Westchester Medical Center
100 Woods Rd, Valhalla, NY 10595 · Acute care hospital · Emergency room
These are Westchester Medical Center's own posted figures from its standard-charges file dated July 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
226 of the services we track have a posted price here; 156 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 | $9,183.00 | $9,183.00 | $250.00 – $9,183.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $2,481.00 | $2,481.00 | $105.26 – $3,573.00 |
| Emergency room visit, level 2 CPT 99282 | $3,685.00 | $3,685.00 | $191.67 – $3,685.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $5,157.00 | $5,157.00 | $250.00 – $5,157.00 |
| Emergency room visit, level 4 CPT 99284 | $6,447.00 | $6,447.00 | $250.00 – $6,447.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $8,288.00 | $8,288.00 | $250.00 – $8,288.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,514.00 | $1,514.00 | $250.00 – $3,573.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $361.00 | $361.00 | $19.46 – $361.00 |
| Abdominal X-ray, 1 view CPT 74018 | $1,099.00 | $1,099.00 | $17.12 – $1,099.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,647.00 | $1,647.00 | $73.15 – $1,647.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $3,082.00 | $3,082.00 | $31.15 – $3,082.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $3,467.00 | $3,467.00 | $74.78 – $3,467.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $1,648.00 | $1,648.00 | $57.01 – $1,648.00 |
| Chest X-ray, 1 view CPT 71045 | $1,099.00 | $1,099.00 | $10.16 – $1,099.00 |
| Chest X-ray, 2 views CPT 71046 | $1,099.00 | $1,099.00 | $18.62 – $1,099.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,756.00 | $3,756.00 | $218.95 – $5,623.00 |
| CT angiogram of the head CPT 70496 | $5,260.00 | $5,260.00 | $218.95 – $5,623.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $11,018.00 | $11,018.00 | $218.45 – $11,018.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $11,018.00 | $11,018.00 | $246.54 – $11,018.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $6,726.00 | $6,726.00 | $112.38 – $6,726.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,236.00 | $3,236.00 | $130.50 – $5,623.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,756.00 | $3,756.00 | $218.95 – $5,623.00 |
| CT scan of the chest, without contrast CPT 71250 | $3,236.00 | $3,236.00 | $130.50 – $5,623.00 |
| CT scan of the head, without contrast CPT 70450 | $2,311.00 | $2,311.00 | $130.50 – $5,623.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,236.00 | $3,236.00 | $130.50 – $5,623.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $3,756.00 | $3,756.00 | $218.95 – $5,623.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,311.00 | $2,311.00 | $130.50 – $5,623.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,715.00 | $1,715.00 | $92.33 – $1,715.00 |
| Diagnostic mammogram, one breast CPT 77065 | $1,347.00 | $1,347.00 | $71.88 – $1,347.00 |
| Foot X-ray, 3 or more views CPT 73630 | $212.00 | $212.00 | $63.60 – $356.60 |
| Hand X-ray, 3 or more views CPT 73130 | $1,647.00 | $1,647.00 | $72.26 – $1,647.00 |
| Knee X-ray, 3 views CPT 73562 | $1,647.00 | $1,647.00 | $81.06 – $1,647.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | not posted | $367.54 – $6,112.23 | |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,920.00 | $1,920.00 | $130.50 – $1,920.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,542.00 | $1,542.00 | $74.90 – $1,542.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $7,871.00 | $7,871.00 | $353.74 – $7,871.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $10,494.00 | $10,494.00 | $435.49 – $10,701.99 |
| MRI of the brain, without and with contrast CPT 70553 | $10,494.00 | $10,494.00 | $435.49 – $10,923.84 |
