Merrimack Health Lawrence Hospital
One General Street, Lawrence, MA 01841 · Acute care hospital · Emergency room
These are Merrimack Health Lawrence Hospital's own posted figures from its standard-charges file dated August 1, 2024. They are not a quote. Source: the hospital's file · its price transparency page.
222 of the services we track have a posted price here; 179 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 | $2,392.00 | $2,392.00 | $338.19 – $2,947.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $916.00 | $916.00 | $33.84 – $969.00 |
| Emergency room visit, level 2 CPT 99282 | $908.00 | $908.00 | $62.33 – $1,228.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,015.00 | $1,015.00 | $108.74 – $1,908.00 |
| Emergency room visit, level 4 CPT 99284 | $1,126.00 | $1,126.00 | $168.80 – $2,294.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,345.00 | $1,345.00 | $244.80 – $2,727.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,269.00 | $1,269.00 | $224.79 – $1,233.47 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $241.00 | $241.00 | $72.30 – $235.00 |
| New patient office visit, about 30 minutes CPT 99203 | $381.00 | $381.00 | $84.43 – $308.61 |
| New patient office visit, about 45 minutes CPT 99204 | $418.00 | $418.00 | $119.83 – $338.58 |
| New patient office visit, about 60 minutes CPT 99205 | $526.00 | $526.00 | $119.83 – $426.06 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $362.00 | $362.00 | $42.15 – $293.22 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $310.00 | $310.00 | $84.29 – $251.10 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $351.00 | $351.00 | $105.30 – $284.31 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $435.00 | $435.00 | $119.83 – $352.35 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $213.00 | $213.00 | $15.20 – $235.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $131.00 | $131.00 | $32.15 – $659.00 |
| Abdominal X-ray, 1 view CPT 74018 | $248.00 | $248.00 | $51.75 – $1,793.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $244.00 | $244.00 | $67.71 – $237.17 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $498.00 | $498.00 | $70.91 – $1,793.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $660.00 | $660.00 | $71.13 – $641.52 |
| Breast ultrasound, one breast, limited CPT 76642 | $462.00 | $462.00 | $55.15 – $449.06 |
| Chest X-ray, 1 view CPT 71045 | $282.00 | $282.00 | $41.35 – $1,793.00 |
| Chest X-ray, 2 views CPT 71046 | $405.00 | $405.00 | $55.73 – $1,793.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,164.00 | $1,164.00 | $206.30 – $1,131.41 |
| CT angiogram of the head CPT 70496 | $1,503.00 | $1,503.00 | $206.30 – $1,460.92 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,999.00 | $3,999.00 | $431.80 – $3,887.03 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,123.00 | $4,123.00 | $431.80 – $4,007.56 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,623.00 | $3,623.00 | $254.50 – $3,521.56 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,405.00 | $1,405.00 | $123.44 – $1,365.66 |
| CT scan of the chest, with contrast CPT 71260 | $2,160.00 | $2,160.00 | $206.30 – $2,099.52 |
| CT scan of the chest, without contrast CPT 71250 | $1,752.00 | $1,752.00 | $123.44 – $1,702.94 |
| CT scan of the head, without contrast CPT 70450 | $1,526.00 | $1,526.00 | $123.44 – $1,483.27 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,903.00 | $1,903.00 | $123.44 – $1,849.72 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,155.00 | $2,155.00 | $206.30 – $2,094.66 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,370.00 | $1,370.00 | $123.44 – $1,331.64 |
| Diagnostic mammogram, both breasts CPT 77066 | $695.00 | $695.00 | $114.75 – $675.54 |
| Diagnostic mammogram, one breast CPT 77065 | $461.00 | $461.00 | $92.17 – $659.00 |
| Foot X-ray, 3 or more views CPT 73630 | $244.00 | $244.00 | $62.93 – $237.17 |
| Hand X-ray, 3 or more views CPT 73130 | $251.00 | $251.00 | $69.32 – $243.97 |
| Knee X-ray, 3 views CPT 73562 | $132.00 | $132.00 | $55.74 – $134.06 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,070.00 | $1,070.00 | $93.39 – $1,598.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $678.00 | $678.00 | $41.90 – $1,598.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $462.00 | $462.00 | $70.13 – $1,793.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,269.00 | $1,269.00 | $431.80 – $1,670.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,269.00 | $1,269.00 | $431.80 – $1,670.00 |
