Montefiore St. Luke's Cornwall
70 Dubois Street, Newburgh, NY 12550 · Acute care hospital · Emergency room
These are Montefiore St. Luke's Cornwall's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
230 of the services we track have a posted price here; 146 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 | $1,031.12 | $8,777.00 | $606.00 – $6,516.68 |
| Emergency room visit, level 1 (minor) CPT 99281 | $105.26 | $3,693.00 | $46.65 – $3,789.00 |
| Emergency room visit, level 2 CPT 99282 | $191.67 | $3,764.00 | $153.34 – $3,789.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $340.75 | $3,903.00 | $250.00 – $3,789.00 |
| Emergency room visit, level 4 CPT 99284 | $520.86 | $4,664.00 | $250.00 – $3,789.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $743.39 | $7,278.00 | $250.00 – $4,698.22 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $250.45 | $912.00 | $175.87 – $7,276.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $115.00 | $10.21 – $292.94 |
| Abdominal X-ray, 1 view CPT 74018 | $108.63 | $959.00 | $10.10 – $767.20 |
| Ankle X-ray, 3 or more views CPT 73610 | $108.63 | $684.00 | $12.63 – $547.20 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $130.50 | $427.00 | $54.50 – $587.12 |
| Breast ultrasound, one breast, complete CPT 76641 | $130.50 | $1,263.00 | $32.79 – $907.08 |
| Breast ultrasound, one breast, limited CPT 76642 | $108.63 | $1,263.00 | $26.93 – $795.69 |
| Chest X-ray, 1 view CPT 71045 | $108.63 | $766.00 | $10.10 – $612.80 |
| Chest X-ray, 2 views CPT 71046 | $108.63 | $919.00 | $15.15 – $735.20 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $218.95 | $3,581.00 | $141.40 – $4,460.24 |
| CT angiogram of the head CPT 70496 | $218.95 | $3,581.00 | $175.16 – $5,304.55 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $435.49 | $7,184.00 | $109.01 – $5,388.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $435.49 | $8,262.00 | $138.11 – $6,196.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $297.84 | $4,863.00 | $69.38 – $3,647.25 |
| CT scan of the abdomen, without contrast CPT 74150 | $130.50 | $2,139.00 | $104.40 – $2,098.16 |
| CT scan of the chest, with contrast CPT 71260 | $218.95 | $3,581.00 | $171.70 – $2,685.75 |
| CT scan of the chest, without contrast CPT 71250 | $130.50 | $2,139.00 | $104.40 – $2,189.01 |
| CT scan of the head, without contrast CPT 70450 | $130.50 | $2,139.00 | $104.40 – $1,747.32 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $130.50 | $2,139.00 | $104.40 – $2,189.01 |
| CT scan of the pelvis, with contrast CPT 72193 | $218.95 | $3,581.00 | $171.70 – $2,685.75 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $130.50 | $2,139.00 | $104.40 – $2,123.66 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $1,055.00 | $97.97 – $1,125.54 |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $850.00 | $97.97 – $881.24 |
| Foot X-ray, 3 or more views CPT 73630 | $108.63 | $511.00 | $12.63 – $408.80 |
| Hand X-ray, 3 or more views CPT 73130 | $108.63 | $536.00 | $12.63 – $428.80 |
| Knee X-ray, 3 views CPT 73562 | $108.63 | $808.00 | $15.15 – $646.40 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $297.84 | $3,740.00 | $109.08 – $2,992.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $130.50 | $2,553.00 | $93.93 – $2,042.40 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $130.50 | $1,040.00 | $15.15 – $832.00 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,564.00 | $432.56 – $4,290.87 |
| MRI of the abdomen, without and with contrast CPT 74183 | $435.49 | $7,184.00 | $348.39 – $9,025.52 |
| MRI of the brain, without and with contrast CPT 70553 | $435.49 | $7,184.00 | $348.39 – $9,212.65 |
| MRI of the brain, without contrast CPT 70551 | $297.84 | $4,863.00 | $235.97 – $4,718.31 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $297.84 | $4,863.00 | $238.27 – $4,514.29 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $297.84 | $4,863.00 | $225.70 – $4,600.83 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $297.84 | $4,863.00 | $225.09 – $4,600.83 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $297.84 | $4,863.00 | $224.48 – $4,201.10 |
| MRI of the pelvis, without and with contrast CPT 72197 | $435.49 | $7,184.00 | $348.39 – $9,025.52 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $297.84 | $4,863.00 | $238.27 – $4,428.09 |
| Neck X-ray, 2 or 3 views CPT 72040 | $108.63 | $1,022.00 | $15.15 – $817.60 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $130.50 | $1,871.00 | $55.55 – $1,441.94 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $130.50 | $1,871.00 | $55.55 – $1,178.73 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $130.50 | $1,871.00 | $55.55 – $1,178.73 |
