Ascension Providence Hospital, Southfield and Novi
16001 W Nine Mile Rd, Southfield, MI 48075 · Acute care hospital · Emergency room
These are Ascension Providence Hospital, Southfield and Novi'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.
222 of the services we track have a posted price here; 131 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 | $2,493.68 | $4,453.00 | $303.88 – $2,837.96 |
| Emergency room visit, level 1 (minor) CPT 99281 | $188.16 | $336.00 | $23.34 – $212.72 |
| Emergency room visit, level 2 CPT 99282 | $421.12 | $752.00 | $46.21 – $407.20 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $711.76 | $1,271.00 | $69.18 – $738.00 |
| Emergency room visit, level 4 CPT 99284 | $1,235.92 | $2,207.00 | $132.58 – $1,588.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,828.96 | $3,266.00 | $193.69 – $1,692.47 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $193.20 | $345.00 | $61.98 – $246.33 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $15.68 | $28.00 | $21.92 – $25.84 |
| Abdominal X-ray, 1 view CPT 74018 | $130.48 | $233.00 | $15.70 – $58.25 |
| Ankle X-ray, 3 or more views CPT 73610 | $221.20 | $395.00 | $22.96 – $78.28 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $310.24 | $554.00 | $31.16 – $94.69 |
| Breast ultrasound, one breast, complete CPT 76641 | $395.92 | $707.00 | $48.43 – $199.38 |
| Breast ultrasound, one breast, limited CPT 76642 | $369.04 | $659.00 | $46.77 – $152.65 |
| Chest X-ray, 1 view CPT 71045 | $113.12 | $202.00 | $9.32 – $46.80 |
| Chest X-ray, 2 views CPT 71046 | $116.48 | $208.00 | $16.91 – $63.98 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $964.88 | $1,723.00 | $124.59 – $516.90 |
| CT angiogram of the head CPT 70496 | $1,498.56 | $2,676.00 | $124.59 – $516.90 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,784.16 | $3,186.00 | $182.90 – $721.77 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,927.52 | $3,442.00 | $182.90 – $815.63 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,640.80 | $2,930.00 | $100.98 – $332.13 |
| CT scan of the abdomen, without contrast CPT 74150 | $911.68 | $1,628.00 | $59.17 – $265.50 |
| CT scan of the chest, with contrast CPT 71260 | $847.28 | $1,513.00 | $124.59 – $368.45 |
| CT scan of the chest, without contrast CPT 71250 | $730.24 | $1,304.00 | $59.17 – $268.55 |
| CT scan of the head, without contrast CPT 70450 | $560.56 | $1,001.00 | $59.17 – $215.05 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $560.56 | $1,001.00 | $59.17 – $271.57 |
| CT scan of the pelvis, with contrast CPT 72193 | $808.08 | $1,443.00 | $124.59 – $516.83 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $677.04 | $1,209.00 | $59.17 – $285.70 |
| Diagnostic mammogram, both breasts CPT 77066 | $281.68 | $503.00 | $103.08 – $319.52 |
| Diagnostic mammogram, one breast CPT 77065 | $206.08 | $368.00 | $80.62 – $249.93 |
| Foot X-ray, 3 or more views CPT 73630 | $288.40 | $515.00 | $20.83 – $72.55 |
| Hand X-ray, 3 or more views CPT 73130 | $243.60 | $435.00 | $22.05 – $77.33 |
| Knee X-ray, 3 views CPT 73562 | $103.04 | $184.00 | $25.38 – $86.85 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $906.08 | $1,618.00 | $80.78 – $841.22 |
| Leg or arm vein ultrasound, one side CPT 93971 | $627.76 | $1,121.00 | $80.78 – $173.11 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $153.44 | $274.00 | $23.56 – $80.17 |
| MRI of both breasts, without and with contrast CPT 77049 | $210.00 | $375.00 | $252.60 – $297.82 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,434.72 | $2,562.00 | $238.97 – $995.45 |
| MRI of the brain, without and with contrast CPT 70553 | $2,240.56 | $4,001.00 | $238.97 – $882.13 |
| MRI of the brain, without contrast CPT 70551 | $1,259.44 | $2,249.00 | $143.88 – $523.67 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,474.08 | $4,418.00 | $143.88 – $570.50 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,347.36 | $2,406.00 | $143.88 – $506.35 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,347.36 | $2,406.00 | $143.88 – $505.13 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,259.44 | $2,249.00 | $143.88 – $505.13 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,434.72 | $2,562.00 | $238.97 – $993.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,312.80 | $4,130.00 | $143.88 – $571.73 |
