Hackensack University Medical Center
30 Prospect Ave, Hackensack, NJ 07601 · Acute care hospital · Emergency room
These are Hackensack University Medical Center'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.
233 of the services we track have a posted price here; 170 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 | $992.31 | $5,390.00 | $666.00 – $5,471.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $103.69 | $671.00 | $82.95 – $2,755.00 |
| Emergency room visit, level 2 CPT 99282 | $186.49 | $1,348.00 | $149.20 – $2,755.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $326.08 | $2,090.00 | $260.87 – $4,226.00 |
| Emergency room visit, level 4 CPT 99284 | $501.47 | $3,036.00 | $401.18 – $4,692.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $722.02 | $4,125.00 | $514.00 – $5,282.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $234.00 | $825.00 | $187.20 – $7,773.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | not posted | $440.00 | $79.20 – $429.09 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $1,870.00 | $336.60 – $1,870.00 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $2,057.00 | $370.26 – $2,057.00 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $770.00 | $138.60 – $750.90 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $550.00 | $99.00 – $536.36 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $825.00 | $148.50 – $804.54 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $330.00 | $59.40 – $321.82 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $385.00 | $69.30 – $375.45 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $523.00 | $94.14 – $510.03 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $633.00 | $113.94 – $617.30 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $275.00 | $49.50 – $268.18 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $173.00 | $31.14 – $168.71 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $132.00 | $23.76 – $128.73 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $65.52 | $264.00 | $47.52 – $257.45 |
| Abdominal X-ray, 1 view CPT 74018 | $103.69 | $437.00 | $78.66 – $426.16 |
| Ankle X-ray, 3 or more views CPT 73610 | $103.69 | $508.00 | $91.44 – $495.40 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $125.23 | $1,183.00 | $212.94 – $1,153.66 |
| Breast ultrasound, one breast, complete CPT 76641 | $125.23 | $100.19 – $131.49 | |
| Breast ultrasound, one breast, limited CPT 76642 | $103.69 | $82.95 – $108.88 | |
| Chest X-ray, 1 view CPT 71045 | $103.69 | $459.00 | $82.62 – $447.62 |
| Chest X-ray, 2 views CPT 71046 | $103.69 | $497.00 | $89.46 – $484.67 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $209.65 | $3,575.00 | $643.50 – $3,486.34 |
| CT angiogram of the head CPT 70496 | $209.65 | $3,443.00 | $619.74 – $3,357.61 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $420.58 | $4,076.00 | $733.68 – $3,974.92 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $420.58 | $4,950.00 | $891.00 – $4,827.24 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $284.66 | $3,190.00 | $574.20 – $3,110.89 |
| CT scan of the abdomen, without contrast CPT 74150 | $125.23 | $2,200.00 | $396.00 – $2,145.44 |
| CT scan of the chest, with contrast CPT 71260 | $209.65 | $3,185.00 | $573.30 – $3,106.01 |
| CT scan of the chest, without contrast CPT 71250 | $125.23 | $2,317.00 | $417.06 – $2,259.54 |
| CT scan of the head, without contrast CPT 70450 | $125.23 | $2,158.00 | $388.44 – $2,104.48 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $125.23 | $2,860.00 | $514.80 – $2,789.07 |
| CT scan of the pelvis, with contrast CPT 72193 | $209.65 | $2,640.00 | $475.20 – $2,574.53 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $125.23 | $2,303.00 | $414.54 – $2,245.89 |
| Diagnostic mammogram, both breasts CPT 77066 | $207.95 | $1,100.00 | $198.00 – $1,072.72 |
| Diagnostic mammogram, one breast CPT 77065 | $164.52 | $843.00 | $151.74 – $822.09 |
| Foot X-ray, 3 or more views CPT 73630 | $103.69 | $561.00 | $100.98 – $547.09 |
| Hand X-ray, 3 or more views CPT 73130 | $103.69 | $605.00 | $108.90 – $590.00 |
| Knee X-ray, 3 views CPT 73562 | $103.69 | $689.00 | $124.02 – $671.91 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $284.66 | $2,682.00 | $482.76 – $2,682.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $125.23 | $1,708.00 | $307.44 – $1,708.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $125.23 | $480.00 | $86.40 – $468.10 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $5,534.00 | $996.12 – $5,396.76 |
| MRI of the abdomen, without and with contrast CPT 74183 | $420.58 | $5,438.00 | $978.84 – $5,303.14 |
| MRI of the brain, without and with contrast CPT 70553 | $420.58 | $5,631.00 | $1,013.58 – $5,491.35 |
