JFK University Medical Center
65 James Street, Edison, NJ 08818 · Acute care hospital · Emergency room
These are JFK 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 | $933.46 | $5,390.00 | $867.79 – $4,581.50 |
| Emergency room visit, level 1 (minor) CPT 99281 | $97.54 | $671.00 | $108.03 – $570.35 |
| Emergency room visit, level 2 CPT 99282 | $175.43 | $1,348.00 | $217.03 – $1,145.80 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $306.74 | $2,090.00 | $336.49 – $1,776.50 |
| Emergency room visit, level 4 CPT 99284 | $471.73 | $3,036.00 | $488.80 – $2,580.60 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $679.20 | $4,125.00 | $664.13 – $3,506.25 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $220.12 | $825.00 | $132.83 – $763.95 |
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 | $70.84 – $416.24 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $1,870.00 | $301.07 – $1,800.06 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $2,057.00 | $331.18 – $1,980.07 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $770.00 | $123.97 – $728.42 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $550.00 | $88.55 – $520.30 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $825.00 | $132.83 – $780.45 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $330.00 | $53.13 – $312.18 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $385.00 | $61.99 – $364.21 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $523.00 | $84.20 – $494.76 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $633.00 | $101.91 – $598.82 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $275.00 | $44.28 – $260.15 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $173.00 | $27.85 – $163.66 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $132.00 | $21.25 – $124.87 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $65.52 | $264.00 | $42.50 – $245.34 |
| Abdominal X-ray, 1 view CPT 74018 | $97.54 | $437.00 | $70.36 – $406.10 |
| Ankle X-ray, 3 or more views CPT 73610 | $97.54 | $508.00 | $81.79 – $472.08 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $117.81 | $1,183.00 | $190.46 – $1,099.36 |
| Breast ultrasound, one breast, complete CPT 76641 | $117.81 | $117.81 – $123.70 | |
| Breast ultrasound, one breast, limited CPT 76642 | $97.54 | $97.54 – $102.42 | |
| Chest X-ray, 1 view CPT 71045 | $97.54 | $459.00 | $73.90 – $426.55 |
| Chest X-ray, 2 views CPT 71046 | $97.54 | $497.00 | $80.02 – $461.86 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $197.21 | $3,575.00 | $575.58 – $3,322.25 |
| CT angiogram of the head CPT 70496 | $197.21 | $3,443.00 | $554.32 – $3,199.58 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $395.64 | $5,353.00 | $861.83 – $4,974.54 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $395.64 | $4,950.00 | $796.95 – $4,600.04 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $267.78 | $3,190.00 | $513.59 – $2,964.47 |
| CT scan of the abdomen, without contrast CPT 74150 | $117.81 | $2,200.00 | $354.20 – $2,044.46 |
| CT scan of the chest, with contrast CPT 71260 | $197.21 | $3,185.00 | $512.79 – $2,959.82 |
| CT scan of the chest, without contrast CPT 71250 | $117.81 | $2,317.00 | $373.04 – $2,153.19 |
| CT scan of the head, without contrast CPT 70450 | $117.81 | $2,158.00 | $347.44 – $2,005.43 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $117.81 | $2,860.00 | $460.46 – $2,657.80 |
| CT scan of the pelvis, with contrast CPT 72193 | $197.21 | $2,640.00 | $425.04 – $2,453.35 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $117.81 | $2,303.00 | $370.78 – $2,140.18 |
| Diagnostic mammogram, both breasts CPT 77066 | $207.95 | $1,100.00 | $177.10 – $1,022.23 |
| Diagnostic mammogram, one breast CPT 77065 | $164.52 | $843.00 | $135.72 – $783.40 |
| Foot X-ray, 3 or more views CPT 73630 | $97.54 | $561.00 | $90.32 – $521.34 |
| Hand X-ray, 3 or more views CPT 73130 | $97.54 | $605.00 | $97.41 – $562.23 |
| Knee X-ray, 3 views CPT 73562 | $97.54 | $689.00 | $110.93 – $640.29 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $267.78 | $2,682.00 | $431.80 – $2,581.69 |
| Leg or arm vein ultrasound, one side CPT 93971 | $117.81 | $1,708.00 | $274.99 – $1,644.12 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $117.81 | $480.00 | $77.28 – $446.06 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $5,534.00 | $890.97 – $5,142.75 |
