Franciscan Health Munster
701 Superior Ave, Munster, IN 46321 · Acute care hospital · Emergency room
These are Franciscan Health Munster'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.
199 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 | $1,175.76 | $5,520.00 | $295.62 – $9,798.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $88.18 | $414.00 | $89.22 – $485.00 |
| Emergency room visit, level 2 CPT 99282 | $176.58 | $829.00 | $162.45 – $948.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $411.52 | $1,932.00 | $288.81 – $1,932.00 |
| Emergency room visit, level 4 CPT 99284 | $587.88 | $2,760.00 | $295.62 – $2,969.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $881.61 | $4,139.00 | $295.62 – $4,625.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $7,905.59 | $37,115.46 | $381.15 – $10,106.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $79.66 | $374.00 | $140.86 – $281.72 |
| New patient office visit, about 30 minutes CPT 99203 | $105.86 | $497.00 | $140.86 – $372.75 |
| New patient office visit, about 45 minutes CPT 99204 | $120.98 | $568.00 | $137.63 – $426.00 |
| New patient office visit, about 60 minutes CPT 99205 | $164.86 | $774.00 | $140.86 – $580.50 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $70.72 | $332.00 | $140.44 – $281.72 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $79.66 | $374.00 | $140.86 – $281.72 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $97.13 | $456.00 | $140.86 – $342.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $123.54 | $580.00 | $140.86 – $435.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $50.27 | $236.00 | $7.41 – $476.40 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $26.63 | $125.00 | $21.67 – $211.00 |
| Abdominal X-ray, 1 view CPT 74018 | $117.79 | $553.00 | $92.07 – $414.75 |
| Ankle X-ray, 3 or more views CPT 73610 | $135.47 | $636.00 | $68.29 – $954.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $217.90 | $1,023.00 | $104.99 – $1,534.50 |
| Breast ultrasound, one breast, complete CPT 76641 | $229.40 | $1,077.00 | $110.61 – $1,615.50 |
| Breast ultrasound, one breast, limited CPT 76642 | $179.56 | $843.00 | $92.07 – $1,264.50 |
| Chest X-ray, 1 view CPT 71045 | $82.43 | $387.00 | $92.07 – $401.00 |
| Chest X-ray, 2 views CPT 71046 | $138.45 | $650.00 | $92.07 – $487.50 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,028.79 | $4,830.00 | $185.58 – $3,622.50 |
| CT angiogram of the head CPT 70496 | $1,028.79 | $4,830.00 | $185.58 – $3,622.50 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,028.79 | $4,830.00 | $369.11 – $3,622.50 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,175.76 | $5,520.00 | $369.11 – $4,140.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $881.61 | $4,139.00 | $252.44 – $3,104.25 |
| CT scan of the abdomen, without contrast CPT 74150 | $587.88 | $2,760.00 | $110.61 – $2,070.00 |
| CT scan of the chest, with contrast CPT 71260 | $705.46 | $3,312.00 | $185.58 – $2,484.00 |
| CT scan of the chest, without contrast CPT 71250 | $587.88 | $2,760.00 | $110.61 – $2,070.00 |
| CT scan of the head, without contrast CPT 70450 | $587.88 | $2,760.00 | $110.61 – $2,070.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $587.88 | $2,760.00 | $110.61 – $2,070.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $705.46 | $3,312.00 | $185.58 – $2,484.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $587.88 | $2,760.00 | $110.61 – $2,070.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $129.93 | $610.00 | $102.19 – $926.64 |
| Diagnostic mammogram, one breast CPT 77065 | $94.57 | $444.00 | $79.74 – $363.29 |
| Foot X-ray, 3 or more views CPT 73630 | $144.41 | $678.00 | $63.45 – $1,017.00 |
| Hand X-ray, 3 or more views CPT 73130 | $138.45 | $650.00 | $27.10 – $975.00 |
| Knee X-ray, 3 views CPT 73562 | $147.18 | $691.00 | $75.04 – $1,036.50 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $528.88 | $2,483.00 | $252.44 – $1,887.08 |
| Leg or arm vein ultrasound, one side CPT 93971 | $352.73 | $1,656.00 | $110.61 – $1,258.56 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $168.06 | $789.00 | $66.34 – $591.75 |
| MRI of both breasts, without and with contrast CPT 77049 | $332.07 | $1,559.00 | $369.11 – $1,970.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,322.52 | $6,209.00 | $369.11 – $4,656.75 |