| MRI of the brain, without contrast CPT 70551 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,203.00 | $1,203.00 | $431.80 – $1,670.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $638.00 | $638.00 | $269.43 – $1,670.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $533.00 | $533.00 | $69.32 – $1,793.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $839.00 | $839.00 | $123.44 – $1,214.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $867.00 | $867.00 | $123.44 – $1,214.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $469.00 | $469.00 | $123.44 – $1,214.00 |
| Screening mammogram, both breasts CPT 77067 | $686.00 | $686.00 | $107.96 – $666.79 |
| Shoulder X-ray, 2 or more views CPT 73030 | $362.00 | $362.00 | $62.12 – $1,793.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $874.00 | $874.00 | $123.44 – $1,214.00 |
| Transvaginal ultrasound CPT 76830 | $684.00 | $684.00 | $123.44 – $1,214.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,352.00 | $1,352.00 | $123.44 – $1,314.14 |
| Ultrasound of the neck or thyroid CPT 76536 | $709.00 | $709.00 | $123.44 – $1,214.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $223.00 | $223.00 | $72.29 – $216.76 |
| X-ray of the lower back, 4 or more views CPT 72110 | $692.00 | $692.00 | $94.90 – $1,793.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $62.00 | $62.00 | $7.46 – $54.00 |
| Blood culture CPT 87040 | $88.00 | $88.00 | $9.10 – $71.28 |
| Blood draw (venipuncture) CPT 36415 | $16.00 | $16.00 | $2.65 – $29.46 |
| BNP test (heart failure) CPT 83880 | $241.00 | $241.00 | $31.93 – $195.21 |
| C-reactive protein (CRP) test CPT 86140 | $76.00 | $76.00 | $4.57 – $61.56 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $200.00 | $200.00 | $24.51 – $162.00 |
| Complete blood count (CBC) with differential CPT 85025 | $66.00 | $66.00 | $6.85 – $53.46 |
| Complete blood count (CBC), automated CPT 85027 | $36.00 | $36.00 | $5.71 – $54.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $95.00 | $95.00 | $9.31 – $76.95 |
| COVID-19 PCR test CPT 87635 | $154.00 | $154.00 | $51.31 – $176.38 |
| D-dimer test (blood clots) CPT 85379 | $74.00 | $74.00 | $8.98 – $59.94 |
| Drug screen, instrument chemistry CPT 80307 | $451.00 | $451.00 | $47.55 – $365.31 |
| Ferritin (iron stores) test CPT 82728 | $99.00 | $99.00 | $12.02 – $80.19 |
| Free T4 (thyroid) test CPT 84439 | $101.00 | $101.00 | $7.96 – $81.81 |
| Glucose (blood sugar) test CPT 82947 | $60.00 | $60.00 | $3.47 – $52.20 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $200.00 | $200.00 | $24.51 – $162.00 |
| Hemoglobin A1c test CPT 83036 | $71.00 | $71.00 | $8.56 – $57.51 |
| Hepatitis C antibody test CPT 86803 | $82.00 | $82.00 | $12.52 – $66.42 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $102.00 | $102.00 | $21.24 – $82.78 |
| Iron test CPT 83540 | $61.00 | $61.00 | $5.71 – $54.00 |
| Kidney function panel CPT 80069 | $57.00 | $57.00 | $7.66 – $54.00 |
| Lipase test (pancreas) CPT 83690 | $53.00 | $53.00 | $6.08 – $54.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $88.00 | $88.00 | $11.81 – $71.28 |
| Liver function panel CPT 80076 | $71.00 | $71.00 | $7.21 – $57.51 |
| Magnesium test CPT 83735 | $55.00 | $55.00 | $5.91 – $54.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $55.00 | $55.00 | $5.30 – $54.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $138.00 | $138.00 | $13.27 – $111.78 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $44.00 | $44.00 | $3.69 – $54.00 |
| PSA (prostate specific antigen), free CPT 84154 | $106.00 | $106.00 | $13.17 – $85.86 |
| PSA (prostate specific antigen), total CPT 84153 | $108.00 | $108.00 | $13.66 – $87.48 |
| Rapid strep test CPT 87880 | $84.00 | $84.00 | $10.78 – $68.04 |
| Sed rate (ESR) test CPT 85652 | $37.00 | $37.00 | $2.38 – $54.00 |
| TB skin test CPT 86580 | $32.00 | $32.00 | $4.54 – $85.80 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $120.00 | $120.00 | $14.82 – $97.20 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $369.00 | $369.00 | $35.03 – $298.89 |
| Troponin test (heart damage) CPT 84484 | $95.00 | $95.00 | $9.26 – $76.95 |
| Urinalysis, automated, with microscope CPT 81001 | $31.00 | $31.00 | $2.80 – $54.00 |
| Urinalysis, automated, without microscope CPT 81003 | $28.00 | $28.00 | $1.68 – $54.00 |
| Urinalysis, manual, with microscope CPT 81000 | $17.00 | $17.00 | $3.07 – $13.82 |
| Urinalysis, manual, without microscope CPT 81002 | $24.00 | $24.00 | $2.41 – $54.00 |
| Urine culture, colony count CPT 87086 | $82.00 | $82.00 | $6.22 – $66.42 |
| Urine pregnancy test CPT 81025 | $38.00 | $38.00 | $5.95 – $54.00 |
| Vitamin B12 test CPT 82607 | $107.00 | $107.00 | $11.29 – $86.67 |
| Vitamin D test CPT 82306 | $142.00 | $142.00 | $26.11 – $115.02 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,063.00 | $1,063.00 | $93.39 – $1,598.00 |
