Riverview Medical Center
One Riverview Plaza, Red Bank, NJ 07701 · Acute care hospital · Emergency room
These are Riverview 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 | $759.99 – $4,743.20 |
| Emergency room visit, level 1 (minor) CPT 99281 | $97.46 | $649.00 | $91.51 – $571.12 |
| Emergency room visit, level 2 CPT 99282 | $175.28 | $1,348.00 | $190.07 – $1,186.24 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $306.48 | $2,090.00 | $294.69 – $1,839.20 |
| Emergency room visit, level 4 CPT 99284 | $471.32 | $3,025.00 | $426.53 – $2,662.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $678.62 | $4,125.00 | $581.63 – $3,630.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $219.93 | $825.00 | $148.50 – $726.00 |
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 – $430.98 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $1,870.00 | $336.60 – $1,831.67 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $2,057.00 | $290.04 – $2,014.83 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $770.00 | $138.60 – $754.22 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $550.00 | $77.55 – $538.73 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $825.00 | $116.33 – $808.09 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $314.00 | $56.52 – $307.56 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $374.00 | $67.32 – $366.33 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $495.00 | $89.10 – $484.85 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $605.00 | $108.90 – $592.60 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $275.00 | $49.50 – $269.36 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $173.00 | $24.39 – $169.45 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $132.00 | $18.61 – $129.29 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $65.52 | $222.00 | $31.30 – $199.80 |
| Abdominal X-ray, 1 view CPT 74018 | $97.46 | $473.00 | $66.69 – $416.24 |
| Ankle X-ray, 3 or more views CPT 73610 | $97.46 | $633.00 | $89.25 – $557.04 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $117.70 | $935.00 | $131.84 – $822.80 |
| 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 | $429.00 | $60.49 – $377.52 |
| Chest X-ray, 2 views CPT 71046 | $97.46 | $497.00 | $70.08 – $437.36 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $197.04 | $3,587.00 | $244.90 – $2,917.00 |
| CT angiogram of the head CPT 70496 | $197.04 | $3,443.00 | $259.00 – $2,917.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $395.29 | $4,650.00 | $572.50 – $2,917.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $395.29 | $6,430.00 | $642.48 – $2,917.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $267.55 | $3,740.00 | $315.17 – $2,159.44 |
| CT scan of the abdomen, without contrast CPT 74150 | $117.70 | $1,980.00 | $199.09 – $2,159.44 |
| CT scan of the chest, with contrast CPT 71260 | $197.04 | $3,354.00 | $239.26 – $2,917.00 |
| CT scan of the chest, without contrast CPT 71250 | $117.70 | $2,692.00 | $204.36 – $2,917.00 |
| CT scan of the head, without contrast CPT 70450 | $117.70 | $2,504.00 | $192.50 – $2,159.44 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $117.70 | $2,970.00 | $175.00 – $2,159.44 |
| CT scan of the pelvis, with contrast CPT 72193 | $197.04 | $3,245.00 | $229.73 – $2,917.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $117.70 | $2,420.00 | $192.50 – $2,159.44 |
| Diagnostic mammogram, both breasts CPT 77066 | $207.95 | $1,045.00 | $147.35 – $940.50 |
| Diagnostic mammogram, one breast CPT 77065 | $164.52 | $737.00 | $103.92 – $663.30 |
| Foot X-ray, 3 or more views CPT 73630 | $97.46 | $649.00 | $91.51 – $571.12 |
| Hand X-ray, 3 or more views CPT 73130 | $97.46 | $550.00 | $77.55 – $484.00 |
| Knee X-ray, 3 views CPT 73562 | $97.46 | $688.00 | $97.01 – $605.44 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $267.55 | $2,682.00 | $378.16 – $2,627.02 |
