Novant Health Rowan Medical Center
612 Mocksville Ave, Salisbury, NC 28144 · Acute care hospital · Emergency room
These are Novant Health Rowan Medical Center'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.
216 of the services we track have a posted price here; 126 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 | $2,322.00 | $4,644.00 | $782.97 – $4,504.68 |
| Emergency room visit, level 1 (minor) CPT 99281 | $141.00 | $282.00 | $47.54 – $273.54 |
| Emergency room visit, level 2 CPT 99282 | $286.50 | $573.00 | $96.60 – $555.81 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $863.00 | $1,726.00 | $265.27 – $1,674.22 |
| Emergency room visit, level 4 CPT 99284 | $1,227.50 | $2,455.00 | $405.48 – $2,381.35 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,726.50 | $3,453.00 | $578.71 – $3,349.41 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $194.97 – $389.94 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $159.00 | $318.00 | $53.61 – $308.46 |
| New patient office visit, about 30 minutes CPT 99203 | $212.50 | $425.00 | $71.65 – $412.25 |
| New patient office visit, about 60 minutes CPT 99205 | $348.50 | $697.00 | $117.51 – $676.09 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $153.50 | $307.00 | $51.76 – $297.79 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $229.00 | $458.00 | $77.21 – $444.26 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $237.00 | $474.00 | $79.91 – $459.78 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $381.50 | $763.00 | $128.64 – $740.11 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $83.00 | $166.00 | $27.98 – $161.02 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $86.50 | $173.00 | $29.16 – $167.81 |
| Abdominal X-ray, 1 view CPT 74018 | $196.00 | $392.00 | $66.09 – $380.24 |
| Ankle X-ray, 3 or more views CPT 73610 | $280.00 | $560.00 | $27.07 – $543.20 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $205.00 | $410.00 | $54.13 – $397.70 |
| Breast ultrasound, one breast, complete CPT 76641 | $328.50 | $657.00 | $101.59 – $637.29 |
| Breast ultrasound, one breast, limited CPT 76642 | $328.50 | $657.00 | $84.57 – $637.29 |
| Chest X-ray, 1 view CPT 71045 | $196.00 | $392.00 | $66.09 – $380.24 |
| Chest X-ray, 2 views CPT 71046 | $232.50 | $465.00 | $78.39 – $451.05 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,731.50 | $3,463.00 | $170.45 – $3,359.11 |
| CT angiogram of the head CPT 70496 | $1,724.00 | $3,448.00 | $170.45 – $3,344.56 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,820.00 | $5,640.00 | $289.88 – $5,470.80 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,248.50 | $6,497.00 | $339.02 – $6,302.09 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,292.50 | $4,585.00 | $185.40 – $4,447.45 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,244.00 | $2,488.00 | $101.59 – $2,413.36 |
| CT scan of the chest, with contrast CPT 71260 | $1,432.50 | $2,865.00 | $170.45 – $2,779.05 |
| CT scan of the chest, without contrast CPT 71250 | $1,061.50 | $2,123.00 | $101.59 – $2,059.31 |
| CT scan of the head, without contrast CPT 70450 | $1,074.00 | $2,148.00 | $101.59 – $2,083.56 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,300.00 | $2,600.00 | $101.59 – $2,522.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,437.00 | $2,874.00 | $170.45 – $2,787.78 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,107.50 | $2,215.00 | $101.59 – $2,148.55 |
| Diagnostic mammogram, both breasts CPT 77066 | $198.00 | $396.00 | $66.76 – $384.12 |
| Diagnostic mammogram, one breast CPT 77065 | $158.50 | $317.00 | $53.44 – $307.49 |
| Foot X-ray, 3 or more views CPT 73630 | $280.00 | $560.00 | $26.75 – $543.20 |
| Hand X-ray, 3 or more views CPT 73130 | $280.00 | $560.00 | $27.07 – $543.20 |
| Knee X-ray, 3 views CPT 73562 | $280.00 | $560.00 | $30.46 – $543.20 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $758.00 | $1,516.00 | $209.91 – $1,470.52 |
| Leg or arm vein ultrasound, one side CPT 93971 | $414.50 | $829.00 | $101.59 – $804.13 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $280.00 | $560.00 | $34.12 – $543.20 |
| MRI of both breasts, without and with contrast CPT 77049 | $2,457.50 | $4,915.00 | $828.66 – $4,767.55 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,687.50 | $5,375.00 | $339.02 – $5,213.75 |
| MRI of the brain, without and with contrast CPT 70553 | $2,518.00 | $5,036.00 | $339.02 – $4,884.92 |
