Northwest Health - Porter
85 East US Hwy 6, Valparaiso, IN 46383 · Acute care hospital · Emergency room
These are Northwest Health - Porter'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.
186 of the services we track have a posted price here; 156 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 | $1,982.88 | $7,344.00 | $188.73 – $7,690.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $222.21 | $823.00 | $10.35 – $691.32 |
| Emergency room visit, level 2 CPT 99282 | $332.37 | $1,231.00 | $38.11 – $1,034.04 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $633.15 | $2,345.00 | $64.70 – $1,969.80 |
| Emergency room visit, level 4 CPT 99284 | $997.38 | $3,694.00 | $110.18 – $3,102.96 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,521.45 | $5,635.00 | $159.69 – $4,746.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,217.15 | $4,507.97 | $40.22 – $3,786.69 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $257.84 | $954.95 | $29.62 – $802.16 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $20.79 | $77.00 | $18.48 – $263.00 |
| Abdominal X-ray, 1 view CPT 74018 | $186.03 | $689.00 | $27.70 – $578.76 |
| Ankle X-ray, 3 or more views CPT 73610 | $439.83 | $1,629.00 | $34.49 – $1,368.36 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $294.84 | $1,092.00 | $36.73 – $917.28 |
| Breast ultrasound, one breast, complete CPT 76641 | $930.15 | $3,445.00 | $65.38 – $2,893.80 |
| Breast ultrasound, one breast, limited CPT 76642 | $930.15 | $3,445.00 | $49.49 – $2,893.80 |
| Chest X-ray, 1 view CPT 71045 | $152.82 | $566.00 | $23.68 – $475.44 |
| Chest X-ray, 2 views CPT 71046 | $281.61 | $1,043.00 | $30.87 – $876.12 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,726.92 | $6,396.00 | $163.90 – $5,372.64 |
| CT angiogram of the head CPT 70496 | $1,726.92 | $6,396.00 | $163.90 – $5,372.64 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,299.67 | $12,221.00 | $328.83 – $10,265.64 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,727.16 | $17,508.00 | $328.69 – $14,706.72 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,447.55 | $9,065.00 | $222.37 – $7,614.60 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,224.18 | $4,534.00 | $97.68 – $3,808.56 |
| CT scan of the chest, with contrast CPT 71260 | $1,692.90 | $6,270.00 | $163.61 – $5,266.80 |
| CT scan of the chest, without contrast CPT 71250 | $1,224.18 | $4,534.00 | $97.68 – $3,808.56 |
| CT scan of the head, without contrast CPT 70450 | $1,121.58 | $4,154.00 | $97.84 – $3,489.36 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,224.18 | $4,534.00 | $97.68 – $3,808.56 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,605.69 | $5,947.00 | $163.75 – $4,995.48 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,224.18 | $4,534.00 | $97.98 – $3,808.56 |
| Diagnostic mammogram, both breasts CPT 77066 | $264.06 | $978.00 | $90.50 – $821.52 |
| Diagnostic mammogram, one breast CPT 77065 | $180.09 | $667.00 | $70.61 – $560.28 |
| Foot X-ray, 3 or more views CPT 73630 | $220.05 | $815.00 | $31.70 – $684.60 |
| Hand X-ray, 3 or more views CPT 73130 | $220.05 | $815.00 | $35.42 – $684.60 |
| Knee X-ray, 3 views CPT 73562 | $220.05 | $815.00 | $39.47 – $684.60 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $744.93 | $2,759.00 | $170.94 – $2,317.56 |
| Leg or arm vein ultrasound, one side CPT 93971 | $493.56 | $1,828.00 | $97.84 – $1,535.52 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $270.81 | $1,003.00 | $37.68 – $842.52 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,395.71 | $8,873.00 | $328.54 – $7,453.32 |
| MRI of the brain, without and with contrast CPT 70553 | $2,412.45 | $8,935.00 | $328.54 – $7,505.40 |
| MRI of the brain, without contrast CPT 70551 | $1,537.92 | $5,696.00 | $222.22 – $4,784.64 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,253.61 | $4,643.00 | $222.07 – $3,900.12 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,596.51 | $5,913.00 | $222.22 – $4,966.92 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,530.36 | $5,668.00 | $222.22 – $4,761.12 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,529.82 | $5,666.00 | $222.22 – $4,759.44 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,574.99 | $9,537.00 | $328.54 – $8,011.08 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,392.12 | $5,156.00 | $222.07 – $4,331.04 |
