Jacobi Medical Center
1400 Pelham Parkway South, Bronx, NY 10461 · Acute care hospital · Emergency room
These are Jacobi Medical Center's own posted figures from its standard-charges file dated September 5, 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; 169 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 | $997.11 | $1,843.05 | $220.50 – $1,415.90 |
| Emergency room visit, level 1 (minor) CPT 99281 | $104.19 | $490.54 | $104.19 – $1,707.00 |
| Emergency room visit, level 2 CPT 99282 | $187.40 | $655.90 | $187.40 – $1,789.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $327.66 | $870.32 | $250.00 – $1,925.00 |
| Emergency room visit, level 4 CPT 99284 | $503.90 | $1,816.51 | $250.00 – $2,060.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $725.52 | $1,832.24 | $250.00 – $2,168.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $235.13 | $1,157.96 | $52.02 – $1,016.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | not posted | $535.42 | $24.07 – $645.00 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $658.10 | $43.01 – $645.00 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $1,218.00 | $71.25 – $645.00 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $1,218.00 | $100.77 – $645.00 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $308.77 | $250.00 – $1,707.00 |
| Office consultation, about 60 minutes CPT 99244 | not posted | $308.79 | $95.64 – $645.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $534.80 | $38.85 – $645.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $534.80 | $56.81 – $645.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $663.06 | $70.00 – $645.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $1,218.00 | $113.00 – $645.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $477.75 | $9.54 – $645.00 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $751.51 | $103.29 – $645.00 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $1,050.54 | $124.86 – $645.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $59.01 | $341.70 | ? – $1,193.00 |
| Abdominal X-ray, 1 view CPT 74018 | $104.19 | $320.90 | ? – $1,193.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $104.19 | $338.25 | ? – $1,193.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $125.84 | $452.69 | ? – $1,193.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $125.84 | $775.62 | ? – $1,193.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $104.19 | $626.26 | ? – $1,193.00 |
| Chest X-ray, 1 view CPT 71045 | $104.19 | $310.15 | ? – $1,193.00 |
| Chest X-ray, 2 views CPT 71046 | $104.19 | $331.18 | ? – $1,193.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $210.66 | $2,904.53 | ? – $1,290.00 |
| CT angiogram of the head CPT 70496 | $210.66 | $3,429.05 | ? – $1,290.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $422.61 | $2,511.46 | ? – $1,290.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $422.61 | $2,655.76 | ? – $1,290.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $286.04 | $1,526.76 | ? – $1,290.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $125.84 | $1,497.44 | ? – $1,290.00 |
| CT scan of the chest, with contrast CPT 71260 | $210.66 | $2,038.12 | ? – $1,290.00 |
| CT scan of the chest, without contrast CPT 71250 | $125.84 | $1,537.55 | ? – $1,290.00 |
| CT scan of the head, without contrast CPT 70450 | $125.84 | $1,332.90 | ? – $1,290.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $125.84 | $1,540.36 | ? – $1,290.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $210.66 | $1,976.92 | ? – $1,290.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $125.84 | $1,538.36 | ? – $1,290.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $181.39 | $603.48 | ? – $1,193.00 |
| Diagnostic mammogram, one breast CPT 77065 | $144.18 | $479.82 | ? – $1,193.00 |
| Foot X-ray, 3 or more views CPT 73630 | $104.19 | $331.80 | ? – $1,193.00 |
| Hand X-ray, 3 or more views CPT 73130 | $104.19 | $481.21 | ? – $1,193.00 |
| Knee X-ray, 3 views CPT 73562 | $104.19 | $351.03 | ? – $1,193.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $286.04 | $2,243.06 | ? – $606.73 |
| Leg or arm vein ultrasound, one side CPT 93971 | $125.84 | $897.17 | ? – $366.83 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $125.84 | $441.85 | ? – $1,193.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,261.37 | ? – $1,787.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $422.61 | $2,738.10 | ? – $1,787.00 |
| MRI of the brain, without and with contrast CPT 70553 | $422.61 | $2,642.62 | ? – $1,787.00 |
