Margaretville Memorial Hospital
42084 State Highway 28, Margaretville, NY 12455 · Critical access hospital · Emergency room
These are Margaretville Memorial Hospital's own posted figures from its standard-charges file dated June 24, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
216 of the services we track have a posted price here; 143 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 | $9,010.00 | $9,010.00 | $1,344.00 – $8,109.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $2,463.00 | $2,463.00 | $453.00 – $2,267.00 |
| Emergency room visit, level 2 CPT 99282 | $4,101.00 | $4,101.00 | $1,041.00 – $3,690.90 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $5,412.00 | $5,412.00 | $1,344.00 – $4,870.80 |
| Emergency room visit, level 4 CPT 99284 | $7,052.00 | $7,052.00 | $1,344.00 – $6,346.80 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $8,586.00 | $8,586.00 | $1,344.00 – $7,727.40 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $540.00 | $540.00 | $237.60 – $2,267.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $581.00 | $581.00 | $24.15 – $581.00 |
| Abdominal X-ray, 1 view CPT 74018 | $464.00 | $464.00 | $17.12 – $464.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $554.00 | $554.00 | $86.39 – $554.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $724.00 | $724.00 | $145.96 – $724.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $1,009.00 | $1,009.00 | $74.78 – $1,009.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $661.00 | $661.00 | $57.01 – $661.00 |
| Chest X-ray, 1 view CPT 71045 | $329.00 | $329.00 | $10.16 – $329.00 |
| Chest X-ray, 2 views CPT 71046 | $392.00 | $392.00 | $18.62 – $392.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,346.00 | $3,346.00 | $291.55 – $3,346.00 |
| CT angiogram of the head CPT 70496 | $2,466.00 | $2,466.00 | $291.55 – $2,600.98 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,713.00 | $2,713.00 | $610.96 – $2,713.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,346.00 | $3,346.00 | $610.96 – $3,346.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,263.00 | $2,263.00 | $322.70 – $2,263.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,263.00 | $2,263.00 | $179.33 – $2,263.00 |
| CT scan of the chest, with contrast CPT 71260 | $2,263.00 | $2,263.00 | $291.55 – $2,263.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,263.00 | $2,263.00 | $179.33 – $2,263.00 |
| CT scan of the head, without contrast CPT 70450 | $2,263.00 | $2,263.00 | $179.33 – $2,263.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,263.00 | $2,263.00 | $179.33 – $2,263.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,713.00 | $2,713.00 | $291.55 – $2,713.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,263.00 | $2,263.00 | $179.33 – $2,263.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,135.00 | $1,135.00 | $92.79 – $1,135.00 |
| Diagnostic mammogram, one breast CPT 77065 | $887.00 | $887.00 | $72.65 – $887.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.00 | $594.00 | $80.25 – $594.00 |
| Hand X-ray, 3 or more views CPT 73130 | $560.00 | $560.00 | $89.49 – $560.00 |
| Knee X-ray, 3 views CPT 73562 | $709.00 | $709.00 | $97.69 – $709.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | not posted | $760.96 – $32,500.00 | |
| Leg or arm vein ultrasound, one side CPT 93971 | not posted | $483.80 – $32,500.00 | |
| Lower back X-ray, 2 or 3 views CPT 72100 | $524.00 | $524.00 | $89.49 – $524.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,517.00 | $4,517.00 | $610.96 – $4,517.00 |
| MRI of the brain, without and with contrast CPT 70553 | $4,517.00 | $4,517.00 | $610.96 – $4,517.00 |
| MRI of the brain, without contrast CPT 70551 | not posted | $651.08 – $24,200.00 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,072.00 | $3,072.00 | $372.86 – $3,072.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,072.00 | $3,072.00 | $372.86 – $3,072.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,072.00 | $3,072.00 | $372.86 – $3,072.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $3,072.00 | $3,072.00 | $372.86 – $3,072.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,517.00 | $4,517.00 | $610.96 – $4,517.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,072.00 | $3,072.00 | $372.86 – $3,072.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $510.00 | $510.00 | $89.49 – $510.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $858.00 | $858.00 | $179.33 – $858.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $876.00 | $876.00 | $179.33 – $876.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $698.00 | $698.00 | $179.33 – $698.00 |
| Screening mammogram, both breasts CPT 77067 | $935.00 | $935.00 | $76.73 – $935.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $648.00 | $648.00 | $79.21 – $648.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $626.00 | $626.00 | $179.33 – $626.00 |
| Transvaginal ultrasound CPT 76830 | $1,011.00 | $1,011.00 | $179.33 – $1,011.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,235.00 | $1,235.00 | $179.33 – $1,235.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $856.00 | $856.00 | $376.64 – $2,267.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $525.00 | $525.00 | $101.80 – $525.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $737.00 | $737.00 | $121.31 – $737.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $223.00 | $223.00 | $12.69 – $880.85 |
| Blood culture CPT 87040 | $176.00 | $176.00 | $15.48 – $695.20 |
| Blood draw (venipuncture) CPT 36415 | $23.00 | $23.00 | $4.50 – $90.85 |
| BNP test (heart failure) CPT 83880 | $244.00 | $244.00 | $58.89 – $963.80 |
| C-reactive protein (CRP) test CPT 86140 | $88.00 | $88.00 | $7.77 – $347.60 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $276.00 | $276.00 | $52.64 – $1,090.20 |
