Signature Healthcare Brockton Hospital
680 Center Street, Brockton, MA 02302 · Acute care hospital · Emergency room
These are Signature Healthcare Brockton Hospital's own posted figures from its standard-charges file dated January 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
234 of the services we track have a posted price here; 155 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 | $2,257.50 | $3,225.00 | $299.00 – $1,505.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $641.20 | $916.00 | $102.47 – $1,505.00 |
| Emergency room visit, level 2 CPT 99282 | $706.30 | $1,009.00 | $184.03 – $1,505.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $987.00 | $1,410.00 | $299.00 – $1,505.00 |
| Emergency room visit, level 4 CPT 99284 | $1,274.70 | $1,821.00 | $299.00 – $1,505.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,619.10 | $2,313.00 | $299.00 – $1,505.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $611.10 | $873.00 | $231.25 – $1,505.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $88.90 | $127.00 | $20.82 – $88.75 |
| Abdominal X-ray, 1 view CPT 74018 | $270.20 | $386.00 | $30.43 – $214.23 |
| Ankle X-ray, 3 or more views CPT 73610 | $558.60 | $798.00 | $39.97 – $442.89 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $376.60 | $538.00 | $42.83 – $298.59 |
| Breast ultrasound, one breast, complete CPT 76641 | $753.20 | $1,076.00 | $58.37 – $597.18 |
| Breast ultrasound, one breast, limited CPT 76642 | $558.60 | $798.00 | $44.69 – $442.89 |
| Chest X-ray, 1 view CPT 71045 | $270.20 | $386.00 | $24.70 – $214.23 |
| Chest X-ray, 2 views CPT 71046 | $270.20 | $386.00 | $33.29 – $214.23 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $624.40 | $892.00 | $81.05 – $836.51 |
| CT angiogram of the head CPT 70496 | $624.40 | $892.00 | $81.05 – $836.51 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,273.30 | $1,819.00 | $81.05 – $1,164.27 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,273.30 | $1,819.00 | $81.05 – $1,164.27 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $795.90 | $1,137.00 | $81.05 – $721.58 |
| CT scan of the abdomen, without contrast CPT 74150 | $376.60 | $538.00 | $72.92 – $504.70 |
| CT scan of the chest, with contrast CPT 71260 | $624.40 | $892.00 | $81.05 – $706.70 |
| CT scan of the chest, without contrast CPT 71250 | $376.60 | $538.00 | $81.05 – $504.70 |
| CT scan of the head, without contrast CPT 70450 | $376.60 | $538.00 | $59.24 – $504.70 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $376.60 | $538.00 | $81.05 – $504.70 |
| CT scan of the pelvis, with contrast CPT 72193 | $624.40 | $892.00 | $81.05 – $706.70 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $376.60 | $538.00 | $78.75 – $504.70 |
| Diagnostic mammogram, both breasts CPT 77066 | $408.10 | $583.00 | $81.05 – $323.57 |
| Diagnostic mammogram, one breast CPT 77065 | $319.20 | $456.00 | $77.87 – $253.08 |
| Foot X-ray, 3 or more views CPT 73630 | $540.40 | $772.00 | $37.10 – $428.46 |
| Hand X-ray, 3 or more views CPT 73130 | $558.60 | $798.00 | $41.40 – $442.89 |
| Knee X-ray, 3 views CPT 73562 | $540.40 | $772.00 | $45.23 – $428.46 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $689.50 | $985.00 | $198.74 – $893.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $326.20 | $466.00 | $120.85 – $893.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $368.90 | $527.00 | $41.40 – $292.49 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,127.00 | $1,610.00 | $81.05 – $1,154.27 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,273.30 | $1,819.00 | $81.05 – $1,364.79 |
| MRI of the brain, without and with contrast CPT 70553 | $1,273.30 | $1,819.00 | $81.05 – $1,364.79 |
| MRI of the brain, without contrast CPT 70551 | $795.90 | $1,137.00 | $81.05 – $939.87 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,591.80 | $2,274.00 | $81.05 – $1,262.07 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $795.90 | $1,137.00 | $81.05 – $939.87 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $795.90 | $1,137.00 | $81.05 – $939.87 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $795.90 | $1,137.00 | $81.05 – $939.87 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,273.30 | $1,819.00 | $81.05 – $1,364.79 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $795.90 | $1,137.00 | $81.05 – $939.87 |
| Neck X-ray, 2 or 3 views CPT 72040 | $270.20 | $386.00 | $41.40 – $214.23 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $376.60 | $538.00 | $61.86 – $298.59 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $376.60 | $538.00 | $74.96 – $298.59 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $376.60 | $538.00 | $59.83 – $298.59 |