| MRI of the brain, without contrast CPT 70551 | not posted | $444.60 – $6,112.23 | |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $4,804.00 | $4,804.00 | $297.84 – $4,804.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $6,405.00 | $6,405.00 | $297.84 – $6,405.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $6,405.00 | $6,405.00 | $297.84 – $6,405.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $6,405.00 | $6,405.00 | $297.84 – $6,405.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $7,871.00 | $7,871.00 | $435.49 – $10,701.99 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $6,405.00 | $6,405.00 | $297.84 – $6,405.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,099.00 | $1,099.00 | $74.04 – $1,099.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Screening mammogram, both breasts CPT 77067 | $1,423.00 | $1,423.00 | $76.05 – $1,423.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $1,647.00 | $1,647.00 | $65.24 – $1,647.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Transvaginal ultrasound CPT 76830 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,542.00 | $1,542.00 | $130.50 – $1,542.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,647.00 | $1,647.00 | $73.60 – $1,647.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,542.00 | $1,542.00 | $98.63 – $1,542.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $102.00 | $102.00 | $5.92 – $102.00 |
| Blood culture CPT 87040 | $125.00 | $125.00 | $7.22 – $125.00 |
| Blood draw (venipuncture) CPT 36415 | $45.00 | $45.00 | ? – $45.00 |
| BNP test (heart failure) CPT 83880 | $470.00 | $470.00 | $27.48 – $470.00 |
| C-reactive protein (CRP) test CPT 86140 | $63.00 | $63.00 | $3.63 – $63.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $419.00 | $419.00 | $24.56 – $419.00 |
| Complete blood count (CBC) with differential CPT 85025 | $95.00 | $95.00 | $5.44 – $95.00 |
| Complete blood count (CBC), automated CPT 85027 | $79.00 | $79.00 | $4.53 – $79.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $128.00 | $128.00 | $7.39 – $128.00 |
| COVID-19 PCR test CPT 87635 | $215.00 | $215.00 | $35.92 – $284.83 |
| D-dimer test (blood clots) CPT 85379 | $123.00 | $123.00 | $7.13 – $123.00 |
| Drug screen, instrument chemistry CPT 80307 | $741.00 | $741.00 | $31.92 – $741.00 |
| Ferritin (iron stores) test CPT 82728 | $164.00 | $164.00 | $9.54 – $164.00 |
| Free T4 (thyroid) test CPT 84439 | $109.00 | $109.00 | $6.31 – $109.00 |
| Glucose (blood sugar) test CPT 82947 | $73.00 | $73.00 | $2.75 – $73.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $419.00 | $419.00 | $24.56 – $419.00 |
| Hemoglobin A1c test CPT 83036 | $117.00 | $117.00 | $6.80 – $117.00 |
| Hepatitis C antibody test CPT 86803 | $172.00 | $172.00 | $9.99 – $172.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $288.00 | $288.00 | $13.65 – $288.00 |
| Iron test CPT 83540 | $79.00 | $79.00 | $4.53 – $79.00 |
| Kidney function panel CPT 80069 | $105.00 | $105.00 | $6.08 – $105.00 |
| Lipase test (pancreas) CPT 83690 | $83.00 | $83.00 | $4.82 – $83.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $162.00 | $162.00 | $9.37 – $162.00 |
| Liver function panel CPT 80076 | $99.00 | $99.00 | $5.72 – $99.00 |
| Magnesium test CPT 83735 | $81.00 | $81.00 | $4.69 – $81.00 |
| Obstetric blood test panel CPT 80055 | $235.00 | $235.00 | $23.01 – $265.40 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $74.00 | $74.00 | $4.21 – $74.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $182.00 | $182.00 | $10.54 – $182.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $53.00 | $53.00 | $3.00 – $53.00 |
| PSA (prostate specific antigen), free CPT 84154 | $220.00 | $220.00 | $12.87 – $220.00 |
| PSA (prostate specific antigen), total CPT 84153 | $220.00 | $220.00 | $12.87 – $220.00 |
| Rapid strep test CPT 87880 | $198.00 | $198.00 | $11.57 – $198.00 |
| Sed rate (ESR) test CPT 85652 | $50.00 | $50.00 | $1.89 – $50.00 |
| TB skin test CPT 86580 | $317.00 | $317.00 | $21.40 – $317.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $201.00 | $201.00 | $11.76 – $201.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $681.00 | $681.00 | $65.05 – $681.00 |
| Troponin test (heart damage) CPT 84484 | $150.00 | $150.00 | $8.73 – $150.00 |
| Urinalysis, automated, with microscope CPT 81001 | $59.00 | $59.00 | $2.22 – $59.00 |
| Urinalysis, automated, without microscope CPT 81003 | $42.00 | $42.00 | $1.57 – $42.00 |
| Urinalysis, manual, without microscope CPT 81002 | $63.00 | $63.00 | $2.44 – $63.00 |
| Urine culture, colony count CPT 87086 | $98.00 | $98.00 | $5.65 – $98.00 |
| Urine pregnancy test CPT 81025 | $181.00 | $181.00 | $6.03 – $181.00 |
| Vitamin B12 test CPT 82607 | $182.00 | $182.00 | $10.56 – $182.00 |
| Vitamin D test CPT 82306 | $353.00 | $353.00 | $20.72 – $353.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | not posted | $363.64 – $6,112.23 | |
| ECG tracing only (no interpretation) CPT 93005 | $708.00 | $708.00 | $15.04 – $1,153.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $9,126.00 | $9,126.00 | $142.13 – $9,126.00 |