| Complete blood count (CBC) with differential CPT 85025 | $132.00 | $132.00 | $11.66 – $521.40 |
| Complete blood count (CBC), automated CPT 85027 | $106.00 | $106.00 | $9.71 – $418.70 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $260.00 | $260.00 | $15.84 – $1,027.00 |
| COVID-19 PCR test CPT 87635 | $181.00 | $181.00 | $67.50 – $714.95 |
| D-dimer test (blood clots) CPT 85379 | $193.00 | $193.00 | $15.27 – $762.35 |
| Drug screen, instrument chemistry CPT 80307 | $430.00 | $430.00 | $31.92 – $1,698.50 |
| Ferritin (iron stores) test CPT 82728 | $208.00 | $208.00 | $20.45 – $821.60 |
| Free T4 (thyroid) test CPT 84439 | $250.00 | $250.00 | $13.53 – $987.50 |
| General health panel (blood tests) CPT 80050 | $274.00 | $274.00 | $15.79 – $266.00 |
| Glucose (blood sugar) test CPT 82947 | $90.00 | $90.00 | $5.90 – $355.50 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $237.00 | $237.00 | $52.64 – $936.15 |
| Hemoglobin A1c test CPT 83036 | $147.00 | $147.00 | $14.57 – $580.65 |
| Hepatitis C antibody test CPT 86803 | $302.00 | $302.00 | $21.41 – $1,192.90 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $145.00 | $145.00 | $13.65 – $572.75 |
| Iron test CPT 83540 | $87.00 | $87.00 | $9.71 – $343.65 |
| Kidney function panel CPT 80069 | $96.00 | $96.00 | $13.02 – $379.20 |
| Lipase test (pancreas) CPT 83690 | $106.00 | $106.00 | $10.34 – $418.70 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $241.00 | $241.00 | $20.09 – $951.95 |
| Liver function panel CPT 80076 | $238.00 | $238.00 | $12.26 – $940.10 |
| Magnesium test CPT 83735 | $127.00 | $127.00 | $10.05 – $501.65 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $165.00 | $165.00 | $9.02 – $651.75 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $116.00 | $116.00 | $22.58 – $458.20 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $44.00 | $44.00 | $6.44 – $173.80 |
| PSA (prostate specific antigen), free CPT 84154 | $292.00 | $292.00 | $27.59 – $1,153.40 |
| PSA (prostate specific antigen), total CPT 84153 | $127.00 | $127.00 | $27.59 – $501.65 |
| Rapid strep test CPT 87880 | $79.00 | $79.00 | $24.80 – $312.05 |
| Sed rate (ESR) test CPT 85652 | $17.00 | $17.00 | $4.05 – $67.15 |
| TB skin test CPT 86580 | $62.00 | $62.00 | $27.28 – $2,267.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $223.00 | $223.00 | $25.20 – $880.85 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $507.00 | $507.00 | $74.21 – $534.86 |
| Troponin test (heart damage) CPT 84484 | $298.00 | $298.00 | $18.71 – $1,177.10 |
| Urinalysis, automated, with microscope CPT 81001 | $79.00 | $79.00 | $4.76 – $312.05 |
| Urinalysis, automated, without microscope CPT 81003 | $44.00 | $44.00 | $3.38 – $173.80 |
| Urinalysis, manual, with microscope CPT 81000 | $31.00 | $31.00 | $6.03 – $122.45 |
| Urinalysis, manual, without microscope CPT 81002 | $38.00 | $38.00 | $5.22 – $150.10 |
| Urine culture, colony count CPT 87086 | $136.00 | $136.00 | $12.11 – $537.20 |
| Urine pregnancy test CPT 81025 | $61.00 | $61.00 | $12.92 – $240.95 |
| Vitamin B12 test CPT 82607 | $241.00 | $241.00 | $22.62 – $951.95 |
| Vitamin D test CPT 82306 | $590.00 | $590.00 | $44.40 – $2,330.50 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | not posted | $751.12 – $32,500.00 | |
| ECG tracing only (no interpretation) CPT 93005 | $158.00 | $158.00 | $31.16 – $764.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,312.00 | $2,312.00 | $634.68 – $2,080.80 |
| Left heart catheterization CPT 93452 | $13,882.00 | $13,882.00 | $6,108.08 – $17,095.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $14,854.00 | $14,854.00 | $6,535.76 – $17,095.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,469.00 | $4,469.00 | $1,764.64 – $4,469.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,114.00 – $24,200.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $3,616.00 – $24,200.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,580.00 | $3,580.00 | $742.92 – $4,929.00 |
| Carpal tunnel release CPT 64721 | not posted | $2,603.00 – $24,200.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $2,603.00 – $24,200.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $2,603.00 – $24,200.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $2,603.00 – $24,200.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $2,603.00 – $24,200.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $2,394.00 – $24,200.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $793.76 – $24,200.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $2,394.00 – $24,200.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $3,616.00 – $24,200.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $3,616.00 – $24,200.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,616.00 – $24,200.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,114.00 – $24,200.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $3,616.00 – $24,200.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $11,436.00 | $11,436.00 | $1,425.00 – $10,292.40 |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $3,183.00 – $24,200.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,114.00 – $24,200.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $2,603.00 – $24,200.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $2,603.00 – $24,200.00 | |
| Prostate biopsy CPT 55700 | not posted | $633.04 – $48,540.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $3,616.00 – $24,200.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $3,616.00 – $24,200.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $3,616.00 – $24,200.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $895.44 – $35,000.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $893.80 – $35,000.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,509.00 – $24,200.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $3,114.00 – $24,200.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $3,616.00 – $24,200.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $3,616.00 – $24,200.00 | |