| Screening mammogram, both breasts CPT 77067 | $337.40 | $482.00 | $81.05 – $267.51 |
| Shoulder X-ray, 2 or more views CPT 73030 | $540.40 | $772.00 | $36.63 – $428.46 |
| Transvaginal pregnancy ultrasound CPT 76817 | $376.60 | $538.00 | $48.18 – $298.59 |
| Transvaginal ultrasound CPT 76830 | $376.60 | $538.00 | $71.47 – $298.59 |
| Ultrasound of the abdomen, complete CPT 76700 | $387.80 | $554.00 | $67.39 – $307.47 |
| Ultrasound of the neck or thyroid CPT 76536 | $376.60 | $538.00 | $72.34 – $298.59 |
| Wrist X-ray, 3 or more views CPT 73110 | $540.40 | $772.00 | $47.13 – $428.46 |
| X-ray of the lower back, 4 or more views CPT 72110 | $376.60 | $538.00 | $56.20 – $298.59 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $24.50 | $35.00 | $8.29 – $27.12 |
| Blood culture CPT 87040 | $30.10 | $43.00 | $10.11 – $33.09 |
| Blood draw (venipuncture) CPT 36415 | $7.70 | $11.00 | $2.70 – $12.64 |
| BNP test (heart failure) CPT 83880 | $112.00 | $160.00 | $37.71 – $108.82 |
| C-reactive protein (CRP) test CPT 86140 | $14.70 | $21.00 | $5.08 – $16.59 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $101.50 | $145.00 | $34.39 – $92.80 |
| Complete blood count (CBC) with differential CPT 85025 | $22.40 | $32.00 | $7.61 – $24.92 |
| Complete blood count (CBC), automated CPT 85027 | $18.90 | $27.00 | $6.34 – $20.73 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $30.80 | $44.00 | $10.35 – $33.89 |
| COVID-19 PCR test CPT 87635 | $146.30 | $209.00 | $46.18 – $122.14 |
| D-dimer test (blood clots) CPT 85379 | $29.40 | $42.00 | $9.98 – $32.62 |
| Drug screen, instrument chemistry CPT 80307 | $153.30 | $219.00 | $60.90 – $153.87 |
| Ferritin (iron stores) test CPT 82728 | $39.20 | $56.00 | $13.36 – $43.67 |
| Free T4 (thyroid) test CPT 84439 | $25.90 | $37.00 | $8.84 – $28.93 |
| General health panel (blood tests) CPT 80050 | $184.80 | $264.00 | $37.55 – $132.00 |
| Glucose (blood sugar) test CPT 82947 | $11.20 | $16.00 | $3.85 – $12.57 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $101.50 | $145.00 | $34.39 – $92.80 |
| Hemoglobin A1c test CPT 83036 | $28.00 | $40.00 | $9.52 – $31.12 |
| Hepatitis C antibody test CPT 86803 | $41.30 | $59.00 | $13.98 – $41.91 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $70.00 | $100.00 | $23.60 – $70.76 |
| Iron test CPT 83540 | $18.90 | $27.00 | $6.34 – $20.76 |
| Kidney function panel CPT 80069 | $133.00 | $190.00 | $8.51 – $27.84 |
| Lipase test (pancreas) CPT 83690 | $19.60 | $28.00 | $6.75 – $22.07 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $38.50 | $55.00 | $13.12 – $42.93 |
| Liver function panel CPT 80076 | $23.80 | $34.00 | $8.01 – $26.22 |
| Magnesium test CPT 83735 | $19.60 | $28.00 | $6.57 – $21.49 |
| Obstetric blood test panel CPT 80055 | not posted | $46.85 – $126.43 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $17.50 | $25.00 | $5.89 – $19.23 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $43.40 | $62.00 | $14.75 – $48.27 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $11.90 | $17.00 | $4.20 – $12.60 |
| PSA (prostate specific antigen), free CPT 84154 | $53.20 | $76.00 | $18.02 – $58.96 |
| PSA (prostate specific antigen), total CPT 84153 | $53.20 | $76.00 | $18.02 – $58.96 |
| Rapid strep test CPT 87880 | $46.90 | $67.00 | $14.88 – $39.34 |
| Sed rate (ESR) test CPT 85652 | $7.70 | $11.00 | $2.65 – $8.64 |
| TB skin test CPT 86580 | $74.20 | $106.00 | $8.56 – $40.86 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $48.30 | $69.00 | $16.46 – $53.87 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $171.50 | $245.00 | $40.23 – $121.33 |
| Troponin test (heart damage) CPT 84484 | $35.70 | $51.00 | $11.22 – $31.56 |
| Urinalysis, automated, with microscope CPT 81001 | $9.10 | $13.00 | $3.11 – $10.17 |
| Urinalysis, automated, without microscope CPT 81003 | $7.00 | $10.00 | $2.21 – $7.20 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.62 – $10.17 | |
| Urinalysis, manual, without microscope CPT 81002 | $9.80 | $14.00 | $3.13 – $8.28 |
| Urine culture, colony count CPT 87086 | $23.10 | $33.00 | $7.91 – $25.87 |
| Urine pregnancy test CPT 81025 | $24.50 | $35.00 | $7.75 – $20.49 |
| Vitamin B12 test CPT 82607 | $43.40 | $62.00 | $14.78 – $48.00 |
| Vitamin D test CPT 82306 | $85.40 | $122.00 | $29.01 – $94.91 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $689.50 | $985.00 | $198.74 – $893.00 |
