Saratoga Hospital
211 Church Street, Saratoga Springs, NY 12866 · Acute care hospital · Emergency room
These are Saratoga Hospital's own posted figures from its standard-charges file dated December 31, 2025. They are not a quote. Source: the hospital's file · its price transparency page.
234 of the services we track have a posted price here; 201 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 | $1,217.50 | $2,435.00 | |
| Emergency room visit, level 1 (minor) CPT 99281 | $381.00 | $762.00 | $14.80 – $2,635.00 |
| Emergency room visit, level 2 CPT 99282 | $521.50 | $1,043.00 | $54.73 – $2,635.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $616.50 | $1,233.00 | $92.93 – $2,635.00 |
| Emergency room visit, level 4 CPT 99284 | $796.50 | $1,593.00 | $158.43 – $2,635.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,051.00 | $2,102.00 | $229.94 – $2,635.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $248.00 | $496.00 | $55.71 – $3,449.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $169.00 | $338.00 | $165.62 – $321.10 |
| Abdominal X-ray, 1 view CPT 74018 | $197.00 | $394.00 | $193.06 – $374.30 |
| Ankle X-ray, 3 or more views CPT 73610 | $323.00 | $646.00 | $316.54 – $613.70 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $428.50 | $857.00 | $419.93 – $814.15 |
| Breast ultrasound, one breast, complete CPT 76641 | $604.00 | $1,208.00 | $591.92 – $1,147.60 |
| Breast ultrasound, one breast, limited CPT 76642 | $547.50 | $1,095.00 | $536.55 – $1,040.25 |
| Chest X-ray, 1 view CPT 71045 | $286.50 | $573.00 | $280.77 – $544.35 |
| Chest X-ray, 2 views CPT 71046 | $322.00 | $644.00 | $315.56 – $611.80 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,653.00 | $3,306.00 | $1,619.94 – $3,140.70 |
| CT angiogram of the head CPT 70496 | $1,215.00 | $2,430.00 | $1,190.70 – $2,308.50 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,024.00 | $8,048.00 | $3,943.52 – $7,645.60 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,213.00 | $8,426.00 | $4,128.74 – $8,004.70 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,173.50 | $6,347.00 | $3,110.03 – $6,029.65 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,516.50 | $3,033.00 | $1,486.17 – $2,881.35 |
| CT scan of the chest, with contrast CPT 71260 | $1,728.50 | $3,457.00 | $1,693.93 – $3,284.15 |
| CT scan of the chest, without contrast CPT 71250 | $1,590.50 | $3,181.00 | $1,558.69 – $3,021.95 |
| CT scan of the head, without contrast CPT 70450 | $1,215.00 | $2,430.00 | $1,190.70 – $2,308.50 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,664.00 | $3,328.00 | $1,630.72 – $3,161.60 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,915.00 | $3,830.00 | $1,876.70 – $3,638.50 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,137.50 | $2,275.00 | $1,114.75 – $2,161.25 |
| Diagnostic mammogram, both breasts CPT 77066 | $613.50 | $1,227.00 | $601.23 – $1,165.65 |
| Diagnostic mammogram, one breast CPT 77065 | $307.50 | $615.00 | $301.35 – $584.25 |
| Foot X-ray, 3 or more views CPT 73630 | $325.50 | $651.00 | $318.99 – $618.45 |
| Hand X-ray, 3 or more views CPT 73130 | $266.50 | $533.00 | $261.17 – $506.35 |
| Knee X-ray, 3 views CPT 73562 | $338.50 | $677.00 | $331.73 – $643.15 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,077.00 | $2,154.00 | $1,098.54 – $2,046.30 |
| Leg or arm vein ultrasound, one side CPT 93971 | $702.50 | $1,405.00 | $716.55 – $1,334.75 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $277.50 | $555.00 | $271.95 – $527.25 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,600.50 | $9,201.00 | $1,600.97 – $8,740.95 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,021.00 | $8,042.00 | $3,860.16 – $7,639.90 |
| MRI of the brain, without and with contrast CPT 70553 | $4,841.50 | $9,683.00 | $4,647.84 – $9,198.85 |
| MRI of the brain, without contrast CPT 70551 | $2,369.50 | $4,739.00 | $2,274.72 – $4,502.05 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,809.50 | $3,619.00 | $1,737.12 – $3,438.05 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,610.50 | $5,221.00 | $2,506.08 – $4,959.95 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,461.00 | $4,922.00 | $2,362.56 – $4,675.90 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,311.50 | $4,623.00 | $2,219.04 – $4,391.85 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,021.00 | $8,042.00 | $3,860.16 – $7,639.90 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,809.50 | $3,619.00 | $1,737.12 – $3,438.05 |