| MRI of the abdomen, without and with contrast CPT 74183 | $395.64 | $5,438.00 | $875.52 – $5,053.53 |
| MRI of the brain, without and with contrast CPT 70553 | $395.64 | $6,125.00 | $986.13 – $5,691.96 |
| MRI of the brain, without contrast CPT 70551 | $267.78 | $3,972.00 | $639.49 – $3,691.18 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $267.78 | $3,962.00 | $637.88 – $3,681.89 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $267.78 | $3,887.00 | $625.81 – $3,612.19 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $267.78 | $4,016.00 | $646.58 – $3,732.07 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $267.78 | $3,703.00 | $596.18 – $3,441.20 |
| MRI of the pelvis, without and with contrast CPT 72197 | $395.64 | $5,473.00 | $881.15 – $5,086.06 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $267.78 | $4,125.00 | $664.13 – $3,833.36 |
| Neck X-ray, 2 or 3 views CPT 72040 | $97.54 | $768.00 | $123.65 – $713.70 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $117.81 | $1,221.00 | $196.58 – $1,134.68 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $117.81 | $825.00 | $132.83 – $766.67 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $117.81 | $1,180.00 | $189.98 – $1,096.57 |
| Screening mammogram, both breasts CPT 77067 | $169.06 | $838.00 | $134.92 – $778.75 |
| Shoulder X-ray, 2 or more views CPT 73030 | $97.54 | $864.00 | $139.10 – $802.92 |
| Transvaginal pregnancy ultrasound CPT 76817 | $117.81 | $977.00 | $157.30 – $907.93 |
| Transvaginal ultrasound CPT 76830 | $117.81 | $1,228.00 | $197.71 – $1,141.18 |
| Ultrasound of the abdomen, complete CPT 76700 | $117.81 | $1,111.00 | $178.87 – $1,032.45 |
| Ultrasound of the neck or thyroid CPT 76536 | $117.81 | $1,221.00 | $196.58 – $1,134.68 |
| Wrist X-ray, 3 or more views CPT 73110 | $97.54 | $523.00 | $84.20 – $486.02 |
| X-ray of the lower back, 4 or more views CPT 72110 | $117.81 | $935.00 | $150.54 – $868.90 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.46 | $187.00 | $30.11 – $176.90 |
| Blood culture CPT 87040 | $10.32 | $229.00 | $36.87 – $216.63 |
| Blood draw (venipuncture) CPT 36415 | $9.09 | $705.00 | $113.51 – $666.93 |
| BNP test (heart failure) CPT 83880 | $39.26 | $288.00 | $46.37 – $272.45 |
| C-reactive protein (CRP) test CPT 86140 | $5.18 | $108.00 | $17.39 – $102.17 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.09 | $298.00 | $47.98 – $281.91 |
| Complete blood count (CBC) with differential CPT 85025 | $7.77 | $165.00 | $26.57 – $156.09 |
| Complete blood count (CBC), automated CPT 85027 | $6.47 | $106.00 | $17.07 – $100.28 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $318.00 | $51.20 – $300.83 |
| COVID-19 PCR test CPT 87635 | $51.31 | $314.00 | $50.55 – $297.04 |
| D-dimer test (blood clots) CPT 85379 | $10.18 | $144.00 | $23.18 – $136.22 |
| Drug screen, instrument chemistry CPT 80307 | $62.14 | $248.00 | $39.93 – $234.61 |
| Ferritin (iron stores) test CPT 82728 | $13.63 | $210.00 | $33.81 – $198.66 |
| Free T4 (thyroid) test CPT 84439 | $9.02 | $162.00 | $26.08 – $153.25 |
| General health panel (blood tests) CPT 80050 | not posted | $1,232.00 | $198.35 – $1,185.92 |
| Glucose (blood sugar) test CPT 82947 | $3.93 | $48.00 | $7.73 – $45.41 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.09 | $286.00 | $46.05 – $270.56 |
| Hemoglobin A1c test CPT 83036 | $9.71 | $55.00 | $8.86 – $52.03 |
| Hepatitis C antibody test CPT 86803 | $14.27 | $226.00 | $36.39 – $213.80 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.08 | $245.00 | $39.45 – $231.77 |
| Iron test CPT 83540 | $6.47 | $105.00 | $16.91 – $99.33 |
| Kidney function panel CPT 80069 | $8.68 | $197.00 | $31.72 – $186.36 |
| Lipase test (pancreas) CPT 83690 | $6.89 | $132.00 | $21.25 – $124.87 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.39 | $260.00 | $41.86 – $245.96 |
| Liver function panel CPT 80076 | $8.17 | $167.00 | $26.89 – $157.98 |
| Magnesium test CPT 83735 | $6.70 | $138.00 | $22.22 – $130.55 |
| Obstetric blood test panel CPT 80055 | $47.81 | $326.00 | $52.49 – $308.40 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.01 | $132.00 | $21.25 – $124.87 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.05 | $220.00 | $35.42 – $208.12 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.29 | $97.00 | $15.62 – $91.76 |
