Glens Falls Hospital
100 Park Street, Glens Falls, NY 12801 · Acute care hospital · Emergency room
These are Glens Falls 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.
234 of the services we track have a posted price here; 188 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 | $276.42 – $1,719.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $157.50 | $315.00 | $14.80 – $2,023.00 |
| Emergency room visit, level 2 CPT 99282 | $490.50 | $981.00 | $6.57 – $73.03 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $704.50 | $1,409.00 | $92.93 – $2,023.00 |
| Emergency room visit, level 4 CPT 99284 | $751.00 | $1,502.00 | $158.43 – $2,935.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $970.00 | $1,940.00 | $182.39 – $4,223.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,315.50 | $2,631.00 | $55.71 – $4,766.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $91.50 | $183.00 | |
| Abdominal X-ray, 1 view CPT 74018 | $114.50 | $229.00 | $39.26 – $224.02 |
| Ankle X-ray, 3 or more views CPT 73610 | $114.50 | $229.00 | $48.19 – $224.02 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $200.00 | $400.00 | $52.04 – $481.52 |
| Breast ultrasound, one breast, complete CPT 76641 | $219.00 | $438.00 | $127.10 – $435.78 |
| Breast ultrasound, one breast, limited CPT 76642 | $329.00 | $658.00 | $105.24 – $435.78 |
| Chest X-ray, 1 view CPT 71045 | $114.50 | $229.00 | $33.69 – $224.02 |
| Chest X-ray, 2 views CPT 71046 | $114.50 | $229.00 | $43.93 – $224.02 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $511.00 | $1,022.00 | $212.77 – $1,050.75 |
| CT angiogram of the head CPT 70496 | $511.00 | $1,022.00 | $212.77 – $1,050.75 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $659.00 | $1,318.00 | $403.46 – $992.77 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $771.50 | $1,543.00 | $426.84 – $992.77 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $598.50 | $1,197.00 | $237.79 – $992.77 |
| CT scan of the abdomen, without contrast CPT 74150 | $620.00 | $1,240.00 | $127.10 – $837.61 |
| CT scan of the chest, with contrast CPT 71260 | $702.50 | $1,405.00 | $212.77 – $992.77 |
| CT scan of the chest, without contrast CPT 71250 | $539.00 | $1,078.00 | $127.10 – $837.61 |
| CT scan of the head, without contrast CPT 70450 | $620.00 | $1,240.00 | $127.10 – $992.77 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $620.00 | $1,240.00 | $127.10 – $837.61 |
| CT scan of the pelvis, with contrast CPT 72193 | $611.00 | $1,222.00 | $212.77 – $992.77 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $620.00 | $1,240.00 | $127.10 – $837.61 |
| Diagnostic mammogram, both breasts CPT 77066 | $271.00 | $542.00 | |
| Diagnostic mammogram, one breast CPT 77065 | $233.00 | $466.00 | |
| Foot X-ray, 3 or more views CPT 73630 | $114.50 | $229.00 | $44.94 – $224.02 |
| Hand X-ray, 3 or more views CPT 73130 | $114.50 | $229.00 | $49.58 – $224.02 |
| Knee X-ray, 3 views CPT 73562 | $96.00 | $192.00 | $54.11 – $192.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $447.00 | $894.00 | $536.40 – $759.90 |
| Leg or arm vein ultrasound, one side CPT 93971 | $301.50 | $603.00 | $361.80 – $512.55 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $131.50 | $263.00 | $52.29 – $263.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $913.50 | $1,827.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $930.00 | $1,860.00 | $426.84 – $1,797.62 |
| MRI of the brain, without and with contrast CPT 70553 | $951.50 | $1,903.00 | $421.37 – $1,797.62 |
| MRI of the brain, without contrast CPT 70551 | $607.00 | $1,214.00 | $258.99 – $1,206.18 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $581.00 | $1,162.00 | $270.15 – $1,206.18 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $607.00 | $1,214.00 | $251.56 – $1,206.18 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $607.00 | $1,214.00 | $251.10 – $1,206.18 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $607.00 | $1,214.00 | $250.64 – $1,206.18 |
| MRI of the pelvis, without and with contrast CPT 72197 | $990.50 | $1,981.00 | $426.84 – $1,797.62 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $607.00 | $1,214.00 | $270.61 – $1,206.18 |
| Neck X-ray, 2 or 3 views CPT 72040 | $114.50 | $229.00 | $52.29 – $224.02 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $198.00 | $396.00 | $127.10 – $1,748.61 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $189.00 | $378.00 | $127.10 – $382.37 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $189.00 | $378.00 | $127.10 – $382.37 |