| Screening mammogram, both breasts CPT 77067 | not posted | $1,087.00 | $97.97 – $930.73 |
| Shoulder X-ray, 2 or more views CPT 73030 | $108.63 | $595.00 | $15.15 – $476.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $130.50 | $1,871.00 | $60.60 – $1,178.73 |
| Transvaginal ultrasound CPT 76830 | $130.50 | $1,871.00 | $60.60 – $1,178.73 |
| Ultrasound of the abdomen, complete CPT 76700 | $130.50 | $2,044.00 | $60.60 – $1,635.20 |
| Ultrasound of the neck or thyroid CPT 76536 | $130.50 | $1,871.00 | $30.30 – $1,178.73 |
| Wrist X-ray, 3 or more views CPT 73110 | $108.63 | $595.00 | $12.63 – $476.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $130.50 | $1,176.00 | $30.30 – $940.80 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | not posted | $401.00 | $5.86 – $320.80 |
| Blood culture CPT 87040 | not posted | $284.00 | $6.58 – $227.20 |
| Blood draw (venipuncture) CPT 36415 | not posted | $71.00 | $3.60 – $7,276.00 |
| BNP test (heart failure) CPT 83880 | not posted | $330.00 | $27.53 – $575.33 |
| C-reactive protein (CRP) test CPT 86140 | not posted | $266.00 | $3.31 – $212.80 |
| Chlamydia test (DNA/NAAT) CPT 87491 | not posted | $382.00 | $17.31 – $594.86 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $382.00 | $2.56 – $305.60 |
| Complete blood count (CBC), automated CPT 85027 | not posted | $2.56 – $98.50 | |
| Comprehensive metabolic panel (blood test) CPT 80053 | not posted | $718.00 | $8.08 – $574.40 |
| COVID-19 PCR test CPT 87635 | not posted | $234.00 | $24.63 – $324.28 |
| D-dimer test (blood clots) CPT 85379 | not posted | $8.14 – $137.31 | |
| Drug screen, instrument chemistry CPT 80307 | not posted | $472.00 | $6.06 – $392.72 |
| Ferritin (iron stores) test CPT 82728 | not posted | $436.00 | $10.90 – $348.80 |
| Free T4 (thyroid) test CPT 84439 | not posted | $436.00 | $7.20 – $348.80 |
| General health panel (blood tests) CPT 80050 | not posted | $54.43 – $392.25 | |
| Glucose (blood sugar) test CPT 82947 | not posted | $177.00 | $3.14 – $141.60 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | not posted | $382.00 | $17.31 – $594.86 |
| Hemoglobin A1c test CPT 83036 | not posted | $284.00 | $7.77 – $227.20 |
| Hepatitis C antibody test CPT 86803 | not posted | $785.00 | $8.08 – $628.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | $140.00 | $14.94 – $165.57 |
| Iron test CPT 83540 | not posted | $278.00 | $4.06 – $222.40 |
| Kidney function panel CPT 80069 | not posted | $554.00 | $6.94 – $443.20 |
| Lipase test (pancreas) CPT 83690 | not posted | $284.00 | $4.65 – $227.20 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | not posted | $517.00 | $4.88 – $413.60 |
| Liver function panel CPT 80076 | not posted | $531.00 | $5.86 – $424.80 |
| Magnesium test CPT 83735 | not posted | $215.00 | $4.06 – $172.00 |
| Obstetric blood test panel CPT 80055 | not posted | $57.37 – $447.24 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | not posted | $732.00 | $4.81 – $585.60 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | not posted | $568.00 | $9.99 – $454.40 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | not posted | $411.00 | $3.16 – $328.80 |
| PSA (prostate specific antigen), free CPT 84154 | not posted | $447.00 | $14.71 – $357.60 |
| PSA (prostate specific antigen), total CPT 84153 | not posted | $501.00 | $14.71 – $400.80 |
| Rapid strep test CPT 87880 | not posted | $94.00 | $3.03 – $148.23 |
| Sed rate (ESR) test CPT 85652 | not posted | $167.00 | $1.62 – $133.60 |
| TB skin test CPT 86580 | $36.10 | $5.05 – $228.15 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | not posted | $501.00 | $7.27 – $400.80 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $65.05 | $1,428.00 | $42.12 – $1,142.40 |
| Troponin test (heart damage) CPT 84484 | not posted | $397.00 | $6.50 – $317.60 |
| Urinalysis, automated, with microscope CPT 81001 | not posted | $2.54 – $53.74 | |
| Urinalysis, automated, without microscope CPT 81003 | not posted | $138.00 | $1.62 – $110.40 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.20 – $53.74 | |
| Urinalysis, manual, without microscope CPT 81002 | not posted | $1.62 – $43.30 | |
| Urine culture, colony count CPT 87086 | not posted | $6.46 – $136.83 | |
| Urine pregnancy test CPT 81025 | not posted | $30.00 | $1.62 – $107.23 |
| Vitamin B12 test CPT 82607 | not posted | $501.00 | $10.10 – $400.80 |
| Vitamin D test CPT 82306 | not posted | $655.00 | $23.68 – $524.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $297.84 | $3,827.00 | $109.08 – $3,061.60 |