| MRI of the brain, without contrast CPT 70551 | $286.04 | $1,614.52 | ? – $1,787.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $286.04 | $1,635.76 | ? – $1,787.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $286.04 | $1,593.18 | ? – $1,787.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $286.04 | $2,822.09 | ? – $1,787.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $286.04 | $2,785.56 | ? – $1,787.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $422.61 | $2,735.50 | ? – $1,787.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $286.04 | $2,523.42 | ? – $1,787.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $104.19 | $347.30 | ? – $1,193.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $125.84 | $1,525.71 | ? – $1,193.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $125.84 | $893.14 | ? – $1,193.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $125.84 | $763.90 | ? – $1,193.00 |
| Screening mammogram, both breasts CPT 77067 | $147.27 | $490.90 | ? – $1,193.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $104.19 | $332.75 | ? – $1,193.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $125.84 | $661.56 | ? – $1,193.00 |
| Transvaginal ultrasound CPT 76830 | $125.84 | $905.40 | $78.00 – $1,193.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $125.84 | $1,495.20 | ? – $1,193.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $125.84 | $810.42 | ? – $1,193.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $104.19 | $350.08 | ? – $1,193.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $125.84 | $472.55 | ? – $1,193.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.46 | $26.78 | $8.29 – $170.75 |
| Blood culture CPT 87040 | $10.32 | $36.66 | $10.11 – $121.43 |
| Blood draw (venipuncture) CPT 36415 | $9.09 | $17.33 | ? – $12.65 |
| BNP test (heart failure) CPT 83880 | $39.26 | $142.30 | ? – $129.05 |
| C-reactive protein (CRP) test CPT 86140 | $5.18 | $21.70 | $5.08 – $123.84 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $35.09 | $147.12 | $34.39 – $208.82 |
| Complete blood count (CBC) with differential CPT 85025 | $7.77 | $32.58 | ? – $29.54 |
| Complete blood count (CBC), automated CPT 85027 | $6.47 | $34.00 | ? – $24.58 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.56 | $40.08 | $10.35 – $170.75 |
| COVID-19 PCR test CPT 87635 | $51.31 | $105.28 | $50.28 – $208.82 |
| D-dimer test (blood clots) CPT 85379 | $10.18 | $33.96 | ? – $38.68 |
| Drug screen, instrument chemistry CPT 80307 | $62.14 | $268.62 | ? – $221.24 |
| Ferritin (iron stores) test CPT 82728 | $13.63 | $57.10 | $13.36 – $124.72 |
| Free T4 (thyroid) test CPT 84439 | $9.02 | $37.80 | ? – $34.28 |
| General health panel (blood tests) CPT 80050 | not posted | $134.53 | ? – $97.66 |
| Glucose (blood sugar) test CPT 82947 | $3.93 | $16.44 | $3.85 – $112.30 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $35.09 | $147.12 | ? – $133.46 |
| Hemoglobin A1c test CPT 83036 | $9.71 | $40.68 | ? – $36.93 |
| Hepatitis C antibody test CPT 86803 | $14.27 | $59.82 | $13.98 – $123.84 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.08 | $102.36 | $23.60 – $121.43 |
| Iron test CPT 83540 | $6.47 | $27.14 | $6.34 – $112.30 |
| Kidney function panel CPT 80069 | $8.68 | $33.60 | $8.51 – $170.75 |
| Lipase test (pancreas) CPT 83690 | $6.89 | $24.36 | ? – $26.21 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.39 | $56.16 | $13.12 – $170.75 |
| Liver function panel CPT 80076 | $8.17 | $26.78 | $8.01 – $170.75 |
| Magnesium test CPT 83735 | $6.70 | $28.08 | ? – $25.47 |
| Obstetric blood test panel CPT 80055 | $47.81 | $170.88 | ? – $181.78 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $6.01 | $25.14 | ? – $22.85 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $15.05 | $63.10 | ? – $57.26 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.29 | $14.36 | $4.20 – $132.50 |
| PSA (prostate specific antigen), free CPT 84154 | $18.39 | $77.10 | ? – $69.95 |
| PSA (prostate specific antigen), total CPT 84153 | $18.39 | $77.10 | ? – $69.95 |
| Rapid strep test CPT 87880 | $16.53 | $49.60 | ? – $50.91 |
| Sed rate (ESR) test CPT 85652 | $2.70 | $11.32 | ? – $10.26 |
| TB skin test CPT 86580 | $28.98 | $39.20 | ? – $41.15 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.80 | $70.42 | ? – $63.91 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $63.23 | $416.24 | ? – $110.39 |
| Troponin test (heart damage) CPT 84484 | $12.47 | $37.42 | ? – $38.41 |
| Urinalysis, automated, with microscope CPT 81001 | $3.17 | $15.04 | ? – $12.07 |
| Urinalysis, automated, without microscope CPT 81003 | $2.25 | $9.42 | $2.21 – $124.09 |
| Urinalysis, manual, with microscope CPT 81000 | $4.02 | $12.06 | $3.94 – $124.09 |
| Urinalysis, manual, without microscope CPT 81002 | $3.48 | $10.72 | $3.41 – $124.09 |
| Urine culture, colony count CPT 87086 | $8.07 | $33.84 | $7.91 – $121.43 |
| Urine pregnancy test CPT 81025 | $8.61 | $25.84 | $8.44 – $124.09 |
| Vitamin B12 test CPT 82607 | $15.08 | $63.18 | ? – $57.32 |
| Vitamin D test CPT 82306 | $29.60 | $124.08 | ? – $112.57 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $286.04 | $1,476.52 | $216.72 – $611.97 |
