Valley Hospital
4 Valley Health Plaza, Paramus, NJ 07652 · Acute care hospital · Emergency room
These are Valley Hospital's own posted figures from its standard-charges file dated May 6, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
207 of the services we track have a posted price here; 139 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 | $1,449.00 | $2,415.00 | $140.00 – $2,691.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $426.00 | $710.00 | $100.18 – $2,734.00 |
| Emergency room visit, level 2 CPT 99282 | $696.60 | $1,161.00 | $140.00 – $2,734.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,065.00 | $1,775.00 | $140.00 – $2,734.00 |
| Emergency room visit, level 4 CPT 99284 | $1,323.60 | $2,206.00 | $140.00 – $2,734.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,597.80 | $2,663.00 | $140.00 – $2,734.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $1,216.00 – $6,153.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Office consultation, about 40 minutes CPT 99243 | $485.40 | $809.00 | $137.16 – $703.83 |
| Office consultation, about 60 minutes CPT 99244 | $591.60 | $986.00 | $193.13 – $857.82 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | $39.00 | $65.00 | $14.55 – $373.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $126.00 | $210.00 | $27.12 – $157.50 |
| Abdominal X-ray, 1 view CPT 74018 | $137.40 | $229.00 | $19.01 – $199.54 |
| Ankle X-ray, 3 or more views CPT 73610 | $228.00 | $380.00 | $26.55 – $285.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $580.80 | $968.00 | $59.11 – $726.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $754.80 | $1,258.00 | $89.02 – $943.50 |
| Breast ultrasound, one breast, limited CPT 76642 | $529.20 | $882.00 | $68.19 – $661.50 |
| Chest X-ray, 1 view CPT 71045 | $234.60 | $391.00 | $12.66 – $293.25 |
| Chest X-ray, 2 views CPT 71046 | $258.60 | $431.00 | $23.28 – $323.25 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $904.80 | $1,508.00 | $208.38 – $1,131.00 |
| CT angiogram of the head CPT 70496 | $755.40 | $1,259.00 | $208.38 – $944.25 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,620.00 | $2,700.00 | $336.66 – $2,025.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,825.20 | $3,042.00 | $377.78 – $2,281.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $949.80 | $1,583.00 | $201.51 – $1,187.25 |
| CT scan of the abdomen, without contrast CPT 74150 | $445.80 | $743.00 | $124.20 – $557.25 |
| CT scan of the chest, with contrast CPT 71260 | $783.60 | $1,306.00 | $184.91 – $979.50 |
| CT scan of the chest, without contrast CPT 71250 | $445.80 | $743.00 | $124.20 – $557.25 |
| CT scan of the head, without contrast CPT 70450 | $447.60 | $746.00 | $117.05 – $559.50 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $684.00 | $1,140.00 | $124.20 – $855.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $837.60 | $1,396.00 | $208.38 – $1,047.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $557.40 | $929.00 | $124.20 – $696.75 |
| Diagnostic mammogram, both breasts CPT 77066 | $516.00 | $860.00 | $85.44 – $645.00 |
| Diagnostic mammogram, one breast CPT 77065 | $405.60 | $676.00 | $68.16 – $507.00 |
| Foot X-ray, 3 or more views CPT 73630 | $228.00 | $380.00 | $26.10 – $285.00 |
| Hand X-ray, 3 or more views CPT 73130 | $195.00 | $325.00 | $26.55 – $243.75 |
| Knee X-ray, 3 views CPT 73562 | $228.00 | $380.00 | $29.21 – $285.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,192.80 | $1,988.00 | $203.01 – $1,689.80 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,266.00 | $2,110.00 | $124.20 – $1,793.50 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $297.60 | $496.00 | $32.31 – $372.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,919.00 | $4,865.00 | $375.56 – $3,648.75 |
| MRI of the brain, without and with contrast CPT 70553 | $2,100.00 | $3,500.00 | $353.11 – $2,625.00 |
| MRI of the brain, without contrast CPT 70551 | $1,335.00 | $2,225.00 | $217.41 – $1,668.75 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,593.60 | $2,656.00 | $224.97 – $1,992.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $877.80 | $1,463.00 | $211.94 – $1,097.25 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $894.60 | $1,491.00 | $210.83 – $1,118.25 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $879.60 | $1,466.00 | $211.19 – $1,099.50 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,730.00 | $4,550.00 | $374.10 – $3,412.50 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,330.20 | $2,217.00 | $225.33 – $1,662.75 |