| ECG tracing only (no interpretation) CPT 93005 | $73.64 | $670.00 | $7.58 – $536.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $682.08 | $3,674.00 | $208.57 – $4,310.75 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $15.15 – $199.05 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $60.60 – $899.00 | |
| Left heart catheterization CPT 93452 | $4,046.85 | $16,450.00 | $1,324.69 – $29,071.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,046.85 | $16,830.00 | $1,324.69 – $29,071.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,616.09 | $5,709.00 | $241.13 – $4,858.43 |
| Treadmill stress test, complete CPT 93015 | not posted | $60.60 – $659.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $9,057.82 | $1,500.00 – $57,245.42 | |
| Appendix removal, laparoscopic CPT 44970 | $7,546.53 | $1,500.00 – $47,694.07 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,061.66 | $587.96 – $13,029.69 | |
| Carpal tunnel release CPT 64721 | $2,437.56 | $1,500.00 – $15,405.38 | |
| Colonoscopy with biopsy CPT 45380 | $1,493.75 | $529.76 – $9,638.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,493.75 | $529.76 – $9,638.00 | |
| Colonoscopy, diagnostic CPT 45378 | $1,160.85 | $529.76 – $9,638.00 | |
| Colposcopy with biopsy CPT 57454 | $380.39 | $368.98 – $7,276.00 | |
| Cystoscopy (bladder scope) CPT 52000 | $870.42 | $311.38 – $7,276.00 | |
| Ear tubes, under general anesthesia CPT 69436 | $1,936.82 | $638.35 – $12,240.70 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,160.85 | $224.66 – $7,336.57 | |
| Gallbladder removal, laparoscopic CPT 47562 | $7,546.53 | $1,500.00 – $47,694.07 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,500.00 – $24,867.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $13,269.05 | $1,500.00 – $83,860.40 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $4,040.85 | $909.86 – $25,538.17 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $7,546.53 | $1,500.00 – $47,694.07 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $4,469.36 | $1,500.00 – $28,246.36 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,400.18 | $989.51 – $27,809.14 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $4,084.39 | $1,248.46 – $25,813.34 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,493.75 | $529.76 – $9,638.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $249.17 | $98.58 – $7,276.00 | |
| Prostate biopsy CPT 55700 | not posted | $502.69 – $7,276.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | $13,269.05 | $1,500.00 – $83,860.40 | |
| Removal of a breast lump, open surgery CPT 19120 | $4,887.57 | $1,156.31 – $30,889.44 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,057.82 | $1,500.00 – $57,245.42 | |
| Screening colonoscopy, average risk HCPCS G0121 | $1,160.85 | $717.65 – $7,336.57 | |
| Screening colonoscopy, high risk HCPCS G0105 | $1,160.85 | $716.12 – $7,336.57 | |
| Septoplasty (nasal septum repair) CPT 30520 | $4,138.63 | $1,500.00 – $26,156.14 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $677.11 – $7,843.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,500.00 – $24,867.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $7,389.63 | $1,167.75 – $46,702.46 | |
| Total hip replacement CPT 27130 | $16,026.32 | $1,500.00 – $101,286.34 | |
| Total knee replacement CPT 27447 | $16,026.32 | $1,500.00 – $101,286.34 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,132.18 | $535.52 – $9,638.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,132.18 | $477.25 – $9,638.00 | |
| Vasectomy CPT 55250 | $2,609.39 | $890.27 – $16,491.34 |
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 | $1,500.00 – $10,738.82 | |
| Fetal non-stress test CPT 59025 | $252.37 | $834.00 | $15.15 – $7,276.00 |
| IUD insertion CPT 58300 | not posted | $100.88 – $7,276.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,500.00 – $10,129.60 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,368.69 – $9,647.20 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,492.18 | $6,910.30 – $70,575.12 | |
| C-section, without complications MS-DRG 788 | $10,271.86 | $7,088.90 – $29,945.55 | |
| Chest pain MS-DRG 313 | $7,821.94 | $5,587.30 – $57,063.29 | |
| COPD flare-up, with major complications MS-DRG 190 | $11,799.48 | $8,798.84 – $89,862.88 | |
| COPD flare-up, without complications MS-DRG 192 | $7,021.72 | $5,069.54 – $51,775.35 | |
| Fainting (syncope) MS-DRG 312 | $9,377.26 | $6,824.93 – $69,703.13 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $10,496.55 | $7,722.59 – $78,871.01 | |
| Heart failure, with major complications MS-DRG 291 | $13,606.14 | $10,221.32 – $104,390.70 | |
