Montefiore Mount Vernon Hospital
12 North 7th Avenue, Mount Vernon, NY 10550 · Acute care hospital · Emergency room
These are Montefiore Mount Vernon Hospital's own posted figures from its standard-charges file dated September 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
228 of the services we track have a posted price here; 125 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 | $2,465.45 | $3,793.00 | $165.00 – $3,791.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $339.95 | $523.00 | $12.54 – $3,791.00 |
| Emergency room visit, level 2 CPT 99282 | $434.20 | $668.00 | $43.27 – $3,791.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $831.35 | $1,279.00 | $72.93 – $3,791.00 |
| Emergency room visit, level 4 CPT 99284 | $1,298.70 | $1,998.00 | $123.87 – $3,791.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,862.25 | $2,865.00 | $165.00 – $3,791.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $529.10 | $814.00 | $45.36 – $18,107.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $10.21 – $128.54 | |
| Abdominal X-ray, 1 view CPT 74018 | $267.15 | $411.00 | $10.10 – $405.19 |
| Ankle X-ray, 3 or more views CPT 73610 | $267.15 | $411.00 | $12.63 – $405.19 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $40.85 – $587.12 | |
| Breast ultrasound, one breast, complete CPT 76641 | not posted | $32.79 – $360.88 | |
| Breast ultrasound, one breast, limited CPT 76642 | $238.55 | $367.00 | $26.93 – $405.19 |
| Chest X-ray, 1 view CPT 71045 | $267.15 | $411.00 | $10.10 – $405.19 |
| Chest X-ray, 2 views CPT 71046 | $263.25 | $405.00 | $15.15 – $405.19 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,225.60 | $3,424.00 | $141.40 – $4,460.24 |
| CT angiogram of the head CPT 70496 | $2,289.30 | $3,522.00 | $218.95 – $5,304.55 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,465.15 | $5,331.00 | $109.01 – $1,624.38 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,781.05 | $5,817.00 | $138.11 – $1,624.38 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,190.85 | $4,909.00 | $69.38 – $1,110.94 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,951.30 | $3,002.00 | $130.50 – $2,098.16 |
| CT scan of the chest, with contrast CPT 71260 | $1,661.40 | $2,556.00 | $171.70 – $2,659.74 |
| CT scan of the chest, without contrast CPT 71250 | $1,288.95 | $1,983.00 | $130.50 – $2,189.01 |
| CT scan of the head, without contrast CPT 70450 | $1,359.80 | $2,092.00 | $111.23 – $1,747.32 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,326.65 | $2,041.00 | $130.50 – $2,189.01 |
| CT scan of the pelvis, with contrast CPT 72193 | $773.50 | $1,190.00 | $171.70 – $2,532.93 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,576.25 | $2,425.00 | $121.20 – $2,123.66 |
| Diagnostic mammogram, both breasts CPT 77066 | $508.30 | $782.00 | $97.97 – $625.60 |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $97.97 – $470.01 | |
| Foot X-ray, 3 or more views CPT 73630 | $267.15 | $411.00 | $12.63 – $405.19 |
| Hand X-ray, 3 or more views CPT 73130 | $267.15 | $411.00 | $12.63 – $405.19 |
| Knee X-ray, 3 views CPT 73562 | $267.15 | $411.00 | $15.15 – $405.19 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,005.55 | $1,547.00 | $109.08 – $1,237.60 |
| Leg or arm vein ultrasound, one side CPT 93971 | $238.55 | $367.00 | $93.93 – $486.77 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $451.75 | $695.00 | $15.15 – $556.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $357.94 – $1,277.19 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,556.80 | $5,472.00 | $353.58 – $9,025.52 |
| MRI of the brain, without and with contrast CPT 70553 | $3,898.05 | $5,997.00 | $333.52 – $9,212.65 |
| MRI of the brain, without contrast CPT 70551 | $3,093.35 | $4,759.00 | $204.96 – $4,718.31 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $759.20 | $1,168.00 | $212.80 – $4,514.29 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,908.10 | $4,474.00 | $199.36 – $4,600.83 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,031.60 | $4,664.00 | $199.02 – $4,600.83 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,764.45 | $4,253.00 | $198.67 – $4,201.10 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,643.60 | $7,144.00 | $352.19 – $9,025.52 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $759.20 | $1,168.00 | $213.15 – $4,428.09 |