| Neck X-ray, 2 or 3 views CPT 72040 | $119.28 | $213.00 | $21.90 – $79.22 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $322.00 | $575.00 | $76.73 – $213.68 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $291.76 | $521.00 | $80.78 – $257.55 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $194.88 | $348.00 | $74.47 – $206.05 |
| Screening mammogram, both breasts CPT 77067 | $175.84 | $314.00 | $85.17 – $264.23 |
| Shoulder X-ray, 2 or more views CPT 73030 | $228.48 | $408.00 | $19.63 – $69.67 |
| Transvaginal pregnancy ultrasound CPT 76817 | $216.72 | $387.00 | $60.35 – $166.95 |
| Transvaginal ultrasound CPT 76830 | $337.68 | $603.00 | $80.78 – $253.72 |
| Ultrasound of the abdomen, complete CPT 76700 | $388.64 | $694.00 | $80.78 – $231.80 |
| Ultrasound of the neck or thyroid CPT 76536 | $243.60 | $435.00 | $80.78 – $248.97 |
| Wrist X-ray, 3 or more views CPT 73110 | $228.48 | $408.00 | $26.60 – $88.75 |
| X-ray of the lower back, 4 or more views CPT 72110 | $183.12 | $327.00 | $32.05 – $105.92 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $19.60 | $35.00 | $7.53 – $15.20 |
| Blood culture CPT 87040 | $56.56 | $101.00 | $7.53 – $12.25 |
| Blood draw (venipuncture) CPT 36415 | $17.92 | $32.00 | $1.97 – $22.85 |
| BNP test (heart failure) CPT 83880 | $61.04 | $109.00 | $25.76 – $61.02 |
| C-reactive protein (CRP) test CPT 86140 | $35.28 | $63.00 | $3.78 – $9.30 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $122.64 | $219.00 | $23.68 – $63.09 |
| Complete blood count (CBC) with differential CPT 85025 | $22.96 | $41.00 | $5.24 – $13.96 |
| Complete blood count (CBC), automated CPT 85027 | $15.68 | $28.00 | $4.72 – $8.36 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $26.88 | $48.00 | $12.54 – $19.73 |
| COVID-19 PCR test CPT 87635 | $77.28 | $138.00 | $22.85 – $90.94 |
| D-dimer test (blood clots) CPT 85379 | $31.36 | $56.00 | $6.87 – $16.27 |
| Drug screen, instrument chemistry CPT 80307 | $80.08 | $143.00 | $42.43 – $73.79 |
| Ferritin (iron stores) test CPT 82728 | $41.44 | $74.00 | $9.21 – $24.49 |
| Free T4 (thyroid) test CPT 84439 | $42.56 | $76.00 | $6.08 – $16.20 |
| General health panel (blood tests) CPT 80050 | not posted | $33.53 – $52.78 | |
| Glucose (blood sugar) test CPT 82947 | $9.52 | $17.00 | $1.13 – $6.75 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $127.68 | $228.00 | $25.58 – $63.09 |
| Hemoglobin A1c test CPT 83036 | $29.68 | $53.00 | $7.08 – $17.46 |
| Hepatitis C antibody test CPT 86803 | $48.72 | $87.00 | $9.63 – $23.52 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $16.24 | $29.00 | $16.25 – $28.60 |
| Iron test CPT 83540 | $13.44 | $24.00 | $4.72 – $11.65 |
| Kidney function panel CPT 80069 | $37.52 | $67.00 | $9.41 – $15.61 |
| Lipase test (pancreas) CPT 83690 | $21.28 | $38.00 | $5.03 – $12.38 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $31.36 | $56.00 | $10.05 – $22.96 |
| Liver function panel CPT 80076 | $26.32 | $47.00 | $6.29 – $9.86 |
| Magnesium test CPT 83735 | $26.32 | $47.00 | $4.52 – $12.04 |
| Obstetric blood test panel CPT 80055 | not posted | $27.73 – $65.98 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $13.44 | $24.00 | $4.38 – $10.79 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $43.12 | $77.00 | $7.66 – $17.88 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $12.88 | $23.00 | $2.66 – $7.06 |
| PSA (prostate specific antigen), free CPT 84154 | $30.80 | $55.00 | $13.42 – $33.08 |
| PSA (prostate specific antigen), total CPT 84153 | $52.08 | $93.00 | $12.42 – $33.08 |
| Rapid strep test CPT 87880 | $30.80 | $55.00 | $10.04 – $21.56 |
| Sed rate (ESR) test CPT 85652 | $11.76 | $21.00 | $1.97 – $4.86 |
| TB skin test CPT 86580 | not posted | $13.91 – $33.11 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $49.84 | $89.00 | $12.25 – $30.20 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $84.56 | $151.00 | $25.12 – $90.92 |
| Troponin test (heart damage) CPT 84484 | $42.56 | $76.00 | $7.58 – $17.68 |
| Urinalysis, automated, with microscope CPT 81001 | $12.32 | $22.00 | $2.31 – $5.68 |
| Urinalysis, automated, without microscope CPT 81003 | $8.40 | $15.00 | $1.63 – $4.04 |
| Urinalysis, manual, with microscope CPT 81000 | $6.72 | $12.00 | $2.44 – $5.68 |