| ECG tracing only (no interpretation) CPT 93005 | $70.29 | $408.80 | $7.60 – $99.81 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $648.84 | $2,431.80 | $220.75 – $921.35 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $212.55 | $16.41 – $645.00 |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $75.75 – $332.12 | |
| Left heart catheterization CPT 93452 | $3,806.17 | $11,684.82 | $586.00 – $6,586.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,806.17 | $13,934.82 | $1,156.16 – $5,404.76 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,544.85 | $6,053.05 | $486.32 – $2,193.69 |
| Treadmill stress test, complete CPT 93015 | not posted | $549.61 | $197.66 – $1,707.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $8,453.60 | $21,576.50 | $225.00 – $12,004.11 |
| Appendix removal, laparoscopic CPT 44970 | $6,904.15 | $19,262.40 | $2,514.78 – $11,319.80 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,917.33 | $4,905.07 | $332.00 – $4,677.00 |
| Carpal tunnel release CPT 64721 | $2,310.83 | $7,632.78 | $524.69 – $3,281.38 |
| Colonoscopy with biopsy CPT 45380 | $1,395.28 | $4,252.80 | $794.97 – $5,014.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,395.28 | $4,446.54 | $284.43 – $1,981.30 |
| Colonoscopy, diagnostic CPT 45378 | $1,078.88 | $3,355.48 | $794.97 – $5,014.00 |
| Colposcopy with biopsy CPT 57454 | $359.97 | $1,417.58 | $315.72 – $5,014.00 |
| Cystoscopy (bladder scope) CPT 52000 | $789.86 | $3,684.14 | $722.45 – $6,925.00 |
| Ear tubes, under general anesthesia CPT 69436 | $1,752.89 | $4,647.46 | $186.15 – $2,489.10 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,078.88 | $2,888.46 | $794.97 – $5,014.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $6,904.15 | $18,723.51 | $2,685.30 – $11,319.80 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,771.45 – $5,669.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $12,320.22 | $21,908.24 | $2,054.30 – $19,903.58 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,762.53 | $9,634.26 | $1,407.65 – $6,061.28 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,904.15 | $16,290.56 | $2,083.37 – $11,319.80 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,176.15 | $12,900.04 | $629.73 – $5,930.13 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,081.37 | $11,502.30 | $1,455.46 – $6,925.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,839.54 | $11,625.70 | $225.00 – $5,452.15 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,395.28 | $4,453.78 | $225.00 – $1,981.30 |
| Nasal endoscopy, diagnostic CPT 31231 | $229.74 | $816.34 | $165.63 – $5,014.00 |
| Prostate biopsy CPT 55700 | $2,424.12 | $6,262.40 | $1,992.53 – $5,401.44 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $12,320.22 | $23,180.36 | $2,683.32 – $67,464.00 |
| Removal of a breast lump, open surgery CPT 19120 | $4,531.42 | $5,507.67 | $1,578.97 – $7,331.36 |
| Rotator cuff repair, arthroscopic CPT 29827 | $8,453.60 | $16,661.08 | $2,764.00 – $13,586.72 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,078.88 | $1,839.88 | $208.98 – $1,532.01 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,078.88 | $1,839.88 | $208.36 – $1,532.01 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,837.72 | $9,624.80 | $225.00 – $5,449.56 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $6,202.39 | $200.37 – $769.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,316.97 – $2,515.41 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $7,000.36 | $15,833.82 | $225.00 – $9,940.51 |
| Total hip replacement CPT 27130 | $15,226.08 | $1,517.27 – $21,621.03 | |
| Total knee replacement CPT 27447 | $15,226.08 | $39,054.30 | $1,515.10 – $21,621.03 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,109.47 | $3,261.58 | $826.17 – $5,014.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,109.47 | $3,206.62 | $138.76 – $1,575.45 |
| Vasectomy CPT 55250 | $2,424.12 | $6,168.91 | $1,312.89 – $5,014.00 |
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 | $8,939.74 | $1,200.00 – $4,677.00 |
| Fetal non-stress test CPT 59025 | $238.06 | $724.92 | $58.35 – $84.02 |
| IUD insertion CPT 58300 | not posted | $521.01 | $56.50 – $81.36 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $6,563.63 | $225.00 – $8,187.78 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,896.36 – $7,750.85 |
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 | $11,636.19 – $31,300.88 | |
| C-section, without complications MS-DRG 788 | not posted | $12,637.94 – $32,710.74 | |
| Chest pain MS-DRG 313 | not posted | $9,490.32 – $28,280.82 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $14,600.59 – $38,083.83 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $8,462.20 – $26,833.87 | |
| Fainting (syncope) MS-DRG 312 | not posted | $11,488.56 – $31,093.12 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $12,926.61 – $33,717.45 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $16,921.77 – $44,138.33 | |
