Mercy Hospital St. Louis
615 New Ballas Road, Saint Louis, MO 63141 · Acute care hospital · Emergency room
These are Mercy Hospital St. Louis's own posted figures from its standard-charges file dated June 4, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
215 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 | $2,564.90 | $3,946.00 | $811.64 – $1,861.57 |
| Emergency room visit, level 1 (minor) CPT 99281 | $249.60 | $384.00 | $82.86 – $190.03 |
| Emergency room visit, level 2 CPT 99282 | $567.45 | $873.00 | $996.00 – $1,515.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,330.87 | $2,047.50 | $268.22 – $615.19 |
| Emergency room visit, level 4 CPT 99284 | $2,216.10 | $3,409.38 | $410.00 – $940.36 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $4,920.50 | $7,570.00 | $451.00 – $2,026.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $452.40 | $696.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $106.60 | $164.00 | $21.94 – $109.13 |
| Abdominal X-ray, 1 view CPT 74018 | $228.80 | $352.00 | $85.51 – $196.12 |
| Ankle X-ray, 3 or more views CPT 73610 | $473.85 | $729.00 | $85.51 – $196.12 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $280.80 | $432.00 | $28.08 – $432.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $471.90 | $726.00 | $64.54 – $313.71 |
| Breast ultrasound, one breast, limited CPT 76642 | $653.25 | $1,005.00 | $49.45 – $240.96 |
| Chest X-ray, 1 view CPT 71045 | $240.50 | $370.00 | $85.51 – $196.12 |
| Chest X-ray, 2 views CPT 71046 | $301.60 | $464.00 | $35.43 – $117.09 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,838.85 | $2,829.00 | $394.00 – $525.00 |
| CT angiogram of the head CPT 70496 | $2,134.60 | $3,284.00 | $394.00 – $525.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,181.75 | $4,895.00 | $394.00 – $525.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,666.65 | $5,641.00 | $342.80 – $786.23 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,724.80 | $4,192.00 | $394.00 – $525.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,333.15 | $2,051.00 | $102.72 – $235.61 |
| CT scan of the chest, with contrast CPT 71260 | $1,705.60 | $2,624.00 | $172.35 – $395.29 |
| CT scan of the chest, without contrast CPT 71250 | $1,295.45 | $1,993.00 | $102.72 – $235.61 |
| CT scan of the head, without contrast CPT 70450 | $1,415.05 | $2,177.00 | $90.66 – $222.64 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,717.30 | $2,642.00 | $102.72 – $235.61 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,827.15 | $2,811.00 | $172.35 – $395.29 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,517.10 | $2,334.00 | $90.66 – $298.27 |
| Diagnostic mammogram, both breasts CPT 77066 | $372.45 | $573.00 | $103.80 – $506.22 |
| Diagnostic mammogram, one breast CPT 77065 | $248.30 | $382.00 | $293.00 – $336.00 |
| Foot X-ray, 3 or more views CPT 73630 | $436.80 | $672.00 | $176.00 – $201.00 |
| Hand X-ray, 3 or more views CPT 73130 | $373.10 | $574.00 | $85.51 – $196.12 |
| Knee X-ray, 3 views CPT 73562 | $451.75 | $695.00 | $176.00 – $201.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,407.25 | $2,165.00 | $140.73 – $2,165.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $795.60 | $1,224.00 | $287.00 – $352.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $349.70 | $538.00 | $176.00 – $201.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,186.30 | $4,902.00 | $342.80 – $786.23 |
| MRI of the brain, without and with contrast CPT 70553 | $2,789.80 | $4,292.00 | $342.80 – $786.23 |
| MRI of the brain, without contrast CPT 70551 | $2,096.25 | $3,225.00 | $206.06 – $574.77 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,787.85 | $4,289.00 | $351.00 – $351.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,141.10 | $3,294.00 | $206.06 – $574.77 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,985.75 | $3,055.00 | $351.00 – $351.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,970.15 | $3,031.00 | $560.00 – $693.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,881.45 | $4,433.00 | $304.45 – $907.22 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,288.35 | $5,059.00 | $560.00 – $693.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $304.85 | $469.00 | $44.04 – $131.82 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $721.50 | $1,110.00 | $102.72 – $235.61 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $726.05 | $1,117.00 | $102.72 – $235.61 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $537.55 | $827.00 | $102.00 – $230.00 |