| Urinalysis, manual, without microscope CPT 81002 | $6.72 | $12.00 | $2.12 – $4.59 |
| Urine culture, colony count CPT 87086 | $46.48 | $83.00 | $5.89 – $14.50 |
| Urine pregnancy test CPT 81025 | $9.52 | $17.00 | $5.23 – $11.37 |
| Vitamin B12 test CPT 82607 | $39.76 | $71.00 | $11.00 – $27.09 |
| Vitamin D test CPT 82306 | $72.80 | $130.00 | $19.98 – $53.22 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $747.60 | $1,335.00 | $80.78 – $1,298.93 |
| ECG tracing only (no interpretation) CPT 93005 | $80.08 | $143.00 | $11.91 – $29.42 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,182.88 | $3,898.00 | $163.69 – $3,655.26 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $21.56 – $841.22 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $109.91 – $361.06 | |
| Left heart catheterization CPT 93452 | $10,982.16 | $19,611.00 | $689.70 – $14,002.25 |
| Left heart catheterization with coronary angiogram CPT 93458 | $13,641.60 | $24,360.00 | $215.42 – $17,393.04 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,986.32 | $3,547.00 | $380.91 – $1,117.13 |
| Treadmill stress test, complete CPT 93015 | not posted | $98.29 – $296.04 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,172.33 – $5,912.32 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $711.85 – $4,325.66 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,453.20 | $2,595.00 | $165.24 – $1,852.83 |
| Carpal tunnel release CPT 64721 | not posted | $499.31 – $1,516.07 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $395.95 – $870.85 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $395.95 – $869.31 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $518.10 – $1,232.73 | |
| Colposcopy with biopsy CPT 57454 | not posted | $172.86 – $411.30 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $379.30 – $902.48 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $189.98 – $1,559.32 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $518.10 – $1,232.73 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $890.32 – $29,244.59 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,075.52 – $6,848.76 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $1,239.75 – $3,911.12 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $445.37 – $2,080.92 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $505.28 – $4,165.39 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $615.59 – $28,809.59 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $931.87 – $3,362.96 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $645.07 – $3,632.06 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $351.15 – $929.95 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $110.32 – $262.49 | |
| Prostate biopsy CPT 55700 | $1,365.28 | $2,438.00 | $299.97 – $1,740.73 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $2,016.18 – $6,802.26 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $459.27 – $2,397.79 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,277.84 – $4,838.66 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $721.40 – $2,107.52 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $213.37 – $3,114.64 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,547.27 – $4,364.49 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $343.88 – $15,695.05 | |
| Total hip replacement CPT 27130 | not posted | $1,715.18 – $20,463.10 | |
| Total knee replacement CPT 27447 | not posted | $1,831.92 – $19,954.70 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $532.79 – $1,267.67 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $532.79 – $1,267.67 | |
| Vasectomy CPT 55250 | not posted | $453.55 – $1,553.74 |
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 | $3,541.29 – $9,123.06 | |
| Fetal non-stress test CPT 59025 | $572.88 | $1,023.00 | $20.53 – $730.42 |
| IUD insertion CPT 58300 | not posted | $79.94 – $280.87 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,345.55 – $8,651.28 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,157.72 – $8,219.07 |
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 | $7,797.60 – $11,675.17 | |
| C-section, without complications MS-DRG 788 | not posted | $9,161.99 – $13,084.09 | |
