SUNY/Stony Brook University Hospital
Health Sciences Center SUNY, Stony Brook, NY 11794 · Acute care hospital · Emergency room
These are SUNY/Stony Brook University Hospital's own posted figures from its standard-charges file dated June 10, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
225 of the services we track have a posted price here; 196 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 | $15,485.00 | $15,485.00 | $165.00 – $14,082.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,668.00 | $1,668.00 | $104.74 – $4,255.00 |
| Emergency room visit, level 2 CPT 99282 | $2,188.00 | $2,188.00 | $149.76 – $4,255.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,945.00 | $2,945.00 | $149.76 – $4,255.00 |
| Emergency room visit, level 4 CPT 99284 | $4,413.00 | $4,413.00 | $148.27 – $4,255.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $5,076.00 | $5,076.00 | $165.00 – $4,255.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,257.00 | $1,257.00 | $165.00 – $6,468.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $505.00 | $505.00 | $46.53 – $4,255.00 |
| New patient office visit, about 30 minutes CPT 99203 | $578.00 | $578.00 | $61.36 – $4,255.00 |
| New patient office visit, about 45 minutes CPT 99204 | $704.00 | $704.00 | $126.88 – $4,255.00 |
| New patient office visit, about 60 minutes CPT 99205 | $729.00 | $729.00 | $131.04 – $4,255.00 |
| Office consultation, about 40 minutes CPT 99243 | $416.00 | $416.00 | $108.16 – $4,255.00 |
| Office consultation, about 60 minutes CPT 99244 | $507.00 | $507.00 | $108.16 – $4,255.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $482.00 | $482.00 | $31.20 – $4,255.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $556.00 | $556.00 | $64.89 – $4,255.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $628.00 | $628.00 | $95.58 – $4,255.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $682.00 | $682.00 | $127.92 – $4,255.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $416.00 | $416.00 | $8.61 – $4,255.00 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | $339.00 | $339.00 | $4,255.00 – $4,255.00 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | $424.00 | $424.00 | $4,255.00 – $4,255.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $294.00 | $294.00 | $31.17 – $4,255.00 |
| Abdominal X-ray, 1 view CPT 74018 | $799.00 | $799.00 | $108.10 – $4,255.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $960.00 | $960.00 | $108.10 – $4,255.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $1,390.00 | $1,390.00 | $129.86 – $4,255.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $3,918.00 | $3,918.00 | $129.86 – $4,255.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $917.33 | $917.33 | $108.10 – $4,255.00 |
| Chest X-ray, 1 view CPT 71045 | $799.00 | $799.00 | $108.10 – $4,255.00 |
| Chest X-ray, 2 views CPT 71046 | $799.00 | $799.00 | $108.10 – $4,255.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $6,515.00 | $6,515.00 | $217.88 – $4,255.00 |
| CT angiogram of the head CPT 70496 | $6,438.00 | $6,438.00 | $217.88 – $4,255.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $7,346.00 | $7,346.00 | $433.36 – $4,255.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $9,236.00 | $9,236.00 | $433.36 – $4,255.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $5,915.00 | $5,915.00 | $296.38 – $4,255.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,573.00 | $3,573.00 | $129.86 – $4,255.00 |
| CT scan of the chest, with contrast CPT 71260 | $5,488.00 | $5,488.00 | $217.88 – $4,255.00 |
| CT scan of the chest, without contrast CPT 71250 | $3,809.00 | $3,809.00 | $129.86 – $4,255.00 |
| CT scan of the head, without contrast CPT 70450 | $3,206.00 | $3,206.00 | $129.86 – $4,255.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,320.00 | $3,320.00 | $129.86 – $4,255.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $4,676.00 | $4,676.00 | $217.88 – $4,255.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $5,318.00 | $5,318.00 | $129.86 – $4,255.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,309.00 | $1,309.00 | $52.45 – $4,255.00 |