| Neck X-ray, 2 or 3 views CPT 72040 | $250.29 | $927.00 | $37.06 – $778.68 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $637.47 | $2,361.00 | $97.70 – $1,983.24 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $692.01 | $2,563.00 | $97.70 – $2,152.92 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $692.01 | $2,563.00 | $97.84 – $2,152.92 |
| Screening mammogram, both breasts CPT 77067 | $259.74 | $962.00 | $74.42 – $808.08 |
| Shoulder X-ray, 2 or more views CPT 73030 | $220.05 | $815.00 | $33.27 – $684.60 |
| Transvaginal pregnancy ultrasound CPT 76817 | $537.03 | $1,989.00 | $87.12 – $1,670.76 |
| Transvaginal ultrasound CPT 76830 | $406.89 | $1,507.00 | $97.70 – $1,265.88 |
| Ultrasound of the abdomen, complete CPT 76700 | $686.07 | $2,541.00 | $97.70 – $2,134.44 |
| Ultrasound of the neck or thyroid CPT 76536 | $536.49 | $1,987.00 | $97.70 – $1,669.08 |
| Wrist X-ray, 3 or more views CPT 73110 | $220.05 | $815.00 | $39.75 – $684.60 |
| X-ray of the lower back, 4 or more views CPT 72110 | $400.14 | $1,482.00 | $49.71 – $1,244.88 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $110.16 | $408.00 | $7.46 – $342.72 |
| Blood culture CPT 87040 | $84.51 | $313.00 | $9.10 – $262.92 |
| Blood draw (venipuncture) CPT 36415 | $1,093.54 | $4,050.16 | $8.24 – $3,402.13 |
| BNP test (heart failure) CPT 83880 | $98.55 | $365.00 | $32.00 – $306.60 |
| C-reactive protein (CRP) test CPT 86140 | $66.42 | $246.00 | $4.57 – $206.64 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $88.56 | $328.00 | $30.95 – $275.52 |
| Complete blood count (CBC) with differential CPT 85025 | $94.50 | $350.00 | $6.85 – $294.00 |
| Complete blood count (CBC), automated CPT 85027 | $85.32 | $316.00 | $5.71 – $265.44 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $166.59 | $617.00 | $9.31 – $518.28 |
| COVID-19 PCR test CPT 87635 | $92.07 | $341.00 | $32.00 – $286.44 |
| D-dimer test (blood clots) CPT 85379 | $132.03 | $489.00 | $8.98 – $410.76 |
| Drug screen, instrument chemistry CPT 80307 | $175.77 | $651.00 | $32.00 – $546.84 |
| Ferritin (iron stores) test CPT 82728 | $74.79 | $277.00 | $12.02 – $232.68 |
| Free T4 (thyroid) test CPT 84439 | $162.00 | $600.00 | $7.96 – $504.00 |
| General health panel (blood tests) CPT 80050 | $405.54 | $1,502.00 | $32.00 – $1,261.68 |
| Glucose (blood sugar) test CPT 82947 | $31.32 | $116.00 | $3.47 – $97.44 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $88.56 | $328.00 | $30.95 – $275.52 |
| Hemoglobin A1c test CPT 83036 | $93.69 | $347.00 | $8.57 – $291.48 |
| Hepatitis C antibody test CPT 86803 | $166.59 | $617.00 | $12.58 – $518.28 |
| Iron test CPT 83540 | $35.64 | $132.00 | $5.71 – $110.88 |
| Kidney function panel CPT 80069 | $156.06 | $578.00 | $7.66 – $485.52 |
| Lipase test (pancreas) CPT 83690 | $68.04 | $252.00 | $6.08 – $211.68 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $183.33 | $679.00 | $11.81 – $570.36 |
| Liver function panel CPT 80076 | $140.94 | $522.00 | $7.21 – $438.48 |
| Magnesium test CPT 83735 | $43.47 | $161.00 | $5.91 – $135.24 |
| Obstetric blood test panel CPT 80055 | $527.58 | $1,954.00 | $32.00 – $1,641.36 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $44.28 | $164.00 | $5.30 – $137.76 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $223.02 | $826.00 | $13.28 – $693.84 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $31.05 | $115.00 | $3.78 – $96.60 |
| PSA (prostate specific antigen), free CPT 84154 | $97.47 | $361.00 | $16.22 – $303.24 |
| PSA (prostate specific antigen), total CPT 84153 | $97.47 | $361.00 | $16.22 – $303.24 |
| Rapid strep test CPT 87880 | $25.65 | $95.00 | $14.58 – $79.80 |
| Sed rate (ESR) test CPT 85652 | $51.84 | $192.00 | $2.39 – $161.28 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $111.24 | $412.00 | $14.81 – $346.08 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $208.98 | $774.00 | $27.96 – $650.16 |
