – $125.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $71.47 | $277.00 | $277.00 – $277.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $89.01 | $345.00 | $345.00 – $345.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $32.25 | $125.00 | $125.00 – $125.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $35.86 | $139.00 | $139.00 – $139.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $181.37 | $703.00 | $703.00 – $703.00 |
| Group psychotherapy CPT 90853 | $292.31 | $1,133.00 | $1,133.00 – $1,133.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $110.42 | $428.00 | $428.00 – $428.00 |
| Psychotherapy, 30 minutes CPT 90832 | $78.95 | $306.00 | $306.00 – $306.00 |
| Psychotherapy, 60 minutes CPT 90837 | $153.25 | $594.00 | $594.00 – $594.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $53.66 | $208.00 | $208.00 – $208.00 |
| IV hydration, each additional hour CPT 96361 | $89.01 | $345.00 | $345.00 – $345.00 |
| IV hydration, first hour CPT 96360 | $249.23 | $966.00 | $966.00 – $966.00 |
| IV push injection of a drug, first CPT 96374 | $106.81 | $414.00 | $414.00 – $414.00 |
| IV push injection, each additional drug CPT 96375 | $106.81 | $414.00 | $414.00 – $414.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $50.12 | $194.25 | $2.12 – $194.25 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $8.77 | $34.00 | $34.00 – $34.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $20.07 | $77.80 | $77.80 – $77.80 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $9.61 | $37.25 | ? – $37.25 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $15.22 | $59.00 | $59.00 – $59.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $42.14 | $163.35 | $163.35 – $163.35 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $8.77 | $34.00 | $34.00 – $34.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $38.70 | $150.00 | $150.00 – $150.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $12.68 | $49.15 | $1.25 – $49.15 |
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.