Geneva General Hospital
196 -198 North Street, Geneva, NY 14456 · Acute care hospital · Emergency room
These are Geneva General Hospital's own posted figures from its standard-charges file dated August 27, 2026. 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; 149 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 | $1,196.54 | $2,991.33 | $948.63 – $2,542.63 |
| Emergency room visit, level 1 (minor) CPT 99281 | $125.04 | $312.58 | $96.84 – $265.69 |
| Emergency room visit, level 2 CPT 99282 | $224.88 | $562.19 | $176.33 – $477.86 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $347.32 | $868.30 | $313.49 – $752.18 |
| Emergency room visit, level 4 CPT 99284 | $801.21 | $2,003.01 | $479.19 – $1,702.56 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,153.58 | $2,883.93 | $683.92 – $2,451.34 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $282.16 | $705.40 | $230.41 – $599.59 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $28.88 | $72.18 | $45.34 – $108.79 |
| Abdominal X-ray, 1 view CPT 74018 | $125.04 | $312.58 | $99.94 – $265.69 |
| Ankle X-ray, 3 or more views CPT 73610 | $125.04 | $312.58 | $99.94 – $265.69 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $151.01 | $377.52 | $120.06 – $320.89 |
| Breast ultrasound, one breast, complete CPT 76641 | $151.01 | $377.52 | $120.06 – $320.89 |
| Breast ultrasound, one breast, limited CPT 76642 | $125.04 | $312.58 | $99.94 – $265.69 |
| Chest X-ray, 1 view CPT 71045 | $125.04 | $312.58 | $99.94 – $265.69 |
| Chest X-ray, 2 views CPT 71046 | $103.90 | $259.74 | $99.94 – $239.79 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $252.80 | $631.99 | $201.43 – $537.19 |
| CT angiogram of the head CPT 70496 | $252.80 | $631.99 | $201.43 – $537.19 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $626.13 | $1,565.31 | $400.65 – $1,330.51 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $507.14 | $1,267.84 | $400.65 – $1,077.66 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $343.26 | $858.13 | $274.02 – $729.41 |
| CT scan of the abdomen, without contrast CPT 74150 | $151.01 | $377.52 | $120.06 – $320.89 |
| CT scan of the chest, with contrast CPT 71260 | $252.80 | $631.99 | $201.43 – $537.19 |
| CT scan of the chest, without contrast CPT 71250 | $151.01 | $377.52 | $120.06 – $320.89 |
| CT scan of the head, without contrast CPT 70450 | $151.01 | $377.52 | $120.06 – $320.89 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $151.01 | $377.52 | $120.06 – $320.89 |
| CT scan of the pelvis, with contrast CPT 72193 | $252.80 | $631.99 | $201.43 – $537.19 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $151.01 | $377.52 | $120.06 – $320.89 |
| Diagnostic mammogram, both breasts CPT 77066 | $137.63 | $344.07 | $138.10 – $331.36 |
| Diagnostic mammogram, one breast CPT 77065 | $107.93 | $269.82 | $109.06 – $261.68 |
| Foot X-ray, 3 or more views CPT 73630 | $125.04 | $312.58 | $99.94 – $265.69 |
| Hand X-ray, 3 or more views CPT 73130 | $125.04 | $312.58 | $99.94 – $265.69 |
| Knee X-ray, 3 views CPT 73562 | $125.04 | $312.58 | $99.94 – $265.69 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $343.26 | $858.13 | $274.02 – $729.41 |
| Leg or arm vein ultrasound, one side CPT 93971 | $151.01 | $377.52 | $120.06 – $320.89 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $151.01 | $377.52 | $120.06 – $320.89 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $299.11 – $717.68 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $507.14 | $1,267.84 | $400.65 – $1,077.66 |
| MRI of the brain, without and with contrast CPT 70553 | $507.14 | $1,267.84 | $400.65 – $1,077.66 |
| MRI of the brain, without contrast CPT 70551 | $343.26 | $858.13 | $274.02 – $729.41 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $343.26 | $858.13 | $274.02 – $729.41 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $343.26 | $858.13 | $274.02 – $729.41 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $280.17 | $700.41 | $274.02 – $657.46 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $343.26 | $858.13 | $274.02 – $729.41 |
| MRI of the pelvis, without and with contrast CPT 72197 | $447.24 | $1,118.08 | $400.65 – $961.31 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $274.62 | $686.53 | $274.02 – $657.46 |
| Neck X-ray, 2 or 3 views CPT 72040 | $125.04 | $312.58 | $99.94 – $265.69 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $151.01 | $377.52 | $120.06 – $320.89 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $151.01 | $377.52 | $120.06 – $320.89 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $151.01 | $377.52 | $120.06 – $320.89 |
