McLaren Macomb

1000 Harrington St., Mount Clemens, MI 48043 · Acute care hospital · Emergency room

These are McLaren Macomb's own posted figures from its standard-charges file dated December 31, 2025. They are not a quote. Source: the hospital's file · its price transparency page.

227 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	$1,669.00	$3,338.00	$180.00 – $2,253.15
Emergency room visit, level 1 (minor) CPT 99281	$86.50	$173.00	$48.16 – $450.00
Emergency room visit, level 2 CPT 99282	$134.50	$269.00	$77.20 – $450.00
Emergency room visit, level 3 (moderate) CPT 99283	$232.50	$465.00	$133.45 – $450.00
Emergency room visit, level 4 CPT 99284	$413.00	$826.00	$180.00 – $664.47
Emergency room visit, level 5 (most severe) CPT 99285	$604.50	$1,209.00	$180.00 – $956.71
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$285.10	$570.20	$108.69 – $310.06

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$189.00	$378.00	$57.27 – $255.15
New patient office visit, about 30 minutes CPT 99203	$226.50	$453.00	$75.68 – $305.78
New patient office visit, about 45 minutes CPT 99204	$271.50	$543.00	$101.24 – $366.53
New patient office visit, about 60 minutes CPT 99205	$326.00	$652.00	$122.70 – $275.00
Office consultation, about 40 minutes CPT 99243	$136.30	$272.50	$56.02 – $140.07
Office consultation, about 60 minutes CPT 99244	$190.50	$381.00	$84.99 – $212.51
Office visit, established patient, about 10 to 19 minutes CPT 99212	$189.00	$378.00	$42.24 – $255.15
Office visit, established patient, about 20 to 29 minutes CPT 99213	$226.50	$453.00	$207.38 – $305.78
Office visit, established patient, about 30 to 39 minutes CPT 99214	$271.50	$543.00	$248.59 – $366.53
Office visit, established patient, about 40 to 54 minutes CPT 99215	$103.50	$207.00	$59.41 – $139.73
Office visit, established patient, brief (often a nurse) CPT 99211	$157.50	$315.00	$23.51 – $176.65
Preventive checkup, new patient, age 18 to 39 CPT 99385	$218.00	$436.00	$69.00 – $151.52
Preventive checkup, new patient, age 40 to 64 CPT 99386	$232.00	$464.00	$84.51 – $174.44

