Arnot Ogden Medical Center
600 Roe Avenue, Elmira, NY 14905 · Acute care hospital · Emergency room
These are Arnot Ogden Medical Center's own posted figures from its standard-charges file dated March 27, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
227 of the services we track have a posted price here; 144 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 | $1,100.73 | $2,001.32 | $843.92 – $928.31 |
| Emergency room visit, level 1 (minor) CPT 99281 | $146.18 | $265.78 | |
| Emergency room visit, level 2 CPT 99282 | $234.56 | $426.47 | $156.87 – $172.56 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $401.33 | $729.69 | $349.67 – $656.72 |
| Emergency room visit, level 4 CPT 99284 | $628.39 | $1,142.53 | |
| Emergency room visit, level 5 (most severe) CPT 99285 | $854.60 | $1,553.82 | |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $96.10 | $174.72 | $83.73 – $174.72 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $59.85 | $108.82 | $66.24 – $72.86 |
| Abdominal X-ray, 1 view CPT 74018 | $208.98 | $379.97 | |
| Ankle X-ray, 3 or more views CPT 73610 | $255.27 | $464.13 | |
| Bone density scan (DEXA), hips and spine CPT 77080 | $502.70 | $914.00 | $437.99 – $822.60 |
| Breast ultrasound, one breast, complete CPT 76641 | $418.25 | $760.45 | $106.81 – $117.49 |
| Breast ultrasound, one breast, limited CPT 76642 | $183.85 | $334.28 | $88.91 – $97.80 |
| Chest X-ray, 1 view CPT 71045 | $198.34 | $360.62 | |
| Chest X-ray, 2 views CPT 71046 | $246.23 | $447.69 | $214.53 – $402.92 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,031.10 | $3,692.90 | $179.20 – $197.12 |
| CT angiogram of the head CPT 70496 | $2,031.10 | $3,692.90 | |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,758.45 | $6,833.54 | $3,274.63 – $6,833.54 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,487.64 | $8,159.35 | $3,909.96 – $8,159.35 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,831.97 | $5,149.04 | $2,467.42 – $5,149.04 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,385.30 | $2,518.73 | |
| CT scan of the chest, with contrast CPT 71260 | $1,513.75 | $2,752.27 | |
| CT scan of the chest, without contrast CPT 71250 | $1,330.84 | $2,419.71 | |
| CT scan of the head, without contrast CPT 70450 | $1,262.77 | $2,295.94 | |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,464.72 | $2,663.13 | $106.81 – $117.49 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,021.78 | $3,675.96 | $1,761.52 – $3,675.96 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,403.44 | $2,551.70 | |
| Diagnostic mammogram, both breasts CPT 77066 | $682.25 | $1,240.45 | $213.08 – $234.39 |
| Diagnostic mammogram, one breast CPT 77065 | $484.35 | $880.64 | $168.11 – $184.92 |
| Foot X-ray, 3 or more views CPT 73630 | $533.70 | $970.37 | $88.91 – $97.80 |
| Hand X-ray, 3 or more views CPT 73130 | $479.24 | $871.35 | $88.91 – $97.80 |
| Knee X-ray, 3 views CPT 73562 | $290.45 | $528.09 | $88.91 – $97.80 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $790.79 | $1,437.80 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $711.36 | $1,293.38 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $294.98 | $536.32 | $106.81 – $117.49 |
| MRI of both breasts, without and with contrast CPT 77049 | $3,326.13 | $6,047.50 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,538.22 | $8,251.31 | |
| MRI of the brain, without and with contrast CPT 70553 | $3,597.68 | $6,541.24 | $356.43 – $392.07 |
| MRI of the brain, without contrast CPT 70551 | $2,579.98 | $4,690.88 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,632.16 | $4,785.75 | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,932.81 | $5,332.39 | $243.77 – $268.15 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,750.16 | $5,000.29 | $243.77 – $268.15 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,615.16 | $4,754.83 | $243.77 – $268.15 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,029.94 | $7,327.16 | |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,510.79 | $4,565.07 | $2,187.58 – $4,108.56 |
| Neck X-ray, 2 or 3 views CPT 72040 | $254.17 | $462.12 | $221.45 – $415.91 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $628.53 | $1,142.78 | $547.62 – $1,028.50 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $189.99 | $345.44 | |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $414.12 | $752.94 | $106.81 – $117.49 |
