Mercy Hospital South
10010 Kennerly Road, Saint Louis, MO 63128 · Acute care hospital · Emergency room
These are Mercy Hospital South's own posted figures from its standard-charges file dated June 10, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
208 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 | $2,694.90 | $4,146.00 | $809.00 – $996.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $200.20 | $308.00 | $82.86 – $190.03 |
| Emergency room visit, level 2 CPT 99282 | $700.70 | $1,078.00 | $150.87 – $346.03 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,238.25 | $1,905.00 | $451.00 – $1,823.00 |
| Emergency room visit, level 4 CPT 99284 | $1,810.90 | $2,786.00 | $410.00 – $940.36 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,266.02 | $5,024.65 | $809.00 – $996.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $388.05 | $597.00 | $239.00 – $310.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $357.50 | $550.00 | $1,445.00 – $1,445.00 |
| New patient office visit, about 30 minutes CPT 99203 | $206.70 | $318.00 | $69.88 – $160.27 |
| New patient office visit, about 45 minutes CPT 99204 | $258.05 | $397.00 | $25.81 – $397.00 |
| New patient office visit, about 60 minutes CPT 99205 | $354.90 | $546.00 | $35.49 – $546.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $364.00 | $560.00 | $897.00 – $2,270.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $939.90 | $1,446.00 | $718.00 – $882.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $738.40 | $1,136.00 | $1,445.00 – $1,445.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $848.25 | $1,305.00 | $122.64 – $281.30 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $274.30 | $422.00 | $27.43 – $422.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $117.65 | $181.00 | $11.77 – $181.00 |
| Abdominal X-ray, 1 view CPT 74018 | $218.40 | $336.00 | $172.00 – $201.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $261.95 | $403.00 | $43.54 – $130.34 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $201.50 | $310.00 | $43.54 – $217.04 |
| Breast ultrasound, one breast, complete CPT 76641 | $809.90 | $1,246.00 | $80.99 – $1,246.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $778.05 | $1,197.00 | $85.51 – $196.12 |
| Chest X-ray, 1 view CPT 71045 | $182.65 | $281.00 | $85.51 – $196.12 |
| Chest X-ray, 2 views CPT 71046 | $260.00 | $400.00 | $172.00 – $201.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,134.25 | $1,745.00 | $382.00 – $525.00 |
| CT angiogram of the head CPT 70496 | $1,015.30 | $1,562.00 | $261.00 – $805.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,040.35 | $3,139.00 | $342.80 – $786.23 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,499.90 | $3,846.00 | $342.80 – $786.23 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,823.90 | $2,806.00 | $382.00 – $525.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $902.85 | $1,389.00 | $102.72 – $235.61 |
| CT scan of the chest, with contrast CPT 71260 | $950.95 | $1,463.00 | $151.76 – $360.64 |
| CT scan of the chest, without contrast CPT 71250 | $694.85 | $1,069.00 | $261.00 – $805.00 |
| CT scan of the head, without contrast CPT 70450 | $799.50 | $1,230.00 | $90.66 – $222.64 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $962.65 | $1,481.00 | $90.66 – $291.39 |
| CT scan of the pelvis, with contrast CPT 72193 | $972.40 | $1,496.00 | $172.35 – $395.29 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $878.80 | $1,352.00 | $382.00 – $525.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $419.90 | $646.00 | $287.00 – $336.00 |
| Diagnostic mammogram, one breast CPT 77065 | $280.15 | $431.00 | $28.02 – $431.00 |
| Foot X-ray, 3 or more views CPT 73630 | $313.95 | $483.00 | $85.51 – $196.12 |
| Hand X-ray, 3 or more views CPT 73130 | $258.70 | $398.00 | $43.54 – $130.34 |
| Knee X-ray, 3 views CPT 73562 | $284.05 | $437.00 | $172.00 – $201.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,074.15 | $3,191.00 | $234.45 – $537.72 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,184.95 | $1,823.00 | $102.72 – $235.61 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $196.30 | $302.00 | $44.55 – $149.59 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,880.45 | $2,893.00 | $560.00 – $679.00 |
| MRI of the brain, without and with contrast CPT 70553 | $2,161.90 | $3,326.00 | $342.80 – $786.23 |
