Columbia Memorial Hospital
71 Prospect Avenue, Hudson, NY 12534 · Acute care hospital · Emergency room
These are Columbia Memorial Hospital'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.
233 of the services we track have a posted price here; 189 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 | $1,519.00 | $3,038.00 | $182.39 – $1,823.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $251.00 | $502.00 | $14.80 – $1,483.00 |
| Emergency room visit, level 2 CPT 99282 | $315.50 | $631.00 | $54.73 – $1,483.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $395.00 | $790.00 | $92.93 – $1,483.00 |
| Emergency room visit, level 4 CPT 99284 | $493.00 | $986.00 | $158.43 – $1,483.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $642.50 | $1,285.00 | $182.39 – $1,590.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $322.50 | $645.00 | $55.71 – $2,952.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $61.50 | $123.00 | $22.06 – $80.70 |
| Abdominal X-ray, 1 view CPT 74018 | $144.50 | $289.00 | $39.26 – $156.29 |
| Ankle X-ray, 3 or more views CPT 73610 | $286.00 | $572.00 | $48.19 – $156.29 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $316.50 | $633.00 | $52.04 – $463.01 |
| Breast ultrasound, one breast, complete CPT 76641 | $574.50 | $1,149.00 | $125.84 – $417.26 |
| Breast ultrasound, one breast, limited CPT 76642 | $389.50 | $779.00 | $104.19 – $417.26 |
| Chest X-ray, 1 view CPT 71045 | $144.50 | $289.00 | $33.69 – $156.29 |
| Chest X-ray, 2 views CPT 71046 | $250.00 | $500.00 | $43.93 – $156.29 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,356.00 | $2,712.00 | $210.66 – $1,032.23 |
| CT angiogram of the head CPT 70496 | $1,249.50 | $2,499.00 | $210.66 – $1,032.23 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,033.50 | $2,067.00 | $403.46 – $974.25 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,356.00 | $2,712.00 | $422.61 – $999.30 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $865.50 | $1,731.00 | $237.79 – $974.25 |
| CT scan of the abdomen, without contrast CPT 74150 | $865.50 | $1,731.00 | $125.84 – $819.09 |
| CT scan of the chest, with contrast CPT 71260 | $1,111.00 | $2,222.00 | $210.66 – $974.25 |
| CT scan of the chest, without contrast CPT 71250 | $944.50 | $1,889.00 | $125.84 – $819.09 |
| CT scan of the head, without contrast CPT 70450 | $843.00 | $1,686.00 | $125.84 – $974.25 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $865.50 | $1,731.00 | $125.84 – $819.09 |
| CT scan of the pelvis, with contrast CPT 72193 | $966.00 | $1,932.00 | $210.66 – $974.25 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $865.50 | $1,731.00 | $125.84 – $819.09 |
| Diagnostic mammogram, both breasts CPT 77066 | $403.50 | $807.00 | $155.87 – $459.57 |
| Diagnostic mammogram, one breast CPT 77065 | $318.00 | $636.00 | $155.87 – $363.59 |
| Foot X-ray, 3 or more views CPT 73630 | $291.50 | $583.00 | $44.94 – $156.29 |
| Hand X-ray, 3 or more views CPT 73130 | $262.00 | $524.00 | $49.58 – $156.29 |
| Knee X-ray, 3 views CPT 73562 | $299.50 | $599.00 | $51.82 – $156.29 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $530.00 | $1,060.00 | $763.20 – $954.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $382.50 | $765.00 | $459.00 – $688.50 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $324.50 | $649.00 | $51.82 – $188.76 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,502.50 | $3,005.00 | $386.91 – $1,400.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,871.00 | $3,742.00 | $387.44 – $1,400.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,741.00 | $3,482.00 | $348.46 – $1,400.00 |
| MRI of the brain, without contrast CPT 70551 | $1,291.00 | $2,582.00 | $209.30 – $1,400.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,291.50 | $2,583.00 | $228.79 – $1,400.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,291.50 | $2,583.00 | $200.87 – $1,400.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,291.50 | $2,583.00 | $199.81 – $1,400.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,291.50 | $2,583.00 | $200.34 – $1,400.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,873.00 | $3,746.00 | $385.33 – $1,400.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,291.50 | $2,583.00 | $229.32 – $1,400.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $310.50 | $621.00 | $51.82 – $156.29 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $501.50 | $1,003.00 | $125.84 – $1,730.09 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $446.50 | $893.00 | $125.84 – $384.92 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $446.50 | $893.00 | $125.84 – $363.85 |