| Neck X-ray, 2 or 3 views CPT 72040 | $229.80 | $383.00 | $30.09 – $287.25 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $551.40 | $919.00 | $101.43 – $689.25 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $509.40 | $849.00 | $112.95 – $636.75 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $541.20 | $902.00 | $93.01 – $676.50 |
| Screening mammogram, both breasts CPT 77067 | $479.40 | $799.00 | $62.84 – $599.25 |
| Shoulder X-ray, 2 or more views CPT 73030 | $219.60 | $366.00 | $23.44 – $274.50 |
| Transvaginal pregnancy ultrasound CPT 76817 | $558.60 | $931.00 | $75.29 – $698.25 |
| Transvaginal ultrasound CPT 76830 | $593.40 | $989.00 | $101.43 – $741.75 |
| Ultrasound of the abdomen, complete CPT 76700 | $498.60 | $831.00 | $112.95 – $623.25 |
| Ultrasound of the neck or thyroid CPT 76536 | $508.80 | $848.00 | $99.66 – $636.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $219.60 | $366.00 | $30.53 – $274.50 |
| X-ray of the lower back, 4 or more views CPT 72110 | $355.80 | $593.00 | $44.71 – $444.75 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $41.40 | $69.00 | $6.77 – $58.65 |
| Blood culture CPT 87040 | $30.60 | $51.00 | $8.26 – $43.35 |
| Blood draw (venipuncture) CPT 36415 | $15.00 | $25.00 | $4.42 – $23.64 |
| BNP test (heart failure) CPT 83880 | $78.60 | $131.00 | $31.41 – $125.24 |
| C-reactive protein (CRP) test CPT 86140 | $22.80 | $38.00 | $4.14 – $32.30 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $151.20 | $252.00 | $28.07 – $214.20 |
| Complete blood count (CBC) with differential CPT 85025 | $49.20 | $82.00 | $6.22 – $69.70 |
| Complete blood count (CBC), automated CPT 85027 | $36.00 | $60.00 | $5.18 – $51.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $57.60 | $96.00 | $8.45 – $81.60 |
| COVID-19 PCR test CPT 87635 | $52.80 | $88.00 | $41.05 – $163.68 |
| D-dimer test (blood clots) CPT 85379 | $52.20 | $87.00 | $8.14 – $73.95 |
| Drug screen, instrument chemistry CPT 80307 | $493.80 | $823.00 | $49.71 – $699.55 |
| Ferritin (iron stores) test CPT 82728 | $102.00 | $170.00 | $10.90 – $144.50 |
| Free T4 (thyroid) test CPT 84439 | $211.80 | $353.00 | $7.22 – $300.05 |
| Glucose (blood sugar) test CPT 82947 | $52.20 | $87.00 | $3.14 – $73.95 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $151.20 | $252.00 | $28.07 – $214.20 |
| Hemoglobin A1c test CPT 83036 | $66.60 | $111.00 | $7.77 – $94.35 |
| Hepatitis C antibody test CPT 86803 | $40.20 | $67.00 | $11.42 – $56.95 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $185.40 | $309.00 | $19.26 – $262.65 |
| Iron test CPT 83540 | $33.00 | $55.00 | $5.18 – $46.75 |
| Kidney function panel CPT 80069 | $118.20 | $197.00 | $6.94 – $167.45 |
| Lipase test (pancreas) CPT 83690 | $30.00 | $50.00 | $5.51 – $42.50 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $86.40 | $144.00 | $10.71 – $122.40 |
| Liver function panel CPT 80076 | $41.40 | $69.00 | $6.54 – $58.65 |
| Magnesium test CPT 83735 | $121.80 | $203.00 | $5.36 – $172.55 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $59.40 | $99.00 | $4.81 – $84.15 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $126.00 | $210.00 | $12.04 – $178.50 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $27.00 | $45.00 | $3.43 – $38.25 |
| PSA (prostate specific antigen), free CPT 84154 | $30.00 | $50.00 | $14.71 – $58.66 |
| PSA (prostate specific antigen), total CPT 84153 | $57.00 | $95.00 | $14.71 – $80.75 |
| Rapid strep test CPT 87880 | $45.00 | $75.00 | $13.22 – $63.75 |
| Sed rate (ESR) test CPT 85652 | $22.20 | $37.00 | $2.16 – $31.45 |
| TB skin test CPT 86580 | $431.33 | $718.88 | $8.52 – $611.05 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $115.20 | $192.00 | $13.44 – $163.20 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $286.20 | $477.00 | $57.97 – $405.45 |
| Troponin test (heart damage) CPT 84484 | $203.40 | $339.00 | $9.98 – $288.15 |
| Urinalysis, automated, with microscope CPT 81001 | $24.60 | $41.00 | $2.54 – $34.85 |
| Urinalysis, automated, without microscope CPT 81003 | $24.60 | $41.00 | $1.80 – $34.85 |
| Urine culture, colony count CPT 87086 | $40.20 | $67.00 | $6.46 – $56.95 |