| ECG tracing only (no interpretation) CPT 93005 | $166.60 | $238.00 | $10.21 – $438.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,447.60 | $2,068.00 | $199.61 – $1,237.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $14.06 – $45.65 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $70.17 – $243.90 | |
| Left heart catheterization CPT 93452 | $4,258.80 | $6,084.00 | $2,251.08 – $7,126.85 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,258.80 | $6,084.00 | $2,251.08 – $7,126.85 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,300.20 | $3,286.00 | $333.18 – $3,109.78 |
| Treadmill stress test, complete CPT 93015 | not posted | $72.27 – $191.11 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,698.79 – $12,411.78 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $3,698.79 – $9,844.32 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,572.80 | $5,104.00 | $1,885.65 – $3,672.00 |
| Carpal tunnel release CPT 64721 | not posted | $2,272.65 – $3,997.00 | |
| Colonoscopy with biopsy CPT 45380 | $1,786.40 | $2,552.00 | $944.24 – $3,672.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,786.40 | $2,552.00 | $944.24 – $3,672.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,786.40 | $2,552.00 | $944.24 – $3,672.00 |
| Colposcopy with biopsy CPT 57454 | not posted | $354.02 – $3,398.55 | |
| Cystoscopy (bladder scope) CPT 52000 | $721.00 | $1,030.00 | $87.00 – $1,338.16 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,723.93 – $3,698.79 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,786.40 | $2,552.00 | $766.01 – $3,217.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $4,301.36 – $9,844.32 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,654.66 – $6,078.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $4,602.64 – $17,150.63 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,236.35 – $5,237.70 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $3,997.99 – $9,844.32 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $3,997.99 – $6,313.16 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $3,824.93 – $6,698.86 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,776.11 – $5,619.20 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,787.10 | $2,553.00 | $944.61 – $3,672.00 |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $225.94 – $3,398.55 | |
| Prostate biopsy CPT 55700 | not posted | $2,384.07 – $3,726.56 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $4,301.36 – $17,150.63 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $3,698.79 – $6,308.06 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $4,301.36 – $12,208.52 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,786.40 | $2,552.00 | $944.24 – $3,217.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,786.40 | $2,552.00 | $944.24 – $3,217.00 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,774.31 – $5,342.37 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $164.07 – $6,682.66 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,043.93 – $16,582.58 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $3,698.79 – $9,744.99 | |
| Total hip replacement CPT 27130 | not posted | $4,602.64 – $21,195.79 | |
| Total knee replacement CPT 27447 | not posted | $4,602.64 – $21,195.79 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,786.40 | $2,552.00 | $944.24 – $3,672.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,786.40 | $2,552.00 | $944.24 – $3,672.00 |
| Vasectomy CPT 55250 | not posted | $2,384.07 – $3,997.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | not posted | $2,300.00 – $3,200.02 | |
| Fetal non-stress test CPT 59025 | $510.30 | $729.00 | $16.50 – $394.91 |
| IUD insertion CPT 58300 | not posted | $107.06 – $3,103.52 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,300.00 – $3,016.16 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,300.00 – $5,562.22 |
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 | $7,875.46 – $17,622.04 | |
| C-section, without complications MS-DRG 788 | not posted | $3,004.00 – $18,373.56 | |
| Chest pain MS-DRG 313 | not posted | $6,423.12 – $16,012.19 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,881.79 – $19,845.95 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,727.28 – $15,240.87 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,775.54 – $17,511.30 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,748.82 – $18,590.13 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,452.78 – $21,587.32 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,049.29 – $14,489.34 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $87,272.36 – $139,365.77 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $17,207.72 – $27,966.43 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,050.18 – $14,490.31 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,813.01 – $17,552.81 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,221.55 – $16,897.20 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $13,235.57 – $34,778.76 | |