| MRI of the brain, without contrast CPT 70551 | $1,265.55 | $1,947.00 | $560.00 – $679.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,143.70 | $3,298.00 | $560.00 – $679.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,643.20 | $2,528.00 | $560.00 – $679.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,690.00 | $2,600.00 | $234.45 – $537.72 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,496.30 | $2,302.00 | $206.06 – $574.77 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,608.45 | $4,013.00 | $560.00 – $679.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,626.65 | $4,041.00 | $351.00 – $1,000.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $273.00 | $420.00 | $85.51 – $196.12 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $689.00 | $1,060.00 | $102.00 – $230.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $884.65 | $1,361.00 | $90.66 – $404.65 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $689.00 | $1,060.00 | $68.90 – $1,060.00 |
| Screening mammogram, both breasts CPT 77067 | $264.55 | $407.00 | $287.00 – $336.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $253.50 | $390.00 | $172.00 – $201.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $544.70 | $838.00 | $87.08 – $260.68 |
| Transvaginal ultrasound CPT 76830 | $340.60 | $524.00 | $102.00 – $230.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $749.45 | $1,153.00 | $102.00 – $230.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $540.80 | $832.00 | $90.66 – $384.98 |
| Wrist X-ray, 3 or more views CPT 73110 | $248.95 | $383.00 | $172.00 – $201.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $341.90 | $526.00 | $172.00 – $201.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $18.85 | $29.00 | $1.89 – $29.00 |
| Blood culture CPT 87040 | $171.60 | $264.00 | $9.29 – $23.22 |
| Blood draw (venipuncture) CPT 36415 | $689.00 | $1,060.00 | $1,445.00 – $1,445.00 |
| BNP test (heart failure) CPT 83880 | $82.55 | $127.00 | $8.26 – $127.00 |
| C-reactive protein (CRP) test CPT 86140 | $24.70 | $38.00 | $4.66 – $11.66 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $186.55 | $287.00 | $18.66 – $287.00 |
| Complete blood count (CBC) with differential CPT 85025 | $17.55 | $27.00 | $6.99 – $17.48 |
| Complete blood count (CBC), automated CPT 85027 | $14.30 | $22.00 | $5.82 – $14.56 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $23.40 | $36.00 | $9.50 – $23.76 |
| COVID-19 PCR test CPT 87635 | $130.00 | $200.00 | $46.18 – $115.45 |
| D-dimer test (blood clots) CPT 85379 | $36.40 | $56.00 | $9.16 – $22.91 |
| Drug screen, instrument chemistry CPT 80307 | $291.85 | $449.00 | $29.19 – $449.00 |
| Ferritin (iron stores) test CPT 82728 | $48.75 | $75.00 | $12.27 – $30.67 |
| Free T4 (thyroid) test CPT 84439 | $84.50 | $130.00 | $8.45 – $130.00 |
| Glucose (blood sugar) test CPT 82947 | $24.05 | $37.00 | $2.41 – $37.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $113.75 | $175.00 | $31.58 – $78.95 |
| Hemoglobin A1c test CPT 83036 | $41.60 | $64.00 | $4.16 – $64.00 |
| Hepatitis C antibody test CPT 86803 | $50.70 | $78.00 | $5.07 – $78.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $106.60 | $164.00 | $10.66 – $164.00 |
| Iron test CPT 83540 | $57.20 | $88.00 | $5.82 – $14.56 |
| Kidney function panel CPT 80069 | $122.85 | $189.00 | $7.81 – $19.53 |
| Lipase test (pancreas) CPT 83690 | $77.35 | $119.00 | $7.74 – $119.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $76.70 | $118.00 | $7.67 – $118.00 |
| Liver function panel CPT 80076 | $22.10 | $34.00 | $2.21 – $34.00 |
| Magnesium test CPT 83735 | $83.20 | $128.00 | $8.32 – $128.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $69.55 | $107.00 | $5.41 – $13.52 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $138.45 | $213.00 | $9.30 – $33.86 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $37.05 | $57.00 | $3.71 – $57.00 |
| PSA (prostate specific antigen), free CPT 84154 | $53.95 | $83.00 | $5.40 – $83.00 |
| PSA (prostate specific antigen), total CPT 84153 | $73.45 | $113.00 | $7.35 – $113.00 |
| Rapid strep test CPT 87880 | $53.30 | $82.00 | $5.33 – $82.00 |
| Sed rate (ESR) test CPT 85652 | $12.35 | $19.00 | $2.43 – $6.08 |
| TB skin test CPT 86580 | $44.85 | $69.00 | $28.42 – $65.18 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $59.80 | $92.00 | $5.98 – $92.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $3,193.44 | $4,912.98 | |
| Troponin test (heart damage) CPT 84484 | $91.65 | $141.00 | $9.17 – $141.00 |
| Urinalysis, automated, with microscope CPT 81001 | $11.05 | $17.00 | $1.11 – $17.00 |
| Urinalysis, automated, without microscope CPT 81003 | $47.45 | $73.00 | $2.03 – $5.06 |
| Urinalysis, manual, with microscope CPT 81000 | $16.90 | $26.00 | $3.62 – $9.05 |
| Urinalysis, manual, without microscope CPT 81002 | $67.60 | $104.00 | $6.76 – $104.00 |