| Screening mammogram, both breasts CPT 77067 | $394.19 | $716.70 | $172.34 – $189.57 |
| Shoulder X-ray, 2 or more views CPT 73030 | $275.71 | $501.29 | $88.91 – $97.80 |
| Transvaginal pregnancy ultrasound CPT 76817 | $407.26 | $740.48 | $354.84 – $666.43 |
| Transvaginal ultrasound CPT 76830 | $543.45 | $988.09 | |
| Ultrasound of the abdomen, complete CPT 76700 | $901.96 | $1,639.92 | $106.81 – $117.49 |
| Ultrasound of the neck or thyroid CPT 76536 | $528.71 | $961.29 | |
| Wrist X-ray, 3 or more views CPT 73110 | $228.04 | $414.61 | $88.91 – $97.80 |
| X-ray of the lower back, 4 or more views CPT 72110 | $476.51 | $866.38 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $142.95 | $259.91 | $8.46 – $32.20 |
| Blood culture CPT 87040 | $146.38 | $266.14 | $10.32 – $12.06 |
| Blood draw (venipuncture) CPT 36415 | $19.79 | $35.98 | $4.20 – $43.33 |
| BNP test (heart failure) CPT 83880 | $148.63 | $270.24 | $39.26 – $43.19 |
| C-reactive protein (CRP) test CPT 86140 | $81.21 | $147.66 | $70.76 – $147.66 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $128.82 | $234.21 | $15.79 – $47.74 |
| Complete blood count (CBC) with differential CPT 85025 | $86.23 | $156.78 | $7.77 – $13.79 |
| Complete blood count (CBC), automated CPT 85027 | $59.00 | $107.27 | $51.40 – $107.27 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $208.77 | $379.59 | $4.75 – $32.20 |
| COVID-19 PCR test CPT 87635 | $59.72 | $108.59 | |
| D-dimer test (blood clots) CPT 85379 | $86.92 | $158.04 | $10.18 – $16.58 |
| Drug screen, instrument chemistry CPT 80307 | $270.09 | $491.07 | $62.14 – $68.35 |
| Ferritin (iron stores) test CPT 82728 | $150.89 | $274.34 | $13.40 – $14.99 |
| Free T4 (thyroid) test CPT 84439 | $206.50 | $375.45 | $4.06 – $31.46 |
| General health panel (blood tests) CPT 80050 | not posted | $32.20 – $43.89 | |
| Glucose (blood sugar) test CPT 82947 | $57.87 | $105.21 | $50.42 – $105.21 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $91.49 | $166.35 | $35.09 – $47.74 |
| Hemoglobin A1c test CPT 83036 | $122.53 | $222.78 | $8.32 – $10.68 |
| Hepatitis C antibody test CPT 86803 | $217.83 | $396.06 | $6.42 – $19.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $237.88 | $432.51 | $10.84 – $27.30 |
| Iron test CPT 83540 | $71.48 | $129.96 | $62.28 – $129.96 |
| Kidney function panel CPT 80069 | $131.59 | $239.26 | $114.65 – $239.26 |
| Lipase test (pancreas) CPT 83690 | $96.44 | $175.35 | $6.89 – $8.32 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $200.80 | $365.09 | $174.95 – $365.09 |
| Liver function panel CPT 80076 | $206.50 | $375.45 | $3.68 – $32.20 |
| Magnesium test CPT 83735 | $155.93 | $283.50 | $135.85 – $283.50 |
| Obstetric blood test panel CPT 80055 | not posted | $32.20 – $52.59 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $69.21 | $125.83 | $6.01 – $16.58 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $275.71 | $501.29 | $6.77 – $31.46 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $52.20 | $94.91 | $4.29 – $16.58 |
| PSA (prostate specific antigen), free CPT 84154 | $109.10 | $198.37 | $95.06 – $198.37 |
| PSA (prostate specific antigen), total CPT 84153 | $180.40 | $328.00 | $8.28 – $24.36 |
| Rapid strep test CPT 87880 | $19.22 | $34.94 | $16.74 – $34.94 |
| Sed rate (ESR) test CPT 85652 | $63.54 | $115.52 | $2.70 – $13.79 |
| TB skin test CPT 86580 | $15.61 | $28.39 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $216.70 | $394.00 | $16.80 – $31.46 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $58.86 | $107.02 | $51.28 – $107.02 |
| Troponin test (heart damage) CPT 84484 | $129.34 | $235.17 | $12.47 – $13.72 |
| Urinalysis, automated, with microscope CPT 81001 | $44.24 | $80.44 | $1.43 – $13.14 |
| Urinalysis, automated, without microscope CPT 81003 | $34.65 | $63.00 | $1.01 – $13.14 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $4.02 – $13.14 | |
| Urinalysis, manual, without microscope CPT 81002 | $34.65 | $63.00 | $3.48 – $13.14 |
| Urine culture, colony count CPT 87086 | $131.59 | $239.26 | $114.65 – $239.26 |
| Urine pregnancy test CPT 81025 | $87.35 | $158.81 | $76.10 – $158.81 |
| Vitamin B12 test CPT 82607 | $153.04 | $278.25 | $15.08 – $31.46 |
| Vitamin D test CPT 82306 | $112.33 | $204.23 | $13.32 – $41.84 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $761.28 | $1,384.15 | |