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$45.45	$90.90	$26.09 – $157.75
Abdominal X-ray, 1 view CPT 74018	$100.55	$201.10	$48.16 – $143.89
Ankle X-ray, 3 or more views CPT 73610	$239.45	$478.90	$48.16 – $323.26
Bone density scan (DEXA), hips and spine CPT 77080	$234.90	$469.80	$58.17 – $317.12
Breast ultrasound, one breast, complete CPT 76641	$214.85	$429.70	$58.17 – $442.57
Breast ultrasound, one breast, limited CPT 76642	$41.10	$82.10	$78.52 – $135.28
Chest X-ray, 1 view CPT 71045	$86.90	$173.80	$48.16 – $137.40
Chest X-ray, 2 views CPT 71046	$188.10	$376.20	$48.16 – $253.94
CT angiogram of the chest (checks for lung clots) CPT 71275	$803.85	$1,607.70	$97.38 – $1,318.91
CT angiogram of the head CPT 70496	$893.85	$1,787.70	$97.38 – $1,305.75
CT scan of the abdomen and pelvis, with contrast CPT 74177	$913.05	$1,826.10	$195.35 – $1,448.16
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$1,089.85	$2,179.70	$195.35 – $1,634.38
CT scan of the abdomen and pelvis, without contrast CPT 74176	$649.80	$1,299.60	$132.22 – $877.23
CT scan of the abdomen, without contrast CPT 74150	$837.85	$1,675.70	$58.17 – $939.73
CT scan of the chest, with contrast CPT 71260	$937.50	$1,875.00	$97.38 – $753.63
CT scan of the chest, without contrast CPT 71250	$769.95	$1,539.90	$58.17 – $1,039.43
CT scan of the head, without contrast CPT 70450	$804.95	$1,609.90	$58.17 – $1,086.68
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,407.55	$2,815.10	$58.17 – $1,900.19
CT scan of the pelvis, with contrast CPT 72193	$764.55	$1,529.10	$97.38 – $1,154.58
CT scan of the sinuses or face, without contrast CPT 70486	$627.20	$1,254.40	$58.17 – $589.34
Diagnostic mammogram, both breasts CPT 77066	$386.30	$772.60	$733.93 – $733.93
Diagnostic mammogram, one breast CPT 77065	$301.85	$603.70	$276.37 – $576.18
Foot X-ray, 3 or more views CPT 73630	$169.45	$338.90	$48.16 – $228.76
Hand X-ray, 3 or more views CPT 73130	$231.90	$463.80	$48.16 – $313.07
Knee X-ray, 3 views CPT 73562	$221.30	$442.60	$48.16 – $298.76
Leg or arm vein ultrasound, both sides CPT 93970	$402.25	$804.50	$132.22 – $543.04
Leg or arm vein ultrasound, one side CPT 93971	$393.10	$786.20	$58.17 – $205.30
Lower back X-ray, 2 or 3 views CPT 72100	$143.85	$287.70	$58.17 – $197.05
MRI of both breasts, without and with contrast CPT 77049	$1,969.95	$3,939.90	$1,130.75 – $2,659.43
MRI of the abdomen, without and with contrast CPT 74183	$1,852.50	$3,705.00	$195.35 – $1,570.82
MRI of the brain, without and with contrast CPT 70553	$2,216.15	$4,432.30	$195.35 – $2,485.63
MRI of the brain, without contrast CPT 70551	$1,994.25	$3,988.50	$132.22 – $2,692.24
MRI of the knee or other leg joint, without contrast CPT 73721	$1,370.35	$2,740.70	$132.22 – $937.67
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,794.55	$3,589.10	$132.22 – $2,422.64
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,794.55	$3,589.10	$132.22 – $2,422.64
MRI of the neck (cervical spine), without contrast CPT 72141	$1,794.55	$3,589.10	$132.22 – $2,422.64
MRI of the pelvis, without and with contrast CPT 72197	$1,713.00	$3,426.00	$195.35 – $1,562.06
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,284.75	$2,569.50	$132.22 – $1,440.98
Neck X-ray, 2 or 3 views CPT 72040	$213.45	$426.90	$48.16 – $288.16
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$286.90	$573.80	$58.17 – $475.40
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$661.10	$1,322.20	$58.17 – $892.49
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$459.95	$919.90	$58.17 – $620.93
Screening mammogram, both breasts CPT 77067	$301.65	$603.30	$173.15 – $606.86
Shoulder X-ray, 2 or more views CPT 73030	$247.75	$495.50	$48.16 – $334.46
Transvaginal pregnancy ultrasound CPT 76817	$189.00	$378.00	$58.17 – $370.26
Transvaginal ultrasound CPT 76830	$271.20	$542.40	$58.17 – $558.65
Ultrasound of the abdomen, complete CPT 76700	$662.70	$1,325.40	$58.17 – $894.65
Ultrasound of the neck or thyroid CPT 76536	$433.00	$866.00	$58.17 – $584.55
Wrist X-ray, 3 or more views CPT 73110	$210.05	$420.10	$48.16 – $283.57
X-ray of the lower back, 4 or more views CPT 72110	$224.55	$449.10	$58.17 – $303.14