| Screening mammogram, both breasts CPT 77067 | $420.00 | $840.00 | $155.87 – $373.62 |
| Shoulder X-ray, 2 or more views CPT 73030 | $328.00 | $656.00 | $45.76 – $156.29 |
| Transvaginal pregnancy ultrasound CPT 76817 | $261.50 | $523.00 | $118.39 – $363.85 |
| Transvaginal ultrasound CPT 76830 | $371.50 | $743.00 | $125.84 – $417.26 |
| Ultrasound of the abdomen, complete CPT 76700 | $632.50 | $1,265.00 | $125.84 – $1,730.09 |
| Ultrasound of the neck or thyroid CPT 76536 | $478.50 | $957.00 | $125.84 – $417.26 |
| Wrist X-ray, 3 or more views CPT 73110 | $221.00 | $442.00 | $51.82 – $156.29 |
| X-ray of the lower back, 4 or more views CPT 72110 | $531.50 | $1,063.00 | $51.82 – $188.76 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $42.00 | $84.00 | ? – $27.64 |
| Blood culture CPT 87040 | $56.50 | $113.00 | ? – $35.60 |
| Blood draw (venipuncture) CPT 36415 | $16.50 | $33.00 | $23.76 – $29.70 |
| BNP test (heart failure) CPT 83880 | $150.00 | $300.00 | ? – $108.12 |
| C-reactive protein (CRP) test CPT 86140 | $35.50 | $71.00 | ? – $13.13 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $145.00 | $290.00 | ? – $121.01 |
| Complete blood count (CBC) with differential CPT 85025 | $47.00 | $94.00 | ? – $26.66 |
| Complete blood count (CBC), automated CPT 85027 | $39.50 | $79.00 | ? – $22.32 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $61.50 | $123.00 | ? – $36.41 |
| COVID-19 PCR test CPT 87635 | $93.00 | $186.00 | $51.31 – $110.83 |
| D-dimer test (blood clots) CPT 85379 | $60.00 | $120.00 | ? – $35.09 |
| Drug screen, instrument chemistry CPT 80307 | $102.00 | $204.00 | ? – $134.22 |
| Ferritin (iron stores) test CPT 82728 | $84.50 | $169.00 | ? – $46.98 |
| Free T4 (thyroid) test CPT 84439 | $57.00 | $114.00 | ? – $31.09 |
| General health panel (blood tests) CPT 80050 | $177.00 | $354.00 | $138.06 – $318.60 |
| Glucose (blood sugar) test CPT 82947 | $27.50 | $55.00 | ? – $13.53 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $196.00 | $392.00 | ? – $121.01 |
| Hemoglobin A1c test CPT 83036 | $61.50 | $123.00 | ? – $33.47 |
| Hepatitis C antibody test CPT 86803 | $88.00 | $176.00 | ? – $49.21 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $74.00 | $148.00 | ? – $73.23 |
| Iron test CPT 83540 | $43.00 | $86.00 | ? – $22.32 |
| Kidney function panel CPT 80069 | $52.50 | $105.00 | ? – $29.95 |
| Lipase test (pancreas) CPT 83690 | $39.50 | $79.00 | ? – $22.12 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $84.00 | $168.00 | ? – $46.17 |
| Liver function panel CPT 80076 | $42.00 | $84.00 | ? – $27.64 |
| Magnesium test CPT 83735 | $44.50 | $89.00 | ? – $23.08 |
| Obstetric blood test panel CPT 80055 | $72.00 | $144.00 | ? – $103.27 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $40.50 | $81.00 | ? – $20.70 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $92.50 | $185.00 | ? – $51.92 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $27.50 | $55.00 | ? – $13.56 |
| PSA (prostate specific antigen), free CPT 84154 | $100.50 | $201.00 | ? – $63.42 |
| PSA (prostate specific antigen), total CPT 84153 | $85.00 | $170.00 | ? – $63.42 |
| Rapid strep test CPT 87880 | $45.50 | $91.00 | ? – $39.48 |
| Sed rate (ESR) test CPT 85652 | $7.50 | $15.00 | ? – $9.32 |
| TB skin test CPT 86580 | $37.50 | $75.00 | $5.95 – $42.12 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $91.50 | $183.00 | ? – $57.95 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $126.50 | $253.00 | ? – $139.00 |
| Troponin test (heart damage) CPT 84484 | $40.50 | $81.00 | ? – $33.93 |
| Urinalysis, automated, with microscope CPT 81001 | $32.00 | $64.00 | ? – $10.92 |
| Urinalysis, automated, without microscope CPT 81003 | $28.00 | $56.00 | ? – $7.75 |
| Urinalysis, manual, with microscope CPT 81000 | $28.00 | $56.00 | ? – $10.92 |
| Urinalysis, manual, without microscope CPT 81002 | $26.50 | $53.00 | ? – $8.82 |
| Urine culture, colony count CPT 87086 | $52.50 | $105.00 | ? – $27.85 |
| Urine pregnancy test CPT 81025 | $44.00 | $88.00 | ? – $21.82 |
| Vitamin B12 test CPT 82607 | $39.50 | $79.00 | ? – $50.65 |
| Vitamin D test CPT 82306 | $117.00 | $234.00 | ? – $100.11 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $530.00 | $1,060.00 | $636.00 – $954.00 |
| ECG tracing only (no interpretation) CPT 93005 | $167.00 | $334.00 | $240.48 – $300.60 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,311.50 | $2,623.00 | $1,573.80 – $2,360.70 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $99.50 | $199.00 | $77.61 – $179.10 |
| Holter monitor, up to 48 hours CPT 93224 | $211.00 | $422.00 | $29.96 – $120.32 |