| Leg or arm vein ultrasound, one side CPT 93971 | $117.70 | $1,708.00 | $240.83 – $1,672.99 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $117.70 | $743.00 | $104.76 – $653.84 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $5,583.00 | $646.98 – $4,332.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $395.29 | $5,225.00 | $638.67 – $4,332.00 |
| MRI of the brain, without and with contrast CPT 70553 | $395.29 | $5,631.00 | $600.50 – $4,332.00 |
| MRI of the brain, without contrast CPT 70551 | $267.55 | $4,073.00 | $369.70 – $4,332.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $267.55 | $4,290.00 | $382.59 – $4,332.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $267.55 | $4,439.00 | $360.39 – $4,332.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $267.55 | $4,329.00 | $358.53 – $4,332.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $267.55 | $4,263.00 | $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 | $4,113.00 | $383.21 – $4,332.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $97.46 | $600.00 | $84.60 – $528.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $117.70 | $1,293.00 | $182.31 – $1,163.70 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $117.70 | $825.00 | $116.33 – $742.50 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $117.70 | $1,180.00 | $166.38 – $1,062.00 |
| Screening mammogram, both breasts CPT 77067 | $169.06 | $748.00 | $105.47 – $673.20 |
| Shoulder X-ray, 2 or more views CPT 73030 | $97.46 | $688.00 | $97.01 – $605.44 |
| Transvaginal pregnancy ultrasound CPT 76817 | $117.70 | $990.00 | $139.59 – $891.00 |
| Transvaginal ultrasound CPT 76830 | $117.70 | $1,255.00 | $176.96 – $1,129.50 |
| Ultrasound of the abdomen, complete CPT 76700 | $117.70 | $1,362.00 | $192.04 – $1,225.80 |
| Ultrasound of the neck or thyroid CPT 76536 | $117.70 | $1,210.00 | $170.61 – $1,089.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $97.46 | $600.00 | $84.60 – $528.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $117.70 | $1,019.00 | $143.68 – $896.72 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.46 | $187.00 | $26.37 – $183.17 |
| Blood culture CPT 87040 | $10.32 | $229.00 | $32.29 – $224.31 |
| Blood draw (venipuncture) CPT 36415 | $9.09 | $705.00 | $99.41 – $690.55 |
| BNP test (heart failure) CPT 83880 | $39.26 | $288.00 | $40.61 – $282.10 |
| C-reactive protein (CRP) test CPT 86140 | $5.18 | $108.00 | $15.23 – $105.79 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.09 | $298.00 | $42.02 – $291.89 |
| Complete blood count (CBC) with differential CPT 85025 | $7.77 | $165.00 | $23.27 – $161.62 |
| Complete blood count (CBC), automated CPT 85027 | $6.47 | $106.00 | $14.95 – $103.83 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $341.00 | $48.08 – $334.01 |
| COVID-19 PCR test CPT 87635 | $51.31 | $314.00 | $44.27 – $307.56 |
| D-dimer test (blood clots) CPT 85379 | $10.18 | $127.00 | $17.91 – $124.40 |
| Drug screen, instrument chemistry CPT 80307 | $62.14 | $248.00 | $34.97 – $242.92 |
| Ferritin (iron stores) test CPT 82728 | $13.63 | $210.00 | $29.61 – $205.70 |
| Free T4 (thyroid) test CPT 84439 | $9.02 | $162.00 | $22.84 – $158.68 |
| General health panel (blood tests) CPT 80050 | not posted | $1,232.00 | $173.71 – $1,206.74 |
| Glucose (blood sugar) test CPT 82947 | $3.93 | $48.00 | $6.77 – $47.02 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.09 | $286.00 | $40.33 – $280.14 |
| Hemoglobin A1c test CPT 83036 | $9.71 | $55.00 | $7.76 – $53.87 |
| Hepatitis C antibody test CPT 86803 | $14.27 | $226.00 | $31.87 – $221.37 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.08 | $245.00 | $34.55 – $239.98 |
| Iron test CPT 83540 | $6.47 | $105.00 | $14.81 – $102.85 |
| Kidney function panel CPT 80069 | $8.68 | $197.00 | $27.78 – $192.96 |
| Lipase test (pancreas) CPT 83690 | $6.89 | $132.00 | $18.61 – $129.29 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.39 | $260.00 | $36.66 – $254.67 |