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$17.80	$35.60	$4.63 – $50.00
Blood culture CPT 87040	$58.80	$117.60	$5.65 – $72.62
Blood draw (venipuncture) CPT 36415	$14.75	$29.50	$4.97 – $20.81
BNP test (heart failure) CPT 83880	$110.25	$220.50	$21.48 – $136.16
C-reactive protein (CRP) test CPT 86140	$31.55	$63.10	$2.83 – $38.96
Chlamydia test (DNA/NAAT) CPT 87491	$56.95	$113.90	$19.19 – $108.27
Complete blood count (CBC) with differential CPT 85025	$43.00	$86.00	$4.25 – $53.11
Complete blood count (CBC), automated CPT 85027	$20.50	$41.00	$3.54 – $45.00
Comprehensive metabolic panel (blood test) CPT 80053	$30.35	$60.70	$5.78 – $62.48
COVID-19 PCR test CPT 87635	$139.80	$279.60	$28.07 – $287.95
D-dimer test (blood clots) CPT 85379	$50.30	$100.60	$5.57 – $62.12
Drug screen, instrument chemistry CPT 80307	$93.10	$186.20	$30.00 – $191.73
Ferritin (iron stores) test CPT 82728	$78.40	$156.80	$7.46 – $96.82
Free T4 (thyroid) test CPT 84439	$78.65	$157.30	$4.93 – $97.13
Glucose (blood sugar) test CPT 82947	$25.20	$50.40	$2.15 – $31.12
Gonorrhea test (DNA/NAAT) CPT 87591	$58.10	$116.20	$19.19 – $108.27
Hemoglobin A1c test CPT 83036	$47.20	$94.40	$5.31 – $58.29
Hepatitis C antibody test CPT 86803	$50.80	$101.60	$7.81 – $62.74
HIV-1/HIV-2 antigen and antibody test CPT 87389	$36.05	$72.10	$13.17 – $74.29
Iron test CPT 83540	$34.65	$69.30	$3.54 – $42.79
Kidney function panel CPT 80069	$21.65	$43.30	$4.75 – $44.59
Lipase test (pancreas) CPT 83690	$40.35	$80.70	$3.77 – $49.83
Lipid panel, cholesterol and triglycerides CPT 80061	$50.95	$101.90	$7.32 – $62.92
Liver function panel CPT 80076	$22.05	$44.10	$4.47 – $31.22
Magnesium test CPT 83735	$28.80	$57.60	$3.66 – $20.69
Obstetric blood test panel CPT 80055	$107.10	$214.20	$26.15 – $178.03
Partial thromboplastin time (PTT), clotting test CPT 85730	$34.65	$69.30	$3.29 – $18.55
Pregnancy blood test (hCG), quantitative CPT 84702	$78.65	$157.30	$8.23 – $97.13
Prothrombin time (PT/INR), clotting test CPT 85610	$29.25	$58.50	$2.35 – $13.25
PSA (prostate specific antigen), free CPT 84154	$27.55	$55.10	$10.06 – $56.73
PSA (prostate specific antigen), total CPT 84153	$90.75	$181.50	$10.06 – $112.08
Rapid strep test CPT 87880	$33.65	$67.30	$9.04 – $51.01
Sed rate (ESR) test CPT 85652	$4.05	$8.10	$1.48 – $8.35
TB skin test CPT 86580	$5.30	$10.60	$13.40 – $49.32
Thyroid stimulating hormone (TSH) CPT 84443	$83.10	$166.20	$9.19 – $102.63
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$396.30	$792.60	$29.23 – $489.43
Troponin test (heart damage) CPT 84484	$24.65	$49.30	$6.82 – $38.46
Urinalysis, automated, with microscope CPT 81001	$21.50	$43.00	$1.73 – $26.55
Urinalysis, automated, without microscope CPT 81003	$16.25	$32.50	$1.23 – $25.00
Urinalysis, manual, with microscope CPT 81000	$6.05	$12.10	$2.20 – $25.00
Urinalysis, manual, without microscope CPT 81002	$14.65	$29.30	$1.90 – $25.00
Urine culture, colony count CPT 87086	$46.70	$93.40	$4.41 – $57.67
Urine pregnancy test CPT 81025	$12.90	$25.80	$4.71 – $26.57
Vitamin B12 test CPT 82607	$48.20	$96.40	$8.25 – $59.53
Vitamin D test CPT 82306	$125.95	$251.90	$16.19 – $155.55