| MRI of the brain, without and with contrast CPT 70553 | $1,322.52 | $6,209.00 | $369.11 – $4,656.75 |
| MRI of the brain, without contrast CPT 70551 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,322.52 | $6,209.00 | $369.11 – $4,656.75 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,028.79 | $4,830.00 | $252.44 – $3,622.50 |
| Neck X-ray, 2 or 3 views CPT 72040 | $132.27 | $621.00 | $66.34 – $465.75 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $276.47 | $1,298.00 | $110.61 – $973.50 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $293.73 | $1,379.00 | $110.61 – $1,034.25 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $214.70 | $1,008.00 | $110.61 – $961.00 |
| Screening mammogram, both breasts CPT 77067 | $91.16 | $428.00 | $84.38 – $768.33 |
| Shoulder X-ray, 2 or more views CPT 73030 | $149.74 | $703.00 | $57.64 – $1,054.50 |
| Transvaginal pregnancy ultrasound CPT 76817 | $155.92 | $732.00 | $110.61 – $961.00 |
| Transvaginal ultrasound CPT 76830 | $238.56 | $1,120.00 | $110.61 – $961.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $528.88 | $2,483.00 | $110.61 – $1,862.25 |
| Ultrasound of the neck or thyroid CPT 76536 | $270.72 | $1,271.00 | $110.61 – $961.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $135.47 | $636.00 | $79.87 – $954.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $279.24 | $1,311.00 | $91.46 – $983.25 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $56.23 | $264.00 | $6.68 – $198.00 |
| Blood culture CPT 87040 | $28.76 | $135.00 | $8.15 – $109.00 |
| Blood draw (venipuncture) CPT 36415 | $7.67 | $36.00 | $7.38 – $109.00 |
| BNP test (heart failure) CPT 83880 | $44.30 | $208.00 | $31.02 – $176.67 |
| C-reactive protein (CRP) test CPT 86140 | $17.89 | $84.00 | $4.09 – $109.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $53.04 | $249.00 | $27.72 – $186.75 |
| Complete blood count (CBC) with differential CPT 85025 | $44.30 | $208.00 | $6.14 – $156.00 |
| Complete blood count (CBC), automated CPT 85027 | $17.47 | $82.00 | $5.11 – $109.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $103.09 | $484.00 | $8.34 – $363.00 |
| COVID-19 PCR test CPT 87635 | $76.47 | $359.00 | $40.53 – $269.25 |
| D-dimer test (blood clots) CPT 85379 | $56.23 | $264.00 | $8.04 – $198.00 |
| Drug screen, instrument chemistry CPT 80307 | $59.00 | $277.00 | $49.09 – $279.63 |
| Ferritin (iron stores) test CPT 82728 | $41.11 | $193.00 | $10.77 – $144.75 |
| Free T4 (thyroid) test CPT 84439 | $36.21 | $170.00 | $7.13 – $127.50 |
| General health panel (blood tests) CPT 80050 | $37.91 | $178.00 | $75.83 – $304.76 |
| Glucose (blood sugar) test CPT 82947 | $26.63 | $125.00 | $3.10 – $109.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $53.04 | $249.00 | $27.72 – $186.75 |
| Hemoglobin A1c test CPT 83036 | $26.63 | $125.00 | $7.67 – $109.00 |
| Hepatitis C antibody test CPT 86803 | $26.63 | $125.00 | $11.27 – $109.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $29.61 | $139.00 | $19.02 – $109.00 |
| Iron test CPT 83540 | $13.42 | $63.00 | $5.11 – $109.00 |
| Kidney function panel CPT 80069 | $53.04 | $249.00 | $6.86 – $186.75 |
| Lipase test (pancreas) CPT 83690 | $32.59 | $153.00 | $5.44 – $114.75 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $88.18 | $414.00 | $10.58 – $310.50 |
| Liver function panel CPT 80076 | $17.89 | $84.00 | $6.45 – $109.00 |
| Magnesium test CPT 83735 | $21.09 | $99.00 | $5.29 – $109.00 |
| Obstetric blood test panel CPT 80055 | $191.27 | $898.00 | $37.77 – $673.50 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $14.91 | $70.00 | $4.75 – $109.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $79.66 | $374.00 | $11.89 – $280.50 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $2.98 | $14.00 | $3.39 – $109.00 |
| PSA (prostate specific antigen), free CPT 84154 | $35.78 | $168.00 | $14.53 – $126.00 |
| PSA (prostate specific antigen), total CPT 84153 | $26.63 | $125.00 | $14.53 – $109.00 |
| Rapid strep test CPT 87880 | $13.85 | $65.00 | $13.06 – $109.00 |
| Sed rate (ESR) test CPT 85652 | $19.17 | $90.00 | $2.13 – $109.00 |
| TB skin test CPT 86580 | $8.09 | $38.00 | $16.57 – $109.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $36.21 | $170.00 | $13.27 – $127.50 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $85.63 | $402.00 | $55.13 – $332.84 |
| Troponin test (heart damage) CPT 84484 | $61.77 | $290.00 | $9.85 – $217.50 |