| Neck X-ray, 2 or 3 views CPT 72040 | $438.10 | $674.00 | $15.15 – $539.20 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $892.45 | $1,373.00 | $55.55 – $812.21 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $358.80 | $552.00 | $55.55 – $915.37 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $358.80 | $552.00 | $55.55 – $783.53 |
| Screening mammogram, both breasts CPT 77067 | $542.10 | $834.00 | $97.97 – $667.20 |
| Shoulder X-ray, 2 or more views CPT 73030 | $267.15 | $411.00 | $15.15 – $405.19 |
| Transvaginal pregnancy ultrasound CPT 76817 | $358.80 | $552.00 | $60.60 – $605.98 |
| Transvaginal ultrasound CPT 76830 | $837.85 | $1,289.00 | $60.60 – $808.77 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,056.25 | $1,625.00 | $60.60 – $1,300.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $733.85 | $1,129.00 | $30.30 – $781.46 |
| Wrist X-ray, 3 or more views CPT 73110 | $267.15 | $411.00 | $12.63 – $405.19 |
| X-ray of the lower back, 4 or more views CPT 72110 | $691.60 | $1,064.00 | $30.30 – $851.20 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $114.40 | $176.00 | $5.49 – $140.80 |
| Blood culture CPT 87040 | $83.85 | $129.00 | $6.17 – $103.20 |
| Blood draw (venipuncture) CPT 36415 | $36.40 | $56.00 | $5.25 – $18,107.00 |
| BNP test (heart failure) CPT 83880 | $258.05 | $397.00 | $25.81 – $367.55 |
| C-reactive protein (CRP) test CPT 86140 | $71.50 | $110.00 | $3.11 – $88.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $115.70 | $178.00 | $16.23 – $380.07 |
| Complete blood count (CBC) with differential CPT 85025 | $22.75 | $35.00 | $2.40 – $84.18 |
| Complete blood count (CBC), automated CPT 85027 | $16.25 | $25.00 | $2.40 – $63.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $160.55 | $247.00 | $7.58 – $197.60 |
| COVID-19 PCR test CPT 87635 | not posted | $23.09 – $256.04 | |
| D-dimer test (blood clots) CPT 85379 | $24.70 | $38.00 | $7.64 – $87.75 |
| Drug screen, instrument chemistry CPT 80307 | $222.95 | $343.00 | $5.69 – $310.08 |
| Ferritin (iron stores) test CPT 82728 | $96.20 | $148.00 | $10.22 – $147.51 |
| Free T4 (thyroid) test CPT 84439 | $98.80 | $152.00 | $6.75 – $121.60 |
| General health panel (blood tests) CPT 80050 | not posted | $79.38 – $392.25 | |
| Glucose (blood sugar) test CPT 82947 | $31.20 | $48.00 | $2.95 – $42.48 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $116.35 | $179.00 | $16.23 – $380.07 |
| Hemoglobin A1c test CPT 83036 | $100.75 | $155.00 | $7.28 – $124.00 |
| Hepatitis C antibody test CPT 86803 | $174.20 | $268.00 | $7.58 – $214.40 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | $14.00 – $120.16 | |
| Iron test CPT 83540 | $49.40 | $76.00 | $3.81 – $70.14 |
| Kidney function panel CPT 80069 | $69.55 | $107.00 | $6.51 – $86.78 |
| Lipase test (pancreas) CPT 83690 | $75.40 | $116.00 | $4.36 – $92.80 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $118.30 | $182.00 | $4.58 – $145.60 |
| Liver function panel CPT 80076 | $67.60 | $104.00 | $5.49 – $83.20 |
| Magnesium test CPT 83735 | $59.15 | $91.00 | $3.81 – $72.80 |
| Obstetric blood test panel CPT 80055 | not posted | $83.67 – $447.24 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $16.90 | $26.00 | $4.51 – $64.93 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $137.80 | $212.00 | $9.37 – $169.60 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $11.05 | $17.00 | $2.96 – $42.56 |
| PSA (prostate specific antigen), free CPT 84154 | $75.40 | $116.00 | $13.79 – $199.12 |
| PSA (prostate specific antigen), total CPT 84153 | $149.50 | $230.00 | $13.79 – $199.12 |
| Rapid strep test CPT 87880 | not posted | $2.84 – $94.74 | |
| Sed rate (ESR) test CPT 85652 | $8.45 | $13.00 | $1.52 – $29.23 |
| TB skin test CPT 86580 | not posted | $5.05 – $97.11 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $148.20 | $228.00 | $6.82 – $182.40 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $306.80 | $472.00 | $43.62 – $562.79 |
| Troponin test (heart damage) CPT 84484 | $83.85 | $129.00 | $6.10 – $103.20 |
| Urinalysis, automated, with microscope CPT 81001 | $65.00 | $100.00 | $2.38 – $80.00 |
| Urinalysis, automated, without microscope CPT 81003 | $39.00 | $60.00 | $1.52 – $48.00 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.00 – $34.35 | |
| Urinalysis, manual, without microscope CPT 81002 | $7.80 | $12.00 | $1.52 – $27.75 |
| Urine culture, colony count CPT 87086 | not posted | $6.05 – $87.43 | |
