Little Falls Hospital
140 Burwell Street, Little Falls, NY 13365 · Critical access hospital · Emergency room
These are Little Falls Hospital's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
208 of the services we track have a posted price here; 206 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 | $590.37 | $2,186.57 | $1,067.91 – $925.06 |
| Emergency room visit, level 1 (minor) CPT 99281 | $87.96 | $325.77 | $100.99 – $98.51 |
| Emergency room visit, level 2 CPT 99282 | $141.12 | $522.67 | $1,126.19 – $925.06 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $190.11 | $704.11 | $1,126.19 – $925.06 |
| Emergency room visit, level 4 CPT 99284 | $274.04 | $1,014.96 | $1,014.90 – $925.06 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $401.65 | $1,487.61 | $1,011.13 – $925.06 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $142.79 | $528.86 | $148.08 – $528.86 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $81.68 | $302.50 | $10.21 – $96.80 |
| Abdominal X-ray, 1 view CPT 74018 | $112.73 | $417.52 | $10.10 – $88.05 |
| Ankle X-ray, 3 or more views CPT 73610 | $131.94 | $488.65 | $111.59 – $88.05 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $199.57 | $739.16 | $101.00 – $828.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $199.02 | $737.10 | $1,017.00 – $988.38 |
| Breast ultrasound, one breast, limited CPT 76642 | $160.98 | $596.22 | $1,049.40 – $991.10 |
| Chest X-ray, 1 view CPT 71045 | $92.07 | $341.00 | $10.10 – $98.34 |
| Chest X-ray, 2 views CPT 71046 | $112.05 | $415.00 | $111.59 – $9.41 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $818.62 | $3,031.92 | $1,000.53 – $970.21 |
| CT angiogram of the head CPT 70496 | $781.60 | $2,894.80 | $1,003.00 – $991.20 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,235.30 | $4,575.19 | $109.01 – $6,823.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,497.50 | $5,546.31 | $138.11 – $85.77 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,126.75 | $4,173.14 | $1,168.48 – $93.66 |
| CT scan of the abdomen, without contrast CPT 74150 | $678.05 | $2,511.30 | $1,048.73 – $967.35 |
| CT scan of the chest, with contrast CPT 71260 | $641.31 | $2,375.22 | $1,003.00 – $991.20 |
| CT scan of the chest, without contrast CPT 71250 | $573.75 | $2,125.00 | $106.34 – $982.26 |
| CT scan of the head, without contrast CPT 70450 | $548.37 | $2,031.00 | $106.34 – $958.21 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $608.19 | $2,252.55 | $106.34 – $924.48 |
| CT scan of the pelvis, with contrast CPT 72193 | $801.79 | $2,969.60 | $1,000.45 – $981.75 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $654.54 | $2,424.21 | $106.34 – $933.81 |
| Diagnostic mammogram, both breasts CPT 77066 | $186.77 | $691.74 | $101.40 – $97.97 |
| Diagnostic mammogram, one breast CPT 77065 | $148.36 | $549.48 | $101.40 – $97.97 |
| Foot X-ray, 3 or more views CPT 73630 | $131.66 | $487.62 | $111.59 – $88.05 |
| Hand X-ray, 3 or more views CPT 73130 | $113.06 | $418.74 | $111.59 – $88.05 |
| Knee X-ray, 3 views CPT 73562 | $128.04 | $474.22 | $111.59 – $9.41 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $445.81 | $1,651.15 | $1,082.96 – $950.40 |
| Leg or arm vein ultrasound, one side CPT 93971 | $317.59 | $1,176.27 | $1,005.75 – $999.83 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $145.02 | $537.11 | $106.34 – $9.41 |
| MRI of both breasts, without and with contrast CPT 77049 | $153.16 | $567.26 | $158.83 – $567.26 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,214.98 | $4,499.94 | $1,010.00 – $681.75 |
| MRI of the brain, without and with contrast CPT 70553 | $1,215.27 | $4,501.00 | $1,010.00 – $681.75 |
| MRI of the brain, without contrast CPT 70551 | $913.26 | $3,382.43 | $1,010.00 – $994.43 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $937.44 | $3,472.00 | $1,001.32 – $972.16 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $919.38 | $3,405.11 | $1,001.10 – $982.03 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $788.40 | $2,920.00 | $1,007.50 – $963.60 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $929.68 | $3,443.25 | $1,010.00 – $993.03 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,175.85 | $4,355.00 | $1,010.00 – $681.75 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $883.04 | $3,270.50 | $1,010.00 – $989.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $129.17 | $478.41 | $111.59 – $9.41 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $302.01 | $1,118.54 | $1,006.69 – $98.30 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $202.37 | $749.50 | $1,012.79 – $98.30 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $192.51 | $713.00 | $1,049.40 – $991.10 |
