Shore Medical Center
100 Medical Center Way, Somers Point, NJ 08244 · Acute care hospital · Emergency room
These are Shore Medical Center's own posted figures from its standard-charges file dated August 30, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
235 of the services we track have a posted price here; 160 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 | $1,068.74 | $3,675.00 | $525.53 – $532.14 |
| Emergency room visit, level 1 (minor) CPT 99281 | $109.10 | $788.00 | $112.68 – $112.68 |
| Emergency room visit, level 2 CPT 99282 | $198.66 | $1,155.00 | $165.17 – $165.17 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $353.19 | $1,523.00 | $217.79 – $217.79 |
| Emergency room visit, level 4 CPT 99284 | $539.87 | $2,205.00 | $315.32 – $315.32 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $770.52 | $2,520.00 | $360.36 – $360.36 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $259.59 | $811.00 | $213.00 – $3,575.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $54.79 – $311.33 | |
| Abdominal X-ray, 1 view CPT 74018 | $112.60 | $495.00 | $70.79 – $297.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $112.60 | $1,000.00 | $96.68 – $460.17 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $135.26 | $953.00 | $116.97 – $552.82 |
| Breast ultrasound, one breast, complete CPT 76641 | $135.26 | $1,581.00 | $226.08 – $948.60 |
| Breast ultrasound, one breast, limited CPT 76642 | $112.60 | $1,313.00 | $187.76 – $787.80 |
| Chest X-ray, 1 view CPT 71045 | $112.60 | $375.00 | $53.63 – $225.00 |
| Chest X-ray, 2 views CPT 71046 | $112.60 | $525.00 | $75.08 – $315.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $226.94 | $4,668.00 | $195.48 – $927.49 |
| CT angiogram of the head CPT 70496 | $226.94 | $4,457.00 | $195.48 – $927.49 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $451.38 | $7,182.00 | $1,027.03 – $1,027.03 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $451.38 | $392.51 – $1,844.79 | |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $308.71 | $6,164.00 | $881.45 – $881.45 |
| CT scan of the abdomen, without contrast CPT 74150 | $135.26 | $116.97 – $552.82 | |
| CT scan of the chest, with contrast CPT 71260 | $226.94 | $3,977.00 | $195.48 – $927.49 |
| CT scan of the chest, without contrast CPT 71250 | $135.26 | $3,297.00 | $116.97 – $552.82 |
| CT scan of the head, without contrast CPT 70450 | $135.26 | $3,104.00 | $116.97 – $552.82 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $135.26 | $3,673.00 | $116.97 – $552.82 |
| CT scan of the pelvis, with contrast CPT 72193 | $226.94 | $3,821.00 | $195.48 – $927.49 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $135.26 | $3,083.00 | $116.97 – $552.82 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $594.00 | $84.94 – $356.40 |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $642.00 | $91.81 – $385.20 |
| Foot X-ray, 3 or more views CPT 73630 | $112.60 | $585.00 | $96.68 – $460.17 |
| Hand X-ray, 3 or more views CPT 73130 | $112.60 | $612.00 | $87.52 – $367.20 |
| Knee X-ray, 3 views CPT 73562 | $112.60 | $645.00 | $92.24 – $387.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $308.71 | $1,971.00 | $281.85 – $1,182.60 |
| Leg or arm vein ultrasound, one side CPT 93971 | $135.26 | $1,359.00 | $194.34 – $815.40 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $135.26 | $700.00 | $116.97 – $552.82 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $328.89 – $3,310.90 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $451.38 | $5,923.00 | $392.51 – $1,844.79 |
| MRI of the brain, without and with contrast CPT 70553 | $451.38 | $6,199.00 | $886.46 – $886.46 |
| MRI of the brain, without contrast CPT 70551 | $308.71 | $4,361.00 | $623.62 – $623.62 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $308.71 | $4,281.00 | $260.70 – $1,261.69 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $308.71 | $4,471.00 | $260.70 – $1,261.69 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $308.71 | $4,402.00 | $260.70 – $1,261.69 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $308.71 | $4,515.00 | $260.70 – $1,261.69 |
| MRI of the pelvis, without and with contrast CPT 72197 | $451.38 | $5,843.00 | $392.51 – $1,844.79 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $308.71 | $4,120.00 | $260.70 – $1,261.69 |
| Neck X-ray, 2 or 3 views CPT 72040 | $112.60 | $662.00 | $96.68 – $460.17 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $135.26 | $1,741.00 | $248.96 – $1,044.60 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $135.26 | $2,889.00 | $413.13 – $1,733.40 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $135.26 | $2,431.00 | $347.63 – $1,458.60 |