| Chest pain MS-DRG 313 | not posted | $6,719.35 – $11,455.31 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $10,828.00 – $18,594.13 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,552.09 – $11,847.92 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,614.25 – $12,698.21 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $9,407.85 – $18,004.09 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,828.00 – $26,361.13 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,557.94 – $11,969.07 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $10,828.00 – $146,985.15 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $10,828.00 – $35,759.15 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,341.85 – $10,828.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,730.50 – $16,924.96 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,543.95 – $11,055.97 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $10,828.00 – $31,990.07 | |
| Normal newborn care MS-DRG 795 | not posted | $1,751.80 – $10,828.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $7,143.05 – $10,828.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,301.48 – $14,558.07 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,828.00 – $22,208.41 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,305.07 – $10,828.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,072.00 – $16,859.38 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $10,828.00 – $33,158.93 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $10,002.55 – $17,351.23 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $8,053.15 – $11,100.84 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $7,176.30 – $12,545.65 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,799.25 – $23,152.92 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,598.20 – $20,626.74 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,450.85 – $10,828.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $10,828.00 – $32,115.70 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $680.96 | $1,216.00 | $41.50 – $868.22 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $505.93 – $1,203.76 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $973.84 | $1,739.00 | $270.33 – $1,241.65 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $505.93 – $1,203.76 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $885.04 – $2,489.55 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $73.23 – $174.24 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $311.76 – $741.76 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $180.88 | $323.00 | $43.95 – $68.25 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $88.91 – $211.55 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $578.16 – $1,375.61 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $578.16 – $1,375.61 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $152.88 | $273.00 | $31.02 – $68.25 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $62.72 | $112.00 | $21.12 – $37.44 |
| Physical therapy evaluation, low complexity CPT 97161 | $147.28 | $263.00 | $76.95 – $113.40 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $147.28 | $263.00 | $76.95 – $113.40 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $62.16 | $111.00 | $22.92 – $40.44 |
| Therapeutic activities, 15 minutes CPT 97530 | $60.48 | $108.00 | $29.40 – $52.07 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $91.30 – $217.24 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $91.30 – $217.24 | |
| Group psychotherapy CPT 90853 | not posted | $52.57 – $125.07 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $91.30 – $217.24 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $91.30 – $217.24 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $91.30 – $217.24 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $91.30 – $217.24 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $47.60 | $85.00 | $19.76 – $41.42 |
| IV hydration, each additional hour CPT 96361 | $127.68 | $228.00 | $16.24 – $61.73 |
| IV hydration, first hour CPT 96360 | $272.72 | $487.00 | $48.60 – $160.49 |
| IV push injection of a drug, first CPT 96374 | $108.64 | $194.00 | $48.60 – $185.18 |
| IV push injection, each additional drug CPT 96375 | $108.64 | $194.00 | $22.26 – $75.60 |
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.