| Neck X-ray, 2 or 3 views CPT 72040 | $339.50 | $679.00 | $332.71 – $645.05 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $582.00 | $1,164.00 | $570.36 – $1,105.80 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $523.50 | $1,047.00 | $513.03 – $994.65 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $793.50 | $1,587.00 | $777.63 – $1,507.65 |
| Screening mammogram, both breasts CPT 77067 | $397.50 | $795.00 | $389.55 – $755.25 |
| Shoulder X-ray, 2 or more views CPT 73030 | $409.50 | $819.00 | $401.31 – $778.05 |
| Transvaginal pregnancy ultrasound CPT 76817 | $615.50 | $1,231.00 | $603.19 – $1,169.45 |
| Transvaginal ultrasound CPT 76830 | $669.00 | $1,338.00 | $655.62 – $1,271.10 |
| Ultrasound of the abdomen, complete CPT 76700 | $888.00 | $1,776.00 | $870.24 – $1,687.20 |
| Ultrasound of the neck or thyroid CPT 76536 | $272.50 | $545.00 | $267.05 – $517.75 |
| Wrist X-ray, 3 or more views CPT 73110 | $278.00 | $556.00 | $272.44 – $528.20 |
| X-ray of the lower back, 4 or more views CPT 72110 | $583.00 | $1,166.00 | $571.34 – $1,107.70 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $160.50 | $321.00 | ? – $31.73 |
| Blood culture CPT 87040 | $178.50 | $357.00 | ? – $38.70 |
| Blood draw (venipuncture) CPT 36415 | $28.50 | $57.00 | |
| BNP test (heart failure) CPT 83880 | $170.50 | $341.00 | ? – $147.23 |
| C-reactive protein (CRP) test CPT 86140 | $153.50 | $307.00 | ? – $19.43 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $194.00 | $388.00 | ? – $131.59 |
| Complete blood count (CBC) with differential CPT 85025 | $106.00 | $212.00 | ? – $29.14 |
| Complete blood count (CBC), automated CPT 85027 | $60.50 | $121.00 | ? – $24.26 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $197.00 | $394.00 | ? – $39.60 |
| COVID-19 PCR test CPT 87635 | $161.00 | $322.00 | $51.31 – $192.41 |
| D-dimer test (blood clots) CPT 85379 | $266.50 | $533.00 | ? – $38.18 |
| Drug screen, instrument chemistry CPT 80307 | $259.00 | $518.00 | ? – $233.03 |
| Ferritin (iron stores) test CPT 82728 | $223.00 | $446.00 | ? – $51.11 |
| Free T4 (thyroid) test CPT 84439 | $170.50 | $341.00 | ? – $33.83 |
| General health panel (blood tests) CPT 80050 | $534.50 | $1,069.00 | |
| Glucose (blood sugar) test CPT 82947 | $110.00 | $220.00 | ? – $14.74 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $194.00 | $388.00 | ? – $131.59 |
| Hemoglobin A1c test CPT 83036 | $102.50 | $205.00 | ? – $36.41 |
| Hepatitis C antibody test CPT 86803 | $120.00 | $240.00 | ? – $53.51 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $69.50 | $139.00 | ? – $90.30 |
| Iron test CPT 83540 | $111.50 | $223.00 | ? – $24.26 |
| Kidney function panel CPT 80069 | $173.00 | $346.00 | ? – $32.55 |
| Lipase test (pancreas) CPT 83690 | $29.50 | $59.00 | ? – $25.84 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $159.00 | $318.00 | ? – $50.21 |
| Liver function panel CPT 80076 | $198.00 | $396.00 | ? – $30.64 |
| Magnesium test CPT 83735 | $110.00 | $220.00 | ? – $25.13 |
| Obstetric blood test panel CPT 80055 | $597.50 | $1,195.00 | ? – $179.29 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $95.50 | $191.00 | ? – $22.54 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $191.00 | $382.00 | ? – $56.44 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $99.50 | $199.00 | ? – $16.09 |
| PSA (prostate specific antigen), free CPT 84154 | $67.50 | $135.00 | ? – $68.96 |
| PSA (prostate specific antigen), total CPT 84153 | $191.50 | $383.00 | ? – $68.96 |
| Rapid strep test CPT 87880 | $77.50 | $155.00 | ? – $61.99 |
| Sed rate (ESR) test CPT 85652 | $85.50 | $171.00 | ? – $10.13 |
| TB skin test CPT 86580 | $14.50 | $29.00 | $3.97 – $15.01 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $234.50 | $469.00 | ? – $63.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $264.50 | $529.00 | $28.14 – $122.48 |
| Troponin test (heart damage) CPT 84484 | $371.00 | $742.00 | ? – $46.76 |
| Urinalysis, automated, with microscope CPT 81001 | $90.00 | $180.00 | ? – $11.89 |
| Urinalysis, automated, without microscope CPT 81003 | $51.00 | $102.00 | ? – $8.44 |
| Urinalysis, manual, with microscope CPT 81000 | $10.50 | $21.00 | $1.81 – $4.43 |
| Urinalysis, manual, without microscope CPT 81002 | $51.00 | $102.00 | ? – $13.05 |
| Urine culture, colony count CPT 87086 | $83.50 | $167.00 | ? – $30.26 |
| Urine pregnancy test CPT 81025 | $90.00 | $180.00 | ? – $32.29 |
| Vitamin B12 test CPT 82607 | $170.50 | $341.00 | ? – $56.55 |
| Vitamin D test CPT 82306 | $197.00 | $394.00 | ? – $111.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,049.50 | $2,099.00 | $1,070.49 – $1,994.05 |
| ECG tracing only (no interpretation) CPT 93005 | $161.00 | $322.00 | $164.22 – $305.90 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,728.00 | $5,456.00 | $2,782.56 – $5,183.20 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $47.00 | $94.00 | $9.07 – $28.19 |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $88.36 – $293.05 | |