| Troponin test (heart damage) CPT 84484 | $439.56 | $1,628.00 | $11.00 – $1,367.52 |
| Urinalysis, automated, with microscope CPT 81001 | $46.98 | $174.00 | $2.80 – $146.16 |
| Urinalysis, automated, without microscope CPT 81003 | $19.44 | $72.00 | $1.98 – $60.48 |
| Urinalysis, manual, with microscope CPT 81000 | $7.02 | $26.00 | $3.55 – $39.00 |
| Urinalysis, manual, without microscope CPT 81002 | $15.66 | $58.00 | $3.07 – $48.72 |
| Urine culture, colony count CPT 87086 | $21.06 | $78.00 | $7.12 – $65.52 |
| Urine pregnancy test CPT 81025 | $34.29 | $127.00 | $7.60 – $106.68 |
| Vitamin B12 test CPT 82607 | $129.33 | $479.00 | $13.30 – $402.36 |
| Vitamin D test CPT 82306 | $77.76 | $288.00 | $26.11 – $241.92 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $653.40 | $2,420.00 | $175.68 – $2,032.80 |
| ECG tracing only (no interpretation) CPT 93005 | $92.34 | $342.00 | $6.35 – $287.28 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $6,160.15 | $22,815.38 | $184.65 – $19,164.92 |
| Left heart catheterization CPT 93452 | $8,597.34 | $31,842.00 | $559.22 – $26,747.28 |
| Left heart catheterization with coronary angiogram CPT 93458 | $9,837.99 | $36,437.00 | $631.25 – $30,607.08 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,859.76 | $6,888.00 | $398.57 – $5,785.92 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $46,835.03 | $173,463.07 | $818.16 – $145,708.98 |
| Appendix removal, laparoscopic CPT 44970 | $25,751.98 | $95,377.72 | $523.36 – $80,117.28 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,936.71 | $7,173.00 | $123.42 – $6,025.32 |
| Carpal tunnel release CPT 64721 | $10,594.98 | $39,240.65 | $389.54 – $32,962.15 |
| Colonoscopy with biopsy CPT 45380 | $3,887.50 | $14,398.14 | $167.00 – $12,094.44 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $4,118.60 | $15,254.08 | $210.50 – $12,813.43 |
| Colonoscopy, diagnostic CPT 45378 | $3,153.15 | $11,678.35 | $154.36 – $9,809.81 |
| Cystoscopy (bladder scope) CPT 52000 | $2,838.00 | $10,511.11 | $66.64 – $8,829.33 |
| Ear tubes, under general anesthesia CPT 69436 | $3,530.69 | $13,076.63 | $134.72 – $10,984.37 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $3,034.32 | $11,238.22 | $50.08 – $9,440.10 |
| Gallbladder removal, laparoscopic CPT 47562 | $27,451.18 | $101,671.03 | $571.38 – $85,403.67 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $37,764.05 | $139,866.84 | $760.11 – $117,488.15 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $11,080.11 | $41,037.45 | $188.81 – $34,471.46 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $24,781.56 | $91,783.57 | $384.33 – $77,098.20 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $11,905.49 | $44,094.41 | $459.67 – $37,039.30 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $19,140.84 | $70,892.00 | $488.14 – $59,549.28 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $19,687.85 | $72,917.96 | $474.14 – $61,251.09 |
| Prostate biopsy CPT 55700 | $6,334.67 | $23,461.74 | $217.24 – $19,707.86 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $52,096.07 | $192,948.42 | $1,014.59 – $162,076.67 |
| Removal of a breast lump, open surgery CPT 19120 | $6,804.29 | $25,201.08 | $370.76 – $21,168.91 |
| Rotator cuff repair, arthroscopic CPT 29827 | $36,827.42 | $136,397.86 | $897.17 – $114,574.20 |
| Screening colonoscopy, average risk HCPCS G0121 | $3,200.55 | $11,853.90 | $154.52 – $9,957.28 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,940.00 | $10,888.90 | $154.36 – $9,146.68 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $26,746.99 | $99,062.92 | $135.46 – $83,212.85 |
| Total hip replacement CPT 27130 | $37,012.61 | $137,083.75 | $1,064.13 – $115,150.35 |
| Total knee replacement CPT 27447 | $42,436.03 | $157,170.48 | $1,062.09 – $132,023.20 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $4,104.96 | $15,203.55 | $116.27 – $12,770.98 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $3,588.27 | $13,289.90 | $103.93 – $11,163.52 |
| Vasectomy CPT 55250 | $4,901.20 | $18,152.60 | $204.02 – $15,248.18 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $242.46 | $898.00 | $9.79 – $754.32 |
