St. Luke's Warren Hospital
185 Roseberry St., Phillipsburg, NJ 08865 · Acute care hospital · Emergency room
These are St. Luke's Warren Hospital's own posted figures from its standard-charges file dated February 27, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
208 of the services we track have a posted price here; 146 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 | $6,637.50 | $7,375.00 | $178.92 – $6,342.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,475.10 | $1,639.00 | $25.20 – $1,483.00 |
| Emergency room visit, level 2 CPT 99282 | $1,756.80 | $1,952.00 | $38.92 – $1,483.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,306.70 | $2,563.00 | $66.85 – $1,483.00 |
| Emergency room visit, level 4 CPT 99284 | $5,175.00 | $5,750.00 | $112.49 – $2,699.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $6,633.90 | $7,371.00 | $163.71 – $4,014.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $714.60 | $794.00 | $28.91 – $1,334.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $930.60 | $1,034.00 | $41.69 – $765.68 |
| New patient office visit, about 30 minutes CPT 99203 | $1,391.40 | $1,546.00 | $64.02 – $1,144.81 |
| New patient office visit, about 45 minutes CPT 99204 | $1,549.80 | $1,722.00 | $106.64 – $1,275.14 |
| New patient office visit, about 60 minutes CPT 99205 | $3,544.20 | $3,938.00 | $138.70 – $2,916.09 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $930.60 | $1,034.00 | $30.68 – $765.68 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,391.40 | $1,546.00 | $41.30 – $1,144.81 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,549.80 | $1,722.00 | $64.22 – $1,275.14 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $1,862.10 | $2,069.00 | $92.10 – $1,532.09 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $709.20 | $788.00 | $23.60 – $583.51 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $310.50 | $345.00 | $26.00 – $179.21 |
| Abdominal X-ray, 1 view CPT 74018 | $911.70 | $1,013.00 | $24.95 – $384.12 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,350.90 | $1,501.00 | $75.40 – $523.85 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $791.10 | $879.00 | $70.93 – $463.90 |
| Breast ultrasound, one breast, complete CPT 76641 | $630.00 | $700.00 | $117.10 – $499.96 |
| Breast ultrasound, one breast, limited CPT 76642 | $630.00 | $700.00 | $96.96 – $384.12 |
| Chest X-ray, 1 view CPT 71045 | $875.70 | $973.00 | $18.27 – $384.12 |
| Chest X-ray, 2 views CPT 71046 | $985.50 | $1,095.00 | $27.90 – $384.12 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $7,878.60 | $8,754.00 | $196.04 – $3,055.15 |
| CT angiogram of the head CPT 70496 | $7,878.60 | $8,754.00 | $196.04 – $3,055.15 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $10,444.50 | $11,605.00 | $310.53 – $4,050.14 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $11,486.70 | $12,763.00 | $392.61 – $4,454.29 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $8,591.40 | $9,546.00 | $198.58 – $3,331.55 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,294.00 | $3,660.00 | $117.10 – $1,357.44 |
| CT scan of the chest, with contrast CPT 71260 | $6,839.10 | $7,599.00 | $171.28 – $2,652.05 |
| CT scan of the chest, without contrast CPT 71250 | $5,243.40 | $5,826.00 | $117.10 – $2,033.27 |
| CT scan of the head, without contrast CPT 70450 | $4,282.20 | $4,758.00 | $117.10 – $1,660.54 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $5,922.00 | $6,580.00 | $117.10 – $2,296.42 |
| CT scan of the pelvis, with contrast CPT 72193 | $10,938.60 | $12,154.00 | $165.31 – $4,241.75 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,700.90 | $3,001.00 | $117.10 – $1,355.34 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,641.60 | $1,824.00 | $153.22 – $849.92 |
| Diagnostic mammogram, one breast CPT 77065 | $777.60 | $864.00 | $82.94 – $664.42 |
| Foot X-ray, 3 or more views CPT 73630 | $882.90 | $981.00 | $75.40 – $384.12 |
| Hand X-ray, 3 or more views CPT 73130 | $1,195.20 | $1,328.00 | $75.40 – $463.47 |
| Knee X-ray, 3 views CPT 73562 | $1,024.20 | $1,138.00 | $80.60 – $397.16 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $11,948.40 | $13,276.00 | $173.06 – $5,039.57 |
| Leg or arm vein ultrasound, one side CPT 93971 | $11,319.30 | $12,577.00 | $117.10 – $4,774.23 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,355.40 | $1,506.00 | $38.39 – $525.59 |
| MRI of the abdomen, without and with contrast CPT 74183 | $18,647.10 | $20,719.00 | $393.28 – $7,230.93 |