| Left heart catheterization CPT 93452 | $6,218.50 | $12,437.00 | $1,117.68 – $13,874.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $6,218.50 | $12,437.00 | $1,290.31 – $13,874.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,823.50 | $3,647.00 | $1,750.56 – $3,464.65 |
| Treadmill stress test, complete CPT 93015 | $253.00 | $506.00 | $46.37 – $118.34 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $2,378.00 | $4,756.00 | $479.98 – $1,649.65 |
| Appendix removal, laparoscopic CPT 44970 | $9,061.50 | $18,123.00 | $731.08 – $11,336.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,389.00 | $4,778.00 | $195.67 – $5,463.00 |
| Carpal tunnel release CPT 64721 | $1,089.50 | $2,179.00 | $200.67 – $730.63 |
| Colonoscopy with biopsy CPT 45380 | $1,696.00 | $3,392.00 | $249.22 – $4,445.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,696.00 | $3,392.00 | $315.68 – $4,445.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,301.50 | $2,603.00 | $229.00 – $4,445.00 |
| Colposcopy with biopsy CPT 57454 | $249.00 | $498.00 | $62.67 – $275.62 |
| Cystoscopy (bladder scope) CPT 52000 | $2,291.50 | $4,583.00 | $101.46 – $4,546.17 |
| Ear tubes, under general anesthesia CPT 69436 | $235.50 | $471.00 | $101.00 – $262.79 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,447.50 | $2,895.00 | $69.12 – $4,445.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $9,061.50 | $18,123.00 | $801.89 – $11,336.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $2,559.00 | $5,118.00 | $782.78 – $2,924.71 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $1,472.50 | $2,945.00 | $479.71 – $1,518.46 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $1,450.50 | $2,901.00 | $287.95 – $6,221.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $9,061.50 | $18,123.00 | $523.31 – $11,336.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $787.50 | $1,575.00 | $233.75 – $877.13 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $1,227.00 | $2,454.00 | $717.08 – $6,754.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $1,640.50 | $3,281.00 | $308.07 – $908.58 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,696.00 | $3,392.00 | $320.44 – $4,445.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $303.50 | $607.00 | $37.61 – $321.08 |
| Prostate biopsy CPT 55700 | $2,295.00 | $4,590.00 | $164.27 – $5,576.41 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $2,162.50 | $4,325.00 | $758.60 – $2,461.04 |
| Removal of a breast lump, open surgery CPT 19120 | $5,948.00 | $11,896.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $2,636.50 | $5,273.00 | $531.79 – $1,800.28 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,219.50 | $2,439.00 | $229.19 – $4,443.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,219.50 | $2,439.00 | $229.00 – $4,443.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $1,098.50 | $2,197.00 | $278.77 – $1,081.25 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $3,441.00 | $6,882.00 | $211.41 – $6,598.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $1,787.00 | $3,574.00 | $679.63 – $1,878.99 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $428.00 | $856.00 | $141.04 – $485.11 |
| Total hip replacement CPT 27130 | $2,012.50 | $4,025.00 | $697.27 – $2,280.82 |
| Total knee replacement CPT 27447 | $2,010.50 | $4,021.00 | $749.09 – $2,278.24 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,293.00 | $2,586.00 | $171.17 – $4,445.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,488.50 | $2,977.00 | $151.68 – $4,445.00 |
| Vasectomy CPT 55250 | $831.00 | $1,662.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $3,856.00 | $7,712.00 | $1,848.34 – $4,011.73 |
| Fetal non-stress test CPT 59025 | $317.00 | $634.00 | |
| IUD insertion CPT 58300 | $154.00 | $308.00 | $26.36 – $163.97 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $3,649.00 | $7,298.00 | $1,742.26 – $3,811.57 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $3,499.50 | $6,999.00 | $1,669.33 – $3,811.57 |
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 | $8,294.80 – $14,263.41 | |
| C-section, without complications MS-DRG 788 | not posted | $8,494.87 – $14,627.19 | |
| Chest pain MS-DRG 313 | not posted | $6,793.82 – $11,534.25 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $10,436.02 – $18,156.66 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,205.16 – $10,463.93 | |
