McLaren Port Huron
1221 Pine Grove Ave, Port Huron, MI 48061 · Acute care hospital · Emergency room
These are McLaren Port Huron'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.
225 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 | $1,216.75 | $2,433.50 | $460.91 – $1,416.01 |
| Emergency room visit, level 1 (minor) CPT 99281 | $122.55 | $245.10 | $48.16 – $175.00 |
| Emergency room visit, level 2 CPT 99282 | $236.41 | $472.82 | $86.62 – $247.11 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $341.41 | $682.82 | $151.46 – $432.07 |
| Emergency room visit, level 4 CPT 99284 | $645.50 | $1,291.00 | $180.00 – $968.25 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $876.50 | $1,753.00 | $180.00 – $1,314.75 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $249.10 | $498.10 | $28.54 – $109.36 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $370.92 | $741.83 | $82.29 – $376.85 |
| New patient office visit, about 30 minutes CPT 99203 | $24,233.80 | $48,467.60 | $108.76 – $24,621.54 |
| New patient office visit, about 45 minutes CPT 99204 | $23,081.05 | $46,162.09 | $145.48 – $23,450.34 |
| New patient office visit, about 60 minutes CPT 99205 | $236.50 | $473.00 | $176.33 – $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 | $107.65 | $215.30 | $60.70 – $109.37 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $24,424.25 | $48,848.49 | $24,815.03 – $24,815.03 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $18,246.80 | $36,493.60 | $18,538.75 – $18,538.75 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $103.50 | $207.00 | $104.00 – $155.25 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $89.55 | $179.10 | $33.79 – $90.98 |
| 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 | $44.95 | $89.90 | $23.25 – $88.51 |
| Abdominal X-ray, 1 view CPT 74018 | $100.00 | $200.00 | $48.16 – $137.40 |
| Ankle X-ray, 3 or more views CPT 73610 | $107.75 | $215.49 | $48.16 – $137.40 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $320.05 | $640.10 | $58.17 – $480.08 |
| Breast ultrasound, one breast, complete CPT 76641 | $183.53 | $367.06 | $58.17 – $248.32 |
| Breast ultrasound, one breast, limited CPT 76642 | $122.36 | $244.72 | $48.16 – $192.99 |
| Chest X-ray, 1 view CPT 71045 | $411.63 | $823.26 | $48.16 – $418.22 |
| Chest X-ray, 2 views CPT 71046 | $108.05 | $216.10 | $48.16 – $163.16 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,456.75 | $2,913.50 | $97.38 – $1,480.06 |
| CT angiogram of the head CPT 70496 | $1,191.05 | $2,382.10 | $97.38 – $1,715.11 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,214.17 | $4,428.33 | $195.35 – $2,249.59 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,637.90 | $5,275.80 | $195.35 – $2,680.11 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,747.45 | $3,494.90 | $132.22 – $2,002.93 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,212.10 | $2,424.20 | $58.17 – $1,231.49 |
| CT scan of the chest, with contrast CPT 71260 | $1,043.19 | $2,086.38 | $97.38 – $1,059.88 |
| CT scan of the chest, without contrast CPT 71250 | $833.75 | $1,667.50 | $58.17 – $955.64 |
| CT scan of the head, without contrast CPT 70450 | $813.80 | $1,627.60 | $58.17 – $1,171.87 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $941.40 | $1,882.80 | $58.17 – $1,412.10 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,230.80 | $2,461.60 | $97.38 – $1,410.74 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $945.90 | $1,891.80 | $58.17 – $961.03 |
| Diagnostic mammogram, both breasts CPT 77066 | $237.90 | $475.80 | $241.71 – $411.79 |
| Diagnostic mammogram, one breast CPT 77065 | $198.05 | $396.10 | $201.22 – $323.28 |
| Foot X-ray, 3 or more views CPT 73630 | $110.23 | $220.45 | $48.16 – $137.40 |
| Hand X-ray, 3 or more views CPT 73130 | $111.65 | $223.29 | $48.16 – $137.40 |
