Jersey Shore University Medical Center
1945 Rte 33, Neptune, NJ 07754 · Acute care hospital · Emergency room
These are Jersey Shore 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.
232 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 | $932.65 | $5,390.00 | $894.74 – $4,894.12 |
| Emergency room visit, level 1 (minor) CPT 99281 | $97.46 | $671.00 | $111.39 – $609.27 |
| Emergency room visit, level 2 CPT 99282 | $175.28 | $1,348.00 | $223.77 – $1,223.98 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $306.48 | $2,090.00 | $346.94 – $1,897.72 |
| Emergency room visit, level 4 CPT 99284 | $471.32 | $3,036.00 | $503.98 – $2,756.69 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $678.62 | $4,125.00 | $684.75 – $3,745.50 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $219.93 | $825.00 | $148.50 – $749.10 |
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 – $440.00 |
| 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 | $341.46 – $2,057.00 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $770.00 | $138.60 – $770.00 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $550.00 | $91.30 – $550.00 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $825.00 | $136.95 – $825.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $330.00 | $59.40 – $330.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $385.00 | $69.30 – $385.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $523.00 | $94.14 – $523.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $633.00 | $113.94 – $633.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $275.00 | $49.50 – $275.00 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $173.00 | $28.72 – $173.00 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $132.00 | $21.91 – $132.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $65.52 | $264.00 | $43.82 – $264.00 |
| Abdominal X-ray, 1 view CPT 74018 | $97.46 | $437.00 | $72.54 – $437.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $97.46 | $508.00 | $84.33 – $508.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $117.70 | $1,183.00 | $196.38 – $1,183.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $117.70 | $117.70 – $141.24 | |
| Breast ultrasound, one breast, limited CPT 76642 | $97.46 | $97.46 – $116.95 | |
| Chest X-ray, 1 view CPT 71045 | $97.46 | $459.00 | $76.19 – $459.00 |
| Chest X-ray, 2 views CPT 71046 | $97.46 | $497.00 | $82.50 – $497.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $197.04 | $3,575.00 | $530.28 – $3,676.00 |
| CT angiogram of the head CPT 70496 | $197.04 | $3,443.00 | $520.01 – $3,676.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $395.29 | $4,076.00 | $572.50 – $2,218.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $395.29 | $4,950.00 | $642.48 – $2,218.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $267.55 | $3,190.00 | $315.17 – $2,218.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $117.70 | $2,200.00 | $251.91 – $2,218.00 |
| CT scan of the chest, with contrast CPT 71260 | $197.04 | $3,185.00 | $314.45 – $2,218.00 |
| CT scan of the chest, without contrast CPT 71250 | $117.70 | $2,317.00 | $249.64 – $2,218.00 |
| CT scan of the head, without contrast CPT 70450 | $117.70 | $2,158.00 | $199.03 – $2,159.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $117.70 | $2,860.00 | $244.36 – $2,159.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $197.04 | $2,640.00 | $432.90 – $2,218.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $117.70 | $2,303.00 | $241.20 – $2,159.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $207.95 | $1,100.00 | $182.60 – $1,100.00 |
| Diagnostic mammogram, one breast CPT 77065 | $164.52 | $843.00 | $139.94 – $843.00 |
| Foot X-ray, 3 or more views CPT 73630 | $97.46 | $561.00 | $93.13 – $561.00 |
| Hand X-ray, 3 or more views CPT 73130 | $97.46 | $605.00 | $100.43 – $605.00 |
| Knee X-ray, 3 views CPT 73562 | $97.46 | $689.00 | $114.37 – $689.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $267.55 | $2,682.00 | $445.21 – $2,682.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $117.70 | $1,708.00 | $283.53 – $1,708.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $117.70 | $480.00 | $79.68 – $480.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $5,534.00 | $646.98 – $4,332.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $395.29 | $5,438.00 | $638.67 – $5,610.00 |