| MRI of the brain, without and with contrast CPT 70553 | $14,043.60 | $15,604.00 | $393.28 – $5,445.80 |
| MRI of the brain, without contrast CPT 70551 | $12,538.80 | $13,932.00 | $266.19 – $4,862.27 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $12,486.60 | $13,874.00 | $266.19 – $4,842.03 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $6,142.50 | $6,825.00 | $266.19 – $2,430.57 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $12,538.80 | $13,932.00 | $266.19 – $4,862.27 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $12,538.80 | $13,932.00 | $266.19 – $4,862.27 |
| MRI of the pelvis, without and with contrast CPT 72197 | $18,647.10 | $20,719.00 | $393.28 – $7,230.93 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $12,486.60 | $13,874.00 | $266.19 – $4,842.03 |
| Neck X-ray, 2 or 3 views CPT 72040 | $970.20 | $1,078.00 | $31.27 – $384.12 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $3,483.00 | $3,870.00 | $90.27 – $1,350.63 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,231.20 | $1,368.00 | $91.45 – $669.36 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,396.80 | $1,552.00 | $99.23 – $564.49 |
| Screening mammogram, both breasts CPT 77067 | $887.40 | $986.00 | $94.66 – $702.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $1,526.40 | $1,696.00 | $80.60 – $591.90 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,396.80 | $1,552.00 | $103.36 – $541.65 |
| Transvaginal ultrasound CPT 76830 | $1,231.20 | $1,368.00 | $90.27 – $591.06 |
| Ultrasound of the abdomen, complete CPT 76700 | $3,832.20 | $4,258.00 | $112.42 – $1,486.04 |
| Ultrasound of the neck or thyroid CPT 76536 | $2,376.90 | $2,641.00 | $90.09 – $921.71 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,350.90 | $1,501.00 | $75.40 – $523.85 |
| X-ray of the lower back, 4 or more views CPT 72110 | $2,741.40 | $3,046.00 | $43.21 – $1,063.05 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $255.60 | $284.00 | $8.46 – $79.83 |
| Blood culture CPT 87040 | $668.70 | $743.00 | $10.32 – $208.86 |
| Blood draw (venipuncture) CPT 36415 | $64.80 | $72.00 | $2.60 – $36.01 |
| BNP test (heart failure) CPT 83880 | $566.10 | $629.00 | $39.26 – $260.40 |
| C-reactive protein (CRP) test CPT 86140 | $68.40 | $76.00 | $3.54 – $39.72 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $1,101.60 | $1,224.00 | $27.36 – $344.07 |
| Complete blood count (CBC) with differential CPT 85025 | $160.20 | $178.00 | $7.08 – $59.64 |
| Complete blood count (CBC), automated CPT 85027 | $171.90 | $191.00 | $6.47 – $53.69 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $485.10 | $539.00 | $10.56 – $151.51 |
| COVID-19 PCR test CPT 87635 | $263.70 | $293.00 | $41.88 – $240.13 |
| D-dimer test (blood clots) CPT 85379 | $588.60 | $654.00 | $10.18 – $183.84 |
| Drug screen, instrument chemistry CPT 80307 | $260.10 | $289.00 | $62.14 – $419.34 |
| Ferritin (iron stores) test CPT 82728 | $451.80 | $502.00 | $13.63 – $141.11 |
| Free T4 (thyroid) test CPT 84439 | $515.70 | $573.00 | $9.02 – $161.07 |
| Glucose (blood sugar) test CPT 82947 | $200.70 | $223.00 | $3.93 – $62.69 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $1,101.60 | $1,224.00 | $27.36 – $344.07 |
| Hemoglobin A1c test CPT 83036 | $342.90 | $381.00 | $8.26 – $107.10 |
| Hepatitis C antibody test CPT 86803 | $1,694.70 | $1,883.00 | $14.27 – $529.31 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $200.70 | $223.00 | $24.08 – $179.27 |
| Iron test CPT 83540 | $2,442.60 | $2,714.00 | $6.47 – $762.91 |
| Kidney function panel CPT 80069 | $306.90 | $341.00 | $8.68 – $95.86 |
| Lipase test (pancreas) CPT 83690 | $360.00 | $400.00 | $5.90 – $112.44 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $328.50 | $365.00 | $13.39 – $102.82 |
| Liver function panel CPT 80076 | $454.50 | $505.00 | $8.17 – $141.96 |
| Magnesium test CPT 83735 | $200.70 | $223.00 | $6.70 – $62.69 |
| Obstetric blood test panel CPT 80055 | $1,396.80 | $1,552.00 | $14.16 – $589.14 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $200.70 | $223.00 | $6.01 – $62.69 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $566.10 | $629.00 | $15.05 – $176.81 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $107.10 | $119.00 | $4.29 – $33.45 |
| PSA (prostate specific antigen), free CPT 84154 | $543.60 | $604.00 | $18.39 – $169.78 |
| PSA (prostate specific antigen), total CPT 84153 | $399.60 | $444.00 | $18.39 – $141.08 |
| Rapid strep test CPT 87880 | $111.60 | $124.00 | $7.43 – $84.49 |