| Knee X-ray, 3 views CPT 73562 | $120.63 | $241.26 | $48.16 – $137.40 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $281.80 | $563.60 | $132.22 – $461.73 |
| Leg or arm vein ultrasound, one side CPT 93971 | $177.40 | $354.80 | $58.17 – $295.02 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $106.10 | $212.20 | $58.17 – $165.94 |
| MRI of both breasts, without and with contrast CPT 77049 | $2,454.65 | $4,909.30 | $878.91 – $2,493.92 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,570.55 | $3,141.10 | $195.35 – $1,595.68 |
| MRI of the brain, without and with contrast CPT 70553 | $1,570.55 | $3,141.10 | $195.35 – $1,595.68 |
| MRI of the brain, without contrast CPT 70551 | $1,080.30 | $2,160.60 | $132.22 – $1,097.58 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,043.75 | $2,087.50 | $132.22 – $1,060.45 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,175.90 | $2,351.80 | $132.22 – $1,763.85 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,175.90 | $2,351.80 | $132.22 – $1,194.71 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,175.90 | $2,351.80 | $132.22 – $1,763.85 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,570.55 | $3,141.10 | $195.35 – $2,355.83 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,044.14 | $2,088.28 | $132.22 – $1,060.85 |
| Neck X-ray, 2 or 3 views CPT 72040 | $110.35 | $220.70 | $48.16 – $165.52 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $425.95 | $851.90 | $58.17 – $432.77 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $452.12 | $904.23 | $58.17 – $459.35 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $208.00 | $416.00 | $58.17 – $256.90 |
| Screening mammogram, both breasts CPT 77067 | $214.60 | $429.20 | $110.99 – $340.50 |
| Shoulder X-ray, 2 or more views CPT 73030 | $115.14 | $230.28 | $48.16 – $137.40 |
| Transvaginal pregnancy ultrasound CPT 76817 | $188.35 | $376.70 | $58.17 – $207.74 |
| Transvaginal ultrasound CPT 76830 | $334.05 | $668.10 | $58.17 – $339.39 |
| Ultrasound of the abdomen, complete CPT 76700 | $518.90 | $1,037.80 | $58.17 – $778.35 |
| Ultrasound of the neck or thyroid CPT 76536 | $332.20 | $664.40 | $58.17 – $337.52 |
| Wrist X-ray, 3 or more views CPT 73110 | $109.18 | $218.35 | $48.16 – $137.40 |
| X-ray of the lower back, 4 or more views CPT 72110 | $176.40 | $352.80 | $58.17 – $264.60 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $51.75 | $103.50 | $4.63 – $77.63 |
| Blood culture CPT 87040 | $61.76 | $123.51 | $5.65 – $62.74 |
| Blood draw (venipuncture) CPT 36415 | $105.90 | $211.80 | $4.97 – $107.59 |
| BNP test (heart failure) CPT 83880 | $89.15 | $178.30 | $21.48 – $133.73 |
| C-reactive protein (CRP) test CPT 86140 | $25.25 | $50.50 | $2.83 – $37.88 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $45.80 | $91.60 | $19.19 – $68.70 |
| Complete blood count (CBC) with differential CPT 85025 | $26.30 | $52.60 | $4.25 – $50.00 |
| Complete blood count (CBC), automated CPT 85027 | $21.40 | $42.80 | $3.54 – $45.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $87.00 | $174.00 | $5.78 – $130.50 |
| COVID-19 PCR test CPT 87635 | $87.90 | $175.80 | $28.07 – $161.56 |
| D-dimer test (blood clots) CPT 85379 | $37.35 | $74.70 | $5.57 – $56.03 |
| Drug screen, instrument chemistry CPT 80307 | $75.95 | $151.90 | $30.00 – $107.58 |
| Ferritin (iron stores) test CPT 82728 | $66.25 | $132.50 | $7.46 – $99.38 |
| Free T4 (thyroid) test CPT 84439 | $53.10 | $106.20 | $4.93 – $79.65 |
| Glucose (blood sugar) test CPT 82947 | $26.45 | $52.90 | $2.15 – $26.87 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $68.65 | $137.30 | $19.19 – $69.75 |
| Hemoglobin A1c test CPT 83036 | $35.50 | $71.00 | $5.31 – $36.07 |
| Hepatitis C antibody test CPT 86803 | $55.05 | $110.10 | $7.81 – $55.93 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $49.05 | $98.10 | $13.17 – $50.00 |