| MRI of the brain, without and with contrast CPT 70553 | $395.29 | $5,631.00 | $600.50 – $5,610.00 |
| MRI of the brain, without contrast CPT 70551 | $267.55 | $3,972.00 | $369.70 – $4,332.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $267.55 | $3,962.00 | $382.59 – $4,332.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $267.55 | $3,887.00 | $360.39 – $4,332.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $267.55 | $4,016.00 | $358.53 – $4,332.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $267.55 | $3,703.00 | $359.15 – $4,332.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $395.29 | $5,473.00 | $636.19 – $4,332.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $267.55 | $4,125.00 | $383.21 – $4,332.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $97.46 | $768.00 | $127.49 – $768.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $117.70 | $1,221.00 | $202.69 – $1,221.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $117.70 | $825.00 | $136.95 – $825.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $117.70 | $1,180.00 | $195.88 – $1,180.00 |
| Screening mammogram, both breasts CPT 77067 | $169.06 | $838.00 | $139.11 – $838.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $97.46 | $864.00 | $143.42 – $864.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $117.70 | $977.00 | $162.18 – $977.00 |
| Transvaginal ultrasound CPT 76830 | $117.70 | $1,228.00 | $203.85 – $1,228.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $117.70 | $1,111.00 | $184.43 – $1,111.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $117.70 | $1,221.00 | $202.69 – $1,221.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $97.46 | $523.00 | $86.82 – $523.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $117.70 | $935.00 | $155.21 – $935.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.46 | $187.00 | $31.04 – $187.00 |
| Blood culture CPT 87040 | $10.32 | $229.00 | $38.01 – $229.00 |
| Blood draw (venipuncture) CPT 36415 | $9.09 | $44.00 | $7.30 – $44.00 |
| BNP test (heart failure) CPT 83880 | $39.26 | $288.00 | $47.81 – $288.00 |
| C-reactive protein (CRP) test CPT 86140 | $5.18 | $108.00 | $17.93 – $108.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.09 | $298.00 | $49.47 – $298.00 |
| Complete blood count (CBC) with differential CPT 85025 | $7.77 | $165.00 | $27.39 – $165.00 |
| Complete blood count (CBC), automated CPT 85027 | $6.47 | $106.00 | $17.60 – $106.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $318.00 | $52.79 – $318.00 |
| COVID-19 PCR test CPT 87635 | $51.31 | $314.00 | $52.12 – $314.00 |
| D-dimer test (blood clots) CPT 85379 | $10.18 | $144.00 | $23.90 – $144.00 |
| Drug screen, instrument chemistry CPT 80307 | $62.14 | $248.00 | $41.17 – $248.00 |
| Ferritin (iron stores) test CPT 82728 | $13.63 | $210.00 | $34.86 – $210.00 |
| Free T4 (thyroid) test CPT 84439 | $9.02 | $162.00 | $26.89 – $162.00 |
| General health panel (blood tests) CPT 80050 | not posted | $1,232.00 | $204.51 – $1,232.00 |
| Glucose (blood sugar) test CPT 82947 | $3.93 | $48.00 | $7.97 – $48.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.09 | $286.00 | $47.48 – $286.00 |
| Hemoglobin A1c test CPT 83036 | $9.71 | $55.00 | $9.13 – $55.00 |
| Hepatitis C antibody test CPT 86803 | $14.27 | $226.00 | $37.52 – $226.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.08 | $245.00 | $40.67 – $245.00 |
| Iron test CPT 83540 | $6.47 | $105.00 | $17.43 – $105.00 |
| Kidney function panel CPT 80069 | $8.68 | $197.00 | $32.70 – $197.00 |
| Lipase test (pancreas) CPT 83690 | $6.89 | $132.00 | $21.91 – $132.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.39 | $260.00 | $43.16 – $260.00 |
| Liver function panel CPT 80076 | $8.17 | $167.00 | $27.72 – $167.00 |
| Magnesium test CPT 83735 | $6.70 | $138.00 | $22.91 – $138.00 |
| Obstetric blood test panel CPT 80055 | $47.81 | $326.00 | $54.12 – $326.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.01 | $132.00 | $21.91 – $132.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.05 | $220.00 | $36.52 – $220.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.29 | $97.00 | $16.10 – $97.00 |
| PSA (prostate specific antigen), free CPT 84154 | $18.39 | $171.00 | $28.39 – $171.00 |