| Urine pregnancy test CPT 81025 | $66.00 | $110.00 | $6.89 – $93.50 |
| Vitamin B12 test CPT 82607 | $40.20 | $67.00 | $12.06 – $56.95 |
| Vitamin D test CPT 82306 | $63.60 | $106.00 | $23.68 – $94.42 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $315.60 | $526.00 | $117.72 – $799.00 |
| ECG tracing only (no interpretation) CPT 93005 | $120.00 | $200.00 | $6.93 – $174.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,368.00 | $2,280.00 | $211.62 – $1,938.00 |
| Left heart catheterization CPT 93452 | $7,804.80 | $13,008.00 | $2,911.19 – $21,579.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $6,904.20 | $11,507.00 | $2,575.27 – $21,579.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,566.80 | $4,278.00 | $369.08 – $3,208.50 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $4,507.00 – $24,071.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,549.00 – $24,071.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $4,120.20 | $6,867.00 | $1,536.83 – $5,150.25 |
| Carpal tunnel release CPT 64721 | not posted | $3,941.00 – $11,090.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $3,941.00 – $7,918.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $3,941.00 – $7,918.00 | |
| Colonoscopy, diagnostic CPT 45378 | $847.80 | $1,413.00 | $316.23 – $3,000.00 |
| Colposcopy with biopsy CPT 57454 | $1,284.00 | $2,140.00 | $478.93 – $3,000.00 |
| Cystoscopy (bladder scope) CPT 52000 | $1,884.60 | $3,141.00 | $702.96 – $3,000.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $4,507.00 – $9,936.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $2,937.00 – $6,153.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $8,695.00 – $24,071.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $23,546.00 – $24,071.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $8,695.00 – $24,071.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $4,507.00 – $11,090.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $5,549.00 – $24,071.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $5,549.00 – $15,576.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $9,553.80 | $15,923.00 | $3,000.00 – $11,942.25 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $5,549.00 – $15,576.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $3,941.00 – $7,918.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $499.80 | $833.00 | $40.56 – $724.71 |
| Prostate biopsy CPT 55700 | not posted | $3,941.00 – $3,941.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $13,455.00 – $27,846.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $4,507.00 – $11,090.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $6,339.00 – $24,071.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $3,206.00 – $7,918.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $3,206.00 – $7,918.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $5,549.00 – $11,856.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,216.00 – $9,936.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $23,546.00 – $24,071.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $4,507.00 – $11,090.00 | |
| Total hip replacement CPT 27130 | not posted | $16,436.00 – $27,846.00 | |
| Total knee replacement CPT 27447 | not posted | $16,436.00 – $27,846.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $3,941.00 – $7,918.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $2,937.00 – $6,610.00 | |
| Vasectomy CPT 55250 | not posted | $3,941.00 – $11,090.00 |
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 | $17,843.00 – $20,127.00 | |
| Fetal non-stress test CPT 59025 | $630.00 | $1,050.00 | $52.68 – $913.50 |
| IUD insertion CPT 58300 | $555.60 | $926.00 | $207.24 – $805.62 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $17,843.00 – $20,127.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $17,843.00 – $20,127.00 |
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 | $6,929.87 – $24,323.00 | |
| C-section, without complications MS-DRG 788 | not posted | $7,140.00 – $30,206.00 | |