| Screening mammogram, both breasts CPT 77067 | not posted | $711.00 | $101.67 – $426.60 |
| Shoulder X-ray, 2 or more views CPT 73030 | $112.60 | $628.00 | $96.68 – $460.17 |
| Transvaginal pregnancy ultrasound CPT 76817 | $135.26 | $1,497.00 | $116.97 – $552.82 |
| Transvaginal ultrasound CPT 76830 | $135.26 | $1,497.00 | $214.07 – $898.20 |
| Ultrasound of the abdomen, complete CPT 76700 | $135.26 | $1,340.00 | $191.62 – $804.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $135.26 | $1,611.00 | $230.37 – $966.60 |
| Wrist X-ray, 3 or more views CPT 73110 | $112.60 | $605.00 | $86.52 – $363.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $135.26 | $1,030.00 | $116.97 – $552.82 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $9.73 | $8.46 – $39.76 | |
| Blood culture CPT 87040 | $11.87 | $10.32 – $48.50 | |
| Blood draw (venipuncture) CPT 36415 | $10.74 | $8.83 – $43.90 | |
| BNP test (heart failure) CPT 83880 | $45.15 | $39.26 – $184.52 | |
| C-reactive protein (CRP) test CPT 86140 | $5.96 | $5.18 – $24.35 | |
| Chlamydia test (DNA/NAAT) CPT 87491 | $40.35 | $35.09 – $164.92 | |
| Complete blood count (CBC) with differential CPT 85025 | $8.94 | $7.77 – $36.52 | |
| Complete blood count (CBC), automated CPT 85027 | $7.44 | $6.47 – $30.41 | |
| Comprehensive metabolic panel (blood test) CPT 80053 | $12.14 | $10.56 – $49.63 | |
| COVID-19 PCR test CPT 87635 | $59.01 | $51.31 – $241.16 | |
| D-dimer test (blood clots) CPT 85379 | $11.71 | $10.18 – $47.85 | |
| Drug screen, instrument chemistry CPT 80307 | $71.46 | $62.14 – $292.06 | |
| Ferritin (iron stores) test CPT 82728 | $15.67 | $13.63 – $64.06 | |
| Free T4 (thyroid) test CPT 84439 | $10.37 | $9.02 – $42.39 | |
| General health panel (blood tests) CPT 80050 | not posted | $28.37 – $249.54 | |
| Glucose (blood sugar) test CPT 82947 | $4.52 | $3.93 – $18.47 | |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $40.35 | $35.09 – $164.92 | |
| Hemoglobin A1c test CPT 83036 | $11.17 | $9.71 – $45.64 | |
| Hepatitis C antibody test CPT 86803 | $16.41 | $14.27 – $67.07 | |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $27.69 | $24.08 – $113.18 | |
| Iron test CPT 83540 | $7.44 | $6.47 – $30.41 | |
| Kidney function panel CPT 80069 | $9.98 | $8.68 – $40.80 | |
| Lipase test (pancreas) CPT 83690 | $7.92 | $6.89 – $32.38 | |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $15.40 | $13.39 – $62.93 | |
| Liver function panel CPT 80076 | $9.40 | $8.17 – $38.40 | |
| Magnesium test CPT 83735 | $7.71 | $6.70 – $31.49 | |
| Obstetric blood test panel CPT 80055 | $54.98 | $47.81 – $224.71 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.91 | $6.01 – $28.25 | |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $17.31 | $15.05 – $70.74 | |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.93 | $4.29 – $20.16 | |
| PSA (prostate specific antigen), free CPT 84154 | $21.15 | $18.39 – $86.43 | |
| PSA (prostate specific antigen), total CPT 84153 | $21.15 | $18.39 – $86.43 | |
| Rapid strep test CPT 87880 | $19.01 | $16.53 – $77.69 | |
| Sed rate (ESR) test CPT 85652 | $3.11 | $2.70 – $12.69 | |
| TB skin test CPT 86580 | $37.42 | $31.68 – $152.94 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $19.32 | $16.80 – $78.96 | |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $67.42 | $57.65 – $275.56 | |
| Troponin test (heart damage) CPT 84484 | $14.34 | $12.47 – $58.61 | |
| Urinalysis, automated, with microscope CPT 81001 | $3.65 | $3.17 – $14.90 | |
| Urinalysis, automated, without microscope CPT 81003 | $2.59 | $2.25 – $10.58 | |
| Urinalysis, manual, with microscope CPT 81000 | $4.62 | $4.02 – $18.89 | |
| Urinalysis, manual, without microscope CPT 81002 | $4.00 | $3.48 – $16.36 | |
| Urine culture, colony count CPT 87086 | $9.28 | $8.07 – $37.93 | |
| Urine pregnancy test CPT 81025 | $9.90 | $8.61 – $40.47 | |
| Vitamin B12 test CPT 82607 | $17.34 | $15.08 – $70.88 | |
| Vitamin D test CPT 82306 | $34.04 | $29.60 – $139.12 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $308.71 | $1,964.00 | $280.85 – $1,178.40 |
| ECG tracing only (no interpretation) CPT 93005 | $76.33 | $445.00 | $65.08 – $311.94 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $706.97 | $4,593.00 | $586.94 – $2,889.35 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $132.39 – $243.76 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $678.65 – $678.65 | |