| Iron test CPT 83540 | $22.35 | $44.70 | $3.54 – $25.62 |
| Kidney function panel CPT 80069 | $64.25 | $128.50 | $4.75 – $65.28 |
| Lipase test (pancreas) CPT 83690 | $27.20 | $54.40 | $3.77 – $40.80 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $45.65 | $91.30 | $7.32 – $68.48 |
| Liver function panel CPT 80076 | $68.60 | $137.20 | $4.47 – $102.90 |
| Magnesium test CPT 83735 | $23.50 | $47.00 | $3.66 – $35.25 |
| Obstetric blood test panel CPT 80055 | $131.70 | $263.40 | $26.15 – $133.81 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $22.35 | $44.70 | $3.29 – $33.53 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $47.90 | $95.80 | $8.23 – $71.85 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $41.87 | $83.74 | $2.35 – $42.54 |
| PSA (prostate specific antigen), free CPT 84154 | $40.35 | $80.70 | $10.06 – $46.25 |
| PSA (prostate specific antigen), total CPT 84153 | $52.73 | $105.46 | $10.06 – $53.57 |
| Rapid strep test CPT 87880 | $45.50 | $91.00 | $9.04 – $46.23 |
| Sed rate (ESR) test CPT 85652 | $31.45 | $62.90 | $1.48 – $47.18 |
| TB skin test CPT 86580 | $6.75 | $13.50 | $6.86 – $38.22 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $69.80 | $139.59 | $9.19 – $70.91 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $458.40 | $916.80 | $29.23 – $525.42 |
| Troponin test (heart damage) CPT 84484 | $44.85 | $89.70 | $6.82 – $45.57 |
| Urinalysis, automated, with microscope CPT 81001 | $16.09 | $32.18 | $1.73 – $25.00 |
| Urinalysis, automated, without microscope CPT 81003 | $11.00 | $22.00 | $1.23 – $25.00 |
| Urinalysis, manual, with microscope CPT 81000 | $12.40 | $24.80 | $2.20 – $25.00 |
| Urinalysis, manual, without microscope CPT 81002 | $2.60 | $5.20 | $1.90 – $25.00 |
| Urine culture, colony count CPT 87086 | $72.55 | $145.09 | $4.41 – $73.71 |
| Urine pregnancy test CPT 81025 | $266.95 | $533.89 | $4.71 – $271.22 |
| Vitamin B12 test CPT 82607 | $58.17 | $116.33 | $8.25 – $59.10 |
| Vitamin D test CPT 82306 | $38.70 | $77.40 | $16.19 – $58.05 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $646.50 | $1,293.00 | $132.22 – $969.75 |
| ECG tracing only (no interpretation) CPT 93005 | $58.50 | $117.00 | $14.34 – $92.69 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,221.45 | $2,442.90 | $299.92 – $1,240.99 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $17.10 | $34.20 | $14.67 – $31.16 |
| Left heart catheterization CPT 93452 | $4,039.55 | $8,079.10 | $1,759.38 – $5,019.04 |
| Left heart catheterization with coronary angiogram CPT 93458 | $8,384.55 | $16,769.09 | $1,759.38 – $8,518.70 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,380.75 | $4,761.50 | $714.10 – $3,571.13 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $4,300.80 | $8,601.50 | $630.48 – $1,731.90 |
| Appendix removal, laparoscopic CPT 44970 | $13,542.14 | $27,084.27 | $3,191.39 – $13,758.81 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,794.15 | $3,588.30 | $886.27 – $2,528.30 |
| Carpal tunnel release CPT 64721 | $2,856.60 | $5,713.19 | $1,068.17 – $3,047.20 |
| Colonoscopy with biopsy CPT 45380 | $2,376.49 | $4,752.97 | $644.96 – $2,414.51 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,469.13 | $4,938.25 | $644.96 – $2,508.63 |
| Colonoscopy, diagnostic CPT 45378 | $1,923.54 | $3,847.07 | $498.71 – $1,954.31 |
| Colposcopy with biopsy CPT 57454 | $320.90 | $641.80 | $85.63 – $199.18 |
| Cystoscopy (bladder scope) CPT 52000 | $368.20 | $736.30 | $50.91 – $170.93 |
| Ear tubes, under general anesthesia CPT 69436 | $2,238.94 | $4,477.88 | $810.26 – $2,311.46 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,706.24 | $3,412.48 | $498.71 – $1,733.54 |