| Sed rate (ESR) test CPT 85652 | $162.90 | $181.00 | $2.70 – $50.88 |
| TB skin test CPT 86580 | $58.50 | $65.00 | $6.49 – $106.84 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $443.70 | $493.00 | $16.80 – $138.58 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $321.30 | $357.00 | $40.12 – $325.45 |
| Troponin test (heart damage) CPT 84484 | $1,228.50 | $1,365.00 | $11.65 – $383.70 |
| Urinalysis, automated, with microscope CPT 81001 | $230.40 | $256.00 | $3.17 – $71.96 |
| Urinalysis, automated, without microscope CPT 81003 | $230.40 | $256.00 | $2.25 – $71.96 |
| Urinalysis, manual, with microscope CPT 81000 | $100.80 | $112.00 | $4.02 – $31.48 |
| Urinalysis, manual, without microscope CPT 81002 | $230.40 | $256.00 | $3.48 – $71.96 |
| Urine culture, colony count CPT 87086 | $370.80 | $412.00 | $8.07 – $115.81 |
| Urine pregnancy test CPT 81025 | $144.90 | $161.00 | $4.72 – $48.55 |
| Vitamin B12 test CPT 82607 | $288.90 | $321.00 | $15.08 – $115.64 |
| Vitamin D test CPT 82306 | $314.10 | $349.00 | $29.60 – $227.09 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $5,795.10 | $6,439.00 | $174.47 – $2,444.24 |
| ECG tracing only (no interpretation) CPT 93005 | $314.10 | $349.00 | $12.34 – $259.13 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $3,964.50 | $4,405.00 | $166.40 – $2,832.00 |
| Left heart catheterization CPT 93452 | $15,339.60 | $17,044.00 | $3,541.98 – $14,031.91 |
| Left heart catheterization with coronary angiogram CPT 93458 | $23,988.60 | $26,654.00 | $3,541.98 – $14,031.91 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $21,269.70 | $23,633.00 | $402.14 – $8,247.92 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,350.00 – $31,165.19 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $1,650.00 – $25,452.92 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $13,869.00 | $15,410.00 | $163.89 – $7,068.45 |
| Carpal tunnel release CPT 64721 | not posted | $354.00 – $8,519.14 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $266.00 – $5,143.86 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $316.33 – $5,143.86 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $212.99 – $3,977.41 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $88.50 – $2,911.89 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $116.23 – $6,462.24 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $62.72 – $3,977.41 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $6,424.91 – $25,452.92 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,888.67 – $31,398.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,000.00 – $45,419.90 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,350.00 – $13,870.99 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $1,650.00 – $25,452.92 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $374.65 – $15,395.85 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $294.41 – $15,046.43 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $641.33 – $14,154.92 | |
| Prostate biopsy CPT 55700 | $9,879.30 | $10,977.00 | $105.61 – $8,936.81 |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $204.14 – $16,705.59 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,890.00 – $31,165.19 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,003.99 – $3,977.41 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,003.99 – $3,977.41 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $1,650.00 – $14,148.18 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $181.42 – $13,229.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,202.49 – $31,398.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,350.00 – $25,807.61 | |
| Total hip replacement CPT 27130 | not posted | $14,169.20 – $56,132.70 | |
| Total knee replacement CPT 27447 | not posted | $14,169.20 – $56,132.70 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $175.32 – $4,090.19 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $147.76 – $4,090.19 | |
| Vasectomy CPT 55250 | not posted | $175.23 – $8,936.81 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| IUD insertion CPT 58300 | not posted | $20.36 – $879.48 |
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 | $8,385.10 – $14,571.35 | |
| C-section, without complications MS-DRG 788 | not posted | $9,065.01 – $15,825.79 | |
| Chest pain MS-DRG 313 | not posted | $6,928.65 – $11,884.20 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $10,397.12 – $28,138.76 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,230.83 – $15,665.29 | |