| MRI of the brain, without contrast CPT 70551 | $284.66 | $3,972.00 | $714.96 – $3,873.49 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $284.66 | $3,962.00 | $713.16 – $3,863.74 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $284.66 | $3,887.00 | $699.66 – $3,790.60 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $284.66 | $4,016.00 | $722.88 – $3,916.40 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $284.66 | $3,703.00 | $666.54 – $3,611.17 |
| MRI of the pelvis, without and with contrast CPT 72197 | $420.58 | $5,473.00 | $985.14 – $5,337.27 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $284.66 | $4,125.00 | $742.50 – $4,022.70 |
| Neck X-ray, 2 or 3 views CPT 72040 | $103.69 | $768.00 | $138.24 – $748.95 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $125.23 | $1,221.00 | $219.78 – $1,190.72 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $125.23 | $825.00 | $148.50 – $804.54 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $125.23 | $1,180.00 | $212.40 – $1,150.74 |
| Screening mammogram, both breasts CPT 77067 | $169.06 | $838.00 | $150.84 – $817.22 |
| Shoulder X-ray, 2 or more views CPT 73030 | $103.69 | $864.00 | $155.52 – $842.57 |
| Transvaginal pregnancy ultrasound CPT 76817 | $125.23 | $977.00 | $175.86 – $952.77 |
| Transvaginal ultrasound CPT 76830 | $125.23 | $1,228.00 | $221.04 – $1,197.55 |
| Ultrasound of the abdomen, complete CPT 76700 | $125.23 | $1,111.00 | $199.98 – $1,083.45 |
| Ultrasound of the neck or thyroid CPT 76536 | $125.23 | $1,221.00 | $219.78 – $1,190.72 |
| Wrist X-ray, 3 or more views CPT 73110 | $103.69 | $523.00 | $94.14 – $510.03 |
| X-ray of the lower back, 4 or more views CPT 72110 | $125.23 | $935.00 | $168.30 – $911.81 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.46 | $187.00 | $46.94 – $187.00 |
| Blood culture CPT 87040 | $10.32 | $229.00 | $57.48 – $229.00 |
| Blood draw (venipuncture) CPT 36415 | $9.09 | $705.00 | $176.96 – $705.00 |
| BNP test (heart failure) CPT 83880 | $39.26 | $288.00 | $72.29 – $288.00 |
| C-reactive protein (CRP) test CPT 86140 | $5.18 | $108.00 | $27.11 – $108.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.09 | $298.00 | $74.80 – $298.00 |
| Complete blood count (CBC) with differential CPT 85025 | $7.77 | $165.00 | $41.42 – $165.00 |
| Complete blood count (CBC), automated CPT 85027 | $6.47 | $106.00 | $26.61 – $106.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $318.00 | $79.82 – $318.00 |
| COVID-19 PCR test CPT 87635 | $51.31 | $314.00 | $78.81 – $314.00 |
| D-dimer test (blood clots) CPT 85379 | $10.18 | $144.00 | $36.14 – $144.00 |
| Drug screen, instrument chemistry CPT 80307 | $62.14 | $248.00 | $62.25 – $248.00 |
| Ferritin (iron stores) test CPT 82728 | $13.63 | $210.00 | $52.71 – $210.00 |
| Free T4 (thyroid) test CPT 84439 | $9.02 | $162.00 | $40.66 – $162.00 |
| General health panel (blood tests) CPT 80050 | not posted | $1,232.00 | $271.04 – $1,232.00 |
| Glucose (blood sugar) test CPT 82947 | $3.93 | $48.00 | $12.05 – $48.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.09 | $286.00 | $71.79 – $286.00 |
| Hemoglobin A1c test CPT 83036 | $9.71 | $55.00 | $13.81 – $55.00 |
| Hepatitis C antibody test CPT 86803 | $14.27 | $226.00 | $56.73 – $226.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.08 | $245.00 | $61.50 – $245.00 |
| Iron test CPT 83540 | $6.47 | $105.00 | $26.36 – $105.00 |
| Kidney function panel CPT 80069 | $8.68 | $197.00 | $49.45 – $197.00 |
| Lipase test (pancreas) CPT 83690 | $6.89 | $132.00 | $33.13 – $132.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.39 | $260.00 | $65.26 – $260.00 |
| Liver function panel CPT 80076 | $8.17 | $167.00 | $41.92 – $167.00 |
| Magnesium test CPT 83735 | $6.70 | $138.00 | $34.64 – $138.00 |
| Obstetric blood test panel CPT 80055 | $47.81 | $326.00 | $81.83 – $326.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.01 | $132.00 | $33.13 – $132.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.05 | $220.00 | $55.22 – $220.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.29 | $97.00 | $24.35 – $97.00 |
| PSA (prostate specific antigen), free CPT 84154 | $18.39 | $171.00 | $42.92 – $171.00 |
| PSA (prostate specific antigen), total CPT 84153 | $18.39 | $328.00 | $82.33 – $328.00 |
| Rapid strep test CPT 87880 | $16.53 | $83.00 | $20.83 – $83.00 |
| Sed rate (ESR) test CPT 85652 | $2.70 | $81.00 | $20.33 – $81.00 |
| TB skin test CPT 86580 | $28.84 | $66.72 | $12.01 – $60.05 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.80 | $286.00 | $71.79 – $286.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $62.92 | $1,519.00 | $381.27 – $1,519.00 |
| Troponin test (heart damage) CPT 84484 | $12.47 | $173.00 | $43.42 – $173.00 |
| Urinalysis, automated, with microscope CPT 81001 | $3.17 | $107.00 | $26.86 – $107.00 |
| Urinalysis, automated, without microscope CPT 81003 | $2.25 | $80.00 | $20.08 – $80.00 |
| Urinalysis, manual, with microscope CPT 81000 | $4.02 | $3.22 – $4.22 | |
| Urinalysis, manual, without microscope CPT 81002 | $3.48 | $45.00 | $11.30 – $45.00 |
| Urine culture, colony count CPT 87086 | $8.07 | $165.00 | $41.42 – $165.00 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $34.64 – $138.00 |