| Gallbladder removal, laparoscopic CPT 47562 | $9,391.05 | $18,782.10 | $3,191.39 – $9,541.31 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $1,866.00 | $3,732.00 | $583.19 – $1,526.32 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $5,117.92 | $10,235.83 | $1,739.20 – $5,199.80 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $1,045.60 | $2,091.20 | $281.59 – $704.10 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $8,251.87 | $16,503.74 | $1,930.40 – $8,383.90 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $9,245.23 | $18,490.45 | $1,886.59 – $9,393.15 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $6,101.26 | $12,202.52 | $1,774.80 – $6,198.88 |
| 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 | $9,487.47 | $18,974.93 | $1,120.53 – $9,639.26 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $17,429.99 | $34,859.97 | $5,694.94 – $17,708.86 |
| Removal of a breast lump, open surgery CPT 19120 | $628.20 | $1,256.40 | $271.79 – $679.60 |
| Rotator cuff repair, arthroscopic CPT 29827 | $1,968.60 | $3,937.20 | $691.61 – $1,729.35 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,099.55 | $4,199.10 | $498.71 – $2,133.14 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,087.13 | $4,174.25 | $498.71 – $2,120.52 |
| Septoplasty (nasal septum repair) CPT 30520 | $1,538.30 | $3,076.50 | $430.47 – $1,076.38 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $444.80 | $889.50 | $109.70 – $247.15 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $17,985.08 | $35,970.15 | $10,314.02 – $18,272.84 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $728.80 | $1,457.50 | $189.36 – $473.48 |
| Total hip replacement CPT 27130 | $21,184.13 | $42,368.25 | $7,038.15 – $21,523.07 |
| Total knee replacement CPT 27447 | $5,628.30 | $11,256.50 | $828.14 – $2,274.87 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,723.60 | $5,447.20 | $512.85 – $2,767.18 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,704.32 | $5,408.63 | $512.85 – $2,747.58 |
| Vasectomy CPT 55250 | $962.20 | $1,924.30 | $148.89 – $332.87 |
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 | $180.45 | $360.90 | $110.04 – $313.92 |
| IUD insertion CPT 58300 | $265.50 | $531.00 | $32.16 – $74.41 |
| 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 | $8,715.15 | $17,430.31 | $4,999.35 – $10,741.73 |
| C-section, without complications MS-DRG 788 | $7,892.40 | $15,784.80 | $6,634.77 – $12,646.62 |
| Chest pain MS-DRG 313 | $9,475.34 | $18,950.68 | $4,982.30 – $12,825.24 |
| COPD flare-up, with major complications MS-DRG 190 | $12,025.69 | $24,051.39 | $7,665.13 – $16,216.69 |
| COPD flare-up, without complications MS-DRG 192 | $11,030.57 | $22,061.14 | $4,442.55 – $10,588.23 |
| Fainting (syncope) MS-DRG 312 | $9,666.72 | $19,333.44 | $6,031.35 – $15,192.94 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $13,770.10 | $27,540.20 | $6,786.31 – $17,314.51 |
| Heart failure, with major complications MS-DRG 291 | $15,113.45 | $30,226.91 | $8,883.72 – $22,004.61 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $107,890.15 | $215,780.30 | $67,695.69 – $178,745.27 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $25,390.01 | $50,780.02 | $13,347.73 – $32,540.12 |
| Irregular heartbeat, without complications MS-DRG 310 | $7,415.27 | $14,830.55 | $3,559.35 – $9,309.62 |
| Kidney failure, with complications MS-DRG 683 | $10,280.44 | $20,560.89 | $5,895.61 – $12,868.80 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $10,185.98 | $20,371.97 | $5,601.63 – $10,061.10 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $21,191.45 | $42,382.90 | $16,893.47 – $34,755.35 |
| Normal newborn care MS-DRG 795 | $1,215.90 | $2,431.81 | $557.92 – $2,928.00 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $10,143.88 | $20,287.77 | $4,571.87 – $11,879.90 |
| Pneumonia, with complications MS-DRG 194 | $12,611.30 | $25,222.61 | $5,576.72 – $10,662.28 |
| Pneumonia, with major complications MS-DRG 193 | $14,053.39 | $28,106.79 | $8,812.97 – $16,730.75 |