| Heart failure, without complications MS-DRG 293 | not posted | $7,460.45 – $25,424.01 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $73,412.00 – $336,342.45 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $25,424.83 – $66,317.51 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $7,461.76 – $25,425.87 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $11,543.92 – $31,171.03 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $10,670.02 – $29,941.11 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $32,178.78 – $83,934.34 | |
| Normal newborn care MS-DRG 795 | not posted | $2,107.69 – $18,630.74 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $10,257.45 – $29,360.47 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $10,622.57 – $29,874.33 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $17,325.11 – $45,190.39 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $8,284.26 – $26,583.44 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $26,195.59 – $48,023.38 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $25,604.09 – $66,785.09 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $13,488.12 – $35,182.08 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $11,479.33 – $31,080.12 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $10,275.91 – $29,386.45 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $13,316.76 – $34,735.12 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $16,353.67 – $42,656.51 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $8,886.63 – $27,431.21 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $27,380.29 – $51,860.30 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $349.32 | $1,087.08 | $52.33 – $496.03 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,053.53 | $3,253.26 | $579.02 – $5,014.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $819.50 | $2,552.10 | $579.02 – $4,677.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,053.53 | $2,498.28 | $87.74 – $1,496.01 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,698.92 | $8,849.48 | $606.65 – $3,832.47 |
| Eye exam, new patient, comprehensive CPT 92004 | $152.50 | $741.34 | $37.88 – $645.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $649.19 | $2,260.85 | $569.84 – $5,014.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $185.15 | $399.68 | $34.71 – $262.91 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $185.15 | $1,718.87 | $108.88 – $645.00 |
| Sleep study with CPAP titration CPT 95811 | $1,203.94 | $5,491.00 | $225.00 – $1,972.62 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,203.94 | $5,393.14 | $225.00 – $1,874.49 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $185.15 | $613.20 | $106.64 – $1,707.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $30.96 | $298.32 | $30.96 – $645.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $111.81 | $478.50 | $111.81 – $296.76 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $111.81 | $478.50 | $111.81 – $296.76 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $32.81 | $315.75 | $32.81 – $1,707.00 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $267.83 | $53.57 – $227.66 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $190.13 | $1,213.25 | $75.00 – $645.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $190.13 | $1,202.68 | $107.90 – $269.98 |
| Group psychotherapy CPT 90853 | $109.46 | $335.40 | $26.73 – $257.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $190.13 | $1,538.06 | $183.90 – $1,707.00 |
| Psychotherapy, 30 minutes CPT 90832 | $190.13 | $698.07 | $145.77 – $1,707.00 |
| Psychotherapy, 45 minutes CPT 90834 | $190.13 | $980.50 | $183.06 – $1,707.00 |
| Psychotherapy, 60 minutes CPT 90837 | $190.13 | $895.13 | $113.61 – $269.98 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $84.22 | $220.15 | $16.18 – $733.00 |
| IV hydration, each additional hour CPT 96361 | $54.60 | $111.20 | $13.81 – $733.00 |
| IV hydration, first hour CPT 96360 | $249.32 | $640.63 | $35.59 – $733.00 |
| IV push injection of a drug, first CPT 96374 | $249.32 | $661.62 | $40.43 – $733.00 |
| IV push injection, each additional drug CPT 96375 | $54.60 | $178.30 | $16.87 – $733.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $10.50 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $1.11 – $2.24 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $2.70 – $5.12 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | ? – $1.19 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $105.00 | $21.00 – $89.25 |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $2.98 – $8.59 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $2.00 | ? – $1.70 |
| Propofol injection, per 10 mg HCPCS J2704 | not posted | $75.60 | $15.12 – $64.26 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $10.50 | $2.10 – $8.93 |
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.