| Left heart catheterization CPT 93452 | not posted | $2,143.24 – $5,709.26 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $2,143.24 – $5,709.26 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,871.00 | $3,742.00 | $565.76 – $2,317.28 |
| Treadmill stress test, complete CPT 93015 | $104.00 | $208.00 | $30.84 – $111.96 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $2,378.00 | $4,756.00 | $418.24 – $1,620.66 |
| Appendix removal, laparoscopic CPT 44970 | $1,250.00 | $2,500.00 | $731.08 – $10,391.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,677.00 | $3,354.00 | $195.67 – $4,212.36 |
| Carpal tunnel release CPT 64721 | $1,115.50 | $2,231.00 | $191.27 – $753.94 |
| Colonoscopy with biopsy CPT 45380 | $1,695.00 | $3,390.00 | $249.22 – $8,795.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,291.50 | $2,583.00 | $315.68 – $8,795.00 |
| Colonoscopy, diagnostic CPT 45378 | $841.00 | $1,682.00 | $76.80 – $555.43 |
| Colposcopy with biopsy CPT 57454 | $435.00 | $870.00 | $56.54 – $277.31 |
| Cystoscopy (bladder scope) CPT 52000 | $1,185.00 | $2,370.00 | $101.46 – $8,795.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,486.52 – $3,344.67 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $491.00 | $982.00 | $69.12 – $8,795.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $1,854.00 | $3,708.00 | $801.89 – $10,391.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $3,002.67 – $6,756.01 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $5,347.00 | $10,694.00 | $1,121.30 – $12,936.23 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $854.00 | $1,708.00 | $78.36 – $2,077.13 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $1,177.50 | $2,355.00 | $523.31 – $10,391.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $1,277.00 | $2,554.00 | $226.12 – $876.22 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $2,555.50 | $5,111.00 | $717.08 – $7,501.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $1,640.50 | $3,281.00 | $235.59 – $912.92 |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $927.59 – $2,092.91 | |
| Nasal endoscopy, diagnostic CPT 31231 | $257.00 | $514.00 | $308.40 – $462.60 |
| Prostate biopsy CPT 55700 | $543.00 | $1,086.00 | $164.27 – $5,333.47 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $3,202.70 – $18,480.33 | |
| Removal of a breast lump, open surgery CPT 19120 | $2,819.00 | $5,638.00 | $4,059.36 – $5,074.20 |
| Rotator cuff repair, arthroscopic CPT 29827 | $2,636.50 | $5,273.00 | $458.94 – $1,778.38 |
| Screening colonoscopy, average risk HCPCS G0121 | $850.00 | $1,700.00 | $229.19 – $3,816.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,311.00 | $2,622.00 | $229.00 – $3,816.00 |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $2,833.00 – $6,806.39 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $1,113.00 | $2,226.00 | $211.41 – $8,795.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $2,133.62 – $4,800.65 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,720.02 – $10,500.53 | |
| Total hip replacement CPT 27130 | $3,931.50 | $7,863.00 | $550.29 – $2,132.38 |
| Total knee replacement CPT 27447 | $4,054.00 | $8,108.00 | $549.56 – $2,129.53 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,348.00 | $2,696.00 | $171.17 – $8,795.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,348.00 | $2,696.00 | $151.68 – $8,795.00 |
| Vasectomy CPT 55250 | $1,055.50 | $2,111.00 | $98.26 – $548.20 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $5,070.00 | $10,140.00 | $1,967.57 – $4,462.51 |
| Fetal non-stress test CPT 59025 | $215.50 | $431.00 | $258.60 – $387.90 |
| IUD insertion CPT 58300 | $322.50 | $645.00 | $25.53 – $172.26 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $4,461.50 | $8,923.00 | $1,829.32 – $4,209.35 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $4,473.00 | $8,946.00 | $1,737.96 – $4,008.89 |
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 | $7,763.67 – $17,603.42 | |
| C-section, without complications MS-DRG 788 | not posted | $7,946.42 – $18,052.38 | |
| Chest pain MS-DRG 313 | not posted | $6,392.69 – $14,235.18 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,719.43 – $22,408.34 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,855.02 – $12,914.23 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,675.14 – $17,385.92 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,605.92 – $19,672.65 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,196.00 – $26,035.98 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,055.01 – $10,948.76 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $78,984.06 – $192,578.05 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,912.40 – $37,623.27 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,142.72 – $11,164.26 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,818.09 – $17,737.11 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,117.17 – $16,015.08 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $19,826.36 – $47,239.10 | |