| Screening mammogram, both breasts CPT 77067 | $165.57 | $613.23 | $101.40 – $97.97 |
| Shoulder X-ray, 2 or more views CPT 73030 | $127.21 | $471.13 | $111.59 – $9.41 |
| Transvaginal pregnancy ultrasound CPT 76817 | $167.87 | $621.73 | $106.34 – $98.30 |
| Transvaginal ultrasound CPT 76830 | $268.05 | $992.77 | $1,005.75 – $992.77 |
| Ultrasound of the abdomen, complete CPT 76700 | $425.03 | $1,574.20 | $106.34 – $98.30 |
| Ultrasound of the neck or thyroid CPT 76536 | $214.05 | $792.77 | $1,053.30 – $987.83 |
| Wrist X-ray, 3 or more views CPT 73110 | $113.06 | $418.74 | $111.59 – $88.05 |
| X-ray of the lower back, 4 or more views CPT 72110 | $232.60 | $861.47 | $106.34 – $933.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $62.07 | $229.89 | $131.93 – $9.89 |
| Blood culture CPT 87040 | $53.72 | $198.97 | $10.32 – $9.88 |
| Blood draw (venipuncture) CPT 36415 | $9.19 | $34.02 | $1.28 – $9.82 |
| BNP test (heart failure) CPT 83880 | $92.05 | $340.92 | $100.23 – $98.32 |
| C-reactive protein (CRP) test CPT 86140 | $26.44 | $97.94 | $27.42 – $97.94 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $51.77 | $191.75 | $110.05 – $70.95 |
| Complete blood count (CBC) with differential CPT 85025 | $41.47 | $153.61 | $100.09 – $88.42 |
| Complete blood count (CBC), automated CPT 85027 | $28.39 | $105.15 | $105.15 – $97.79 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $97.04 | $359.42 | $10.10 – $9.19 |
| COVID-19 PCR test CPT 87635 | $57.90 | $214.43 | $123.06 – $78.74 |
| D-dimer test (blood clots) CPT 85379 | $38.11 | $141.15 | $10.18 – $99.02 |
| Drug screen, instrument chemistry CPT 80307 | $91.85 | $340.20 | $10.23 – $98.11 |
| Ferritin (iron stores) test CPT 82728 | $55.67 | $206.18 | $11.86 – $76.29 |
| Free T4 (thyroid) test CPT 84439 | $63.19 | $234.02 | $10.80 – $9.74 |
| General health panel (blood tests) CPT 80050 | $156.81 | $580.77 | $116.15 – $580.77 |
| Glucose (blood sugar) test CPT 82947 | $26.57 | $98.40 | $2.30 – $98.40 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $50.94 | $188.66 | $108.27 – $69.80 |
| Hemoglobin A1c test CPT 83036 | $30.34 | $112.37 | $10.00 – $95.51 |
| Hepatitis C antibody test CPT 86803 | $59.57 | $220.62 | $10.10 – $81.63 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $28.67 | $106.18 | $106.18 – $98.75 |
| Iron test CPT 83540 | $30.34 | $112.37 | $10.16 – $95.51 |
| Kidney function panel CPT 80069 | $74.32 | $275.25 | $10.42 – $99.09 |
| Lipase test (pancreas) CPT 83690 | $28.11 | $104.12 | $104.12 – $96.83 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $90.19 | $334.02 | $100.07 – $98.20 |
| Liver function panel CPT 80076 | $55.11 | $204.12 | $117.14 – $9.89 |
| Magnesium test CPT 83735 | $21.71 | $80.41 | $10.16 – $80.41 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $29.78 | $110.31 | $102.59 – $99.28 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $61.10 | $226.29 | $12.49 – $83.73 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $24.22 | $89.69 | $2.31 – $89.69 |
| PSA (prostate specific antigen), free CPT 84154 | $49.82 | $184.53 | $10.79 – $68.28 |
| PSA (prostate specific antigen), total CPT 84153 | $49.69 | $184.02 | $10.79 – $68.09 |
| Rapid strep test CPT 87880 | $13.01 | $48.19 | $13.49 – $8.52 |
| Sed rate (ESR) test CPT 85652 | $24.77 | $91.75 | $1.58 – $91.75 |
| TB skin test CPT 86580 | $8.64 | $32.00 | $10.24 – $9.92 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $73.21 | $271.13 | $10.91 – $99.56 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $106.05 | $392.78 | $109.98 – $98.15 |
| Troponin test (heart damage) CPT 84484 | $40.92 | $151.54 | $10.86 – $98.74 |
| Urinalysis, automated, with microscope CPT 81001 | $27.00 | $100.00 | $100.00 – $93.00 |
| Urinalysis, automated, without microscope CPT 81003 | $18.37 | $68.05 | $1.32 – $68.05 |
| Urinalysis, manual, with microscope CPT 81000 | $18.27 | $67.68 | $1.86 – $9.00 |
| Urinalysis, manual, without microscope CPT 81002 | $9.21 | $34.10 | $1.50 – $9.87 |
| Urine culture, colony count CPT 87086 | $38.13 | $141.24 | $10.89 – $99.08 |