| PSA (prostate specific antigen), free CPT 84154 | $18.39 | $171.00 | $27.53 – $161.77 |
| PSA (prostate specific antigen), total CPT 84153 | $18.39 | $328.00 | $52.81 – $310.29 |
| Rapid strep test CPT 87880 | $16.53 | $83.00 | $13.36 – $78.52 |
| Sed rate (ESR) test CPT 85652 | $2.70 | $81.00 | $13.04 – $76.63 |
| TB skin test CPT 86580 | $27.13 | $66.72 | $10.74 – $62.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.80 | $286.00 | $46.05 – $270.56 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $59.19 | $1,519.00 | $244.56 – $1,462.19 |
| Troponin test (heart damage) CPT 84484 | $12.47 | $173.00 | $27.85 – $163.66 |
| Urinalysis, automated, with microscope CPT 81001 | $3.17 | $107.00 | $17.23 – $101.22 |
| Urinalysis, automated, without microscope CPT 81003 | $2.25 | $80.00 | $12.88 – $75.68 |
| Urinalysis, manual, with microscope CPT 81000 | $4.02 | $4.02 – $4.22 | |
| Urinalysis, manual, without microscope CPT 81002 | $3.48 | $45.00 | $7.25 – $42.57 |
| Urine culture, colony count CPT 87086 | $8.07 | $165.00 | $26.57 – $156.09 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $22.22 – $130.55 |
| Vitamin B12 test CPT 82607 | $15.08 | $160.00 | $25.76 – $151.36 |
| Vitamin D test CPT 82306 | $29.60 | $468.00 | $75.35 – $442.73 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $267.78 | $2,090.00 | $336.49 – $2,011.83 |
| ECG tracing only (no interpretation) CPT 93005 | $65.80 | $340.00 | $54.74 – $327.28 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $607.42 | $4,021.00 | $647.38 – $3,870.61 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $25.03 – $25.03 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $128.84 – $490.00 | |
| Left heart catheterization CPT 93452 | $3,563.20 | $15,597.00 | $2,511.12 – $13,257.45 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,563.20 | $19,736.00 | $3,177.50 – $16,775.60 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,446.24 | $7,275.00 | $1,171.28 – $6,760.66 |
| Treadmill stress test, complete CPT 93015 | not posted | $201.00 | $32.36 – $193.48 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $7,913.97 | $13,289.00 | $2,139.53 – $11,904.00 |
| Appendix removal, laparoscopic CPT 44970 | $6,463.42 | $13,534.00 | $2,178.97 – $11,904.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,794.93 | $1,794.93 – $1,884.68 | |
| Carpal tunnel release CPT 64721 | $2,163.32 | $5,940.00 | $956.34 – $5,619.24 |
| Colonoscopy with biopsy CPT 45380 | $1,306.21 | $4,294.00 | $691.33 – $4,062.12 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,306.21 | $4,235.00 | $681.84 – $4,006.31 |
| Colonoscopy, diagnostic CPT 45378 | $1,010.01 | $4,235.00 | $681.84 – $4,006.31 |
| Colposcopy with biopsy CPT 57454 | $336.99 | $703.00 | $113.18 – $665.04 |
| Cystoscopy (bladder scope) CPT 52000 | $739.44 | $4,074.00 | $655.91 – $3,854.00 |
| Ear tubes, under general anesthesia CPT 69436 | $1,640.99 | $1,640.99 – $1,723.04 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,010.01 | $2,750.00 | $442.75 – $2,601.50 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,463.42 | $10,973.00 | $1,766.65 – $9,929.47 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,266.00 | $847.83 – $4,981.64 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $11,533.76 | $15,125.00 | $2,435.13 – $12,856.25 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,522.35 | $6,480.00 | $1,043.28 – $6,130.08 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,463.42 | $6,463.42 – $6,786.59 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $3,909.56 | $3,909.56 – $4,105.04 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,820.84 | $12,375.00 | $1,992.38 – $11,137.50 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,594.44 | $3,594.44 – $3,774.17 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,306.21 | $4,490.00 | $722.89 – $4,247.54 |
| Nasal endoscopy, diagnostic CPT 31231 | $215.07 | $430.00 | $69.23 – $406.78 |
| Prostate biopsy CPT 55700 | $2,269.38 | $5,957.00 | $959.08 – $5,635.32 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $11,533.76 | $17,204.00 | $2,769.84 – $14,623.40 |