| Urine culture, colony count CPT 87086 | $28.60 | $44.00 | $7.26 – $18.16 |
| Urine pregnancy test CPT 81025 | $86.45 | $133.00 | $8.65 – $133.00 |
| Vitamin B12 test CPT 82607 | $57.85 | $89.00 | $5.79 – $89.00 |
| Vitamin D test CPT 82306 | $105.95 | $163.00 | $10.60 – $163.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,946.10 | $2,994.00 | $206.06 – $1,069.71 |
| ECG tracing only (no interpretation) CPT 93005 | $253.50 | $390.00 | $36.16 – $200.57 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $4,057.95 | $6,243.00 | $536.90 – $1,231.42 |
| Left heart catheterization CPT 93452 | $4,179.50 | $6,430.00 | $4,901.00 – $10,136.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $5,370.30 | $8,262.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,332.57 | $6,665.50 | $331.78 – $1,836.29 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $18,598.28 | $28,612.74 | |
| Appendix removal, laparoscopic CPT 44970 | $11,529.15 | $17,737.16 | $3,832.00 – $10,587.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,534.70 | $5,438.00 | $3,153.00 – $6,631.00 |
| Carpal tunnel release CPT 64721 | $4,559.42 | $7,014.50 | |
| Colonoscopy with biopsy CPT 45380 | $3,241.89 | $4,987.53 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,939.20 | $4,521.85 | $1,089.00 – $1,806.00 |
| Colonoscopy, diagnostic CPT 45378 | $2,288.48 | $3,520.74 | $913.76 – $2,095.78 |
| Colposcopy with biopsy CPT 57454 | $5,201.22 | $8,001.88 | $1,386.00 – $2,707.00 |
| Cystoscopy (bladder scope) CPT 52000 | $7,788.46 | $11,982.25 | |
| Ear tubes, under general anesthesia CPT 69436 | $3,296.70 | $5,071.84 | $139.30 – $2,462.41 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,519.96 | $3,876.86 | |
| Gallbladder removal, laparoscopic CPT 47562 | $10,429.83 | $16,045.89 | $5,940.24 – $13,624.40 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $24,982.72 | $38,434.96 | $1,576.76 – $19,595.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $16,202.27 | $24,926.57 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $7,481.97 | $11,510.73 | $5,940.24 – $13,624.40 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $10,806.00 | $16,624.62 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $6,140.78 | $9,447.35 | $3,153.00 – $6,631.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $6,423.75 | $9,882.70 | $4,702.00 – $11,469.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $6,890.56 | $10,600.86 | |
| Prostate biopsy CPT 55700 | $6,907.69 | $10,627.21 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | $21,535.21 | $33,131.09 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $14,501.12 | $22,309.41 | |
| Septoplasty (nasal septum repair) CPT 30520 | $10,622.11 | $16,341.71 | $3,153.00 – $6,631.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $13,824.40 | $21,268.31 | $3,832.00 – $8,900.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $20,416.29 | $31,409.68 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $4,030.17 | $6,200.26 | $3,153.00 – $6,631.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $3,725.08 | $5,730.90 | $891.19 – $2,044.01 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,676.63 | $4,117.90 | $1,089.00 – $1,806.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,082.90 | $1,666.00 | $19.77 – $1,199.00 |
| IUD insertion CPT 58300 | $10,381.91 | $15,972.17 | $1,632.00 – $2,707.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,134.18 | $14,052.58 | $685.68 – $3,078.00 |
| C-section, without complications MS-DRG 788 | $11,381.24 | $17,509.60 | $685.68 – $685.68 |
| Chest pain MS-DRG 313 | $13,791.34 | $21,217.45 | $685.68 – $3,383.00 |
| COPD flare-up, with major complications MS-DRG 190 | $16,985.48 | $26,131.51 | $685.68 – $3,383.00 |
| COPD flare-up, without complications MS-DRG 192 | $11,645.59 | $17,916.29 | $685.68 – $3,383.00 |
| Fainting (syncope) MS-DRG 312 | $15,851.72 | $24,387.26 | $4,453.88 – $4,453.88 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $17,512.28 | $26,941.97 | $685.68 – $3,383.00 |
| Heart failure, with major complications MS-DRG 291 | $18,480.96 | $28,432.25 | $685.68 – $3,383.00 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $190,059.96 | $292,399.94 | $685.68 – $685.68 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $22,750.65 | $35,001.00 | $9,856.68 – $9,856.68 |
| Irregular heartbeat, without complications MS-DRG 310 | $10,173.25 | $15,651.15 | $2,892.77 – $2,892.77 |