| Diagnostic mammogram, one breast CPT 77065 | $1,042.00 | $1,042.00 | $42.69 – $4,255.00 |
| Foot X-ray, 3 or more views CPT 73630 | $920.00 | $920.00 | $108.10 – $4,255.00 |
| Hand X-ray, 3 or more views CPT 73130 | $1,503.00 | $1,503.00 | $108.10 – $4,255.00 |
| Knee X-ray, 3 views CPT 73562 | $786.00 | $786.00 | $108.10 – $4,255.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $3,651.00 | $3,651.00 | $296.38 – $4,255.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $6,456.00 | $6,456.00 | $129.86 – $4,255.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $952.00 | $952.00 | $129.86 – $4,255.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $5,944.00 | $5,944.00 | $119.44 – $4,255.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $10,321.00 | $10,321.00 | $433.36 – $4,255.00 |
| MRI of the brain, without and with contrast CPT 70553 | $11,583.00 | $11,583.00 | $433.36 – $4,255.00 |
| MRI of the brain, without contrast CPT 70551 | $8,066.00 | $8,066.00 | $296.38 – $4,255.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $6,401.00 | $6,401.00 | $296.38 – $4,255.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $7,522.00 | $7,522.00 | $296.38 – $4,255.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $6,391.00 | $6,391.00 | $296.38 – $4,255.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $7,617.00 | $7,617.00 | $296.38 – $4,255.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $8,233.00 | $8,233.00 | $433.36 – $4,255.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $5,743.00 | $5,743.00 | $296.38 – $4,255.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $825.00 | $825.00 | $108.10 – $4,255.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,912.00 | $1,912.00 | $129.86 – $4,255.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,377.00 | $1,377.00 | $129.86 – $4,255.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,369.00 | $1,369.00 | $129.86 – $4,255.00 |
| Screening mammogram, both breasts CPT 77067 | $1,309.00 | $1,309.00 | $39.50 – $4,255.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $808.00 | $808.00 | $108.10 – $4,255.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $789.00 | $789.00 | $129.86 – $4,255.00 |
| Transvaginal ultrasound CPT 76830 | $1,790.00 | $1,790.00 | $129.86 – $4,255.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,702.00 | $1,702.00 | $129.86 – $4,255.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,629.00 | $1,629.00 | $129.86 – $4,255.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,792.00 | $1,792.00 | $108.10 – $4,255.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,348.00 | $1,348.00 | $129.86 – $4,255.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $317.00 | $317.00 | $8.46 – $4,255.00 |
| Blood culture CPT 87040 | $486.00 | $486.00 | $10.32 – $4,255.00 |
| Blood draw (venipuncture) CPT 36415 | $88.00 | $88.00 | $9.34 – $6,608.00 |
| BNP test (heart failure) CPT 83880 | $479.00 | $479.00 | $39.26 – $4,255.00 |
| C-reactive protein (CRP) test CPT 86140 | $179.00 | $179.00 | $5.18 – $4,255.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $378.00 | $378.00 | $35.09 – $4,255.00 |
| Complete blood count (CBC) with differential CPT 85025 | $219.00 | $219.00 | $7.77 – $4,255.00 |
| Complete blood count (CBC), automated CPT 85027 | $136.00 | $136.00 | $6.47 – $4,255.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $705.00 | $705.00 | $10.56 – $4,255.00 |
| COVID-19 PCR test CPT 87635 | $648.05 | $648.05 | $51.31 – $4,255.00 |
| D-dimer test (blood clots) CPT 85379 | $322.00 | $322.00 | $10.18 – $4,255.00 |
| Drug screen, instrument chemistry CPT 80307 | $808.00 | $808.00 | $62.14 – $4,255.00 |
| Ferritin (iron stores) test CPT 82728 | $275.00 | $275.00 | $13.63 – $4,255.00 |
| Free T4 (thyroid) test CPT 84439 | $301.00 | $301.00 | $9.02 – $4,255.00 |
| General health panel (blood tests) CPT 80050 | $1,204.00 | $1,204.00 | $4,255.00 – $4,255.00 |