| Screening mammogram, both breasts CPT 77067 | $273.65 | $421.00 | $27.37 – $421.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $436.80 | $672.00 | $176.00 – $201.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $472.55 | $727.00 | $102.00 – $230.00 |
| Transvaginal ultrasound CPT 76830 | $613.60 | $944.00 | $90.66 – $397.09 |
| Ultrasound of the abdomen, complete CPT 76700 | $747.50 | $1,150.00 | $102.00 – $230.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $602.55 | $927.00 | $102.72 – $235.61 |
| Wrist X-ray, 3 or more views CPT 73110 | $483.60 | $744.00 | $49.62 – $148.53 |
| X-ray of the lower back, 4 or more views CPT 72110 | $370.50 | $570.00 | $59.23 – $177.29 |
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 | $37.05 | $57.00 | $3.71 – $57.00 |
| Blood draw (venipuncture) CPT 36415 | $202.80 | $312.00 | $130.73 – $299.84 |
| 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 | $2.47 – $38.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $127.40 | $196.00 | $12.74 – $196.00 |
| Complete blood count (CBC) with differential CPT 85025 | $17.55 | $27.00 | $1.76 – $27.00 |
| 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 | $13.00 – $200.00 |
| D-dimer test (blood clots) CPT 85379 | $36.40 | $56.00 | $9.16 – $22.91 |
| Drug screen, instrument chemistry CPT 80307 | $277.55 | $427.00 | $27.76 – $427.00 |
| Ferritin (iron stores) test CPT 82728 | $48.75 | $75.00 | $12.27 – $30.67 |
| Free T4 (thyroid) test CPT 84439 | $48.10 | $74.00 | $8.12 – $20.30 |
| Glucose (blood sugar) test CPT 82947 | $53.95 | $83.00 | $5.40 – $83.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $127.40 | $196.00 | $31.58 – $78.95 |
| Hemoglobin A1c test CPT 83036 | $34.45 | $53.00 | $3.45 – $53.00 |
| Hepatitis C antibody test CPT 86803 | $50.70 | $78.00 | $12.84 – $32.11 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $117.00 | $180.00 | $21.67 – $54.18 |
| Iron test CPT 83540 | $61.75 | $95.00 | $5.82 – $14.56 |
| Kidney function panel CPT 80069 | $182.00 | $280.00 | $7.81 – $19.53 |
| Lipase test (pancreas) CPT 83690 | $104.65 | $161.00 | $10.47 – $161.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $128.05 | $197.00 | $12.05 – $30.13 |
| Liver function panel CPT 80076 | $22.10 | $34.00 | $2.21 – $34.00 |
| Magnesium test CPT 83735 | $76.05 | $117.00 | $6.03 – $15.08 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $26.65 | $41.00 | $2.67 – $41.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $130.65 | $201.00 | $9.30 – $33.86 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $48.10 | $74.00 | $3.86 – $9.65 |
| PSA (prostate specific antigen), free CPT 84154 | $86.45 | $133.00 | $8.65 – $133.00 |
| PSA (prostate specific antigen), total CPT 84153 | $117.65 | $181.00 | $11.77 – $181.00 |
| Rapid strep test CPT 87880 | $57.20 | $88.00 | $14.88 – $37.19 |
| Sed rate (ESR) test CPT 85652 | $12.35 | $19.00 | $2.43 – $6.08 |
| TB skin test CPT 86580 | $24.70 | $38.00 | $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 | $1,386.45 | $2,133.00 | $32.93 – $1,241.00 |
| Troponin test (heart damage) CPT 84484 | $125.45 | $193.00 | $11.22 – $28.06 |
| Urinalysis, automated, with microscope CPT 81001 | $11.05 | $17.00 | $1.11 – $17.00 |
| Urinalysis, automated, without microscope CPT 81003 | $40.95 | $63.00 | $2.03 – $5.06 |
| Urinalysis, manual, with microscope CPT 81000 | $32.50 | $50.00 | $3.62 – $9.05 |
| Urinalysis, manual, without microscope CPT 81002 | $27.95 | $43.00 | $2.80 – $43.00 |
| 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 | $53.95 | $83.00 | $5.40 – $83.00 |
| Vitamin D test CPT 82306 | $105.95 | $163.00 | $26.64 – $66.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,489.80 | $2,292.00 | $287.00 – $352.00 |
| ECG tracing only (no interpretation) CPT 93005 | $322.40 | $496.00 | $38.06 – $200.57 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $3,894.80 | $5,992.00 | $389.48 – $5,992.00 |
| Left heart catheterization CPT 93452 | $5,682.30 | $8,742.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | $8,663.20 | $13,328.00 | $2,741.93 – $7,159.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,640.36 | $8,677.48 | $691.00 – $795.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $24,392.29 | $37,526.60 | $3,897.00 – $10,471.00 |