| ECG tracing only (no interpretation) CPT 93005 | $374.54 | $680.98 | |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,374.73 | $2,499.50 | $558.25 – $614.08 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $184.94 | $336.26 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $60.60 – $106.05 | |
| Left heart catheterization CPT 93452 | $6,960.33 | $12,655.14 | $1,959.46 – $3,643.37 |
| Left heart catheterization with coronary angiogram CPT 93458 | $5,421.86 | $9,857.93 | $1,959.46 – $3,643.37 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,674.14 | $4,862.07 | |
| Treadmill stress test, complete CPT 93015 | not posted | $60.60 – $106.05 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,773.23 – $8,154.72 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $2,746.35 – $6,794.12 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,479.01 | $4,507.29 | $1,687.37 – $1,856.11 |
| Carpal tunnel release CPT 64721 | not posted | $300.00 – $1,444.92 | |
| Colonoscopy with biopsy CPT 45380 | $2,443.53 | $4,442.78 | $842.50 – $1,344.82 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,588.94 | $4,707.17 | $2,255.68 – $4,236.45 |
| Colonoscopy, diagnostic CPT 45378 | $2,443.53 | $4,442.78 | $842.50 – $1,045.11 |
| Colposcopy with biopsy CPT 57454 | not posted | $311.33 – $613.89 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $75.00 – $1,765.40 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,356.05 – $1,743.71 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,001.87 | $3,639.76 | $842.50 – $1,045.11 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,935.10 – $6,794.12 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,749.12 – $2,749.12 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $2,236.59 – $11,946.08 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,520.73 – $3,637.96 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,268.77 – $2,268.77 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $317.50 – $2,268.77 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,573.67 – $3,961.46 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,985.49 – $3,677.16 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $219.29 – $842.50 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $58.86 – $145.81 | |
| Prostate biopsy CPT 55700 | $460.81 | $837.84 | $167.57 – $754.06 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $2,932.91 – $11,946.08 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $173.00 – $1,710.39 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $3,773.23 – $3,773.23 | |
| Screening colonoscopy, average risk HCPCS G0121 | $460.81 | $837.84 | $158.60 – $842.50 |
| Screening colonoscopy, high risk HCPCS G0105 | $460.81 | $837.84 | $158.36 – $842.50 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $2,769.69 – $3,726.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,985.49 – $1,985.49 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,950.62 – $1,950.62 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,570.60 – $6,652.86 | |
| Total hip replacement CPT 27130 | not posted | $3,804.04 – $3,804.04 | |
| Total knee replacement CPT 27447 | not posted | $3,804.04 – $14,428.44 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,443.53 | $4,442.78 | $119.07 – $877.04 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,443.53 | $4,442.78 | $2,128.98 – $3,998.50 |
| Vasectomy CPT 55250 | not posted | $148.50 – $1,415.83 |
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 | $2,310.97 – $2,657.62 | |
| Fetal non-stress test CPT 59025 | $308.61 | $561.10 | $206.55 – $227.21 |
| IUD insertion CPT 58300 | $693.00 | $1,260.00 | $252.00 – $1,260.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,176.69 – $2,176.69 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,176.69 – $2,176.69 |
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 | $6,550.38 – $24,754.33 | |
| C-section, without complications MS-DRG 788 | not posted | $6,929.00 – $26,753.86 | |
| Chest pain MS-DRG 313 | not posted | $5,342.40 – $20,471.10 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $6,929.00 – $30,671.37 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $4,763.64 – $18,418.95 | |