| ECG tracing only (no interpretation) CPT 93005 | $212.00 | $212.00 | $23.31 – $501.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,529.00 | $2,529.00 | $210.25 – $2,757.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $145.00 | $145.00 | $29.34 – $4,939.00 |
| Holter monitor, up to 48 hours CPT 93224 | $113.00 | $113.00 | $33.90 – $156.75 |
| Left heart catheterization CPT 93452 | $1,100.00 | $1,100.00 | $464.53 – $4,807.28 |
| Left heart catheterization with coronary angiogram CPT 93458 | $9,316.00 | $9,316.00 | $1,241.89 – $7,545.96 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,475.00 | $3,475.00 | $858.98 – $3,377.70 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,240.00 – $7,831.41 | |
| Appendix removal, laparoscopic CPT 44970 | $1,815.00 | $1,815.00 | $597.68 – $8,512.32 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,980.00 | $1,980.00 | $150.05 – $2,391.85 |
| Carpal tunnel release CPT 64721 | $952.00 | $952.00 | $402.03 – $2,848.43 |
| Colonoscopy with biopsy CPT 45380 | $2,764.00 | $2,764.00 | $1,127.14 – $2,686.61 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,603.00 | $2,603.00 | $1,099.25 – $2,530.12 |
| Colonoscopy, diagnostic CPT 45378 | $2,764.00 | $2,764.00 | $884.19 – $2,686.61 |
| Colposcopy with biopsy CPT 57454 | not posted | $2,850.00 – $2,850.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $1,950.00 – $1,950.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $3,240.00 – $3,240.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,205.00 | $1,205.00 | $483.33 – $1,348.35 |
| Gallbladder removal, laparoscopic CPT 47562 | $2,750.00 | $2,750.00 | $654.06 – $8,512.32 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $5,225.00 | $5,225.00 | $1,567.50 – $5,078.70 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $2,049.00 | $2,049.00 | $865.29 – $15,186.09 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,470.00 | $3,470.00 | $228.24 – $4,612.26 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $1,870.00 | $1,870.00 | $432.68 – $8,512.32 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $1,458.00 | $1,458.00 | $520.70 – $5,103.96 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $9,437.00 | $9,437.00 | $3,914.28 – $9,172.76 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $1,170.00 | $1,170.00 | $494.09 – $4,775.24 |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,173.68 – $2,850.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $378.00 | $378.00 | $159.63 – $2,850.00 |
| Prostate biopsy CPT 55700 | $3,300.00 | $3,300.00 | $627.35 – $3,207.60 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $3,870.00 – $3,870.00 | |
| Removal of a breast lump, open surgery CPT 19120 | $7,523.00 | $7,523.00 | $3,176.96 – $7,312.36 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $3,870.00 – $4,216.52 | |
| Screening colonoscopy, average risk HCPCS G0121 | $2,764.00 | $2,764.00 | $348.32 – $2,686.61 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,764.00 | $2,764.00 | $348.32 – $2,686.61 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $4,038.00 – $4,038.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $3,240.00 – $4,216.52 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $4,400.00 | $4,400.00 | $1,073.03 – $4,276.80 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $3,240.00 – $3,240.00 | |
| Total hip replacement CPT 27130 | $1,430.00 | $1,430.00 | $603.89 – $19,416.33 |
| Total knee replacement CPT 27447 | $2,900.00 | $2,900.00 | $1,224.67 – $19,416.33 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,446.00 | $2,446.00 | $978.76 – $2,377.51 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $5,873.00 | $5,873.00 | $748.82 – $5,708.56 |
| Vasectomy CPT 55250 | not posted | $2,850.00 – $2,850.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $5,084.00 | $5,084.00 | $1,525.20 – $4,941.65 |
| Fetal non-stress test CPT 59025 | $663.00 | $663.00 | $189.75 – $537.03 |
| IUD insertion CPT 58300 | $297.00 | $297.00 | $89.10 – $288.68 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $5,084.00 | $5,084.00 | $1,525.20 – $4,941.65 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $5,084.00 | $5,084.00 | $1,525.20 – $4,941.65 |
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 | $2,496.50 – $14,587.98 | |
| C-section, without complications MS-DRG 788 | not posted | $2,494.75 – $14,577.75 | |
| Chest pain MS-DRG 313 | not posted | $2,111.35 – $12,337.38 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $3,215.46 – $18,789.10 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $1,872.67 – $10,942.69 | |
| Fainting (syncope) MS-DRG 312 | not posted | $2,519.55 – $14,722.67 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $2,870.57 – $16,773.79 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $3,746.21 – $21,890.49 | |
