St. Joe Mercy Hospital System Livonia
36475 Five Mile Road, Livonia, MI 48154 · Acute care hospital · Emergency room
These are St. Joe Mercy Hospital System Livonia's own posted figures from its standard-charges file dated March 31, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
219 of the services we track have a posted price here; 199 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 | $14,299.35 | $21,999.00 | $452.34 – $21,999.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $202.15 | $311.00 | $25.74 – $311.00 |
| Emergency room visit, level 2 CPT 99282 | $508.95 | $84.08 – $344.38 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,138.15 | $149.49 – $612.25 | |
| Emergency room visit, level 4 CPT 99284 | $12,909.65 | $19,861.00 | $228.50 – $19,861.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $14,299.35 | $21,999.00 | $326.12 – $21,999.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $13,946.56 | $101.56 – $6,514.91 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $83.85 | $129.00 | $12.33 – $129.00 |
| Abdominal X-ray, 1 view CPT 74018 | $203.45 | $313.00 | $25.61 – $313.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $319.15 | $491.00 | $33.61 – $491.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $466.70 | $718.00 | $36.01 – $718.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $581.10 | $894.00 | $57.25 – $894.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $572.00 | $880.00 | $47.66 – $880.00 |
| Chest X-ray, 1 view CPT 71045 | $3,336.45 | $20.81 – $195.19 | |
| Chest X-ray, 2 views CPT 71046 | $237.90 | $366.00 | $28.00 – $366.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,049.80 | $4,692.00 | $96.05 – $4,692.00 |
| CT angiogram of the head CPT 70496 | $5,542.87 | $213.72 – $1,089.86 | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,009.85 | $6,169.00 | $191.05 – $6,169.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,025.45 | $6,193.00 | $191.05 – $6,193.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,398.85 | $5,229.00 | $128.97 – $5,229.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,688.70 | $2,598.00 | $57.25 – $2,598.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,977.95 | $3,043.00 | $96.05 – $3,043.00 |
| CT scan of the chest, without contrast CPT 71250 | $1,580.80 | $2,432.00 | $57.25 – $2,432.00 |
| CT scan of the head, without contrast CPT 70450 | $1,760.20 | $2,708.00 | $57.25 – $2,708.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,677.00 | $2,580.00 | $57.25 – $2,580.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,526.85 | $2,349.00 | $96.05 – $2,349.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,801.15 | $2,771.00 | $57.25 – $2,771.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $547.95 | $843.00 | $58.59 – $843.00 |
| Diagnostic mammogram, one breast CPT 77065 | $365.30 | $562.00 | $45.59 – $562.00 |
| Foot X-ray, 3 or more views CPT 73630 | $12,524.30 | $31.20 – $7,338.69 | |
| Hand X-ray, 3 or more views CPT 73130 | $323.70 | $498.00 | $34.81 – $498.00 |
| Knee X-ray, 3 views CPT 73562 | $268.45 | $413.00 | $38.01 – $413.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,178.45 | $1,813.00 | $130.66 – $1,813.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $837.20 | $1,288.00 | $57.25 – $1,288.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $274.30 | $422.00 | $34.81 – $422.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,871.40 | $5,956.00 | $191.05 – $5,956.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,097.30 | $7,842.00 | $191.05 – $7,842.00 |
| MRI of the brain, without contrast CPT 70551 | $2,800.20 | $4,308.00 | $130.66 – $4,308.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,755.05 | $5,777.00 | $130.66 – $5,777.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,969.85 | $4,569.00 | $130.66 – $4,569.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,969.85 | $4,569.00 | $130.66 – $4,569.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,969.85 | $4,569.00 | $130.66 – $4,569.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,175.25 | $4,885.00 | $191.05 – $4,885.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,871.40 | $5,956.00 | $130.66 – $5,956.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $233.35 | $359.00 | $34.81 – $359.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,508.65 | $57.25 – $234.48 | |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $588.25 | $905.00 | $57.25 – $905.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $570.70 | $878.00 | $57.25 – $878.00 |