| Pneumonia, without complications MS-DRG 195 | $5,751.50 | $11,503.00 | $4,349.13 – $7,832.46 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $9,246.23 | $18,492.46 | $3,710.91 – $16,622.04 |
| Sepsis, with major complications MS-DRG 871 | $20,281.91 | $40,563.83 | $13,441.84 – $28,867.68 |
| Sepsis, without major complications MS-DRG 872 | $11,933.15 | $23,866.30 | $5,827.05 – $13,348.00 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $9,859.05 | $19,718.10 | $5,113.22 – $11,012.97 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $10,770.04 | $21,540.09 | $5,394.72 – $11,461.68 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $14,807.14 | $29,614.28 | $6,991.14 – $20,313.89 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $7,115.00 | $14,230.00 | $8,585.48 – $20,501.21 |
| Vaginal delivery, without complications MS-DRG 807 | $5,375.42 | $10,750.84 | $2,396.94 – $8,355.28 |
| Weight loss surgery, without complications MS-DRG 621 | $22,148.25 | $44,296.50 | $10,437.93 – $24,901.18 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,073.10 | $4,146.19 | $161.47 – $2,106.26 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,595.45 | $3,190.90 | $486.99 – $1,620.98 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,627.90 | $3,255.80 | $378.81 – $1,653.95 |
| 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 | $3,902.67 | $7,805.33 | $1,247.56 – $3,965.11 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $628.65 | $1,257.30 | $85.58 – $942.97 |
| Sleep study with CPAP titration CPT 95811 | $2,187.20 | $4,374.40 | $556.51 – $2,222.20 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,063.00 | $4,126.00 | $556.51 – $2,970.72 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $117.60 | $235.20 | $58.60 – $244.15 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $77.05 | $154.10 | $39.99 – $78.28 |
| Physical therapy evaluation, low complexity CPT 97161 | $118.14 | $236.27 | $120.03 – $125.14 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $149.10 | $298.20 | $125.14 – $151.49 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $27.40 | $54.80 | $22.29 – $32.10 |
| Therapeutic activities, 15 minutes CPT 97530 | $68.60 | $137.20 | $50.93 – $69.70 |
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 | $58.50 | $116.90 | $16.17 – $33.78 |
| Psychiatric diagnostic evaluation CPT 90791 | $150.60 | $301.10 | $118.15 – $185.64 |
| Psychotherapy, 30 minutes CPT 90832 | $63.00 | $125.90 | $45.87 – $89.46 |
| Psychotherapy, 45 minutes CPT 90834 | $100.60 | $201.20 | $87.89 – $250.72 |
| Psychotherapy, 60 minutes CPT 90837 | $408.55 | $817.10 | $87.89 – $415.09 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $54.40 | $108.80 | $14.59 – $28.42 |
| IV hydration, each additional hour CPT 96361 | $138.30 | $276.60 | $12.23 – $19.17 |
| IV hydration, first hour CPT 96360 | $328.42 | $656.84 | $93.96 – $333.67 |
| IV push injection of a drug, first CPT 96374 | $113.40 | $226.80 | $106.08 – $328.77 |
| IV push injection, each additional drug CPT 96375 | $105.30 | $210.60 | $25.24 – $157.95 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $23.23 | $46.46 | ? – $25.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $11.55 | $23.10 | ? – $11.73 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $208.25 | $416.50 | $2.15 – $211.58 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $12.35 | $24.70 | ? – $25.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $24.80 | $49.60 | ? – $25.20 |
| Morphine injection, up to 10 mg HCPCS J2270 | $142.30 | $284.60 | $4.84 – $144.58 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $2.99 | $5.98 | ? – $25.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $775.10 | $1,550.20 | ? – $787.50 |
| Saline IV solution, 1000 ml HCPCS J7030 | $93.70 | $187.40 | $3.83 – $95.20 |
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.