| Screening mammogram, both breasts CPT 77067 | $190.50 | $381.00 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $114.50 | $229.00 | $45.76 – $224.02 |
| Transvaginal pregnancy ultrasound CPT 76817 | $127.50 | $255.00 | $118.39 – $382.37 |
| Transvaginal ultrasound CPT 76830 | $198.00 | $396.00 | $127.10 – $435.78 |
| Ultrasound of the abdomen, complete CPT 76700 | $348.00 | $696.00 | $127.10 – $1,748.61 |
| Ultrasound of the neck or thyroid CPT 76536 | $167.00 | $334.00 | $127.10 – $435.78 |
| Wrist X-ray, 3 or more views CPT 73110 | $114.50 | $229.00 | $55.15 – $224.02 |
| X-ray of the lower back, 4 or more views CPT 72110 | $195.00 | $390.00 | $60.05 – $270.55 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $10.00 | $20.00 | ? – $17.94 |
| Blood culture CPT 87040 | $12.00 | $24.00 | ? – $21.88 |
| Blood draw (venipuncture) CPT 36415 | $9.00 | $18.00 | |
| BNP test (heart failure) CPT 83880 | $45.00 | $90.00 | ? – $83.23 |
| C-reactive protein (CRP) test CPT 86140 | $6.00 | $12.00 | ? – $10.98 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $40.50 | $81.00 | ? – $74.39 |
| Complete blood count (CBC) with differential CPT 85025 | $29.00 | $58.00 | ? – $16.47 |
| Complete blood count (CBC), automated CPT 85027 | $7.50 | $15.00 | ? – $13.72 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $11.50 | $23.00 | ? – $22.39 |
| COVID-19 PCR test CPT 87635 | $105.00 | $210.00 | $51.31 – $62.83 |
| D-dimer test (blood clots) CPT 85379 | $41.00 | $82.00 | ? – $21.58 |
| Drug screen, instrument chemistry CPT 80307 | $71.50 | $143.00 | ? – $131.74 |
| Ferritin (iron stores) test CPT 82728 | $15.50 | $31.00 | ? – $28.90 |
| Free T4 (thyroid) test CPT 84439 | $10.50 | $21.00 | ? – $19.12 |
| General health panel (blood tests) CPT 80050 | $158.00 | $316.00 | |
| Glucose (blood sugar) test CPT 82947 | $4.00 | $8.00 | ? – $8.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $40.50 | $81.00 | ? – $74.39 |
| Hemoglobin A1c test CPT 83036 | $16.50 | $33.00 | ? – $20.59 |
| Hepatitis C antibody test CPT 86803 | $16.50 | $33.00 | ? – $30.25 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $50.00 | $100.00 | ? – $51.05 |
| Iron test CPT 83540 | $7.50 | $15.00 | ? – $13.72 |
| Kidney function panel CPT 80069 | $80.50 | $161.00 | ? – $18.40 |
| Lipase test (pancreas) CPT 83690 | $19.00 | $38.00 | ? – $14.61 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $14.50 | $29.00 | ? – $28.39 |
| Liver function panel CPT 80076 | $9.50 | $19.00 | ? – $17.32 |
| Magnesium test CPT 83735 | $51.50 | $103.00 | ? – $14.20 |
| Obstetric blood test panel CPT 80055 | $48.00 | $96.00 | ? – $96.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $7.50 | $15.00 | ? – $12.74 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $17.50 | $35.00 | ? – $31.91 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $5.00 | $10.00 | ? – $9.09 |
| PSA (prostate specific antigen), free CPT 84154 | $23.50 | $47.00 | ? – $38.99 |
| PSA (prostate specific antigen), total CPT 84153 | $21.00 | $42.00 | ? – $38.99 |
| Rapid strep test CPT 87880 | $25.00 | $50.00 | ? – $35.04 |
| Sed rate (ESR) test CPT 85652 | $25.00 | $50.00 | ? – $5.72 |
| TB skin test CPT 86580 | $35.00 | $70.00 | $8.94 – $65.75 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $19.50 | $39.00 | ? – $35.62 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $94.50 | $189.00 | ? – $191.65 |
| Troponin test (heart damage) CPT 84484 | $14.50 | $29.00 | ? – $26.44 |
| Urinalysis, automated, with microscope CPT 81001 | $3.50 | $7.00 | ? – $6.72 |
| Urinalysis, automated, without microscope CPT 81003 | $2.50 | $5.00 | ? – $4.77 |
| Urinalysis, manual, with microscope CPT 81000 | $84.50 | $169.00 | ? – $8.52 |
| Urinalysis, manual, without microscope CPT 81002 | $14.50 | $29.00 | ? – $7.38 |
| Urine culture, colony count CPT 87086 | $9.50 | $19.00 | ? – $17.11 |
| Urine pregnancy test CPT 81025 | $30.00 | $60.00 | ? – $18.25 |
| Vitamin B12 test CPT 82607 | $17.50 | $35.00 | ? – $31.97 |
| Vitamin D test CPT 82306 | $32.50 | $65.00 | ? – $62.75 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $267.50 | $535.00 | $278.20 – $454.75 |
| ECG tracing only (no interpretation) CPT 93005 | $58.00 | $116.00 | $69.60 – $98.60 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $784.50 | $1,569.00 | $941.40 – $1,333.65 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $50.00 | $100.00 | $9.07 – $28.19 |
| Holter monitor, up to 48 hours CPT 93224 | $87.50 | $175.00 | $44.34 – $146.29 |