| Screening mammogram, both breasts CPT 77067 | $378.30 | $582.00 | $48.24 – $582.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $351.65 | $541.00 | $30.81 – $541.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $434.85 | $669.00 | $57.25 – $669.00 |
| Transvaginal ultrasound CPT 76830 | $723.45 | $1,113.00 | $57.25 – $1,113.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $868.40 | $1,336.00 | $57.25 – $1,336.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $546.00 | $840.00 | $57.25 – $840.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $300.95 | $463.00 | $39.61 – $463.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $308.10 | $474.00 | $47.21 – $474.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $68.25 | $105.00 | $4.63 – $105.00 |
| Blood culture CPT 87040 | $110.50 | $170.00 | $5.64 – $170.00 |
| Blood draw (venipuncture) CPT 36415 | $257.40 | $3.80 – $21.02 | |
| BNP test (heart failure) CPT 83880 | $135.85 | $209.00 | $21.46 – $209.00 |
| C-reactive protein (CRP) test CPT 86140 | $29.90 | $46.00 | $2.83 – $46.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $120.90 | $186.00 | $19.18 – $186.00 |
| Complete blood count (CBC) with differential CPT 85025 | $350.35 | $4.25 – $30.40 | |
| Complete blood count (CBC), automated CPT 85027 | $341.25 | $3.54 – $18.20 | |
| Comprehensive metabolic panel (blood test) CPT 80053 | $363.35 | $5.77 – $40.78 | |
| COVID-19 PCR test CPT 87635 | $250.90 | $386.00 | $28.05 – $386.00 |
| D-dimer test (blood clots) CPT 85379 | $71.50 | $110.00 | $5.57 – $110.00 |
| Drug screen, instrument chemistry CPT 80307 | $102.05 | $157.00 | $33.97 – $157.00 |
| Ferritin (iron stores) test CPT 82728 | $70.85 | $109.00 | $7.45 – $109.00 |
| Free T4 (thyroid) test CPT 84439 | $448.50 | $4.93 – $35.28 | |
| General health panel (blood tests) CPT 80050 | $73.45 | $113.00 | $24.20 – $113.00 |
| Glucose (blood sugar) test CPT 82947 | $315.25 | $2.15 – $14.70 | |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $130.00 | $200.00 | $19.18 – $200.00 |
| Hemoglobin A1c test CPT 83036 | $404.95 | $5.31 – $38.01 | |
| Hepatitis C antibody test CPT 86803 | $53.95 | $83.00 | $7.80 – $83.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $44.20 | $68.00 | $13.16 – $72.03 |
| Iron test CPT 83540 | $35.75 | $55.00 | $3.54 – $55.00 |
| Kidney function panel CPT 80069 | $62.40 | $96.00 | $4.75 – $96.00 |
| Lipase test (pancreas) CPT 83690 | $432.25 | $3.77 – $26.96 | |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $375.05 | $7.32 – $50.01 | |
| Liver function panel CPT 80076 | $63.70 | $98.00 | $4.47 – $98.00 |
| Magnesium test CPT 83735 | $27.30 | $42.00 | $3.66 – $42.00 |
| Obstetric blood test panel CPT 80055 | $174.85 | $269.00 | $26.14 – $269.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $45.50 | $70.00 | $3.29 – $70.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $58.50 | $90.00 | $8.23 – $90.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $27.95 | $43.00 | $2.35 – $43.00 |
| PSA (prostate specific antigen), free CPT 84154 | $44.85 | $69.00 | $10.05 – $72.03 |
| PSA (prostate specific antigen), total CPT 84153 | $61.10 | $94.00 | $10.05 – $94.00 |
| Rapid strep test CPT 87880 | $47.45 | $73.00 | $9.04 – $73.00 |
| Sed rate (ESR) test CPT 85652 | $8.45 | $13.00 | $1.48 – $13.00 |
| TB skin test CPT 86580 | $31.00 | $31.00 | $8.75 – $64.87 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $427.05 | $9.18 – $65.77 | |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $5,185.96 | $50.91 – $2,683.92 | |
| Troponin test (heart damage) CPT 84484 | $105.30 | $162.00 | $6.82 – $162.00 |
| Urinalysis, automated, with microscope CPT 81001 | $330.85 | $1.73 – $12.38 | |
| Urinalysis, automated, without microscope CPT 81003 | $340.60 | $1.27 – $195.19 | |
| Urinalysis, manual, with microscope CPT 81000 | $7.80 | $12.00 | $2.20 – $12.38 |
| Urinalysis, manual, without microscope CPT 81002 | $7.80 | $12.00 | $1.90 – $12.00 |
| Urine culture, colony count CPT 87086 | $59.80 | $92.00 | $4.41 – $92.00 |
| Urine pregnancy test CPT 81025 | $52.65 | $81.00 | $4.71 – $81.00 |
| Vitamin B12 test CPT 82607 | $541.45 | $8.24 – $59.01 | |
| Vitamin D test CPT 82306 | $482.95 | $16.18 – $115.89 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,066.65 | $1,641.00 | $130.66 – $1,641.00 |