| Left heart catheterization CPT 93452 | $4,194.52 | $16,882.00 | $2,414.13 – $10,129.20 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,194.52 | $19,615.00 | $2,804.95 – $11,769.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,675.06 | $4,838.00 | $691.83 – $691.83 |
| Treadmill stress test, complete CPT 93015 | not posted | $619.69 – $950.11 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $9,388.33 | $7,611.39 – $38,369.68 | |
| Appendix removal, laparoscopic CPT 44970 | $7,821.90 | $6,138.83 – $31,967.77 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,136.89 | $6,500.00 | $929.50 – $3,900.00 |
| Carpal tunnel release CPT 64721 | $2,526.50 | $8,267.00 | $2,054.20 – $10,325.69 |
| Colonoscopy with biopsy CPT 45380 | $1,548.25 | $3,823.00 | $546.69 – $2,293.80 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,548.25 | $3,823.00 | $546.69 – $2,293.80 |
| Colonoscopy, diagnostic CPT 45378 | $1,203.21 | $2,909.00 | $415.99 – $1,745.40 |
| Colposcopy with biopsy CPT 57454 | $394.27 | $341.31 – $1,611.36 | |
| Cystoscopy (bladder scope) CPT 52000 | $902.19 | $3,700.00 | $726.78 – $4,299.00 |
| Ear tubes, under general anesthesia CPT 69436 | $2,007.49 | $1,622.53 – $9,936.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,203.21 | $2,909.00 | $415.99 – $1,745.40 |
| Gallbladder removal, laparoscopic CPT 47562 | $7,821.90 | $14,145.00 | $2,022.74 – $8,487.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,329.24 – $2,329.24 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $13,753.23 | $10,890.00 – $56,208.83 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $4,188.30 | $3,326.21 – $17,117.39 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $7,821.90 | $6,138.83 – $31,967.77 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,632.44 | $3,680.83 – $18,932.58 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,560.74 | $16,800.00 | $2,402.40 – $10,080.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $4,233.42 | $3,443.75 – $17,301.81 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,548.25 | $1,255.51 – $6,327.65 | |
| Nasal endoscopy, diagnostic CPT 31231 | $258.26 | $210.74 – $1,055.49 | |
| Prostate biopsy CPT 55700 | not posted | $5,562.00 | $795.37 – $3,509.62 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $13,753.23 | $10,951.74 – $56,208.83 | |
| Removal of a breast lump, open surgery CPT 19120 | $5,065.92 | $6,825.00 | $975.98 – $4,095.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,388.33 | $7,611.39 – $38,369.68 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,203.21 | $3,570.00 | $510.51 – $2,142.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,203.21 | $2,909.00 | $415.99 – $1,745.40 |
| Septoplasty (nasal septum repair) CPT 30520 | $4,289.65 | $3,425.43 – $17,531.61 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,628.00 – $9,936.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,334.68 – $1,334.68 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $7,659.27 | $4,878.00 – $31,303.10 | |
| Total hip replacement CPT 27130 | $16,611.10 | $12,191.00 – $67,888.86 | |
| Total knee replacement CPT 27447 | $16,611.10 | $12,191.00 – $67,888.86 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,173.49 | $3,741.00 | $534.96 – $2,244.60 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,173.49 | $4,461.00 | $637.92 – $2,676.60 |
| Vasectomy CPT 55250 | $2,704.61 | $2,167.02 – $11,053.61 |
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 | $1,656.46 – $1,656.46 | |
| Fetal non-stress test CPT 59025 | $261.58 | $1,097.00 | $156.87 – $658.20 |
| IUD insertion CPT 58300 | not posted | $52.11 – $52.11 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,263.00 – $2,263.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,500.00 | $357.50 – $1,500.00 |
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 | $4,721.02 – $21,242.12 | |
| C-section, without complications MS-DRG 788 | not posted | $8,210.25 – $22,988.70 | |
| Chest pain MS-DRG 313 | not posted | $4,322.76 – $17,500.76 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $7,559.11 – $26,410.64 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $4,774.56 – $15,708.22 | |
| Fainting (syncope) MS-DRG 312 | not posted | $4,981.52 – $20,984.74 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $6,495.56 – $23,492.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $9,668.59 – $30,457.64 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,398.49 – $13,961.64 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $61,790.44 – $225,775.90 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $13,590.47 – $45,282.89 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,661.38 – $13,963.94 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,141.05 – $21,081.26 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $5,110.79 – $19,557.58 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $14,787.87 – $57,058.51 | |