| Vitamin B12 test CPT 82607 | $15.08 | $160.00 | $40.16 – $160.00 |
| Vitamin D test CPT 82306 | $29.60 | $468.00 | $117.47 – $468.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $284.66 | $2,090.00 | $376.20 – $2,090.00 |
| ECG tracing only (no interpretation) CPT 93005 | $69.95 | $340.00 | $61.20 – $340.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $645.71 | $4,021.00 | $723.78 – $4,021.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $25.03 – $193.51 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $128.84 – $1,063.94 | |
| Left heart catheterization CPT 93452 | $3,787.84 | $15,597.00 | $2,807.46 – $15,210.19 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,787.84 | $19,736.00 | $3,552.48 – $18,964.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,537.41 | $6,381.00 | $1,148.58 – $6,222.75 |
| Treadmill stress test, complete CPT 93015 | not posted | $201.00 | $36.18 – $201.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $8,412.89 | $13,289.00 | $2,392.02 – $12,959.43 |
| Appendix removal, laparoscopic CPT 44970 | $6,870.89 | $13,534.00 | $2,436.12 – $13,198.36 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,908.09 | $1,526.47 – $2,003.50 | |
| Carpal tunnel release CPT 64721 | $2,299.70 | $5,940.00 | $1,069.20 – $5,792.69 |
| Colonoscopy with biopsy CPT 45380 | $1,388.56 | $4,294.00 | $772.92 – $4,187.51 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,388.56 | $4,235.00 | $762.30 – $4,129.97 |
| Colonoscopy, diagnostic CPT 45378 | $1,073.68 | $4,235.00 | $762.30 – $4,129.97 |
| Colposcopy with biopsy CPT 57454 | $358.23 | $703.00 | $126.54 – $685.57 |
| Cystoscopy (bladder scope) CPT 52000 | $786.05 | $4,074.00 | $733.32 – $3,972.96 |
| Ear tubes, under general anesthesia CPT 69436 | $1,744.44 | $1,395.56 – $1,831.67 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,073.68 | $2,750.00 | $495.00 – $2,681.80 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,870.89 | $10,973.00 | $1,975.14 – $10,700.87 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,266.00 | $947.88 – $5,135.40 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $12,260.88 | $15,125.00 | $2,722.50 – $14,749.90 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,744.41 | $6,480.00 | $1,166.40 – $6,319.30 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,870.89 | $5,496.71 – $7,214.44 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,156.03 | $3,324.83 – $4,363.83 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,061.71 | $12,375.00 | $2,227.50 – $12,068.10 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,821.05 | $3,056.84 – $4,012.10 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,388.56 | $4,490.00 | $808.20 – $4,378.65 |
| Nasal endoscopy, diagnostic CPT 31231 | $228.63 | $430.00 | $77.40 – $419.34 |
| Prostate biopsy CPT 55700 | $2,412.45 | $5,957.00 | $1,072.26 – $5,809.27 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $12,260.88 | $17,204.00 | $3,096.72 – $16,777.34 |
| Removal of a breast lump, open surgery CPT 19120 | $4,509.59 | $3,607.67 – $4,735.07 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $8,412.89 | $9,870.00 | $1,776.60 – $9,625.22 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,073.68 | $3,575.00 | $643.50 – $3,486.34 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,073.68 | $4,455.00 | $801.90 – $4,344.52 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,819.23 | $5,580.00 | $1,004.40 – $5,441.62 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $359.29 – $359.29 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $4,384.00 | $789.12 – $4,275.28 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $6,966.64 | $10,303.00 | $1,854.54 – $10,047.49 |
| Total hip replacement CPT 27130 | $15,152.74 | $12,122.19 – $15,910.38 | |
| Total knee replacement CPT 27447 | $15,152.74 | $12,122.19 – $15,910.38 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,104.13 | $4,106.00 | $739.08 – $4,004.17 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,104.13 | $4,476.00 | $805.68 – $4,365.00 |
| Vasectomy CPT 55250 | $2,412.45 | $5,202.00 | $936.36 – $5,072.99 |
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 | $5,735.60 – $5,735.60 | |
| Fetal non-stress test CPT 59025 | $236.91 | $1,571.00 | $282.78 – $1,571.00 |
| IUD insertion CPT 58300 | not posted | $581.00 | $104.58 – $566.59 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $5,406.57 – $5,406.57 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $5,834.00 | $809.00 – $7,773.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $1,142.47 – $53,184.31 | |
| C-section, without complications MS-DRG 788 | not posted | $6,670.00 – $47,353.00 | |
| Chest pain MS-DRG 313 | not posted | $5,360.00 – $43,008.03 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,479.00 – $67,701.18 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,314.00 – $39,017.10 | |