| Left heart catheterization CPT 93452 | $1,603.00 | $3,206.00 | $1,117.68 – $13,043.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,461.50 | $8,923.00 | $1,290.31 – $13,043.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,593.00 | $3,186.00 | $565.76 – $3,186.00 |
| Treadmill stress test, complete CPT 93015 | $321.97 | $643.94 | $46.37 – $118.34 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $12,052.50 | $24,105.00 | $479.98 – $1,649.65 |
| Appendix removal, laparoscopic CPT 44970 | $4,001.00 | $8,002.00 | $731.08 – $11,897.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,533.50 | $3,067.00 | $195.67 – $5,451.00 |
| Carpal tunnel release CPT 64721 | $2,719.00 | $5,438.00 | $200.67 – $730.63 |
| Colonoscopy with biopsy CPT 45380 | $1,392.00 | $2,784.00 | $249.22 – $5,451.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,392.00 | $2,784.00 | $315.68 – $5,451.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,392.00 | $2,784.00 | $229.00 – $4,914.67 |
| Colposcopy with biopsy CPT 57454 | not posted | $78.29 – $529.16 | |
| Cystoscopy (bladder scope) CPT 52000 | $1,000.00 | $2,000.00 | $50.75 – $351.29 |
| Ear tubes, under general anesthesia CPT 69436 | $1,617.00 | $3,234.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $775.00 | $1,550.00 | $69.12 – $4,766.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $5,869.50 | $11,739.00 | $801.89 – $11,897.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,697.25 – $1,697.25 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $8,473.50 | $16,947.00 | $479.71 – $1,518.46 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,673.98 – $5,662.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $5,101.50 | $10,203.00 | $523.31 – $11,897.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $2,612.50 | $5,225.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $2,800.00 | $5,600.00 | $717.08 – $12,554.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $4,391.50 | $8,783.00 | $308.07 – $908.58 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,462.00 | $2,924.00 | $320.44 – $5,451.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $1,150.00 | $2,300.00 | $37.61 – $321.08 |
| Prostate biopsy CPT 55700 | $1,892.50 | $3,785.00 | $164.27 – $5,451.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,441.53 – $1,441.53 | |
| Removal of a breast lump, open surgery CPT 19120 | $2,188.00 | $4,376.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,018.50 | $18,037.00 | $531.79 – $1,800.28 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,392.00 | $2,784.00 | $229.19 – $4,914.67 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,392.00 | $2,784.00 | $229.00 – $4,914.67 |
| Septoplasty (nasal septum repair) CPT 30520 | $1,000.00 | $2,000.00 | $278.77 – $1,081.25 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $261.00 | $522.00 | $108.05 – $392.22 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,083.58 – $1,083.58 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $2,500.00 | $5,000.00 | $141.04 – $485.11 |
| Total hip replacement CPT 27130 | $744.00 | $1,488.00 | $697.27 – $2,280.82 |
| Total knee replacement CPT 27447 | $437.50 | $875.00 | $749.09 – $2,278.24 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,337.50 | $2,675.00 | $171.17 – $4,914.67 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,017.50 | $4,035.00 | $151.68 – $4,766.00 |
| Vasectomy CPT 55250 | $1,646.00 | $3,292.00 |
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 | $2,255.36 – $6,294.30 | |
| Fetal non-stress test CPT 59025 | $184.50 | $369.00 | |
| IUD insertion CPT 58300 | $125.00 | $250.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,137.73 – $5,971.59 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,036.38 – $5,692.62 |
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 | $7,129.06 – $16,232.48 | |
| C-section, without complications MS-DRG 788 | not posted | $7,310.88 – $16,646.48 | |
| Chest pain MS-DRG 313 | not posted | $5,764.99 – $13,126.56 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,074.96 – $20,663.20 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,230.02 – $11,908.48 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,040.98 – $16,031.92 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,967.06 – $18,140.56 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,544.09 – $24,008.32 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,434.04 – $10,096.08 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $77,990.54 – $177,580.24 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,236.73 – $34,693.20 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,521.32 – $10,294.80 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,183.20 – $16,355.76 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,485.81 – $14,767.84 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $19,130.96 – $43,560.16 | |