| PSA (prostate specific antigen), total CPT 84153 | $18.39 | $328.00 | $54.45 – $328.00 |
| Rapid strep test CPT 87880 | $16.53 | $83.00 | $13.78 – $83.00 |
| Sed rate (ESR) test CPT 85652 | $2.70 | $81.00 | $13.45 – $81.00 |
| TB skin test CPT 86580 | $27.11 | $66.72 | $12.01 – $66.72 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.80 | $266.00 | $44.16 – $266.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $59.14 | $1,519.00 | $252.15 – $1,519.00 |
| Troponin test (heart damage) CPT 84484 | $12.47 | $173.00 | $28.72 – $173.00 |
| Urinalysis, automated, with microscope CPT 81001 | $3.17 | $107.00 | $17.76 – $107.00 |
| Urinalysis, automated, without microscope CPT 81003 | $2.25 | $80.00 | $13.28 – $80.00 |
| Urinalysis, manual, with microscope CPT 81000 | $4.02 | $3.22 – $4.82 | |
| Urinalysis, manual, without microscope CPT 81002 | $3.48 | $45.00 | $7.47 – $45.00 |
| Urine culture, colony count CPT 87086 | $8.07 | $165.00 | $27.39 – $165.00 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $22.91 – $138.00 |
| Vitamin B12 test CPT 82607 | $15.08 | $160.00 | $26.56 – $160.00 |
| Vitamin D test CPT 82306 | $29.60 | $468.00 | $77.69 – $468.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $267.55 | $2,090.00 | $346.94 – $2,090.00 |
| ECG tracing only (no interpretation) CPT 93005 | $65.75 | $340.00 | $56.44 – $340.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $606.89 | $4,021.00 | $667.49 – $4,021.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $24.05 – $49.09 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $122.50 – $306.08 | |
| Left heart catheterization CPT 93452 | $3,560.12 | $15,597.00 | $2,589.10 – $14,162.08 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,560.12 | $19,736.00 | $3,276.18 – $17,920.29 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,444.98 | $6,381.00 | $1,059.25 – $6,381.00 |
| Treadmill stress test, complete CPT 93015 | not posted | $201.00 | $33.37 – $201.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $7,907.11 | $13,289.00 | $2,205.97 – $13,148.14 |
| Appendix removal, laparoscopic CPT 44970 | $6,457.82 | $13,534.00 | $2,246.64 – $13,390.54 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,793.38 | $1,793.38 – $2,152.05 | |
| Carpal tunnel release CPT 64721 | $2,161.44 | $5,940.00 | $986.04 – $5,940.00 |
| Colonoscopy with biopsy CPT 45380 | $1,305.08 | $4,294.00 | $712.80 – $4,294.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,305.08 | $4,235.00 | $703.01 – $4,235.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,009.14 | $4,235.00 | $703.01 – $4,235.00 |
| Colposcopy with biopsy CPT 57454 | $336.70 | $703.00 | $126.54 – $703.00 |
| Cystoscopy (bladder scope) CPT 52000 | $738.80 | $4,074.00 | $676.28 – $4,074.00 |
| Ear tubes, under general anesthesia CPT 69436 | $1,639.57 | $1,639.57 – $1,967.48 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,009.14 | $2,750.00 | $495.00 – $2,750.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,457.82 | $10,973.00 | $1,821.52 – $10,973.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,266.00 | $874.16 – $5,266.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $11,523.76 | $15,125.00 | $2,510.75 – $14,964.68 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,519.29 | $6,480.00 | $1,075.68 – $6,480.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,457.82 | $6,457.82 – $7,749.38 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $3,906.18 | $3,906.18 – $4,687.41 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,817.53 | $12,375.00 | $2,054.25 – $12,375.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,591.33 | $3,591.33 – $4,309.59 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,305.08 | $4,490.00 | $745.34 – $4,490.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $214.89 | $430.00 | $71.38 – $430.00 |
| Prostate biopsy CPT 55700 | $2,267.41 | $5,957.00 | $988.86 – $5,957.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $11,523.76 | $17,204.00 | $2,855.86 – $15,621.23 |