| Screening mammogram, both breasts CPT 77067 | $114.12 | $285.30 | $111.10 – $266.58 |
| Shoulder X-ray, 2 or more views CPT 73030 | $125.04 | $312.58 | $99.94 – $265.69 |
| Transvaginal pregnancy ultrasound CPT 76817 | $151.01 | $377.52 | $120.06 – $320.89 |
| Transvaginal ultrasound CPT 76830 | $151.01 | $377.52 | $120.06 – $320.89 |
| Ultrasound of the abdomen, complete CPT 76700 | $151.01 | $377.52 | $120.06 – $320.89 |
| Ultrasound of the neck or thyroid CPT 76536 | $151.01 | $377.52 | $120.06 – $320.89 |
| Wrist X-ray, 3 or more views CPT 73110 | $125.04 | $312.58 | $99.94 – $265.69 |
| X-ray of the lower back, 4 or more views CPT 72110 | $151.01 | $377.52 | $120.06 – $320.89 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $10.16 | $25.38 | $7.78 – $21.57 |
| Blood culture CPT 87040 | $12.39 | $30.96 | $9.49 – $26.32 |
| Blood draw (venipuncture) CPT 36415 | $10.91 | $27.27 | $8.59 – $23.18 |
| BNP test (heart failure) CPT 83880 | $47.12 | $117.78 | $36.12 – $100.11 |
| C-reactive protein (CRP) test CPT 86140 | $6.22 | $15.54 | $4.77 – $13.21 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $42.11 | $105.27 | $32.28 – $89.48 |
| Complete blood count (CBC) with differential CPT 85025 | $9.33 | $23.31 | $7.15 – $19.81 |
| Complete blood count (CBC), automated CPT 85027 | $7.77 | $19.41 | $5.95 – $16.50 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $26.40 | $9.72 – $23.31 |
| COVID-19 PCR test CPT 87635 | $61.58 | $153.93 | $47.21 – $130.84 |
| D-dimer test (blood clots) CPT 85379 | $12.22 | $30.54 | $9.37 – $25.96 |
| Drug screen, instrument chemistry CPT 80307 | $671.12 | $1,677.78 | |
| Ferritin (iron stores) test CPT 82728 | $16.36 | $40.89 | $12.54 – $34.76 |
| Free T4 (thyroid) test CPT 84439 | $10.83 | $27.06 | $8.30 – $23.00 |
| Glucose (blood sugar) test CPT 82947 | $4.72 | $11.79 | $3.62 – $10.02 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $42.11 | $105.27 | $32.28 – $89.48 |
| Hemoglobin A1c test CPT 83036 | $11.66 | $29.13 | $8.93 – $24.76 |
| Hepatitis C antibody test CPT 86803 | $17.13 | $42.81 | $13.13 – $36.39 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $28.90 | $72.24 | $22.15 – $61.40 |
| Iron test CPT 83540 | $7.77 | $19.41 | $5.95 – $16.50 |
| Kidney function panel CPT 80069 | $10.42 | $26.04 | $7.99 – $22.13 |
| Lipase test (pancreas) CPT 83690 | $8.27 | $20.67 | $6.34 – $17.57 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $16.07 | $40.17 | $12.32 – $34.14 |
| Liver function panel CPT 80076 | $9.81 | $24.51 | $7.52 – $20.83 |
| Magnesium test CPT 83735 | $8.04 | $20.10 | $6.16 – $17.09 |
| Obstetric blood test panel CPT 80055 | not posted | $43.99 – $105.54 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $7.22 | $18.03 | $5.53 – $15.33 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $18.06 | $45.15 | $13.85 – $38.38 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $5.15 | $12.87 | $3.95 – $10.94 |
| PSA (prostate specific antigen), free CPT 84154 | $22.07 | $55.17 | $16.92 – $46.89 |
| PSA (prostate specific antigen), total CPT 84153 | $22.07 | $55.17 | $16.92 – $46.89 |
| Rapid strep test CPT 87880 | $19.84 | $49.59 | $15.21 – $42.15 |
| Sed rate (ESR) test CPT 85652 | $3.24 | $8.10 | $2.48 – $6.89 |
| TB skin test CPT 86580 | $34.78 | $86.94 | $4.55 – $79.70 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $20.16 | $50.40 | $15.46 – $42.84 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $60.90 | $152.25 | $59.85 – $143.59 |
| Troponin test (heart damage) CPT 84484 | $14.97 | $37.41 | $11.47 – $31.80 |
| Urinalysis, automated, with microscope CPT 81001 | $3.81 | $9.51 | $2.92 – $8.08 |
| Urinalysis, automated, without microscope CPT 81003 | $2.70 | $6.75 | $2.07 – $5.74 |
| Urinalysis, manual, with microscope CPT 81000 | $4.83 | $12.06 | $3.70 – $10.25 |
| Urinalysis, manual, without microscope CPT 81002 | $4.18 | $10.44 | $3.20 – $8.87 |
| Urine culture, colony count CPT 87086 | $9.69 | $24.21 | $7.42 – $20.58 |
| Urine pregnancy test CPT 81025 | $10.34 | $25.83 | $2.90 – $21.96 |
| Vitamin B12 test CPT 82607 | $18.10 | $45.24 | $13.87 – $38.45 |
| Vitamin D test CPT 82306 | $35.52 | $88.80 | $27.23 – $75.48 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $343.26 | $858.13 | $274.02 – $729.41 |
| ECG tracing only (no interpretation) CPT 93005 | $68.22 | $170.55 | $67.75 – $162.55 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $883.06 | $2,207.65 | $627.51 – $1,876.50 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $13.54 – $32.48 | |