| Normal newborn care MS-DRG 795 | not posted | $1,614.58 – $3,676.32 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,314.49 – $14,377.76 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,626.42 – $15,088.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,648.33 – $24,245.68 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,032.04 – $11,457.68 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $11,390.98 – $25,936.64 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $15,855.73 – $36,102.64 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,331.51 – $18,970.40 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,117.74 – $16,206.72 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,305.60 – $14,357.52 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,217.57 – $18,710.96 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $9,686.69 – $22,056.08 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,150.02 – $11,726.32 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,812.81 – $26,897.12 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $386.50 | $773.00 | $56.21 – $4,766.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $773.00 | $1,546.00 | $139.66 – $4,766.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $625.00 | $1,250.00 | $125.56 – $4,766.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,054.00 | $2,108.00 | $100.30 – $4,766.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $627.16 – $1,250.74 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $105.22 – $327.87 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $303.36 – $2,061.38 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $78.50 | $157.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $314.00 | $628.00 | $122.19 – $1,765.00 |
| Sleep study with CPAP titration CPT 95811 | $1,526.00 | $3,052.00 | $878.89 – $2,328.64 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,526.00 | $3,052.00 | $839.23 – $2,328.64 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $157.00 | $314.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | not posted | $29.62 – $189.20 | |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $78.84 – $682.18 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $78.84 – $682.18 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | not posted | $31.95 – $200.44 | |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $34.41 – $240.10 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $340.50 | $681.00 | $52.03 – $179.30 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $338.00 | $676.00 | $36.84 – $173.16 |
| Group psychotherapy CPT 90853 | $145.00 | $290.00 | |
| Psychiatric diagnostic evaluation CPT 90791 | $431.50 | $863.00 | $51.32 – $267.01 |
| Psychotherapy, 30 minutes CPT 90832 | $251.00 | $502.00 | $21.43 – $126.46 |
| Psychotherapy, 45 minutes CPT 90834 | $209.00 | $418.00 | $32.13 – $166.91 |
| Psychotherapy, 60 minutes CPT 90837 | $287.00 | $574.00 | $48.50 – $247.19 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $73.50 | $147.00 | |
| IV hydration, each additional hour CPT 96361 | $1,319.00 | $2,638.00 | |
| IV hydration, first hour CPT 96360 | $1,517.00 | $3,034.00 | |
| IV push injection of a drug, first CPT 96374 | $287.00 | $574.00 | |
| IV push injection, each additional drug CPT 96375 | $1,513.00 | $3,026.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $9.00 | $18.00 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $2.06 | $4.11 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $4.82 | $9.63 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $4.58 – $4.58 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $6.23 | $12.45 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $2.34 | $4.68 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $3.80 | $7.60 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $8.69 | $17.38 | |
| Propofol injection, per 10 mg HCPCS J2704 | $15.00 | $30.00 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $16.00 | $32.00 |
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.