| Removal of a breast lump, open surgery CPT 19120 | $4,238.48 | $4,238.48 – $5,086.17 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $7,907.11 | $9,870.00 | $1,638.42 – $9,870.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,009.14 | $3,575.00 | $593.45 – $3,575.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,009.14 | $4,455.00 | $739.53 – $4,455.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,589.62 | $5,580.00 | $926.28 – $5,580.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $349.95 – $349.95 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $4,384.00 | $727.74 – $4,337.53 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $6,547.81 | $10,303.00 | $1,710.30 – $10,303.00 |
| Total hip replacement CPT 27130 | $14,241.77 | $14,241.77 – $17,090.12 | |
| Total knee replacement CPT 27447 | $14,241.77 | $14,241.77 – $17,090.12 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,037.75 | $4,106.00 | $681.60 – $4,106.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,037.75 | $4,476.00 | $743.02 – $4,476.00 |
| Vasectomy CPT 55250 | $2,267.41 | $5,202.00 | $863.53 – $5,202.00 |
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 | $5,589.58 – $5,589.58 | |
| Fetal non-stress test CPT 59025 | $222.67 | $1,571.00 | $260.79 – $1,571.00 |
| IUD insertion CPT 58300 | not posted | $581.00 | $96.45 – $581.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $5,269.74 – $5,269.74 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $5,834.00 | $968.44 – $5,297.27 |
Hospital stays
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $326.73 | $326.73 – $392.08 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | $985.43 | $985.43 – $1,182.51 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $766.52 | $3,190.00 | $529.54 – $3,190.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $985.43 | $4,896.00 | $812.74 – $4,896.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,524.45 | $6,688.00 | $1,110.21 – $6,688.00 |
| Eye exam, new patient, comprehensive CPT 92004 | $142.64 | $142.64 – $171.17 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $607.22 | $2,869.00 | $476.25 – $2,838.59 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $173.18 | $540.00 | $89.64 – $540.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $173.18 | $1,357.00 | $225.26 – $1,357.00 |
| Sleep study with CPAP titration CPT 95811 | $1,126.11 | $9,371.00 | $1,555.59 – $9,371.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,126.11 | $8,318.00 | $1,380.79 – $8,318.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $173.18 | $1,375.00 | $228.25 – $1,375.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $35.04 | $222.00 | $36.85 – $222.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $126.19 | $435.00 | $80.00 – $561.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $126.19 | $561.00 | $80.00 – $561.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $37.06 | $255.00 | $42.33 – $255.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $44.62 | $261.00 | $43.33 – $261.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $177.84 | $497.00 | $82.50 – $497.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $177.84 | $385.00 | $63.91 – $385.00 |
| Group psychotherapy CPT 90853 | $102.38 | $440.00 | $73.04 – $440.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $177.84 | $824.00 | $136.78 – $824.00 |
| Psychotherapy, 30 minutes CPT 90832 | $177.84 | $358.00 | $59.43 – $358.00 |
| Psychotherapy, 45 minutes CPT 90834 | $177.84 | $457.00 | $75.86 – $457.00 |
| Psychotherapy, 60 minutes CPT 90837 | $177.84 | $556.00 | $92.30 – $556.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $78.78 | $1,987.00 | $329.84 – $1,987.00 |
| IV hydration, each additional hour CPT 96361 | $51.07 | $523.00 | $86.82 – $523.00 |
| IV hydration, first hour CPT 96360 | $233.20 | $1,430.00 | $237.38 – $1,430.00 |
| IV push injection of a drug, first CPT 96374 | $233.20 | $715.00 | $118.69 – $715.00 |
| IV push injection, each additional drug CPT 96375 | $51.07 | $461.00 | $76.53 – $461.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $22.82 | $4.11 – $22.82 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $4.06 | ? – $4.06 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $104.03 | $18.73 – $104.03 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $4.37 | ? – $4.37 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $1.09 | ? – $1.09 |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $28.27 | $5.09 – $28.27 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $16.00 | $2.88 – $16.00 |
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.