| Urine pregnancy test CPT 81025 | $95.55 | $147.00 | $1.52 – $117.60 |
| Vitamin B12 test CPT 82607 | $113.10 | $174.00 | $9.47 – $163.24 |
| Vitamin D test CPT 82306 | $172.25 | $265.00 | $22.20 – $320.54 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $832.65 | $1,281.00 | $109.08 – $1,110.94 |
| ECG tracing only (no interpretation) CPT 93005 | $275.60 | $424.00 | $6.63 – $339.20 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,108.60 | $3,244.00 | $137.13 – $2,544.16 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $15.00 – $152.00 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $60.60 – $901.00 | |
| Left heart catheterization CPT 93452 | not posted | $741.83 – $24,039.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $837.09 – $24,039.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,863.90 | $4,406.00 | $241.13 – $6,028.02 |
| Treadmill stress test, complete CPT 93015 | not posted | $60.60 – $661.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,006.32 – $24,365.54 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $621.80 – $21,425.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $158.41 – $18,107.00 | |
| Carpal tunnel release CPT 64721 | not posted | $447.68 – $18,107.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $204.12 – $13,302.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $257.86 – $13,302.00 | |
| Colonoscopy, diagnostic CPT 45378 | $8,366.15 | $12,871.00 | $188.42 – $13,302.00 |
| Colposcopy with biopsy CPT 57454 | $859.95 | $1,323.00 | $137.13 – $9,640.00 |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $81.30 – $18,107.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $160.86 – $18,107.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $56.53 – $9,640.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $568.14 – $21,425.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $938.49 – $24,867.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $928.16 – $35,693.74 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $236.58 – $18,107.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $446.28 – $21,425.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $540.15 – $18,107.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $580.27 – $21,425.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $559.69 – $18,107.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $261.00 – $13,302.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $64.90 – $9,640.00 | |
| Prostate biopsy CPT 55700 | not posted | $131.90 – $18,107.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,325.93 – $35,693.74 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $429.19 – $18,107.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,100.53 – $24,365.54 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $188.77 – $18,107.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $188.42 – $18,107.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $690.19 – $18,107.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $178.30 – $18,107.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $938.49 – $24,867.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $294.50 – $19,878.10 | |
| Total hip replacement CPT 27130 | not posted | $1,322.45 – $43,110.80 | |
| Total knee replacement CPT 27447 | not posted | $1,320.70 – $43,110.80 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $140.27 – $13,302.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,036.75 | $1,595.00 | $124.57 – $13,302.00 |
| Vasectomy CPT 55250 | not posted | $232.39 – $18,107.00 |
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 | $2,707.70 – $18,107.00 | |
| Fetal non-stress test CPT 59025 | not posted | $15.15 – $18,107.00 | |
| IUD insertion CPT 58300 | $544.05 | $837.00 | $51.99 – $18,107.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,562.90 – $18,107.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,787.55 – $18,107.00 |
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 | $7,051.33 – $70,576.00 | |
| C-section, without complications MS-DRG 788 | not posted | $7,233.57 – $31,017.07 | |