| Total hip replacement CPT 27130 | not posted | $3,616.00 – $24,200.00 | |
| Total knee replacement CPT 27447 | not posted | $3,616.00 – $24,200.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,640.00 | $2,640.00 | $1,161.60 – $7,657.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $3,074.00 | $3,074.00 | $1,352.56 – $7,657.00 |
| Vasectomy CPT 55250 | not posted | $1,136.52 – $24,200.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $433.00 | $433.00 | $100.04 – $389.70 |
| IUD insertion CPT 58300 | $588.00 | $588.00 | $246.00 – $3,781.14 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,616.00 – $35,000.00 |
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 | $1,105.00 – $32,595.96 | |
| C-section, without complications MS-DRG 788 | not posted | $2,654.00 – $35,402.14 | |
| Chest pain MS-DRG 313 | not posted | $2,654.00 – $26,584.83 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $2,654.00 – $40,900.03 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $2,654.00 – $23,704.81 | |
| Fainting (syncope) MS-DRG 312 | not posted | $2,654.00 – $32,182.42 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $2,654.00 – $36,210.76 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $2,654.00 – $47,402.24 | |
| Heart failure, without complications MS-DRG 293 | not posted | $2,654.00 – $20,898.63 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $2,654.00 – $361,214.04 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $2,654.00 – $71,221.51 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $2,654.00 – $20,902.33 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $2,654.00 – $32,337.50 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $2,654.00 – $29,889.48 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $2,654.00 – $90,141.05 | |
| Normal newborn care MS-DRG 795 | not posted | $1,739.00 – $7,456.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $2,654.00 – $28,733.77 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $2,654.00 – $29,756.55 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $2,654.00 – $48,532.09 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $2,654.00 – $23,206.34 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,013.00 – $51,574.58 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $2,654.00 – $71,723.67 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $2,654.00 – $37,783.69 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $2,654.00 – $32,156.57 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $2,654.00 – $7,456.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $2,654.00 – $28,785.47 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $2,654.00 – $37,303.69 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $2,654.00 – $45,810.84 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,654.00 – $24,893.74 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $2,654.00 – $55,695.23 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,079.00 | $1,079.00 | $474.76 – $2,267.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,626.00 | $2,626.00 | $544.48 – $4,021.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $485.44 – $24,200.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,734.00 | $2,734.00 | $387.04 – $6,978.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $3,509.00 – $24,200.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $22,000.00 – $32,500.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $22,000.00 – $32,500.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $401.00 | $401.00 | $154.16 – $437.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,417.00 | $1,417.00 | $623.48 – $4,034.00 |
| Sleep study with CPAP titration CPT 95811 | $4,624.00 | $4,624.00 | $2,034.56 – $4,746.58 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,624.00 | $4,624.00 | $2,034.56 – $4,368.15 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $712.00 | $712.00 | $313.28 – $2,267.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $210.00 | $210.00 | $92.40 – $413.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $497.00 | $497.00 | $76.19 – $447.30 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $497.00 | $497.00 | $76.19 – $447.30 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $199.00 | $199.00 | $87.56 – $413.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $222.00 | $222.00 | $97.68 – $413.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $494.00 | $494.00 | $141.00 – $1,245.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $494.00 | $494.00 | $141.00 – $1,245.00 |
| Group psychotherapy CPT 90853 | $223.00 | $223.00 | $98.12 – $1,245.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $423.00 | $423.00 | $170.00 – $726.52 |
| Psychotherapy, 30 minutes CPT 90832 | $349.00 | $349.00 | $74.00 – $1,245.00 |
| Psychotherapy, 45 minutes CPT 90834 | $423.00 | $423.00 | $141.00 – $1,245.00 |
| Psychotherapy, 60 minutes CPT 90837 | $423.00 | $423.00 | $141.00 – $1,245.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $488.00 | $488.00 | $70.52 – $1,091.00 |
| IV hydration, each additional hour CPT 96361 | $488.00 | $488.00 | $60.68 – $1,091.00 |
| IV hydration, first hour CPT 96360 | $494.00 | $494.00 | $159.08 – $1,091.00 |
| IV push injection of a drug, first CPT 96374 | $512.00 | $512.00 | $180.40 – $1,091.00 |
| IV push injection, each additional drug CPT 96375 | $488.00 | $488.00 | $75.44 – $1,091.00 |
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.