| Fainting (syncope) MS-DRG 312 | not posted | $8,197.88 – $14,087.18 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $9,216.91 – $15,940.03 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $12,052.60 – $21,096.01 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,329.29 – $8,871.38 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $86,268.70 – $156,038.98 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $17,216.24 – $30,484.76 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,425.32 – $9,046.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,354.38 – $14,371.74 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,586.99 – $12,976.44 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $21,501.34 – $38,276.12 | |
| Normal newborn care MS-DRG 795 | not posted | $2,226.84 – $3,230.37 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $7,398.48 – $12,633.68 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,741.71 – $13,257.76 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $12,167.31 – $21,304.57 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,987.30 – $10,067.81 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $12,984.49 – $22,790.41 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $17,897.38 – $31,723.23 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,617.95 – $16,669.21 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $8,282.35 – $14,240.77 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $7,388.70 – $12,615.89 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,573.89 – $16,441.24 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $11,109.15 – $19,380.58 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,117.13 – $10,303.87 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,448.66 – $28,422.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $355.00 | $710.00 | $56.21 – $3,449.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,442.00 | $4,884.00 | $139.66 – $3,449.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $950.00 | $1,900.00 | $125.56 – $3,449.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,383.00 | $2,766.00 | $100.30 – $3,449.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $1,575.00 | $3,150.00 | $342.33 – $914.97 |
| Eye exam, new patient, comprehensive CPT 92004 | $222.50 | $445.00 | $44.80 – $251.57 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,251.50 | $2,503.00 | $131.95 – $554.66 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $133.50 | $267.00 | $20.41 – $64.33 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $247.50 | $495.00 | $60.92 – $293.46 |
| Sleep study with CPAP titration CPT 95811 | $947.50 | $1,895.00 | $375.99 – $1,750.53 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,517.50 | $3,035.00 | $1,547.85 – $2,883.25 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $227.50 | $455.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $113.00 | $226.00 | $39.32 – $214.70 |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $78.84 – $246.91 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $78.84 – $246.91 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $48.00 | $96.00 | $16.00 – $95.56 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $34.41 – $87.69 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $219.00 | $438.00 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $219.00 | $438.00 | |
| Group psychotherapy CPT 90853 | $139.00 | $278.00 | |
| Psychiatric diagnostic evaluation CPT 90791 | $266.50 | $533.00 | $51.32 – $267.01 |
| Psychotherapy, 30 minutes CPT 90832 | $247.00 | $494.00 | |
| Psychotherapy, 45 minutes CPT 90834 | $365.00 | $730.00 | |
| Psychotherapy, 60 minutes CPT 90837 | $532.50 | $1,065.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $104.50 | $209.00 | |
| IV hydration, each additional hour CPT 96361 | $84.00 | $168.00 | |
| IV hydration, first hour CPT 96360 | $247.50 | $495.00 | |
| IV push injection of a drug, first CPT 96374 | $247.50 | $495.00 | |
| IV push injection, each additional drug CPT 96375 | $84.00 | $168.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $24.60 | $49.20 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $5.21 | $10.41 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $3.52 | $7.03 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $2.14 | $4.28 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $21.99 | $43.97 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $1.45 | $2.90 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $2.67 | $5.33 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.13 | $2.25 | |
| Propofol injection, per 10 mg HCPCS J2704 | $27.00 | $54.00 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $2.04 | $4.07 |
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.