| Heart failure, without complications MS-DRG 293 | $6,242.02 | $4,300.34 – $43,919.45 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $100,800.00 | $75,591.90 – $772,022.35 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $20,224.43 | $14,769.18 – $150,838.11 | |
| Irregular heartbeat, without complications MS-DRG 310 | $6,243.04 | $4,382.58 – $44,759.44 | |
| Kidney failure, with complications MS-DRG 683 | $9,420.35 | $6,962.78 – $71,111.11 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $8,740.16 | $6,286.79 – $64,207.20 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $25,481.29 | $18,542.35 – $189,373.63 | |
| Normal newborn care MS-DRG 795 | $2,485.05 | $1,565.04 – $6,611.18 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $8,419.05 | $6,121.51 – $62,519.22 | |
| Pneumonia, with complications MS-DRG 194 | $8,703.22 | $6,423.09 – $65,599.18 | |
| Pneumonia, with major complications MS-DRG 193 | $13,920.07 | $10,322.37 – $105,422.68 | |
| Pneumonia, without complications MS-DRG 195 | $6,883.22 | $4,878.41 – $49,823.38 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $14,765.43 | $11,040.66 – $112,758.59 | |
| Sepsis, with major complications MS-DRG 871 | $20,363.96 | $15,370.76 – $156,982.04 | |
| Sepsis, without major complications MS-DRG 872 | $10,933.60 | $8,075.86 – $82,478.97 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $9,370.07 | $6,900.12 – $70,471.12 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $8,433.40 | $6,112.11 – $62,423.22 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $10,800.22 | $7,966.19 – $81,358.98 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $13,163.97 | $9,388.67 – $95,886.80 | |
| Vaginal delivery, without complications MS-DRG 807 | $7,352.07 | $4,991.21 – $21,084.31 | |
| Weight loss surgery, without complications MS-DRG 621 | $15,910.39 | $11,449.55 – $116,934.54 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $383.16 | $1,565.00 | $178.33 – $7,276.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,104.07 | $379.43 – $7,276.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $881.14 | $379.43 – $7,276.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,104.07 | $304.18 – $7,276.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,880.82 | $1,395.35 – $18,206.78 | |
| Eye exam, new patient, comprehensive CPT 92004 | $166.19 | $30.30 – $1,050.32 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $686.55 | $665.95 – $7,276.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $160.62 | $25.25 – $1,015.12 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $269.53 | $2,493.00 | $106.00 – $6,346.00 |
| Sleep study with CPAP titration CPT 95811 | $1,071.95 | $15,363.00 | $587.03 – $12,290.40 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,071.95 | $13,441.00 | $587.03 – $10,752.80 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $269.53 | $794.00 | $15.15 – $1,703.43 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | not posted | $370.00 | $48.78 – $473.00 |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $1,000.00 | $75.00 – $924.18 |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $1,050.00 | $75.00 – $924.18 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | not posted | $370.00 | $48.78 – $473.00 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $404.00 | $2.37 – $473.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $221.56 | $77.87 – $1,400.26 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $221.56 | $77.87 – $1,400.26 | |
| Group psychotherapy CPT 90853 | $126.81 | $40.23 – $801.44 | |
| Psychiatric diagnostic evaluation CPT 90791 | $221.56 | $129.78 – $1,400.26 | |
| Psychotherapy, 30 minutes CPT 90832 | $221.56 | $77.87 – $1,400.26 | |
| Psychotherapy, 45 minutes CPT 90834 | $221.56 | $103.82 – $1,400.26 | |
| Psychotherapy, 60 minutes CPT 90837 | $221.56 | $103.82 – $1,400.26 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $89.88 | $321.00 | $13.36 – $3,000.00 |
| IV hydration, each additional hour CPT 96361 | $58.45 | $873.00 | $5.05 – $3,000.00 |
| IV hydration, first hour CPT 96360 | $265.51 | $1,250.00 | $35.35 – $5,240.00 |
| IV push injection of a drug, first CPT 96374 | $265.51 | $1,311.00 | $139.20 – $3,000.00 |
| IV push injection, each additional drug CPT 96375 | $58.45 | $283.00 | $46.76 – $3,000.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | ? – $14.38 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | ? – $1.60 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $3.13 – $14.06 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | ? – $2.34 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $2.39 – $7.99 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.13 – $7.31 |
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.