| Heart failure, without complications MS-DRG 293 | not posted | $1,638.37 – $9,573.58 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $28,318.51 – $165,475.36 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $5,490.50 – $32,082.99 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $1,613.57 – $9,428.65 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $2,628.39 – $15,358.64 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $2,354.41 – $13,757.65 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $7,179.64 – $41,953.23 | |
| Normal newborn care MS-DRG 795 | not posted | $588.53 – $3,438.99 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $2,280.00 – $13,322.87 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $2,399.05 – $14,018.51 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $3,870.81 – $22,618.53 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $1,825.40 – $10,666.48 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $3,986.94 – $23,297.12 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $5,784.91 – $33,803.33 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $3,005.08 – $17,559.79 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $2,581.41 – $15,084.14 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $10,673.17 – $62,367.19 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $2,292.26 – $13,394.48 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $2,965.69 – $17,329.62 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $3,390.53 – $19,812.10 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,909.14 – $11,155.82 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $4,427.24 – $25,869.97 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $697.00 | $697.00 | $294.34 – $677.48 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,678.00 | $1,678.00 | $642.09 – $1,950.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,896.00 | $1,896.00 | $673.34 – $1,950.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,416.00 | $1,416.00 | $597.98 – $1,376.35 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $3,870.00 – $3,870.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $2,850.00 – $2,850.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,078.00 | $1,078.00 | $59.53 – $4,350.00 |
| Sleep study with CPAP titration CPT 95811 | $3,223.00 | $3,223.00 | $398.47 – $4,350.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,417.00 | $3,417.00 | $398.47 – $4,350.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $347.00 | $347.00 | $59.53 – $1,174.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $115.00 | $115.00 | $34.50 – $413.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $344.00 | $344.00 | $103.20 – $413.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $344.00 | $344.00 | $103.20 – $413.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $121.00 | $121.00 | $36.30 – $98.01 |
| Therapeutic activities, 15 minutes CPT 97530 | $117.00 | $117.00 | $35.10 – $413.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Psychiatric diagnostic evaluation CPT 90791 | $306.00 | $306.00 | $60.76 – $247.86 |
| Psychotherapy, 30 minutes CPT 90832 | $174.00 | $174.00 | $60.76 – $235.22 |
| Psychotherapy, 45 minutes CPT 90834 | $229.00 | $229.00 | $60.76 – $235.22 |
| Psychotherapy, 60 minutes CPT 90837 | $277.00 | $277.00 | $60.76 – $235.22 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $303.00 | $303.00 | $26.85 – $690.00 |
| IV hydration, each additional hour CPT 96361 | $370.00 | $370.00 | $18.10 – $299.70 |
| IV hydration, first hour CPT 96360 | $586.00 | $586.00 | $81.69 – $474.66 |
| IV push injection of a drug, first CPT 96374 | $471.00 | $471.00 | $65.72 – $381.51 |
| IV push injection, each additional drug CPT 96375 | $229.00 | $229.00 | $18.10 – $246.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $89.22 | $89.22 | ? – $72.26 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $113.99 | $113.99 | ? – $92.33 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $70.00 | $70.00 | ? – $56.70 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $32.98 | $32.98 | $2.97 – $26.72 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $20.13 | $20.13 | ? – $16.31 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $51.80 | $51.80 | ? – $41.96 |
| Morphine injection, up to 10 mg HCPCS J2270 | $902.00 | $902.00 | $3.57 – $730.62 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $21.98 | $21.98 | ? – $17.80 |
| Propofol injection, per 10 mg HCPCS J2704 | $81.79 | $81.79 | ? – $66.25 |
| Saline IV solution, 1000 ml HCPCS J7030 | $25.20 | $25.20 | $2.96 – $20.41 |
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.