| Glucose (blood sugar) test CPT 82947 | $87.00 | $87.00 | $3.93 – $4,255.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $367.00 | $367.00 | $35.09 – $4,255.00 |
| Hemoglobin A1c test CPT 83036 | $297.00 | $297.00 | $9.71 – $4,255.00 |
| Hepatitis C antibody test CPT 86803 | $336.00 | $336.00 | $14.27 – $4,255.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $158.00 | $158.00 | $24.08 – $4,255.00 |
| Iron test CPT 83540 | $185.00 | $185.00 | $6.47 – $4,255.00 |
| Kidney function panel CPT 80069 | $362.00 | $362.00 | $8.68 – $4,255.00 |
| Lipase test (pancreas) CPT 83690 | $211.00 | $211.00 | $6.89 – $4,255.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $326.00 | $326.00 | $13.39 – $4,255.00 |
| Liver function panel CPT 80076 | $784.00 | $784.00 | $8.17 – $4,255.00 |
| Magnesium test CPT 83735 | $120.00 | $120.00 | $6.70 – $4,255.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $175.00 | $175.00 | $6.01 – $4,255.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $505.00 | $505.00 | $15.05 – $4,255.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $134.00 | $134.00 | $4.29 – $4,255.00 |
| PSA (prostate specific antigen), free CPT 84154 | $323.00 | $323.00 | $18.39 – $4,255.00 |
| PSA (prostate specific antigen), total CPT 84153 | $369.00 | $369.00 | $18.39 – $4,255.00 |
| Rapid strep test CPT 87880 | $167.00 | $167.00 | $16.53 – $4,255.00 |
| Sed rate (ESR) test CPT 85652 | $120.00 | $120.00 | $2.70 – $4,255.00 |
| TB skin test CPT 86580 | $64.00 | $64.00 | $35.92 – $4,255.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $392.00 | $392.00 | $16.80 – $4,255.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $1,608.00 | $1,608.00 | $64.73 – $4,255.00 |
| Troponin test (heart damage) CPT 84484 | $624.00 | $624.00 | $12.47 – $4,255.00 |
| Urinalysis, automated, with microscope CPT 81001 | $234.00 | $234.00 | $3.17 – $4,255.00 |
| Urinalysis, automated, without microscope CPT 81003 | $101.00 | $101.00 | $2.25 – $4,255.00 |
| Urinalysis, manual, with microscope CPT 81000 | $60.69 | $60.69 | $4.02 – $4,255.00 |
| Urinalysis, manual, without microscope CPT 81002 | $37.00 | $37.00 | $3.48 – $4,255.00 |
| Urine culture, colony count CPT 87086 | $223.00 | $223.00 | $8.07 – $4,255.00 |
| Urine pregnancy test CPT 81025 | $354.81 | $354.81 | $8.61 – $4,255.00 |
| Vitamin B12 test CPT 82607 | $250.00 | $250.00 | $15.08 – $4,255.00 |
| Vitamin D test CPT 82306 | $685.00 | $685.00 | $29.60 – $4,255.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $3,094.00 | $3,094.00 | $296.38 – $4,255.00 |
| ECG tracing only (no interpretation) CPT 93005 | $511.00 | $511.00 | $73.28 – $4,255.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $5,839.00 | $5,839.00 | $678.74 – $4,255.00 |
| Left heart catheterization CPT 93452 | $16,728.00 | $16,728.00 | $4,027.02 – $10,350.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $16,728.00 | $16,728.00 | $4,027.02 – $10,350.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $8,209.00 | $8,209.00 | $1,608.17 – $4,255.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $28,929.00 | $28,929.00 | $4,255.00 – $18,026.88 |
| Appendix removal, laparoscopic CPT 44970 | $28,531.00 | $28,531.00 | $4,255.00 – $15,019.10 |
| Breast biopsy with ultrasound guidance CPT 19083 | $8,632.00 | $8,632.00 | $2,051.56 – $7,040.00 |
| Carpal tunnel release CPT 64721 | $13,291.33 | $13,291.33 | $2,425.62 – $12,338.00 |
| Colonoscopy with biopsy CPT 45380 | $9,825.00 | $9,825.00 | $1,486.43 – $7,040.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $7,437.00 | $7,437.00 | $1,486.43 – $7,040.00 |
| Colonoscopy, diagnostic CPT 45378 | $6,682.67 | $6,682.67 | $1,155.16 – $6,564.00 |
| Colposcopy with biopsy CPT 57454 | $18,183.00 | $18,183.00 | $378.53 – $12,338.00 |
| Cystoscopy (bladder scope) CPT 52000 | $11,019.00 | $11,019.00 | $866.15 – $12,338.00 |