| IUD insertion CPT 58300 | $13,176.24 | $48,800.88 | $41.33 – $40,992.74 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $1,118.56 – $19,482.23 | |
| C-section, without complications MS-DRG 788 | not posted | $1,118.56 – $21,108.27 | |
| Chest pain MS-DRG 313 | not posted | $1,118.56 – $15,999.07 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $1,118.56 – $24,294.04 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $1,118.56 – $14,330.28 | |
| Fainting (syncope) MS-DRG 312 | not posted | $1,118.56 – $19,242.61 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $1,118.56 – $21,576.88 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $1,118.56 – $28,061.72 | |
| Heart failure, without complications MS-DRG 293 | not posted | $1,118.56 – $12,704.19 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $1,118.56 – $209,899.91 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $1,118.56 – $41,863.85 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $1,118.56 – $12,706.36 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $1,118.56 – $19,332.50 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $1,118.56 – $17,913.97 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $1,118.56 – $52,826.74 | |
| Normal newborn care MS-DRG 795 | not posted | $1,118.56 – $4,869.34 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $1,118.56 – $17,244.28 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $1,118.56 – $17,836.94 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $1,118.56 – $28,716.40 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $1,118.56 – $14,041.44 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,118.56 – $30,479.39 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $1,118.56 – $42,154.79 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $1,118.56 – $22,488.26 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $1,118.56 – $19,227.64 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $1,118.56 – $79,728.89 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $1,118.56 – $17,274.27 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $1,118.56 – $22,210.16 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $1,118.56 – $27,139.63 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,118.56 – $15,019.20 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $1,118.56 – $32,867.13 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,163.14 | $8,011.63 | $36.81 – $6,729.77 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,598.61 | $5,920.79 | $94.28 – $4,973.46 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,553.04 | $5,752.00 | $84.46 – $4,831.68 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $4,829.88 | $17,888.43 | $438.36 – $15,026.28 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $2,082.87 | $7,714.33 | $259.57 – $6,480.04 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $2,269.08 | $8,404.00 | $477.30 – $7,059.36 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,141.10 | $7,930.00 | $455.23 – $6,661.20 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $126.63 | $469.00 | $27.68 – $748.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $94.23 | $349.00 | $23.55 – $293.16 |
| Physical therapy evaluation, low complexity CPT 97161 | $238.14 | $882.00 | $83.82 – $740.88 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $238.14 | $882.00 | $83.82 – $740.88 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $73.71 | $273.00 | $24.70 – $229.32 |
| Therapeutic activities, 15 minutes CPT 97530 | $81.81 | $303.00 | $29.62 – $254.52 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $60.48 | $224.00 | $13.11 – $630.00 |
| IV hydration, each additional hour CPT 96361 | $209.79 | $777.00 | $10.82 – $652.68 |
| IV hydration, first hour CPT 96360 | $353.97 | $1,311.00 | $28.02 – $1,101.24 |
| IV push injection of a drug, first CPT 96374 | $372.33 | $1,379.00 | $31.49 – $1,158.36 |
| IV push injection, each additional drug CPT 96375 | $184.14 | $682.00 | $13.23 – $630.00 |
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.