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$544.35	$1,088.70	$132.22 – $734.87
ECG tracing only (no interpretation) CPT 93005	$110.65	$221.30	$9.98 – $149.38
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$995.05	$1,990.10	$266.48 – $855.59
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$17.10	$34.20	$14.67 – $31.16
Left heart catheterization CPT 93452	$3,881.80	$7,763.60	$1,319.69 – $5,019.04
Left heart catheterization with coronary angiogram CPT 93458	$14,504.58	$29,009.15	$1,489.84 – $5,019.04
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,107.25	$2,214.50	$714.10 – $2,280.69

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$23,544.06	$47,088.11	$3,907.62 – $11,147.42
Appendix removal, laparoscopic CPT 44970	$15,734.85	$31,469.70	$3,191.39 – $9,853.05
Breast biopsy with ultrasound guidance CPT 19083	$2,780.36	$5,560.71	$886.27 – $2,528.30
Carpal tunnel release CPT 64721	$5,222.75	$10,445.50	$1,068.17 – $3,898.05
Colonoscopy with biopsy CPT 45380	$2,798.26	$5,596.52	$644.96 – $1,839.89
Colonoscopy with polyp removal (snare) CPT 45385	$2,493.42	$4,986.84	$644.96 – $1,839.89
Colonoscopy, diagnostic CPT 45378	$3,063.53	$6,127.06	$498.71 – $1,422.68
Colposcopy with biopsy CPT 57454	$320.90	$641.80	$85.63 – $199.18
Cystoscopy (bladder scope) CPT 52000	$5,394.12	$10,788.23	$365.11 – $1,041.55
Ear tubes, under general anesthesia CPT 69436	$3,340.29	$6,680.58	$810.26 – $3,569.11
Flexible sigmoidoscopy, diagnostic CPT 45330	$2,605.27	$5,210.54	$498.71 – $1,817.07
Gallbladder removal, laparoscopic CPT 47562	$15,402.27	$30,804.54	$3,191.39 – $9,104.22
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$22,740.66	$45,481.32	$5,694.94 – $16,246.17
Hysteroscopy with biopsy or polyp removal CPT 58558	$8,187.79	$16,375.57	$1,739.20 – $6,293.40
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$15,890.19	$31,780.38	$3,191.39 – $10,871.21
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$14,053.55	$28,107.09	$1,930.40 – $5,506.91
Kidney stone shock-wave lithotripsy CPT 50590	$7,615.17	$15,230.34	$1,886.59 – $5,689.91
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$9,856.35	$19,712.70	$1,774.80 – $5,063.05
Lower colon endoscopy with ultrasound CPT 45391	$313.70	$627.40	$162.09 – $439.20
Nasal endoscopy, diagnostic CPT 31231	$282.60	$565.20	$41.11 – $89.21
Prostate biopsy CPT 55700	$8,382.24	$16,764.47	$1,120.53 – $3,196.59
Prostate removal, laparoscopic or robotic CPT 55866	$3,316.70	$6,633.40	$761.69 – $2,446.44
Removal of a breast lump, open surgery CPT 19120	$7,004.39	$14,008.77	$2,094.62 – $5,975.39
Rotator cuff repair, arthroscopic CPT 29827	$1,968.60	$3,937.20	$691.61 – $1,729.35
Screening colonoscopy, average risk HCPCS G0121	$1,977.39	$3,954.78	$498.71 – $1,422.68
Screening colonoscopy, high risk HCPCS G0105	$2,017.18	$4,034.35	$498.71 – $1,422.68
Septoplasty (nasal septum repair) CPT 30520	$6,968.90	$13,937.80	$1,773.96 – $6,433.75
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$444.80	$889.50	$109.70 – $247.15
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$18,995.97	$37,991.93	$17,669.52 – $17,669.52
Tonsil and adenoid removal, under age 12 CPT 42820	$8,381.51	$16,763.02	$3,235.87 – $9,231.08
Total hip replacement CPT 27130	$33,958.05	$67,916.10	$7,038.15 – $35,202.65
Total knee replacement CPT 27447	$29,676.55	$59,353.09	$7,038.15 – $34,328.05
Upper endoscopy (EGD) with biopsy CPT 43239	$3,638.96	$7,277.91	$512.85 – $1,639.88
Upper endoscopy (EGD), diagnostic CPT 43235	$2,859.29	$5,718.58	$512.85 – $1,463.01
Vasectomy CPT 55250	$6,661.74	$13,323.48	$1,120.53 – $3,196.59