| Ear tubes, under general anesthesia CPT 69436 | $11,815.00 | $11,815.00 | $1,927.33 – $12,338.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $9,027.00 | $9,027.00 | $1,155.16 – $6,564.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $27,776.67 | $27,776.67 | $4,255.00 – $15,019.10 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $37,287.00 | $37,287.00 | $1,974.89 – $21,273.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $39,277.00 | $39,277.00 | $4,255.00 – $26,408.06 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $14,601.00 | $14,601.00 | $4,021.05 – $12,338.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $20,347.33 | $20,347.33 | $4,255.00 – $15,019.10 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $38,282.00 | $38,282.00 | $4,255.00 – $12,338.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $19,270.00 | $19,270.00 | $4,255.00 – $14,036.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $14,800.00 | $14,800.00 | $4,064.38 – $8,802.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $843.00 | $843.00 | $247.95 – $6,608.00 |
| Prostate biopsy CPT 55700 | $9,113.00 | $9,113.00 | $1,008.00 – $7,040.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $29,766.67 | $29,766.67 | $4,255.00 – $26,408.06 |
| Removal of a breast lump, open surgery CPT 19120 | $10,053.00 | $10,053.00 | $165.00 – $9,727.24 |
| Rotator cuff repair, arthroscopic CPT 29827 | $24,750.00 | $24,750.00 | $4,255.00 – $18,026.88 |
| Screening colonoscopy, average risk HCPCS G0121 | $7,437.00 | $7,437.00 | $1,155.16 – $6,468.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $7,835.00 | $7,835.00 | $1,155.16 – $6,468.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $15,616.40 | $15,616.40 | $4,118.35 – $12,338.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $11,063.00 | $11,063.00 | $176.24 – $8,802.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $23,954.00 | $23,954.00 | $1,223.43 – $21,273.00 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $13,407.00 | $13,407.00 | $4,255.00 – $14,706.84 |
| Total hip replacement CPT 27130 | $19,974.00 | $19,974.00 | $4,255.00 – $39,918.00 |
| Total knee replacement CPT 27447 | $16,790.00 | $16,790.00 | $4,255.00 – $39,918.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $8,631.00 | $8,631.00 | $1,126.63 – $12,338.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $9,112.33 | $9,112.33 | $1,126.63 – $12,338.00 |
| Vasectomy CPT 55250 | $9,228.00 | $9,228.00 | $2,596.60 – $7,040.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $806.00 | $806.00 | $251.13 – $6,608.00 |
| IUD insertion CPT 58300 | $4,999.67 | $4,999.67 | $4,255.00 – $12,338.00 |
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 | $4,471.00 – $33,011.00 | |
| C-section, without complications MS-DRG 788 | not posted | $4,471.00 – $17,815.49 | |
| Chest pain MS-DRG 313 | not posted | $4,471.00 – $33,011.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $4,471.00 – $33,011.00 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $4,471.00 – $33,011.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $4,471.00 – $33,011.00 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $4,471.00 – $33,011.00 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $4,471.00 – $33,011.00 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,471.00 – $33,011.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $4,471.00 – $176,683.53 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $4,471.00 – $45,321.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,471.00 – $33,011.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $4,471.00 – $33,011.00 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $4,471.00 – $33,011.00 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $4,471.00 – $44,506.56 | |