| Appendix removal, laparoscopic CPT 44970 | $12,091.67 | $18,602.57 | $561.13 – $6,465.80 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,320.80 | $2,032.00 | $3,897.00 – $7,801.00 |
| Carpal tunnel release CPT 64721 | $2,976.35 | $4,579.00 | |
| Colonoscopy with biopsy CPT 45380 | $4,678.71 | $7,198.01 | $1,089.00 – $2,125.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $4,293.26 | $6,605.01 | $1,175.80 – $2,696.79 |
| Colonoscopy, diagnostic CPT 45378 | $2,899.66 | $4,461.01 | $1,089.00 – $2,125.00 |
| Colposcopy with biopsy CPT 57454 | $5,026.65 | $7,733.31 | $299.42 – $686.75 |
| Cystoscopy (bladder scope) CPT 52000 | $4,785.55 | $7,362.39 | |
| Ear tubes, under general anesthesia CPT 69436 | $3,858.65 | $5,936.38 | $3,897.00 – $7,801.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,995.85 | $4,609.00 | $160.26 – $1,264.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $10,188.83 | $15,675.12 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $26,540.42 | $40,831.42 | $3,897.00 – $32,851.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $20,102.99 | $30,927.68 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $7,059.51 | $10,860.79 | $3,180.75 – $7,295.29 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $13,907.16 | $21,395.63 | $3,897.00 – $12,455.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $6,764.42 | $10,406.80 | $3,518.04 – $8,068.91 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $10,463.15 | $16,097.15 | $3,463.59 – $7,944.01 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $7,543.82 | $11,605.87 | $497.16 – $5,328.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $6,342.13 | $9,757.13 | $1,089.00 – $2,125.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $5,313.43 | $8,174.51 | $3,897.00 – $7,801.00 |
| Prostate biopsy CPT 55700 | $13,257.54 | $20,396.21 | $296.39 – $2,270.20 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $26,174.17 | $40,267.95 | $10,444.70 – $23,955.74 |
| Removal of a breast lump, open surgery CPT 19120 | $3,428.75 | $5,275.00 | $394.28 – $394.28 |
| Rotator cuff repair, arthroscopic CPT 29827 | $16,078.86 | $24,736.71 | $3,897.00 – $10,471.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $12,270.22 | $18,877.26 | $3,257.72 – $7,471.83 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $14,086.02 | $21,670.80 | $144.15 – $7,916.87 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $19,510.98 | $30,016.90 | $306.65 – $19,595.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $5,813.33 | $8,943.59 | $3,897.00 – $7,801.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $4,476.88 | $6,887.51 | $120.12 – $1,744.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,967.57 | $4,565.50 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,085.50 | $1,670.00 | $19.77 – $1,199.00 |
| IUD insertion CPT 58300 | $9,615.93 | $14,793.74 | $1,632.00 – $3,185.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $15,557.03 | $23,933.90 | $2,871.00 – $3,078.00 |
| Chest pain MS-DRG 313 | $18,477.58 | $28,427.04 | $3,855.00 – $3,944.00 |
| COPD flare-up, with major complications MS-DRG 190 | $23,161.99 | $35,633.83 | $3,855.00 – $3,944.00 |
| COPD flare-up, without complications MS-DRG 192 | $18,003.34 | $27,697.45 | $451.00 – $2,026.00 |
| Fainting (syncope) MS-DRG 312 | $21,168.84 | $32,567.45 | $3,855.00 – $3,944.00 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $21,734.79 | $33,438.14 | $3,855.00 – $3,944.00 |
| Heart failure, with major complications MS-DRG 291 | $26,650.08 | $41,000.13 | $3,855.00 – $3,944.00 |
| Heart failure, without complications MS-DRG 293 | $20,078.10 | $30,889.38 | $3,078.00 – $3,281.00 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $28,164.12 | $43,329.42 | $3,478.00 – $3,478.00 |
| Irregular heartbeat, without complications MS-DRG 310 | $13,884.51 | $21,360.78 | $3,855.00 – $3,944.00 |
| Kidney failure, with complications MS-DRG 683 | $17,751.71 | $27,310.33 | $3,078.00 – $3,281.00 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $14,372.62 | $22,111.72 | $3,078.00 – $3,281.00 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $52,245.23 | $80,377.28 | $3,478.00 – $3,478.00 |
| Normal newborn care MS-DRG 795 | $3,860.35 | $5,939.00 | $650.00 – $2,350.00 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $15,006.02 | $23,086.18 | $3,855.00 – $3,944.00 |