| Left heart catheterization CPT 93452 | not posted | $250.00 – $25,040.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $6,580.86 – $25,132.68 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $6,993.00 | $6,993.00 | $400.53 – $6,993.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,670.00 – $50,000.00 | |
| Appendix removal, laparoscopic CPT 44970 | $20,018.00 | $20,018.00 | $250.00 – $20,018.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,580.00 | $3,580.00 | $516.42 – $16,502.00 |
| Carpal tunnel release CPT 64721 | not posted | $4,529.00 – $15,274.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $3,670.00 – $8,355.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $3,670.00 – $8,355.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $2,848.00 – $8,355.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $2,848.00 – $7,060.00 | |
| Cystoscopy (bladder scope) CPT 52000 | $4,314.00 | $4,314.00 | $870.42 – $8,355.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $552.90 – $16,502.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $2,848.00 – $6,220.11 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $7,546.53 – $15,274.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $7,604.00 – $50,000.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $8,355.00 – $15,274.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,670.00 – $9,038.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $6,379.00 – $15,274.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $11,436.00 | $11,436.00 | $250.00 – $15,274.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,966.50 – $16,502.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,670.00 – $11,860.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $3,670.00 – $8,355.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $1,197.00 | $1,197.00 | $249.17 – $5,006.00 |
| Prostate biopsy CPT 55700 | not posted | $440.04 – $50,000.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $8,355.00 – $15,274.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $5,663.00 – $15,274.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $6,379.00 – $15,274.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $625.86 – $16,502.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $624.72 – $16,502.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | $11,514.00 | $11,514.00 | $2,303.94 – $15,274.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $3,670.00 – $50,000.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $7,604.00 – $50,000.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $6,379.00 – $15,274.00 | |
| Total hip replacement CPT 27130 | not posted | $8,355.00 – $50,000.00 | |
| Total knee replacement CPT 27447 | not posted | $8,355.00 – $50,000.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,640.00 | $2,640.00 | $250.00 – $5,006.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $3,951.00 | $3,951.00 | $250.00 – $5,006.00 |
| Vasectomy CPT 55250 | $7,273.00 | $7,273.00 | $796.86 – $16,502.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | not posted | $25.26 – $16,502.00 | |
| IUD insertion CPT 58300 | $611.00 | $611.00 | $50.39 – $611.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $15,449.00 | $15,449.00 | $4,634.70 – $15,449.00 |
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 | $1,303.00 – $48,529.08 | |
| C-section, without complications MS-DRG 788 | not posted | $1,523.00 – $52,706.93 | |
| Chest pain MS-DRG 313 | not posted | $1,523.00 – $39,579.67 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $1,523.00 – $60,892.23 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $1,523.00 – $35,291.88 | |
| Fainting (syncope) MS-DRG 312 | not posted | $1,523.00 – $47,913.39 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $1,523.00 – $53,910.81 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $1,523.00 – $70,572.76 | |
| Heart failure, without complications MS-DRG 293 | not posted | $1,523.00 – $31,114.02 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $1,523.00 – $537,777.83 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $1,523.00 – $106,035.05 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $1,523.00 – $31,119.52 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $1,523.00 – $48,144.28 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $1,523.00 – $44,499.65 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $1,523.00 – $134,202.58 | |