| Chest pain MS-DRG 313 | not posted | $5,701.33 – $57,064.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,978.41 – $89,864.00 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,173.00 – $51,776.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $6,964.21 – $69,704.00 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,880.19 – $78,872.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,429.92 – $104,392.00 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,388.10 – $43,920.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $77,134.59 – $772,032.00 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,070.59 – $150,840.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,472.02 – $44,760.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,104.88 – $71,112.00 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,415.09 – $64,208.00 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $18,920.77 – $189,376.00 | |
| Normal newborn care MS-DRG 795 | not posted | $1,596.98 – $6,847.75 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,246.44 – $62,520.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,554.17 – $65,600.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,533.03 – $105,424.00 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,977.97 – $49,824.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $11,265.98 – $112,760.00 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $15,684.45 – $156,984.00 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,240.67 – $82,480.00 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,040.94 – $70,472.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,236.85 – $62,424.00 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,128.77 – $81,360.00 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $9,580.28 – $95,888.00 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,093.07 – $21,838.76 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,683.21 – $116,936.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $862.55 | $1,327.00 | $46.76 – $18,107.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $113.40 – $18,107.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $100.84 – $18,107.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $82.70 – $18,107.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $548.17 – $18,107.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $30.30 – $229.34 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $315.08 – $18,107.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $25.25 – $221.66 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $57.22 – $6,346.00 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $530.38 – $2,078.35 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $507.35 – $6,337.11 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $499.20 | $768.00 | $15.15 – $1,005.35 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $157.95 | $243.00 | $27.91 – $394.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $360.10 | $554.00 | $101.89 – $443.20 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $374.40 | $576.00 | $101.89 – $460.80 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $170.30 | $262.00 | $30.36 – $394.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $148.20 | $228.00 | $2.37 – $394.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $101.70 – $500.00 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $98.40 – $448.00 | |
| Group psychotherapy CPT 90853 | not posted | $24.08 – $343.00 | |
| Psychiatric diagnostic evaluation CPT 90791 | $334.75 | $515.00 | $152.39 – $826.42 |
| Psychotherapy, 30 minutes CPT 90832 | $300.95 | $463.00 | $68.74 – $826.42 |
| Psychotherapy, 45 minutes CPT 90834 | $285.35 | $439.00 | $91.07 – $826.42 |
| Psychotherapy, 60 minutes CPT 90837 | $300.95 | $463.00 | $134.69 – $826.42 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $204.10 | $314.00 | $13.36 – $18,107.00 |
| IV hydration, each additional hour CPT 96361 | $328.25 | $505.00 | $5.05 – $18,107.00 |
| IV hydration, first hour CPT 96360 | $676.00 | $1,040.00 | $34.52 – $18,107.00 |
| IV push injection of a drug, first CPT 96374 | $676.00 | $1,040.00 | $39.22 – $18,107.00 |
| IV push injection, each additional drug CPT 96375 | $165.10 | $254.00 | $16.36 – $18,107.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | ? – $1.49 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | ? – $1.12 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $4.84 – $7.99 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.57 – $4.24 |
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.