| ECG tracing only (no interpretation) CPT 93005 | $527.15 | $7.68 – $1,482.42 | |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,664.00 | $2,560.00 | $329.66 – $613.86 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $32.00 | $9.16 – $32.00 |
| Left heart catheterization CPT 93452 | not posted | $73.38 – $501.25 | |
| Left heart catheterization with coronary angiogram CPT 93458 | $11,864.45 | $18,253.00 | $1,146.41 – $18,253.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,361.15 | $5,171.00 | $416.50 – $5,171.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $32,035.98 | $2,095.78 – $16,274.78 | |
| Appendix removal, laparoscopic CPT 44970 | $27,972.39 | $1,309.83 – $13,559.36 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,751.80 | $5,772.00 | $662.88 – $6,514.91 |
| Carpal tunnel release CPT 64721 | $11,647.93 | $975.18 – $4,379.72 | |
| Colonoscopy with biopsy CPT 45380 | $6,012.37 | $655.29 – $2,683.92 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | $5,671.15 | $625.84 – $2,683.92 | |
| Colonoscopy, diagnostic CPT 45378 | $4,294.65 | $509.25 – $2,085.78 | |
| Colposcopy with biopsy CPT 57454 | $20,119.83 | $170.93 – $7,260.47 | |
| Cystoscopy (bladder scope) CPT 52000 | $14,959.81 | $381.85 – $1,563.95 | |
| Ear tubes, under general anesthesia CPT 69436 | $14,221.25 | $320.99 – $3,739.02 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $4,124.35 | $378.34 – $2,085.78 | |
| Gallbladder removal, laparoscopic CPT 47562 | $28,384.47 | $1,438.76 – $13,559.36 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $13.45 – $4,321.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $44,941.53 | $1,843.80 – $23,841.38 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $18,757.81 | $1,143.57 – $13,559.36 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $27,361.74 | $943.01 – $13,559.36 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $20,581.57 | $1,139.81 – $13,616.26 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $6,283.94 | $1,547.82 – $7,906.09 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $17,328.84 | $1,170.67 – $7,338.69 | |
| Nasal endoscopy, diagnostic CPT 31231 | $13,635.71 | $72.48 – $7,436.16 | |
| Prostate biopsy CPT 55700 | $14,954.15 | $50.91 – $1,842.48 | |
| Removal of a breast lump, open surgery CPT 19120 | $15,396.43 | $1,027.63 – $8,781.83 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $27,690.22 | $2,299.22 – $16,274.78 | |
| Screening colonoscopy, average risk HCPCS G0121 | $4,134.52 | $509.25 – $2,085.78 | |
| Screening colonoscopy, high risk HCPCS G0105 | $4,144.46 | $509.25 – $2,085.78 | |
| Septoplasty (nasal septum repair) CPT 30520 | $18,708.92 | $1,401.82 – $15,829.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $27,298.97 | $339.91 – $16,274.78 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $32,571.73 | $2,409.12 – $23,841.38 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $14,337.58 | $625.04 – $13,277.44 | |
| Total hip replacement CPT 27130 | $36,996.99 | $2,767.78 – $28,795.55 | |
| Total knee replacement CPT 27447 | $37,229.22 | $2,764.23 – $28,795.55 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $6,083.25 | $449.17 – $2,034.25 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $3,690.05 | $496.67 – $2,034.25 | |
| Vasectomy CPT 55250 | $1,001.50 | $106.61 – $580.87 |
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 | $21.95 – $3,984.82 | |
| Fetal non-stress test CPT 59025 | $456.95 | $703.00 | $110.71 – $290.90 |
| IUD insertion CPT 58300 | $19,541.68 | $17.24 – $7,260.47 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $886.89 – $3,761.26 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $839.77 – $3,528.56 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $14,300.26 | $700.00 – $15,200.93 | |
| C-section, without complications MS-DRG 788 | $17,532.61 | $975.75 – $19,471.86 | |
| Chest pain MS-DRG 313 | $15,261.84 | $975.75 – $18,092.06 | |
| COPD flare-up, with major complications MS-DRG 190 | $19,983.92 | $975.75 – $22,876.25 | |
| COPD flare-up, without complications MS-DRG 192 | $8,364.98 | $975.75 – $14,936.39 | |
| Fainting (syncope) MS-DRG 312 | $19,059.33 | $975.75 – $21,432.08 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $21,133.94 | $975.75 – $24,424.89 | |
| Heart failure, with major complications MS-DRG 291 | $21,225.03 | $975.75 – $27,635.86 | |
| Heart failure, without complications MS-DRG 293 | $5,293.01 | $975.75 – $2,000.00 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $56,250.71 | $975.75 – $45,903.07 | |