| MRI of the brain, without contrast CPT 70551 | $1,621.50 | $3,243.00 | $231.86 – $3,145.71 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,677.50 | $3,355.00 | $231.86 – $3,254.35 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,961.00 | $3,922.00 | $231.86 – $3,804.34 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,961.00 | $3,922.00 | $231.86 – $3,804.34 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,961.00 | $3,922.00 | $231.86 – $3,804.34 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,472.00 | $4,944.00 | $339.02 – $4,795.68 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,694.00 | $3,388.00 | $231.86 – $3,286.36 |
| Neck X-ray, 2 or 3 views CPT 72040 | $280.00 | $560.00 | $32.56 – $543.20 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $647.00 | $1,294.00 | $101.59 – $1,255.18 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $395.50 | $791.00 | $101.59 – $767.27 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $395.50 | $791.00 | $101.59 – $767.27 |
| Screening mammogram, both breasts CPT 77067 | $188.00 | $376.00 | $63.39 – $364.72 |
| Shoulder X-ray, 2 or more views CPT 73030 | $232.50 | $465.00 | $26.41 – $451.05 |
| Transvaginal pregnancy ultrasound CPT 76817 | $388.00 | $776.00 | $85.43 – $752.72 |
| Transvaginal ultrasound CPT 76830 | $514.00 | $1,028.00 | $101.44 – $997.16 |
| Ultrasound of the abdomen, complete CPT 76700 | $661.00 | $1,322.00 | $101.59 – $1,282.34 |
| Ultrasound of the neck or thyroid CPT 76536 | $458.00 | $916.00 | $94.85 – $888.52 |
| Wrist X-ray, 3 or more views CPT 73110 | $280.00 | $560.00 | $29.87 – $543.20 |
| X-ray of the lower back, 4 or more views CPT 72110 | $297.50 | $595.00 | $46.41 – $577.15 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $65.50 | $131.00 | $8.46 – $127.07 |
| Blood culture CPT 87040 | $83.00 | $166.00 | $10.32 – $161.02 |
| Blood draw (venipuncture) CPT 36415 | $16.00 | $32.00 | $5.39 – $31.04 |
| BNP test (heart failure) CPT 83880 | $306.50 | $613.00 | $39.26 – $594.61 |
| C-reactive protein (CRP) test CPT 86140 | $42.50 | $85.00 | $5.18 – $82.45 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $215.00 | $430.00 | $35.09 – $417.10 |
| Complete blood count (CBC) with differential CPT 85025 | $114.50 | $229.00 | $7.77 – $222.13 |
| Complete blood count (CBC), automated CPT 85027 | $48.50 | $97.00 | $6.47 – $94.09 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $78.50 | $157.00 | $10.56 – $152.29 |
| COVID-19 PCR test CPT 87635 | $83.50 | $167.00 | $28.15 – $161.99 |
| D-dimer test (blood clots) CPT 85379 | $75.50 | $151.00 | $10.18 – $146.47 |
| Drug screen, instrument chemistry CPT 80307 | $594.00 | $1,188.00 | $62.14 – $1,152.36 |
| Ferritin (iron stores) test CPT 82728 | $101.50 | $203.00 | $13.63 – $196.91 |
| Free T4 (thyroid) test CPT 84439 | $112.50 | $225.00 | $9.02 – $218.25 |
| General health panel (blood tests) CPT 80050 | $147.00 | $294.00 | $49.56 – $285.18 |
| Glucose (blood sugar) test CPT 82947 | $47.00 | $94.00 | $3.93 – $91.18 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $215.00 | $430.00 | $35.09 – $417.10 |
| Hemoglobin A1c test CPT 83036 | $72.50 | $145.00 | $9.71 – $140.65 |
| Hepatitis C antibody test CPT 86803 | $144.00 | $288.00 | $14.27 – $279.36 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $179.00 | $358.00 | $24.08 – $347.26 |
| Iron test CPT 83540 | $85.50 | $171.00 | $6.47 – $165.87 |
| Kidney function panel CPT 80069 | $66.00 | $132.00 | $8.68 – $128.04 |
| Lipase test (pancreas) CPT 83690 | $118.00 | $236.00 | $6.89 – $228.92 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $100.00 | $200.00 | $13.39 – $194.00 |
| Liver function panel CPT 80076 | $65.50 | $131.00 | $8.17 – $127.07 |
| Magnesium test CPT 83735 | $73.00 | $146.00 | $6.70 – $141.62 |
| Obstetric blood test panel CPT 80055 | $488.50 | $977.00 | $47.81 – $947.69 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $76.00 | $152.00 | $6.01 – $147.44 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $130.00 | $260.00 | $15.05 – $252.20 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $51.00 | $102.00 | $4.29 – $98.94 |
| PSA (prostate specific antigen), free CPT 84154 | $136.00 | $272.00 | $18.39 – $263.84 |
| PSA (prostate specific antigen), total CPT 84153 | $136.00 | $272.00 | $18.39 – $263.84 |
| Rapid strep test CPT 87880 | $104.00 | $208.00 | $16.53 – $201.76 |
| Sed rate (ESR) test CPT 85652 | $21.50 | $43.00 | $2.70 – $41.71 |