| Liver function panel CPT 80076 | $8.17 | $167.00 | $23.55 – $163.58 |
| Magnesium test CPT 83735 | $6.70 | $138.00 | $19.46 – $135.17 |
| Obstetric blood test panel CPT 80055 | $47.81 | $326.00 | $45.97 – $319.32 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.01 | $132.00 | $18.61 – $129.29 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.05 | $220.00 | $31.02 – $215.49 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.29 | $97.00 | $13.68 – $95.01 |
| PSA (prostate specific antigen), free CPT 84154 | $18.39 | $171.00 | $24.11 – $167.49 |
| PSA (prostate specific antigen), total CPT 84153 | $18.39 | $328.00 | $46.25 – $321.28 |
| Rapid strep test CPT 87880 | $16.53 | $83.00 | $11.70 – $81.30 |
| Sed rate (ESR) test CPT 85652 | $2.70 | $81.00 | $11.42 – $79.34 |
| TB skin test CPT 86580 | $27.11 | $66.72 | $12.01 – $60.05 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.80 | $286.00 | $40.33 – $280.14 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $59.14 | $1,519.00 | $214.18 – $1,487.86 |
| Troponin test (heart damage) CPT 84484 | $12.47 | $173.00 | $24.39 – $169.45 |
| Urinalysis, automated, with microscope CPT 81001 | $3.17 | $107.00 | $15.09 – $104.81 |
| Urinalysis, automated, without microscope CPT 81003 | $2.25 | $80.00 | $11.28 – $78.36 |
| Urinalysis, manual, with microscope CPT 81000 | $4.02 | $4.02 – $4.82 | |
| Urinalysis, manual, without microscope CPT 81002 | $3.48 | $45.00 | $6.35 – $44.08 |
| Urine culture, colony count CPT 87086 | $8.07 | $154.00 | $21.71 – $150.84 |
| Urine pregnancy test CPT 81025 | $8.61 | $138.00 | $19.46 – $135.17 |
| Vitamin B12 test CPT 82607 | $15.08 | $160.00 | $22.56 – $156.72 |
| Vitamin D test CPT 82306 | $29.60 | $450.00 | $63.45 – $440.78 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $267.55 | $2,090.00 | $294.69 – $2,047.16 |
| ECG tracing only (no interpretation) CPT 93005 | $65.75 | $359.00 | $50.62 – $351.64 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $606.89 | $4,021.00 | $566.96 – $3,938.57 |
| 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 | $2,199.18 – $13,725.36 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,560.12 | $18,028.00 | $2,541.95 – $15,864.64 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,444.98 | $6,381.00 | $899.72 – $5,742.90 |
| Treadmill stress test, complete CPT 93015 | not posted | $201.00 | $28.34 – $196.88 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $7,907.11 | $13,167.00 | $1,856.55 – $12,897.08 |
| Appendix removal, laparoscopic CPT 44970 | $6,457.82 | $11,880.00 | $1,675.08 – $11,636.46 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,793.38 | $1,793.38 – $2,152.05 | |
| Carpal tunnel release CPT 64721 | $2,161.44 | $5,972.00 | $842.05 – $5,849.57 |
| Colonoscopy with biopsy CPT 45380 | $1,305.08 | $4,294.00 | $605.45 – $4,205.97 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,305.08 | $4,235.00 | $597.14 – $4,148.18 |
| Colonoscopy, diagnostic CPT 45378 | $1,009.14 | $4,235.00 | $597.14 – $4,148.18 |
| Colposcopy with biopsy CPT 57454 | $336.70 | $703.00 | $126.54 – $688.59 |
| Cystoscopy (bladder scope) CPT 52000 | $738.80 | $5,170.00 | $728.97 – $5,064.02 |
| Ear tubes, under general anesthesia CPT 69436 | $1,639.57 | $1,639.57 – $1,967.48 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,009.14 | $2,610.00 | $469.80 – $2,556.50 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,457.82 | $10,973.00 | $1,547.19 – $9,863.63 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,266.00 | $742.51 – $5,158.05 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $11,523.76 | $15,125.00 | $2,132.63 – $14,814.94 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,519.29 | $7,159.00 | $1,009.42 – $7,012.24 |
| 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 | $1,744.88 – $11,137.50 |
| 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 | $633.09 – $4,397.96 |
| Nasal endoscopy, diagnostic CPT 31231 | $214.89 | $430.00 | $60.63 – $421.19 |