| Urinalysis, automated, with microscope CPT 81001 | $11.93 | $56.00 | $2.50 – $109.00 |
| Urinalysis, automated, without microscope CPT 81003 | $6.39 | $30.00 | $1.78 – $109.00 |
| Urinalysis, manual, with microscope CPT 81000 | $21.09 | $99.00 | $3.18 – $109.00 |
| Urinalysis, manual, without microscope CPT 81002 | $22.15 | $104.00 | $2.75 – $109.00 |
| Urine culture, colony count CPT 87086 | $17.89 | $84.00 | $6.38 – $109.00 |
| Urine pregnancy test CPT 81025 | $35.78 | $168.00 | $6.80 – $126.00 |
| Vitamin B12 test CPT 82607 | $53.04 | $249.00 | $11.91 – $186.75 |
| Vitamin D test CPT 82306 | $56.23 | $264.00 | $23.38 – $198.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $470.09 | $2,207.00 | $252.44 – $1,677.32 |
| ECG tracing only (no interpretation) CPT 93005 | $117.79 | $553.00 | $62.41 – $442.40 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $705.46 | $3,312.00 | $578.11 – $2,517.12 |
| Left heart catheterization CPT 93452 | $3,819.73 | $17,933.00 | $3,430.00 – $19,742.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $5,289.22 | $24,832.00 | $3,430.00 – $19,742.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,557.67 | $7,313.00 | $1,095.24 – $5,972.72 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $13,440.83 | $63,102.49 | $1,905.42 – $26,225.00 |
| Appendix removal, laparoscopic CPT 44970 | $10,775.01 | $50,586.88 | $1,905.42 – $26,225.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,616.24 | $7,588.00 | $1,747.41 – $10,394.10 |
| Carpal tunnel release CPT 64721 | $2,431.99 | $11,417.80 | $1,728.79 – $10,106.00 |
| Colonoscopy with biopsy CPT 45380 | $1,927.60 | $9,049.77 | $153.27 – $4,281.99 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,010.59 | $9,439.38 | $153.27 – $4,281.99 |
| Colonoscopy, diagnostic CPT 45378 | $1,644.42 | $7,720.30 | $153.27 – $4,106.00 |
| Cystoscopy (bladder scope) CPT 52000 | $2,566.74 | $12,050.43 | $737.75 – $3,057.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,642.90 | $7,713.15 | $153.27 – $3,327.73 |
| Gallbladder removal, laparoscopic CPT 47562 | $12,625.63 | $59,275.27 | $4,211.34 – $26,225.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $12,781.18 | $60,005.56 | $2,273.62 – $26,225.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $6,472.52 | $30,387.41 | $2,273.62 – $13,183.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,938.60 | $18,491.06 | $3,729.47 – $26,225.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $5,257.74 | $24,684.23 | $2,273.62 – $13,183.00 |
| Prostate biopsy CPT 55700 | $5,046.29 | $23,691.51 | $55.13 – $4,106.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $26,035.25 | $122,231.21 | $4,211.34 – $49,765.00 |
| Removal of a breast lump, open surgery CPT 19120 | $4,803.74 | $22,552.77 | $1,905.42 – $14,010.79 |
| Rotator cuff repair, arthroscopic CPT 29827 | $10,349.85 | $48,590.86 | $4,315.74 – $26,225.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,642.90 | $7,713.15 | $153.27 – $3,327.73 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,646.18 | $7,728.55 | $153.27 – $3,327.73 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $9,857.21 | $46,277.97 | $2,273.62 – $26,225.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $19,222.71 | $90,247.46 | $4,079.13 – $26,225.00 |
| Total hip replacement CPT 27130 | $17,114.56 | $80,350.06 | $13,583.45 – $49,765.00 |
| Total knee replacement CPT 27447 | $15,156.91 | $71,159.19 | $13,583.45 – $49,765.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,979.68 | $9,294.26 | $153.27 – $6,866.52 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,522.98 | $7,150.15 | $153.27 – $4,106.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $4,687.99 | $22,009.35 | $2,721.07 – $22,070.00 |
| Chest pain MS-DRG 313 | $4,377.11 | $20,549.80 | $2,342.69 – $18,000.00 |
| COPD flare-up, with major complications MS-DRG 190 | $5,263.10 | $24,709.38 | $2,342.69 – $27,692.50 |
| COPD flare-up, without complications MS-DRG 192 | $2,853.23 | $13,395.45 | $2,342.69 – $16,050.00 |
| Fainting (syncope) MS-DRG 312 | $6,347.98 | $29,802.70 | $2,342.69 – $21,790.00 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $8,034.98 | $37,722.91 | $2,721.07 – $24,517.50 |
| Heart failure, with major complications MS-DRG 291 | $7,535.80 | $35,379.35 | $5,488.88 – $32,095.00 |