| TB skin test CPT 86580 | $38.50 | $77.00 | $12.98 – $74.69 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $120.00 | $240.00 | $16.80 – $232.80 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $329.00 | $658.00 | $50.64 – $638.26 |
| Troponin test (heart damage) CPT 84484 | $169.00 | $338.00 | $12.47 – $327.86 |
| Urinalysis, automated, with microscope CPT 81001 | $25.50 | $51.00 | $3.17 – $49.47 |
| Urinalysis, automated, without microscope CPT 81003 | $21.50 | $43.00 | $2.25 – $41.71 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $4.02 – $8.04 | |
| Urinalysis, manual, without microscope CPT 81002 | $31.50 | $63.00 | $3.48 – $61.11 |
| Urine culture, colony count CPT 87086 | $60.00 | $120.00 | $8.07 – $116.40 |
| Urine pregnancy test CPT 81025 | $64.00 | $128.00 | $8.61 – $124.16 |
| Vitamin B12 test CPT 82607 | $112.00 | $224.00 | $15.08 – $217.28 |
| Vitamin D test CPT 82306 | $219.50 | $439.00 | $29.60 – $425.83 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $691.00 | $1,382.00 | $204.17 – $1,340.54 |
| ECG tracing only (no interpretation) CPT 93005 | $184.50 | $369.00 | $9.96 – $357.93 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,463.00 | $2,926.00 | $206.80 – $2,838.22 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $18.02 – $20.93 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $91.81 – $106.62 | |
| Left heart catheterization CPT 93452 | not posted | $3,150.38 – $6,300.76 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $3,150.38 – $6,300.76 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,165.00 | $6,330.00 | $329.27 – $6,140.10 |
| Treadmill stress test, complete CPT 93015 | not posted | $80.44 – $93.41 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $7,051.31 – $14,102.62 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,874.81 – $11,749.62 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $566.44 – $3,209.92 | |
| Carpal tunnel release CPT 64721 | not posted | $1,897.58 – $3,795.16 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,162.85 – $2,325.70 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,162.85 – $2,325.70 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $903.70 – $1,807.40 | |
| Colposcopy with biopsy CPT 57454 | not posted | $296.12 – $592.24 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $677.61 – $1,355.22 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,507.77 – $3,015.54 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $903.70 – $1,807.40 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $5,874.81 – $11,749.62 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $10,329.66 – $20,659.32 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,145.71 – $6,291.42 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $5,874.81 – $11,749.62 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $3,479.30 – $6,958.60 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $3,425.44 – $6,850.88 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,179.60 – $6,359.20 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,162.85 – $2,325.70 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $193.97 – $387.94 | |
| Prostate biopsy CPT 55700 | not posted | $206.26 – $239.53 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $10,329.66 – $20,659.32 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $3,804.87 – $7,609.74 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $7,051.31 – $14,102.62 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $903.70 – $1,807.40 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $903.70 – $1,807.40 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,221.84 – $6,443.68 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $5,752.66 – $11,505.32 | |
| Total hip replacement CPT 27130 | not posted | $12,476.14 – $24,952.28 | |
| Total knee replacement CPT 27447 | not posted | $12,476.14 – $24,952.28 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $881.37 – $1,762.74 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $881.37 – $1,762.74 | |
| Vasectomy CPT 55250 | not posted | $2,031.35 – $4,062.70 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $339.50 | $679.00 | $114.47 – $658.63 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $8,106.64 – $17,257.86 | |
| C-section, without complications MS-DRG 788 | not posted | $2,351.00 – $18,056.00 | |
| Chest pain MS-DRG 313 | not posted | $6,611.67 – $14,075.28 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $10,171.87 – $21,654.43 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,895.40 – $12,550.46 | |