| Prostate biopsy CPT 55700 | $2,267.41 | $6,930.00 | $977.13 – $6,787.94 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $11,523.76 | $14,441.00 | $2,036.18 – $14,144.96 |
| 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 | $1,391.67 – $9,667.67 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,009.14 | $4,023.00 | $567.24 – $3,940.53 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,009.14 | $4,455.00 | $628.16 – $4,363.67 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,589.62 | $5,580.00 | $786.78 – $5,465.61 |
| 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 | $618.14 – $4,294.13 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $6,547.81 | $9,176.00 | $1,293.82 – $8,987.89 |
| 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 | $578.95 – $4,021.83 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,037.75 | $4,476.00 | $631.12 – $4,384.24 |
| Vasectomy CPT 55250 | $2,267.41 | $5,816.00 | $820.06 – $5,696.77 |
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 | $1,419.00 | $200.08 – $1,389.91 |
| IUD insertion CPT 58300 | not posted | $464.00 | $65.42 – $454.49 |
| 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 | $822.59 – $5,133.92 |
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 | $4,620.00 | $651.42 – $4,525.29 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $985.43 | $2,396.00 | $337.84 – $2,346.88 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,524.45 | $7,351.00 | $1,036.49 – $7,200.30 |
| 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 | $404.53 – $2,810.19 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $173.18 | $567.00 | $79.95 – $542.22 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $173.18 | $1,925.00 | $271.43 – $1,885.54 |
| Sleep study with CPAP titration CPT 95811 | $1,126.11 | $9,782.00 | $1,379.26 – $9,354.53 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,126.11 | $9,011.00 | $1,270.55 – $8,617.22 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $173.18 | $1,375.00 | $193.88 – $1,346.81 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $35.04 | $202.00 | $28.48 – $197.86 |
| Physical therapy evaluation, low complexity CPT 97161 | $126.19 | $396.00 | $80.00 – $517.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $126.19 | $453.00 | $80.00 – $517.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $37.06 | $231.00 | $32.57 – $226.26 |
| Therapeutic activities, 15 minutes CPT 97530 | $44.62 | $188.00 | $26.51 – $184.15 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $177.84 | $497.00 | $70.08 – $486.81 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $177.84 | $385.00 | $54.29 – $377.11 |
| Group psychotherapy CPT 90853 | $102.38 | $413.00 | $58.23 – $404.53 |
| Psychiatric diagnostic evaluation CPT 90791 | $177.84 | $790.00 | $111.39 – $773.81 |
| Psychotherapy, 30 minutes CPT 90832 | $177.84 | $452.00 | $63.73 – $442.73 |
| Psychotherapy, 45 minutes CPT 90834 | $177.84 | $539.00 | $76.00 – $527.95 |
| Psychotherapy, 60 minutes CPT 90837 | $177.84 | $605.00 | $85.31 – $592.60 |
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 | $280.17 – $1,946.27 |
| IV hydration, each additional hour CPT 96361 | $51.07 | $440.00 | $62.04 – $430.98 |
| IV hydration, first hour CPT 96360 | $233.20 | $1,430.00 | $201.63 – $1,400.69 |
| IV push injection of a drug, first CPT 96374 | $233.20 | $715.00 | $100.82 – $700.34 |
| IV push injection, each additional drug CPT 96375 | $51.07 | $461.00 | $65.00 – $451.55 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $22.82 | $4.11 – $20.54 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $4.06 | ? – $3.65 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $96.57 | $17.38 – $86.91 |
| 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 | $7.40 | $1.33 – $6.66 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $8.00 | $1.44 – $7.20 |
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.