| Urine pregnancy test CPT 81025 | $38.97 | $144.33 | $101.02 – $99.57 |
| Vitamin B12 test CPT 82607 | $36.46 | $135.05 | $101.29 – $94.74 |
| Vitamin D test CPT 82306 | $64.71 | $239.65 | $137.54 – $88.67 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $431.44 | $1,597.92 | $1,064.06 – $919.76 |
| ECG tracing only (no interpretation) CPT 93005 | $72.09 | $267.01 | $10.23 – $98.79 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $688.35 | $2,549.45 | $1,001.31 – $943.30 |
| Left heart catheterization CPT 93452 | $382.05 | $1,415.00 | $1,061.25 – $992.62 |
| Left heart catheterization with coronary angiogram CPT 93458 | $440.75 | $1,632.40 | $1,109.54 – $939.61 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $917.65 | $3,398.69 | $1,018.25 – $999.21 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $1,188.00 | $4,400.00 | $1,232.00 – $4,400.00 |
| Appendix removal, laparoscopic CPT 44970 | $294.30 | $1,090.00 | $1,090.00 – $981.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $215.71 | $798.92 | $223.70 – $798.92 |
| Carpal tunnel release CPT 64721 | $324.00 | $1,200.00 | $1,020.00 – $960.00 |
| Colonoscopy with biopsy CPT 45380 | $251.37 | $931.00 | $260.68 – $931.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $297.00 | $1,100.00 | $1,100.00 – $990.00 |
| Colonoscopy, diagnostic CPT 45378 | $223.83 | $829.00 | $232.12 – $829.00 |
| Colposcopy with biopsy CPT 57454 | $74.25 | $275.00 | $100.05 – $98.18 |
| Cystoscopy (bladder scope) CPT 52000 | $95.31 | $353.00 | $101.81 – $98.84 |
| Ear tubes, under general anesthesia CPT 69436 | $129.60 | $480.00 | $134.40 – $480.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $79.34 | $293.86 | $100.62 – $99.91 |
| Gallbladder removal, laparoscopic CPT 47562 | $486.00 | $1,800.00 | $1,033.02 – $660.96 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $855.63 | $3,169.00 | $1,014.08 – $982.39 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $524.07 | $1,941.00 | $1,113.94 – $712.74 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $216.00 | $800.00 | $224.00 – $800.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $328.59 | $1,217.00 | $1,034.45 – $973.60 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $324.00 | $1,200.00 | $1,020.00 – $960.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $519.75 | $1,925.00 | $1,104.76 – $706.86 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $666.90 | $2,470.00 | $1,417.53 – $906.98 |
| Lower colon endoscopy with ultrasound CPT 45391 | $147.42 | $546.00 | $152.88 – $546.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $89.10 | $330.00 | $102.30 – $99.79 |
| Prostate biopsy CPT 55700 | $120.42 | $446.00 | $124.88 – $446.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $928.80 | $3,440.00 | $1,011.36 – $992.10 |
| Removal of a breast lump, open surgery CPT 19120 | $280.11 | $1,037.44 | $1,037.44 – $933.70 |
| Rotator cuff repair, arthroscopic CPT 29827 | $543.51 | $2,013.00 | $1,155.26 – $739.17 |
| Screening colonoscopy, average risk HCPCS G0121 | $223.83 | $829.00 | $232.12 – $829.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $223.83 | $829.00 | $232.12 – $829.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $430.65 | $1,595.00 | $1,084.12 – $918.08 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $653.40 | $2,420.00 | $1,388.84 – $888.62 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $618.03 | $2,289.00 | $1,313.66 – $840.52 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $193.05 | $715.00 | $200.20 – $715.00 |
| Total hip replacement CPT 27130 | $1,485.00 | $5,500.00 | $1,540.00 – $5,500.00 |
| Total knee replacement CPT 27447 | $1,296.00 | $4,800.00 | $1,344.00 – $4,800.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $206.28 | $764.00 | $213.92 – $764.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $169.29 | $627.00 | $175.56 – $627.00 |
| Vasectomy CPT 55250 | $238.68 | $884.00 | $247.52 – $884.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $1,045.71 | $3,873.00 | $1,084.44 – $3,873.00 |
| Fetal non-stress test CPT 59025 | $33.37 | $123.60 | $105.06 – $98.88 |
| IUD insertion CPT 58300 | $48.60 | $180.00 | $103.30 – $66.10 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $988.47 | $3,661.00 | $1,025.08 – $3,661.00 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $940.41 | $3,483.00 | $1,004.50 – $975.24 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $1,155.74 | $4,280.51 | $10,453.23 – $9,622.50 |