| Fainting (syncope) MS-DRG 312 | not posted | $8,003.79 – $17,038.91 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $9,005.64 – $19,171.70 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,788.97 – $25,097.01 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,197.50 – $11,064.73 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $89,834.18 – $205,174.66 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $17,712.84 – $48,249.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,198.42 – $11,066.69 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,042.36 – $17,121.01 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,433.53 – $15,824.92 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $21,330.78 – $52,762.00 | |
| Normal newborn care MS-DRG 795 | not posted | $694.00 – $3,669.48 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $7,146.11 – $15,213.03 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,400.47 – $15,754.54 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $12,069.96 – $25,695.21 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,771.43 – $12,286.55 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,826.63 – $27,306.04 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $17,837.73 – $37,973.93 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,396.83 – $20,004.49 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,997.36 – $17,025.22 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $7,158.97 – $15,240.40 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,277.45 – $19,750.35 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,881.88 – $26,021.20 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,566.00 – $12,382.18 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,851.44 – $31,635.67 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $65.64 – $596.56 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $859.50 – $1,719.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $685.95 – $1,371.90 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $859.50 – $1,719.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,242.65 – $4,485.30 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $129.38 – $258.76 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $534.47 – $1,068.94 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $125.04 – $250.08 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $367.50 | $735.00 | $123.92 – $712.95 |
| Sleep study with CPAP titration CPT 95811 | not posted | $834.49 – $1,668.98 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $834.49 – $1,668.98 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $145.50 | $291.00 | $29.25 – $419.66 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $66.50 | $133.00 | $22.42 – $129.01 |
| Physical therapy evaluation, low complexity CPT 97161 | $150.00 | $300.00 | $50.58 – $291.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $150.00 | $300.00 | $50.58 – $291.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $66.50 | $133.00 | $22.42 – $129.01 |
| Therapeutic activities, 15 minutes CPT 97530 | $66.50 | $133.00 | $22.42 – $129.01 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $172.48 – $344.96 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $172.48 – $344.96 | |
| Group psychotherapy CPT 90853 | not posted | $98.72 – $197.44 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $172.48 – $344.96 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $172.48 – $344.96 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $172.48 – $344.96 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $172.48 – $344.96 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $107.00 | $214.00 | $18.66 – $207.58 |
| IV hydration, each additional hour CPT 96361 | $232.00 | $464.00 | $45.50 – $450.08 |
| IV hydration, first hour CPT 96360 | $358.00 | $716.00 | $120.71 – $694.52 |
| IV push injection of a drug, first CPT 96374 | $185.50 | $371.00 | $46.38 – $413.40 |
| IV push injection, each additional drug CPT 96375 | $185.50 | $371.00 | $19.42 – $359.87 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $1.17 – $1.80 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $5.55 – $8.52 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | ? – $1.55 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.78 – $4.27 |
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.