| Fainting (syncope) MS-DRG 312 | not posted | $8,284.91 – $15,326.23 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $9,260.94 – $21,688.22 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,972.57 – $31,531.39 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,550.90 – $15,591.84 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $88,007.11 – $217,990.08 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $17,743.81 – $43,357.01 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,551.79 – $12,618.14 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,322.47 – $24,411.36 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,729.35 – $16,371.43 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $22,327.88 – $41,333.57 | |
| Normal newborn care MS-DRG 795 | not posted | $951.00 – $4,071.68 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $7,449.32 – $14,728.07 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,697.13 – $21,716.30 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $12,246.32 – $30,939.65 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,110.05 – $15,799.17 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,983.49 – $23,055.34 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $17,865.49 – $39,351.06 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,642.05 – $24,206.25 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $8,278.64 – $17,334.59 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $45,442.06 – $59,089.50 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $7,461.84 – $14,475.36 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,525.76 – $25,396.14 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $11,586.97 – $20,478.78 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,518.91 – $12,171.38 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,981.91 – $30,645.98 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $670.50 | $745.00 | $27.73 – $1,334.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $11,715.30 | $13,017.00 | $112.15 – $4,542.93 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,201.30 | $3,557.00 | $95.96 – $3,021.20 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $710.99 – $9,949.91 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $1,372.50 | $1,525.00 | $34.22 – $682.58 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $26,328.60 | $29,254.00 | $764.12 – $11,104.82 |
| Sleep study, overnight in a sleep lab CPT 95810 | $26,328.60 | $29,254.00 | $408.94 – $11,104.82 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $1,702.80 | $1,892.00 | $17.70 – $718.20 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $554.40 | $616.00 | $18.14 – $347.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $954.90 | $1,061.00 | $67.18 – $380.05 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $1,002.60 | $1,114.00 | $67.18 – $399.03 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $549.90 | $611.00 | $9.89 – $347.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $562.50 | $625.00 | $15.34 – $347.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Psychiatric diagnostic evaluation CPT 90791 | $1,292.40 | $1,436.00 | $176.93 – $1,063.36 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $1,074.60 | $1,194.00 | $14.99 – $884.16 |
| IV hydration, each additional hour CPT 96361 | $1,126.80 | $1,252.00 | $10.62 – $927.11 |
| IV hydration, first hour CPT 96360 | $1,126.80 | $1,252.00 | $37.32 – $927.11 |
| IV push injection of a drug, first CPT 96374 | $1,126.80 | $1,252.00 | $36.60 – $927.11 |
| IV push injection, each additional drug CPT 96375 | $1,126.80 | $1,252.00 | $15.35 – $927.11 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $106.34 | $118.15 | ? – $42.32 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $20.12 | $22.35 | ? – $8.01 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $10.88 | $12.09 | ? – $4.33 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $10.49 | $11.66 | ? – $8.63 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $13.46 | $14.96 | ? – $4.21 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $33.09 | $36.77 | ? – $13.17 |
| Morphine injection, up to 10 mg HCPCS J2270 | $115.72 | $128.58 | $4.64 – $46.06 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $4.26 | $4.73 | ? – $1.69 |
| Propofol injection, per 10 mg HCPCS J2704 | $1.31 | $1.46 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $1.12 | $1.25 | ? – $4.72 |
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.