| Pneumonia, with complications MS-DRG 194 | $16,171.28 | $24,878.90 | $3,078.00 – $3,281.00 |
| Pneumonia, with major complications MS-DRG 193 | $20,822.17 | $32,034.11 | $3,402.00 – $3,760.00 |
| Pneumonia, without complications MS-DRG 195 | $11,958.45 | $18,397.61 | $3,078.00 – $3,281.00 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $7,919.81 | $12,184.32 | $919.00 – $2,689.00 |
| Sepsis, with major complications MS-DRG 871 | $39,374.48 | $60,576.13 | $3,078.00 – $3,281.00 |
| Sepsis, without major complications MS-DRG 872 | $17,299.27 | $26,614.26 | $3,078.00 – $3,281.00 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $13,652.60 | $21,004.00 | $3,078.00 – $3,078.00 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $12,999.43 | $19,999.13 | $3,078.00 – $3,281.00 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $22,688.19 | $34,904.91 | $3,078.00 – $3,281.00 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $18,409.56 | $28,322.40 | $3,478.00 – $3,478.00 |
| Weight loss surgery, without complications MS-DRG 621 | $20,256.85 | $31,164.38 | $21,436.00 – $21,436.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $502.45 | $773.00 | $239.00 – $310.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,632.64 | $4,050.22 | $96.63 – $1,479.97 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,703.01 | $4,158.48 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,564.55 | $2,407.00 | $3,897.00 – $7,801.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $5,238.00 | $8,058.46 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $756.60 | $1,164.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $261.30 | $402.00 | $26.13 – $402.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $739.70 | $1,138.00 | $364.00 – $742.00 |
| Sleep study with CPAP titration CPT 95811 | $4,280.25 | $6,585.00 | $867.31 – $2,158.11 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,798.60 | $5,844.00 | $843.78 – $1,935.28 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $323.05 | $497.00 | $212.16 – $486.61 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $105.30 | $162.00 | $96.00 – $118.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $538.20 | $828.00 | $86.18 – $216.29 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $564.85 | $869.00 | $86.18 – $216.29 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $104.65 | $161.00 | $25.31 – $64.22 |
| Therapeutic activities, 15 minutes CPT 97530 | $94.90 | $146.00 | $30.29 – $298.37 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $234.00 | $360.00 | $137.00 – $156.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $234.00 | $360.00 | $173.00 – $485.68 |
| Group psychotherapy CPT 90853 | $643.50 | $990.00 | $78.86 – $123.02 |
| Psychiatric diagnostic evaluation CPT 90791 | $287.30 | $442.00 | $485.68 – $485.68 |
| Psychotherapy, 30 minutes CPT 90832 | $453.70 | $698.00 | $300.14 – $628.20 |
| Psychotherapy, 45 minutes CPT 90834 | $384.15 | $591.00 | |
| Psychotherapy, 60 minutes CPT 90837 | $365.30 | $562.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $159.90 | $246.00 | $60.68 – $94.66 |
| IV hydration, each additional hour CPT 96361 | $197.60 | $304.00 | $39.33 – $82.01 |
| IV hydration, first hour CPT 96360 | $220.35 | $339.00 | $305.00 – $375.00 |
| IV push injection of a drug, first CPT 96374 | $312.00 | $480.00 | $31.20 – $480.00 |
| IV push injection, each additional drug CPT 96375 | $252.85 | $389.00 | $39.33 – $122.79 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $47.85 | $73.61 | ? – $41.20 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $14.09 | $21.68 | $1.41 – $21.68 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $259.42 | $399.11 | $1.29 – $39.45 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $9.03 | $13.90 | ? – $13.90 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $300.37 | $462.11 | ? – $46.50 |
| Morphine injection, up to 10 mg HCPCS J2270 | $1,419.60 | $2,184.00 | $141.96 – $2,184.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $55.97 | $86.11 | ? – $8.40 |
| Propofol injection, per 10 mg HCPCS J2704 | $82.87 | $127.50 | $1.66 – $127.50 |
| Saline IV solution, 1000 ml HCPCS J7030 | $23.40 | $36.00 | $2.34 – $36.00 |
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.