| Fainting (syncope) MS-DRG 312 | not posted | $6,467.27 – $24,459.66 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $6,929.00 – $27,330.03 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $6,929.00 – $35,304.50 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,199.72 – $16,419.41 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $6,929.00 – $258,910.44 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $6,929.00 – $52,276.86 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,200.46 – $16,422.05 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,498.44 – $24,570.14 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,006.49 – $22,825.82 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $6,929.00 – $65,757.94 | |
| Normal newborn care MS-DRG 795 | not posted | $1,482.52 – $6,784.80 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $5,774.24 – $22,002.34 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $5,979.78 – $22,731.10 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $6,929.00 – $36,109.57 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,663.47 – $18,063.76 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $6,929.00 – $38,277.50 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $6,929.00 – $52,634.68 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $6,929.00 – $28,450.83 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $6,462.08 – $24,441.24 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $5,784.63 – $22,039.16 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $6,929.00 – $8,781.53 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $6,929.00 – $34,170.56 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,002.56 – $19,266.12 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $6,929.00 – $41,213.65 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $393.53 | $715.51 | $313.60 – $344.96 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,278.59 | $2,324.70 | $95.04 – $603.43 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,249.23 | $2,271.32 | $81.32 – $603.43 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $460.81 | $837.84 | $401.49 – $754.06 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $602.53 – $2,219.10 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $136.02 – $149.62 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $216.51 – $1,754.04 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $131.46 – $144.61 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $375.12 | $682.04 | $220.60 – $526.10 |
| Sleep study with CPAP titration CPT 95811 | $2,653.11 | $4,823.83 | $877.34 – $965.07 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,964.95 | $5,390.82 | $877.34 – $965.07 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $190.39 | $346.16 | $165.88 – $311.54 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | not posted | $35.60 – $39.16 | |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $126.43 – $139.07 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $126.43 – $139.07 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | not posted | $37.31 – $41.04 | |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $45.39 – $49.93 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $123.83 – $123.83 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $123.83 – $199.47 | |
| Group psychotherapy CPT 90853 | not posted | $63.98 – $63.98 | |
| Psychiatric diagnostic evaluation CPT 90791 | $102.10 | $185.64 | $181.34 – $206.39 |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $123.83 – $199.47 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $165.11 – $199.47 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $165.11 – $199.47 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $133.89 | $243.43 | |
| IV hydration, each additional hour CPT 96361 | $83.96 | $152.65 | $73.15 – $137.39 |
| IV hydration, first hour CPT 96360 | $465.16 | $845.74 | $217.31 – $239.04 |
| IV push injection of a drug, first CPT 96374 | $176.99 | $321.80 | $30.59 – $41.18 |
| IV push injection, each additional drug CPT 96375 | $165.65 | $301.18 | $144.33 – $271.06 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $1.19 – $1.58 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $3.04 – $4.04 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $1.99 – $2.65 |
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.