| Fainting (syncope) MS-DRG 312 | not posted | $6,119.00 – $52,527.19 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,404.00 – $59,435.97 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $8,479.00 – $78,661.17 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,910.00 – $34,993.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $11,497.00 – $581,826.21 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $11,497.00 – $113,669.25 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,191.00 – $33,730.02 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,724.00 – $53,588.23 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $5,926.00 – $48,385.54 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $11,497.00 – $142,721.08 | |
| Normal newborn care MS-DRG 795 | not posted | $1,403.00 – $12,045.14 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $5,669.00 – $47,107.48 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,658.00 – $49,434.52 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $8,479.00 – $79,438.86 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,111.00 – $37,540.09 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,202.60 – $84,979.15 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $8,479.00 – $118,287.16 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $7,788.00 – $62,154.87 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $6,320.00 – $53,099.91 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $35,248.48 – $35,248.48 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $5,706.00 – $47,041.17 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,479.00 – $58,239.59 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $8,606.00 – $72,264.83 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,697.00 – $36,499.25 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,497.00 – $88,126.07 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $347.63 | $278.11 – $365.02 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,048.46 | $838.77 – $1,100.88 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $815.55 | $3,190.00 | $574.20 – $3,110.89 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,048.46 | $4,896.00 | $881.28 – $4,774.58 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,685.92 | $6,688.00 | $1,203.84 – $6,522.14 |
| Eye exam, new patient, comprehensive CPT 92004 | $151.77 | $121.41 – $159.35 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $646.06 | $2,869.00 | $516.42 – $2,797.85 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $184.26 | $540.00 | $97.20 – $540.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $184.26 | $1,357.00 | $244.26 – $1,357.00 |
| Sleep study with CPAP titration CPT 95811 | $1,198.14 | $9,371.00 | $1,686.78 – $9,371.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,198.14 | $8,318.00 | $1,497.24 – $8,318.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $184.26 | $1,375.00 | $247.50 – $1,375.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $35.04 | $222.00 | $39.96 – $222.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $126.19 | $435.00 | $78.30 – $435.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $126.19 | $561.00 | $100.98 – $561.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $37.06 | $255.00 | $45.90 – $255.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $44.62 | $261.00 | $46.98 – $261.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $189.21 | $497.00 | $89.46 – $497.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $189.21 | $385.00 | $69.30 – $385.00 |
| Group psychotherapy CPT 90853 | $108.93 | $440.00 | $79.20 – $440.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $189.21 | $824.00 | $148.32 – $824.00 |
| Psychotherapy, 30 minutes CPT 90832 | $189.21 | $358.00 | $64.44 – $358.00 |
| Psychotherapy, 45 minutes CPT 90834 | $189.21 | $457.00 | $82.26 – $457.00 |
| Psychotherapy, 60 minutes CPT 90837 | $189.21 | $556.00 | $100.08 – $556.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $83.81 | $1,987.00 | $357.66 – $1,987.00 |
| IV hydration, each additional hour CPT 96361 | $54.34 | $523.00 | $94.14 – $523.00 |
| IV hydration, first hour CPT 96360 | $248.12 | $1,430.00 | $257.40 – $1,430.00 |
| IV push injection of a drug, first CPT 96374 | $248.12 | $715.00 | $128.70 – $715.00 |
| IV push injection, each additional drug CPT 96375 | $54.34 | $461.00 | $82.98 – $461.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $1.39 | ? – $1.25 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $2.90 | ? – $2.61 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $104.03 | $18.73 – $93.63 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $3.85 | ? – $3.47 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $1.59 | ? – $1.43 |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $20.13 | $3.62 – $18.12 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $1.60 | ? – $1.44 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $40.00 | $7.20 – $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.