| Normal newborn care MS-DRG 795 | not posted | $1,523.00 – $10,983.36 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $1,523.00 – $42,779.03 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $1,523.00 – $44,301.75 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $1,523.00 – $72,254.89 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $1,523.00 – $34,549.76 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,303.00 – $76,784.57 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $1,523.00 – $106,782.66 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $1,523.00 – $56,252.61 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $1,523.00 – $47,874.91 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $1,523.00 – $69,422.23 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $1,523.00 – $42,855.99 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $1,523.00 – $55,537.98 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $1,523.00 – $68,203.48 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,523.00 – $37,061.97 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $1,523.00 – $82,919.42 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,182.00 | $1,182.00 | $121.56 – $1,182.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $379.62 – $16,502.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $338.58 – $16,502.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $266.76 – $16,502.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $4,529.00 – $15,274.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | $535.00 | $535.00 | $160.50 – $568.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $1,053.36 – $6,160.82 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $678.00 | $678.00 | $108.30 – $678.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $4,312.00 | $4,312.00 | $181.26 – $5,533.00 |
| Sleep study with CPAP titration CPT 95811 | not posted | $2,450.15 – $6,208.99 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $2,235.89 – $6,208.99 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $696.00 | $696.00 | $66.12 – $2,827.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $401.00 | $401.00 | $21.97 – $482.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $409.00 | $409.00 | $76.19 – $482.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $449.00 | $449.00 | $76.19 – $482.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $420.00 | $420.00 | $23.03 – $482.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $363.00 | $363.00 | $28.06 – $482.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $1,224.00 | $1,224.00 | $60.00 – $1,224.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $554.00 | $554.00 | $60.00 – $554.00 |
| Group psychotherapy CPT 90853 | $399.00 | $399.00 | $45.00 – $526.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $795.00 | $795.00 | $78.00 – $795.00 |
| Psychotherapy, 30 minutes CPT 90832 | $554.00 | $554.00 | $40.00 – $554.00 |
| Psychotherapy, 45 minutes CPT 90834 | $554.00 | $554.00 | $80.00 – $554.00 |
| Psychotherapy, 60 minutes CPT 90837 | $609.00 | $609.00 | $91.86 – $609.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $403.00 | $403.00 | $49.02 – $1,648.00 |
| IV hydration, each additional hour CPT 96361 | $349.00 | $349.00 | $41.04 – $1,648.00 |
| IV hydration, first hour CPT 96360 | $876.00 | $876.00 | $106.02 – $1,648.00 |
| IV push injection of a drug, first CPT 96374 | $965.00 | $965.00 | $119.70 – $1,487.68 |
| IV push injection, each additional drug CPT 96375 | $463.00 | $463.00 | $50.16 – $7,849.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $16.00 | $16.00 | $4.80 – $16.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $20.00 | $20.00 | $6.00 – $20.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $46.00 | $46.00 | $13.80 – $46.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $383.00 | $383.00 | $114.90 – $383.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $26.00 | $26.00 | $7.80 – $26.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $30.00 | $30.00 | $9.00 – $30.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $42.00 | $42.00 | $12.60 – $42.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $23.00 | $23.00 | $6.90 – $23.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $113.00 | $113.00 | $33.90 – $113.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $3.00 | $3.00 | ? – $3.00 |
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.