| Removal of a breast lump, open surgery CPT 19120 | $4,242.15 | $4,242.15 – $4,454.26 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $7,913.97 | $9,870.00 | $1,589.07 – $9,337.02 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,010.01 | $3,575.00 | $575.58 – $3,381.95 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,010.01 | $4,455.00 | $717.26 – $4,214.43 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,592.74 | $5,580.00 | $898.38 – $5,278.68 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $359.29 – $599.42 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $4,384.00 | $705.82 – $4,147.26 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $6,553.49 | $10,303.00 | $1,658.78 – $9,746.64 |
| Total hip replacement CPT 27130 | $14,254.12 | $14,254.12 – $14,966.83 | |
| Total knee replacement CPT 27447 | $14,254.12 | $14,254.12 – $14,966.83 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,038.65 | $4,106.00 | $661.07 – $3,884.28 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,038.65 | $4,476.00 | $720.64 – $4,234.30 |
| Vasectomy CPT 55250 | $2,269.38 | $5,202.00 | $837.52 – $4,921.09 |
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 | $1,196.00 – $5,735.60 | |
| Fetal non-stress test CPT 59025 | $222.86 | $1,571.00 | $252.93 – $1,512.24 |
| IUD insertion CPT 58300 | not posted | $581.00 | $93.54 – $549.63 |
| 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 | $939.27 – $5,402.28 |
Hospital stays
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $327.02 | $327.02 – $343.37 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | $986.28 | $986.28 – $1,035.60 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $767.19 | $3,190.00 | $513.59 – $3,017.74 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $986.28 | $4,896.00 | $788.26 – $4,631.62 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,526.64 | $6,688.00 | $1,076.77 – $6,326.85 |
| Eye exam, new patient, comprehensive CPT 92004 | $142.76 | $142.76 – $149.90 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $607.75 | $2,869.00 | $461.91 – $2,714.07 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $173.33 | $540.00 | $86.94 – $519.80 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $173.33 | $1,357.00 | $218.48 – $1,306.25 |
| Sleep study with CPAP titration CPT 95811 | $1,127.09 | $9,371.00 | $1,508.73 – $9,020.52 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,127.09 | $8,318.00 | $1,339.20 – $8,006.91 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $173.33 | $1,375.00 | $221.38 – $1,323.58 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $35.04 | $222.00 | $35.74 – $213.70 |
| Physical therapy evaluation, low complexity CPT 97161 | $126.19 | $435.00 | $70.04 – $418.73 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $126.19 | $561.00 | $90.32 – $540.02 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $37.06 | $255.00 | $41.06 – $245.46 |
| Therapeutic activities, 15 minutes CPT 97530 | $44.62 | $261.00 | $42.02 – $251.24 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $177.99 | $497.00 | $80.02 – $478.41 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $177.99 | $385.00 | $61.99 – $370.60 |
| Group psychotherapy CPT 90853 | $102.47 | $440.00 | $70.84 – $423.54 |
| Psychiatric diagnostic evaluation CPT 90791 | $177.99 | $824.00 | $132.66 – $793.18 |
| Psychotherapy, 30 minutes CPT 90832 | $177.99 | $358.00 | $57.64 – $344.61 |
| Psychotherapy, 45 minutes CPT 90834 | $177.99 | $457.00 | $73.58 – $439.91 |
| Psychotherapy, 60 minutes CPT 90837 | $177.99 | $556.00 | $89.52 – $535.21 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $78.84 | $1,987.00 | $319.91 – $1,912.69 |
| IV hydration, each additional hour CPT 96361 | $51.11 | $523.00 | $84.20 – $503.44 |
| IV hydration, first hour CPT 96360 | $233.41 | $1,430.00 | $230.23 – $1,376.52 |
| IV push injection of a drug, first CPT 96374 | $233.41 | $715.00 | $115.12 – $688.26 |
| IV push injection, each additional drug CPT 96375 | $51.11 | $461.00 | $74.22 – $443.76 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $1.82 | ? – $1.69 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $4.06 | ? – $3.77 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $8.47 | $1.36 – $7.87 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $2.04 | ? – $1.90 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $1.59 | ? – $1.48 |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $37.90 | $6.10 – $35.22 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $16.00 | $2.58 – $14.87 |
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.