| COPD flare-up, with major complications MS-DRG 190 | $5,114.10 | $18,941.12 | $11,014.80 – $9,005.70 |
| COPD flare-up, without complications MS-DRG 192 | $2,552.33 | $9,453.07 | $12,956.84 – $8,979.00 |
| Fainting (syncope) MS-DRG 312 | $1,829.61 | $6,776.33 | $10,063.95 – $9,251.60 |
| Heart failure, with major complications MS-DRG 291 | $3,198.16 | $11,845.05 | $10,044.50 – $6,949.21 |
| Irregular heartbeat, without complications MS-DRG 310 | $2,050.58 | $7,594.74 | $11,425.03 – $8,990.02 |
| Kidney failure, with complications MS-DRG 683 | $1,949.84 | $7,221.63 | $10,370.35 – $9,195.90 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $2,714.46 | $10,053.57 | $11,414.89 – $9,692.67 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $2,483.51 | $9,198.17 | $10,633.78 – $9,214.67 |
| Pneumonia, with complications MS-DRG 194 | $3,849.16 | $14,256.13 | $10,493.70 – $9,734.20 |
| Pneumonia, with major complications MS-DRG 193 | $3,198.21 | $11,845.23 | $10,061.86 – $9,543.99 |
| Pneumonia, without complications MS-DRG 195 | $2,609.83 | $9,666.05 | $12,173.97 – $9,162.59 |
| Sepsis, with major complications MS-DRG 871 | $3,682.12 | $13,637.47 | $10,660.37 – $5,725.00 |
| Sepsis, without major complications MS-DRG 872 | $3,085.45 | $11,427.61 | $10,029.96 – $9,763.49 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $3,629.30 | $13,441.84 | $11,425.57 – $9,988.17 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $3,307.79 | $12,251.09 | $10,410.66 – $9,231.24 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $3,538.99 | $13,107.37 | $10,608.15 – $8,213.83 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $118.30 | $438.14 | $122.68 – $438.14 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $157.41 | $583.00 | $163.24 – $583.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $156.72 | $580.43 | $162.52 – $580.43 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $136.89 | $507.00 | $141.96 – $507.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $810.00 | $3,000.00 | $1,008.00 – $988.80 |
| Eye exam, new patient, comprehensive CPT 92004 | $62.10 | $230.00 | $132.00 – $84.46 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $297.00 | $1,100.00 | $1,100.00 – $990.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $41.85 | $155.00 | $105.35 – $89.22 |
| Sleep study with CPAP titration CPT 95811 | $269.31 | $997.43 | $279.28 – $997.43 |
| Sleep study, overnight in a sleep lab CPT 95810 | $257.46 | $953.56 | $267.00 – $953.56 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $102.57 | $379.89 | $106.37 – $379.89 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $43.47 | $161.00 | $100.07 – $92.67 |
| Physical therapy evaluation, low complexity CPT 97161 | $73.76 | $273.19 | $100.32 – $99.56 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $76.04 | $281.64 | $100.55 – $99.56 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $34.29 | $127.00 | $10.49 – $99.90 |
| Therapeutic activities, 15 minutes CPT 97530 | $28.67 | $106.18 | $106.18 – $98.75 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $48.60 | $180.00 | $103.30 – $66.10 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $41.33 | $153.08 | $104.05 – $88.11 |
| Group psychotherapy CPT 90853 | $16.20 | $60.00 | $16.80 – $60.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $63.72 | $236.00 | $135.44 – $86.66 |
| Psychotherapy, 30 minutes CPT 90832 | $28.08 | $104.00 | $104.00 – $93.60 |
| Psychotherapy, 45 minutes CPT 90834 | $41.04 | $152.00 | $103.31 – $87.49 |
| Psychotherapy, 60 minutes CPT 90837 | $60.75 | $225.00 | $129.13 – $82.62 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $30.90 | $114.43 | $102.99 – $97.27 |
| IV hydration, each additional hour CPT 96361 | $56.51 | $209.28 | $120.11 – $77.43 |
| IV hydration, first hour CPT 96360 | $120.24 | $445.35 | $124.70 – $445.35 |
| IV push injection of a drug, first CPT 96374 | $58.17 | $215.46 | $123.65 – $79.72 |
| IV push injection, each additional drug CPT 96375 | $57.62 | $213.40 | $122.47 – $78.96 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $3.00 | ? – $3.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $2.00 | ? – $2.00 |
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.