| Holter monitor, up to 48 hours CPT 93224 | $70.44 | $176.08 | $68.68 – $99.59 |
| Left heart catheterization CPT 93452 | not posted | $3,723.10 – $8,933.02 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $3,723.10 – $8,933.02 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,623.52 | $4,058.79 | $1,486.80 – $3,567.36 |
| Treadmill stress test, complete CPT 93015 | not posted | $65.04 – $156.06 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $8,333.19 – $19,994.22 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $6,942.81 – $16,658.22 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,300.80 | $5,751.98 | $1,896.73 – $4,889.18 |
| Carpal tunnel release CPT 64721 | not posted | $2,242.55 – $5,380.66 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,374.25 – $3,297.30 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,374.25 – $3,297.30 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $1,067.98 – $2,562.46 | |
| Colposcopy with biopsy CPT 57454 | not posted | $349.96 – $839.67 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $800.79 – $1,921.38 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,781.87 – $4,275.33 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,067.98 – $2,562.46 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $6,942.81 – $16,658.22 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,400.43 – $3,360.13 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $12,207.53 – $29,290.10 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,717.58 – $8,919.78 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $6,942.81 – $16,658.22 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $4,111.81 – $9,865.66 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $4,048.16 – $9,712.95 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,757.63 – $9,015.87 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,374.25 – $3,297.30 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $229.23 – $550.01 | |
| Prostate biopsy CPT 55700 | $2,194.38 | $5,485.95 | $4,443.62 – $4,663.06 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $12,207.53 – $29,290.10 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $4,496.57 – $10,788.83 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $8,333.19 – $19,994.22 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,067.98 – $2,562.46 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,067.98 – $2,562.46 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,807.54 – $9,135.62 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $129.13 – $309.83 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $864.63 – $2,074.54 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $6,798.46 – $16,311.87 | |
| Total hip replacement CPT 27130 | not posted | $14,744.21 – $35,376.50 | |
| Total knee replacement CPT 27447 | not posted | $14,744.21 – $35,376.50 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $524.19 | $1,310.46 | $1,041.60 – $2,499.16 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $524.19 | $1,310.46 | $1,041.60 – $2,499.16 |
| Vasectomy CPT 55250 | not posted | $2,400.64 – $5,759.97 |
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 | $2,126.10 – $5,101.25 | |
| Fetal non-stress test CPT 59025 | not posted | $232.18 – $557.07 | |
| IUD insertion CPT 58300 | not posted | $92.92 – $420.16 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,002.10 – $4,803.74 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,912.30 – $4,588.28 |
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 | $7,600.91 – $12,212.66 | |
| C-section, without complications MS-DRG 788 | not posted | $8,255.27 – $13,264.04 | |
| Chest pain MS-DRG 313 | not posted | $6,199.20 – $9,960.48 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,537.30 – $15,323.92 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,527.62 – $8,881.43 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,504.48 – $12,057.71 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,443.83 – $13,567.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,053.52 – $17,760.09 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,873.26 – $7,830.04 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $84,229.91 – $135,335.26 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $16,607.83 – $26,684.40 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,874.12 – $7,831.43 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,540.64 – $12,115.82 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,969.80 – $11,198.62 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $21,019.59 – $33,772.94 | |