| Normal newborn care MS-DRG 795 | not posted | $1,763.00 – $33,011.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $4,471.00 – $33,011.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $4,471.00 – $33,011.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $4,471.00 – $33,011.00 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,471.00 – $33,011.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $4,471.00 – $33,011.00 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $4,471.00 – $35,526.12 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $4,471.00 – $33,011.00 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $4,471.00 – $33,011.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $4,471.00 – $15,839.00 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $4,471.00 – $33,011.00 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $4,471.00 – $33,011.00 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,471.00 – $12,691.53 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $4,471.00 – $33,011.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $7,437.00 | $7,437.00 | $381.28 – $12,338.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $8,883.00 | $8,883.00 | $1,098.66 – $6,608.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $8,883.00 | $8,883.00 | $876.82 – $12,338.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,972.00 | $1,972.00 | $165.00 – $6,468.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $12,213.00 | $12,213.00 | $2,866.70 – $7,040.00 |
| Eye exam, new patient, comprehensive CPT 92004 | $552.00 | $552.00 | $165.38 – $4,255.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $3,101.00 | $3,101.00 | $1,024.78 – $6,608.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $825.00 | $825.00 | $159.83 – $4,255.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $15,414.00 | $15,414.00 | $1,066.70 – $4,255.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $15,056.00 | $15,056.00 | $1,066.70 – $4,255.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $529.00 | $529.00 | $268.21 – $4,255.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $323.00 | $323.00 | $31.39 – $4,255.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $325.00 | $325.00 | $110.15 – $4,255.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $491.00 | $491.00 | $110.15 – $4,255.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $343.00 | $343.00 | $32.90 – $4,255.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $342.00 | $342.00 | $40.09 – $4,255.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $689.00 | $689.00 | $120.64 – $4,255.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $689.00 | $689.00 | $120.64 – $4,255.00 |
| Group psychotherapy CPT 90853 | $600.00 | $600.00 | $71.76 – $4,255.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $4,744.00 | $4,744.00 | $165.00 – $4,255.00 |
| Psychotherapy, 30 minutes CPT 90832 | $697.00 | $697.00 | $126.88 – $4,255.00 |
| Psychotherapy, 45 minutes CPT 90834 | $883.00 | $883.00 | $166.40 – $4,255.00 |
| Psychotherapy, 60 minutes CPT 90837 | $1,011.00 | $1,011.00 | $138.32 – $4,255.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $620.00 | $620.00 | $89.44 – $8,945.00 |
| IV hydration, each additional hour CPT 96361 | $1,740.00 | $1,740.00 | $58.16 – $4,255.00 |
| IV hydration, first hour CPT 96360 | $1,699.00 | $1,699.00 | $165.00 – $7,040.00 |
| IV push injection of a drug, first CPT 96374 | $1,115.00 | $1,115.00 | $264.21 – $8,945.00 |
| IV push injection, each additional drug CPT 96375 | $4,350.00 | $4,350.00 | $58.16 – $4,255.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $274.23 | $274.23 | $4,255.00 – $4,255.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $18.90 | $18.90 | $4,255.00 – $4,255.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $127.08 | $127.08 | $4,255.00 – $4,255.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $20.40 | $20.40 | $4,255.00 – $4,255.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $13.50 | $13.50 | ? – $4,255.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $5.00 | $5.00 | $4,255.00 – $4,255.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $15.50 | $15.50 | $4,255.00 – $4,255.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $11.30 | $11.30 | $4,255.00 – $4,255.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $302.40 | $302.40 | $4,255.00 – $4,255.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $18.96 | $18.96 | $4,255.00 – $4,255.00 |
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.