| Kidney failure, with complications MS-DRG 683 | $13,535.96 | $20,824.56 | $685.68 – $3,383.00 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $11,613.32 | $17,866.65 | $4,136.55 – $4,136.55 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $37,179.84 | $57,199.76 | $685.68 – $3,855.00 |
| Normal newborn care MS-DRG 795 | $2,650.63 | $4,077.89 | $611.00 – $2,115.00 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $10,609.84 | $16,322.83 | $3,976.60 – $3,976.60 |
| Pneumonia, with complications MS-DRG 194 | $12,242.36 | $18,834.40 | $4,118.15 – $4,118.15 |
| Pneumonia, with major complications MS-DRG 193 | $17,489.35 | $26,906.70 | $6,716.58 – $6,716.58 |
| Pneumonia, without complications MS-DRG 195 | $8,734.89 | $13,438.29 | $3,211.64 – $3,211.64 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $8,214.18 | $12,637.20 | $379.26 – $2,535.00 |
| Sepsis, with major complications MS-DRG 871 | $29,420.43 | $45,262.20 | $9,926.18 – $9,926.18 |
| Sepsis, without major complications MS-DRG 872 | $15,464.00 | $23,790.77 | $5,229.06 – $5,229.06 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $11,810.56 | $18,170.09 | $4,450.30 – $4,450.30 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $12,477.13 | $19,195.59 | $685.68 – $3,383.00 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $19,037.56 | $29,288.56 | $5,162.63 – $5,162.63 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $13,908.13 | $21,397.13 | $685.68 – $3,478.00 |
| Vaginal delivery, without complications MS-DRG 807 | $9,216.76 | $14,179.63 | $685.68 – $685.68 |
| Weight loss surgery, without complications MS-DRG 621 | $23,053.47 | $35,466.87 | $685.68 – $685.68 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $956.15 | $1,471.00 | $276.00 – $288.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,207.99 | $3,396.91 | $96.63 – $1,479.97 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,994.49 | $4,606.91 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,564.55 | $2,407.00 | $3,153.00 – $6,631.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $6,761.48 | $10,402.28 | $3,153.00 – $6,631.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,575.60 | $2,424.00 | $3,153.00 – $6,631.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $261.30 | $402.00 | $123.09 – $339.34 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,179.10 | $1,814.00 | $133.38 – $416.52 |
| Sleep study with CPAP titration CPT 95811 | $4,717.70 | $7,258.00 | $1,633.00 – $2,708.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,201.60 | $6,464.00 | $867.31 – $1,986.07 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $347.10 | $534.00 | $20.08 – $250.39 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $92.30 | $142.00 | $23.90 – $218.81 |
| Physical therapy evaluation, low complexity CPT 97161 | $404.30 | $622.00 | $137.00 – $233.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $464.75 | $715.00 | $137.00 – $233.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $114.40 | $176.00 | $25.31 – $64.22 |
| Therapeutic activities, 15 minutes CPT 97530 | $53.30 | $82.00 | $30.29 – $77.13 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $264.55 | $407.00 | $137.00 – $137.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $245.05 | $377.00 | |
| Group psychotherapy CPT 90853 | $485.55 | $747.00 | $455.00 – $455.00 |
| Psychotherapy, 30 minutes CPT 90832 | $265.20 | $408.00 | $26.52 – $408.00 |
| Psychotherapy, 45 minutes CPT 90834 | $265.20 | $408.00 | $122.00 – $485.68 |
| Psychotherapy, 60 minutes CPT 90837 | $265.20 | $408.00 | $132.97 – $632.21 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $89.70 | $138.00 | $57.91 – $112.89 |
| IV hydration, each additional hour CPT 96361 | $106.60 | $164.00 | $10.66 – $164.00 |
| IV hydration, first hour CPT 96360 | $106.60 | $164.00 | $209.00 – $479.35 |
| IV push injection of a drug, first CPT 96374 | $146.90 | $226.00 | $14.69 – $226.00 |
| IV push injection, each additional drug CPT 96375 | $146.90 | $226.00 | $39.33 – $122.79 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $78.25 | $120.38 | $7.82 – $120.38 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $13.55 | $20.85 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $259.42 | $399.11 | $25.94 – $399.11 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $300.37 | $462.11 | ? – $46.50 |
| Morphine injection, up to 10 mg HCPCS J2270 | $2,413.73 | $3,713.43 | $241.37 – $3,713.43 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $7.15 | $11.00 | ? – $11.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $97.58 | $150.12 | $9.76 – $150.12 |
| Saline IV solution, 1000 ml HCPCS J7030 | $27.30 | $42.00 | $2.66 – $5.66 |
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.