| Normal newborn care MS-DRG 795 | not posted | $1,720.28 – $2,764.03 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,700.30 – $10,765.62 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,938.80 – $11,148.82 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $11,316.98 – $18,183.41 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,411.39 – $8,694.67 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,026.45 – $19,323.33 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $16,724.93 – $26,872.55 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,810.61 – $14,156.33 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,498.45 – $12,048.03 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,712.36 – $10,784.99 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,698.68 – $13,976.49 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,682.43 – $17,163.84 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,804.86 – $9,326.88 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $12,987.32 – $20,867.21 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $419.19 | $1,047.96 | $352.51 – $890.77 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,264.24 | $3,160.60 | $1,015.75 – $2,686.51 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $983.40 | $2,458.50 | $810.65 – $2,089.73 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $1,015.75 – $2,437.13 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,650.35 – $6,359.12 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $152.90 – $366.85 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $631.63 – $1,515.50 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $147.77 – $354.55 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $247.97 – $594.97 | |
| Sleep study with CPAP titration CPT 95811 | $1,444.73 | $3,611.82 | $986.20 – $3,070.05 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,444.73 | $3,611.82 | $986.20 – $3,070.05 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $222.18 | $555.45 | $247.97 – $594.97 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $33.64 | $84.09 | $24.81 – $71.48 |
| Physical therapy evaluation, low complexity CPT 97161 | $119.68 | $299.19 | $87.82 – $254.31 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $119.68 | $299.19 | $87.82 – $254.31 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $36.57 | $91.41 | $26.01 – $77.70 |
| Therapeutic activities, 15 minutes CPT 97530 | $46.86 | $117.15 | $31.25 – $99.58 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $165.81 | $414.51 | $203.84 – $489.08 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $165.81 | $414.51 | $203.84 – $489.08 |
| Group psychotherapy CPT 90853 | $86.32 | $215.79 | $116.67 – $279.93 |
| Psychiatric diagnostic evaluation CPT 90791 | $228.16 | $570.39 | $203.84 – $489.08 |
| Psychotherapy, 30 minutes CPT 90832 | $165.81 | $414.51 | |
| Psychotherapy, 45 minutes CPT 90834 | $165.81 | $414.51 | $203.84 – $489.08 |
| Psychotherapy, 60 minutes CPT 90837 | $165.81 | $414.51 | $203.84 – $489.08 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $101.07 | $252.66 | $12.02 – $214.76 |
| IV hydration, each additional hour CPT 96361 | $98.28 | $245.70 | $53.78 – $208.85 |
| IV hydration, first hour CPT 96360 | $448.79 | $1,121.96 | $244.27 – $953.67 |
| IV push injection of a drug, first CPT 96374 | $376.08 | $940.19 | $244.27 – $799.16 |
| IV push injection, each additional drug CPT 96375 | $98.28 | $245.70 | $53.78 – $208.85 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $5.60 | $13.99 | $11.33 – $11.89 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | not posted | $1.29 | $1.05 – $1.10 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $21.09 | $52.73 | $42.71 – $44.82 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $10.60 | $26.48 | $21.45 – $22.51 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $1.82 | ? – $1.55 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $19.61 | $49.02 | $39.71 – $41.67 |
| Morphine injection, up to 10 mg HCPCS J2270 | $8.01 | $20.01 | $16.21 – $17.01 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.78 | $4.45 | $3.60 – $3.78 |
| Propofol injection, per 10 mg HCPCS J2704 | $11.80 | $29.50 | $23.89 – $25.07 |
| Saline IV solution, 1000 ml HCPCS J7030 | $1.28 | $3.19 | $2.59 – $2.71 |
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.