| Irregular heartbeat, without complications MS-DRG 310 | $10,768.87 | $975.75 – $2,000.00 | |
| Kidney failure, with complications MS-DRG 683 | $17,058.50 | $975.75 – $2,000.00 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $13,915.46 | $975.75 – $14,192.80 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $54,610.74 | $975.75 – $49,028.00 | |
| Normal newborn care MS-DRG 795 | $2,044.12 | $975.75 – $4,300.30 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $15,641.21 | $975.75 – $16,758.51 | |
| Pneumonia, with complications MS-DRG 194 | $17,627.35 | $975.75 – $15,040.87 | |
| Pneumonia, with major complications MS-DRG 193 | $22,860.01 | $975.75 – $23,601.41 | |
| Pneumonia, without complications MS-DRG 195 | $14,716.97 | $975.75 – $10,822.14 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $13,950.79 | $700.00 – $22,068.04 | |
| Sepsis, with major complications MS-DRG 871 | $28,834.06 | $975.75 – $40,722.49 | |
| Sepsis, without major complications MS-DRG 872 | $19,310.82 | $975.75 – $18,829.51 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $11,229.76 | $975.75 – $15,535.57 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $16,954.14 | $975.75 – $16,168.55 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $29,193.94 | $975.75 – $28,656.00 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $34,441.82 | $975.75 – $28,920.25 | |
| Vaginal delivery, without complications MS-DRG 807 | $10,016.14 | $975.75 – $13,716.61 | |
| Weight loss surgery, without complications MS-DRG 621 | $38,187.56 | $975.75 – $35,127.11 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $571.35 | $879.00 | $48.71 – $879.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,484.30 | $3,822.00 | $484.35 – $3,822.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,116.05 | $1,717.00 | $386.55 – $1,717.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $940.55 | $1,447.00 | $278.87 – $1,983.76 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $669.50 | $1,030.00 | $86.02 – $1,030.00 |
| Sleep study with CPAP titration CPT 95811 | $3,469.70 | $5,338.00 | $470.25 – $5,338.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,246.75 | $4,995.00 | $470.25 – $4,995.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $257.40 | $396.00 | $31.38 – $484.29 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $147.55 | $227.00 | $42.83 – $227.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $217.10 | $334.00 | $53.01 – $334.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $245.70 | $378.00 | $53.01 – $378.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $143.00 | $220.00 | $15.83 – $220.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $100.75 | $155.00 | $53.89 – $155.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Group psychotherapy CPT 90853 | $135.85 | $209.00 | $49.64 – $209.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $222.95 | $343.00 | $96.79 – $439.03 |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $172.00 | $46.98 – $172.00 |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $227.00 | $69.33 – $227.00 |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $336.00 | $99.75 – $336.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $5,942.85 | $10.72 – $161.49 | |
| IV hydration, each additional hour CPT 96361 | $12,081.65 | $13.38 – $105.02 | |
| IV hydration, first hour CPT 96360 | $15,561.52 | $34.58 – $477.07 | |
| IV push injection of a drug, first CPT 96374 | $4,816.08 | $39.04 – $477.07 | |
| IV push injection, each additional drug CPT 96375 | $20,800.71 | $16.36 – $112.03 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $520.00 | $800.00 | $131.26 – $800.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $21,022.74 | ? – $13,559.36 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $19,213.34 | ? – $11,219.87 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $20,666.76 | ? – $7,260.47 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $17,796.93 | ? – $7,260.47 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $51.84 | $79.75 | $22.51 – $244.14 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $19,835.40 | ? – $7,338.69 | |
| Propofol injection, per 10 mg HCPCS J2704 | $12,045.80 | $2.84 – $1,588.25 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $12,611.64 | $2.13 – $7,436.16 |
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.