| Normal newborn care MS-DRG 795 | not posted | $2,221.27 – $3,986.81 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,944.98 – $15,592.06 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,258.49 – $16,362.28 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $11,300.77 – $26,293.39 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,656.03 – $12,425.36 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,047.18 – $28,127.16 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $16,534.54 – $39,151.74 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,972.21 – $20,572.57 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,752.30 – $17,575.48 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,936.05 – $15,570.11 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,902.43 – $20,291.22 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,334.26 – $23,918.86 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,774.61 – $12,716.68 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $12,471.14 – $29,168.76 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $803.50 | $1,607.00 | $56.21 – $2,952.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,861.50 | $3,723.00 | $139.66 – $2,952.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $775.50 | $1,551.00 | $125.56 – $2,952.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,190.00 | $4,380.00 | $100.30 – $2,952.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $744.50 | $1,489.00 | $226.28 – $876.82 |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $152.50 – $228.75 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $649.19 – $4,319.26 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $43.00 | $86.00 | $13.17 – $55.86 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $185.15 – $1,312.27 | |
| Sleep study with CPAP titration CPT 95811 | $1,631.00 | $3,262.00 | $280.44 – $1,025.56 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,549.50 | $3,099.00 | $267.74 – $980.91 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $147.00 | $294.00 | $176.40 – $264.60 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $75.00 | $150.00 | $90.00 – $185.00 |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $99.00 – $391.03 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $99.00 – $391.03 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $46.50 | $93.00 | $12.41 – $95.56 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $36.45 – $142.90 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $285.50 | $571.00 | $342.60 – $513.90 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $134.00 | $268.00 | $36.84 – $151.28 |
| Group psychotherapy CPT 90853 | $164.50 | $329.00 | $197.40 – $296.10 |
| Psychiatric diagnostic evaluation CPT 90791 | $218.50 | $437.00 | $262.20 – $393.30 |
| Psychotherapy, 30 minutes CPT 90832 | $285.50 | $571.00 | $342.60 – $513.90 |
| Psychotherapy, 45 minutes CPT 90834 | $168.50 | $337.00 | $202.20 – $303.30 |
| Psychotherapy, 60 minutes CPT 90837 | $245.00 | $490.00 | $294.00 – $441.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $47.50 | $95.00 | $64.60 – $85.50 |
| IV hydration, each additional hour CPT 96361 | $69.00 | $138.00 | $93.84 – $124.20 |
| IV hydration, first hour CPT 96360 | $198.50 | $397.00 | $269.96 – $357.30 |
| IV push injection of a drug, first CPT 96374 | $332.00 | $664.00 | $451.52 – $597.60 |
| IV push injection, each additional drug CPT 96375 | $47.50 | $95.00 | $64.60 – $85.50 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $5.40 | $10.80 | $4.21 – $9.72 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $2.58 | $5.16 | $2.01 – $4.64 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $5.06 | $10.11 | $3.94 – $9.10 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $1.50 | $3.00 | $1.80 – $2.70 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $10.65 | $21.30 | $8.31 – $19.17 |
| Morphine injection, up to 10 mg HCPCS J2270 | $4.59 | $9.18 | $3.58 – $8.26 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.50 | $3.00 | $1.17 – $2.70 |
| Propofol injection, per 10 mg HCPCS J2704 | $38.85 | $77.70 | $30.30 – $69.93 |
| Saline IV solution, 1000 ml HCPCS J7030 | $12.00 | $24.00 | $9.36 – $21.60 |
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.