| Normal newborn care MS-DRG 795 | not posted | $1,782.00 – $5,545.88 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $4,714.49 – $18,838.29 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,329.73 – $19,474.87 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $9,310.81 – $31,160.86 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,642.67 – $15,397.98 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $6,904.27 – $33,054.53 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $11,703.63 – $45,595.42 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $6,807.64 – $24,470.99 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $5,503.18 – $20,968.64 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $25,930.67 – $25,930.67 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $4,831.36 – $18,870.46 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $6,916.02 – $15,708.14 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $6,587.62 – $29,467.14 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,874.36 – $16,448.21 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $10,109.29 – $35,619.25 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $397.14 | $992.00 | $141.86 – $595.20 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,144.36 | $969.75 – $4,676.95 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $913.29 | $735.75 – $3,732.58 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,144.36 | $969.75 – $4,676.95 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,985.94 | $2,479.33 – $14,839.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | $172.26 | $140.64 – $704.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $711.60 | $618.43 – $2,908.30 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $166.48 | $144.77 – $680.40 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $279.37 | $2,000.00 | $166.19 – $1,753.00 |
| Sleep study with CPAP titration CPT 95811 | $1,111.07 | $5,970.00 | $966.14 – $4,540.88 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,111.07 | $5,970.00 | $966.14 – $4,540.88 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $279.37 | $166.19 – $1,141.77 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | not posted | $179.00 | $25.60 – $107.40 |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $594.00 | $84.94 – $356.40 |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $594.00 | $84.94 – $356.40 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | not posted | $142.00 | $30.95 – $175.36 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $132.00 | $18.88 – $79.20 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $229.65 | $169.63 – $938.57 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $229.65 | $169.63 – $938.57 | |
| Group psychotherapy CPT 90853 | $131.44 | $94.84 – $537.19 | |
| Psychiatric diagnostic evaluation CPT 90791 | $229.65 | $169.63 – $938.57 | |
| Psychotherapy, 30 minutes CPT 90832 | $229.65 | $169.63 – $938.57 | |
| Psychotherapy, 45 minutes CPT 90834 | $229.65 | $169.63 – $938.57 | |
| Psychotherapy, 60 minutes CPT 90837 | $229.65 | $169.63 – $938.57 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $93.16 | $1,000.00 | $143.00 – $600.00 |
| IV hydration, each additional hour CPT 96361 | $60.58 | $500.00 | $71.50 – $300.00 |
| IV hydration, first hour CPT 96360 | $275.20 | $1,000.00 | $143.00 – $600.00 |
| IV push injection of a drug, first CPT 96374 | $275.20 | $1,000.00 | $143.00 – $600.00 |
| IV push injection, each additional drug CPT 96375 | $60.58 | $500.00 | $71.50 – $300.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $92.79 | $13.27 – $22.73 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | not posted | $26.91 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $8.64 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $181.62 | $25.97 – $114.60 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $12.10 | ? – $1.76 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $4.32 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $17.28 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $104.57 | |
| Propofol injection, per 10 mg HCPCS J2704 | not posted | $49.50 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $10.00 | $1.43 – $2.45 |
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.