| Heart failure, without complications MS-DRG 293 | $4,795.48 | $22,514.00 | $5,193.47 – $14,150.00 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $52,565.19 | $246,784.95 | $5,318.00 – $269,027.00 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $17,855.53 | $83,828.79 | $2,342.69 – $48,222.50 |
| Irregular heartbeat, without complications MS-DRG 310 | $5,058.11 | $23,747.00 | $2,721.07 – $14,152.50 |
| Kidney failure, with complications MS-DRG 683 | $6,872.43 | $32,264.95 | $2,342.69 – $21,895.00 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $5,947.46 | $27,922.35 | $2,342.69 – $20,237.50 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $5,436.03 | $25,521.25 | $2,342.69 – $19,455.00 |
| Pneumonia, with complications MS-DRG 194 | $5,393.02 | $25,319.35 | $2,342.69 – $20,147.50 |
| Pneumonia, with major complications MS-DRG 193 | $7,288.90 | $34,220.20 | $2,721.07 – $32,860.00 |
| Pneumonia, without complications MS-DRG 195 | $2,555.02 | $11,995.40 | $2,342.69 – $15,712.50 |
| Sepsis, with major complications MS-DRG 871 | $11,781.48 | $55,312.10 | $2,342.69 – $48,562.50 |
| Sepsis, without major complications MS-DRG 872 | $6,991.77 | $32,825.20 | $2,721.07 – $25,582.50 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $5,608.02 | $26,328.75 | $2,342.69 – $21,772.50 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $6,512.70 | $30,576.05 | $2,342.69 – $19,490.00 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $9,632.88 | $45,224.80 | $2,342.69 – $25,257.50 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,859.10 | $8,728.15 | $285.87 – $1,098.38 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,179.88 | $10,234.17 | $935.78 – $3,164.95 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $969.79 | $4,553.00 | $746.83 – $3,105.15 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $13,047.77 | $61,257.12 | $1,905.42 – $49,765.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $3,598.71 | $16,895.34 | $2,441.70 – $10,106.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $114.81 | $539.00 | $136.14 – $460.45 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $352.73 | $1,656.00 | $228.45 – $1,258.56 |
| Sleep study with CPAP titration CPT 95811 | $1,704.21 | $8,001.00 | $780.39 – $6,080.76 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,498.88 | $7,037.00 | $780.39 – $5,348.12 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $117.79 | $553.00 | $141.84 – $772.66 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $47.29 | $222.00 | $26.73 – $223.75 |
| Physical therapy evaluation, low complexity CPT 97161 | $73.49 | $345.00 | $94.80 – $258.75 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $88.18 | $414.00 | $94.80 – $310.50 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $41.11 | $193.00 | $28.03 – $223.75 |
| Therapeutic activities, 15 minutes CPT 97530 | $38.77 | $182.00 | $33.60 – $223.75 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $149.74 | $703.00 | $79.56 – $527.25 |
| Group psychotherapy CPT 90853 | $241.33 | $1,133.00 | $79.56 – $849.75 |
| Psychiatric diagnostic evaluation CPT 90791 | $91.16 | $428.00 | $159.12 – $325.28 |
| Psychotherapy, 60 minutes CPT 90837 | $126.52 | $594.00 | $159.12 – $445.50 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $59.00 | $277.00 | $73.71 – $257.65 |
| IV hydration, each additional hour CPT 96361 | $73.49 | $345.00 | $50.18 – $262.20 |
| IV hydration, first hour CPT 96360 | $191.27 | $898.00 | $73.71 – $761.13 |
| IV push injection of a drug, first CPT 96374 | $73.49 | $345.00 | $73.71 – $761.13 |
| IV push injection, each additional drug CPT 96375 | $73.49 | $345.00 | $49.54 – $276.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $21.02 | $98.70 | $2.12 – $74.03 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $7.24 | $34.00 | ? – $25.50 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $4.57 | $21.45 | $3.83 – $16.09 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $17.21 | $80.80 | ? – $60.60 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $90.90 | $426.75 | ? – $320.06 |
| Morphine injection, up to 10 mg HCPCS J2270 | $7.98 | $37.45 | $15.84 – $28.09 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $7.24 | $34.00 | ? – $25.50 |
| Propofol injection, per 10 mg HCPCS J2704 | $31.95 | $150.00 | ? – $112.50 |
| Saline IV solution, 1000 ml HCPCS J7030 | $11.56 | $54.25 | $2.82 – $40.69 |
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.