| Normal newborn care MS-DRG 795 | not posted | $1,591.00 – $10,868.16 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,942.32 – $16,587.69 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,189.43 – $16,861.60 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $11,725.76 – $21,889.91 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,606.85 – $15,107.38 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,460.85 – $22,704.75 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $17,329.04 – $28,100.91 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,128.86 – $19,011.37 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,769.30 – $17,504.36 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,954.81 – $16,601.54 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,012.89 – $18,882.82 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $11,068.28 – $21,161.14 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,730.00 – $15,559.28 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,456.44 – $23,808.30 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,082.20 | $1,546.00 | $343.54 – $3,103.52 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $3,572.80 | $5,104.00 | $118.44 – $2,280.47 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,572.80 | $5,104.00 | $106.35 – $2,280.47 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $3,572.80 | $5,104.00 | $93.18 – $2,280.47 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,654.33 – $4,301.36 | |
| Eye exam, new patient, comprehensive CPT 92004 | $32.90 | $47.00 | $17.39 – $342.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $3,574.20 | $5,106.00 | $315.56 – $2,281.36 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $30.89 – $257.73 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $112.85 – $539.64 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $552.50 – $2,282.92 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $524.61 – $2,282.92 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $417.90 | $597.00 | $29.02 – $438.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $90.30 | $129.00 | $27.57 – $276.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $259.70 | $371.00 | $77.71 – $276.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $259.70 | $371.00 | $77.71 – $276.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $98.00 | $140.00 | $29.22 – $276.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $130.20 | $186.00 | $33.66 – $276.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $257.60 | $368.00 | $136.16 – $264.68 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $257.60 | $368.00 | $136.16 – $264.68 |
| Group psychotherapy CPT 90853 | $494.90 | $707.00 | $45.00 – $392.39 |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $178.84 – $264.68 | |
| Psychotherapy, 30 minutes CPT 90832 | $166.60 | $238.00 | $87.16 – $264.68 |
| Psychotherapy, 45 minutes CPT 90834 | $247.10 | $353.00 | $116.02 – $264.68 |
| Psychotherapy, 60 minutes CPT 90837 | $247.10 | $353.00 | $130.61 – $264.68 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $185.50 | $265.00 | $71.43 – $1,505.00 |
| IV hydration, each additional hour CPT 96361 | $119.70 | $171.00 | $15.49 – $94.91 |
| IV hydration, first hour CPT 96360 | $585.20 | $836.00 | $59.30 – $463.98 |
| IV push injection of a drug, first CPT 96374 | $564.20 | $806.00 | $104.16 – $1,505.00 |
| IV push injection, each additional drug CPT 96375 | $119.70 | $171.00 | $53.70 – $1,505.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $18.20 | $26.00 | ? – $14.43 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $7.21 | $10.29 | ? – $5.71 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $75.72 | $108.17 | ? – $60.03 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $4.59 – $4.59 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $4.58 | $6.53 | ? – $3.62 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $26.35 | $37.64 | ? – $20.89 |
| Morphine injection, up to 10 mg HCPCS J2270 | $25.53 | $36.47 | $4.58 – $20.24 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $7.98 | $11.40 | ? – $6.33 |
| Propofol injection, per 10 mg HCPCS J2704 | $36.87 | $52.67 | ? – $29.23 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.50 – $2.69 |
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.