| Chest pain MS-DRG 313 | not posted | $5,651.91 – $24,323.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,695.31 – $24,323.00 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,039.62 – $24,323.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $6,841.96 – $24,323.00 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,698.38 – $24,323.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,077.68 – $24,323.00 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,443.03 – $24,323.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $6,993.00 – $148,212.05 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,141.63 – $29,223.35 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,443.82 – $24,323.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,874.92 – $24,323.00 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,354.48 – $24,323.00 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $19,163.91 – $36,986.35 | |
| Normal newborn care MS-DRG 795 | not posted | $1,568.41 – $8,125.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,108.78 – $24,323.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,326.22 – $24,323.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,317.88 – $24,323.00 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,933.65 – $24,323.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $10,964.71 – $24,323.00 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $15,248.39 – $29,429.40 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,032.78 – $24,323.00 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $6,836.46 – $24,323.00 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $27,192.00 – $27,192.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,119.77 – $24,323.00 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $7,930.73 – $24,323.00 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $9,739.35 – $24,323.00 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,292.39 – $18,904.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,840.76 – $24,323.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $976.80 | $1,628.00 | $364.35 – $3,000.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $2,937.00 – $6,153.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $2,937.00 – $6,153.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,764.80 | $4,608.00 | $1,031.27 – $3,456.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $8,695.00 – $13,455.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $3,206.00 – $7,918.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $510.60 | $851.00 | $38.46 – $723.35 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $5,341.80 | $8,903.00 | $328.00 – $9,060.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,566.60 | $7,611.00 | $328.00 – $9,060.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $228.00 | $380.00 | $29.53 – $495.09 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $139.80 | $233.00 | $30.73 – $583.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $412.20 | $687.00 | $60.00 – $583.95 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $438.60 | $731.00 | $60.00 – $621.35 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $271.20 | $452.00 | $32.22 – $393.24 |
| Therapeutic activities, 15 minutes CPT 97530 | $130.20 | $217.00 | $39.23 – $456.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Psychiatric diagnostic evaluation CPT 90791 | $1,144.20 | $1,907.00 | $210.87 – $1,430.25 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $232.20 | $387.00 | $15.92 – $746.00 |
| IV hydration, each additional hour CPT 96361 | $223.80 | $373.00 | $13.29 – $410.00 |
| IV hydration, first hour CPT 96360 | $642.00 | $1,070.00 | $35.00 – $909.50 |
| IV push injection of a drug, first CPT 96374 | $382.80 | $638.00 | $39.73 – $746.00 |
| IV push injection, each additional drug CPT 96375 | $493.20 | $822.00 | $16.56 – $746.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $170.92 | $284.86 | ? – $213.65 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $66.12 | $110.20 | ? – $82.65 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $179.03 | $298.38 | $1.19 – $223.78 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $17.97 | $29.95 | ? – $22.46 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $263.06 | $438.44 | ? – $328.83 |
| Morphine injection, up to 10 mg HCPCS J2270 | $215.63 | $359.38 | $3.04 – $269.54 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $16.98 | $28.30 | ? – $21.23 |
| Propofol injection, per 10 mg HCPCS J2704 | $69.60 | $116.00 | ? – $87.00 |
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.