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$4,019.60	$8,039.10	$2,309.00 – $3,780.59
Fetal non-stress test CPT 59025	$294.40	$588.80	$110.04 – $397.44
IUD insertion CPT 58300	$5,934.87	$11,869.74	$1,477.86 – $1,477.86
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$3,815.60	$7,631.10	$2,140.00 – $3,679.92
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$3,808.80	$7,617.50	$2,043.00 – $3,504.67

Hospital stays

Service	Cash price	Gross charge	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$10,984.50	$21,969.00	$6,124.23 – $18,673.64
C-section, without complications MS-DRG 788	$8,316.69	$16,633.39	$1,034.00 – $16,617.35
Chest pain MS-DRG 313	$9,994.88	$19,989.77	$4,994.84 – $16,991.31
COPD flare-up, with major complications MS-DRG 190	$15,582.14	$31,164.29	$5,333.19 – $26,489.65
COPD flare-up, without complications MS-DRG 192	$14,429.50	$28,859.00	$4,258.02 – $24,530.14
Fainting (syncope) MS-DRG 312	$13,023.07	$26,046.15	$6,046.53 – $22,139.23
Gastrointestinal bleeding, with complications MS-DRG 378	$15,392.19	$30,784.38	$6,803.39 – $26,166.72
Heart failure, with major complications MS-DRG 291	$17,919.37	$35,838.75	$8,906.08 – $30,462.93
Heart failure, without complications MS-DRG 293	$2,251.50	$4,503.00	$1,034.00 – $11,351.08
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$146,847.22	$293,694.44	$2,440.00 – $234,866.78
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$51,086.55	$102,173.11	$1,034.00 – $52,737.92
Irregular heartbeat, without complications MS-DRG 310	$11,423.90	$22,847.81	$3,835.36 – $22,556.20
Kidney failure, with complications MS-DRG 683	$11,793.06	$23,586.12	$5,600.82 – $20,048.20
Kidney or urinary tract infection, without major complications MS-DRG 690	$11,853.42	$23,706.85	$5,019.47 – $20,150.82
Neck (cervical) spinal fusion, without complications MS-DRG 473	$52,018.75	$104,037.50	$16,935.98 – $88,431.87
Normal newborn care MS-DRG 795	$2,347.05	$4,694.11	$1,097.88 – $3,990.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$11,195.21	$22,390.42	$5,327.84 – $19,031.86
Pneumonia, with complications MS-DRG 194	$12,098.69	$24,197.39	$5,590.75 – $20,567.78
Pneumonia, with major complications MS-DRG 193	$18,003.06	$36,006.12	$2,440.80 – $89,019.75
Pneumonia, without complications MS-DRG 195	$10,263.50	$20,527.00	$4,360.08 – $17,447.95
Psychoses (inpatient psychiatric stay) MS-DRG 885	$12,268.39	$24,536.78	$1,034.00 – $27,067.80
Sepsis, with major complications MS-DRG 871	$26,049.91	$52,099.83	$13,475.66 – $44,284.85
Sepsis, without major complications MS-DRG 872	$13,196.75	$26,393.50	$6,398.51 – $22,434.47
Skin infection (cellulitis), without major complications MS-DRG 603	$12,035.18	$24,070.37	$2,743.90 – $20,459.81
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$12,095.54	$24,191.09	$5,024.27 – $20,562.43
Stroke, with complications or clot-busting drug MS-DRG 65	$17,671.32	$35,342.64	$1,034.00 – $26,691.94
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$24,077.61	$48,155.23	$1,034.00 – $30,741.12
Vaginal delivery, without complications MS-DRG 807	$5,294.04	$10,588.09	$2,887.43 – $9,743.08
Weight loss surgery, without complications MS-DRG 621	$26,668.81	$53,337.63	$1,034.00 – $32,719.52

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$3,624.38	$7,248.75	$161.47 – $460.63
Lower back nerve root injection with imaging guidance CPT 64483	$1,807.35	$3,614.70	$486.99 – $1,389.25
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,228.15	$2,456.29	$378.81 – $1,080.64
Lower back spinal injection (epidural), without imaging CPT 62322	$177.60	$355.20	$49.84 – $126.24

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$5,218.99	$10,437.98	$1,247.56 – $6,330.70

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$114.20	$228.40	$33.04 – $244.15

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$722.85	$1,445.70	$85.58 – $244.15
Sleep study with CPAP titration CPT 95811	$2,997.75	$5,995.50	$556.51 – $4,046.96
Sleep study, overnight in a sleep lab CPT 95810	$2,439.75	$4,879.50	$556.51 – $3,293.66

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$108.60	$217.20	$40.78 – $244.15

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$60.50	$121.00	$34.73 – $74.72
Physical therapy evaluation, low complexity CPT 97161	$70.90	$141.80	$46.38 – $130.01
Physical therapy evaluation, moderate complexity CPT 97162	$106.45	$212.90	$69.64 – $131.47
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$27.40	$54.80	$22.29 – $32.10
Therapeutic activities, 15 minutes CPT 97530	$65.95	$131.90	$37.86 – $81.45

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$117.10	$234.10	$68.24 – $133.14
Family psychotherapy, without the patient, 50 minutes CPT 90846	$129.00	$257.90	$96.60 – $161.91
Group psychotherapy CPT 90853	$58.45	$116.90	$11.09 – $144.34
Psychiatric diagnostic evaluation CPT 90791	$150.60	$301.10	$118.15 – $185.64
Psychotherapy, 30 minutes CPT 90832	$100.60	$201.20	$87.89 – $250.72
Psychotherapy, 45 minutes CPT 90834	$100.60	$201.20	$87.89 – $250.72
Psychotherapy, 60 minutes CPT 90837	$110.90	$221.70	$89.59 – $174.72

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$88.00	$176.00	$20.26 – $125.93
IV hydration, each additional hour CPT 96361	$138.30	$276.60	$12.23 – $19.17
IV hydration, first hour CPT 96360	$276.50	$552.90	$30.01 – $64.70
IV push injection of a drug, first CPT 96374	$94.00	$188.00	$53.96 – $328.77
IV push injection, each additional drug CPT 96375	$94.00	$188.00	$25.24 – $126.90

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$23.08	$46.15	? – $25.00
Dexamethasone injection, per 1 mg HCPCS J1100	$11.55	$23.10
Fentanyl injection, per 0.1 mg HCPCS J3010	$208.25	$416.50	$2.15 – $2.15
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$7.85	$15.70	? – $25.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$24.80	$49.60
Morphine injection, up to 10 mg HCPCS J2270	$142.30	$284.60	$4.84 – $4.84
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$1.54	$3.07	? – $25.00
Propofol injection, per 10 mg HCPCS J2704	$1.16	$2.31	? – $1.30
Saline IV solution, 1000 ml HCPCS J7030	$93.70	$187.40	$3.83 – $3.83

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.

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