Ascension Seton Northwest
11113 Research Boulevard, Austin, TX 78759 · Acute care hospital · Emergency room
These are Ascension Seton Northwest's own posted figures from its standard-charges file dated January 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; 129 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 | $2,505.60 | $6,960.00 | $224.41 – $6,960.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $282.33 | $784.25 | $11.12 – $784.25 |
| Emergency room visit, level 2 CPT 99282 | $548.37 | $1,523.25 | $11.12 – $1,523.25 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $731.43 | $2,031.75 | $11.12 – $2,031.75 |
| Emergency room visit, level 4 CPT 99284 | $1,170.00 | $3,250.00 | $186.88 – $3,250.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $2,007.00 | $5,575.00 | $200.00 – $5,575.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $188.71 – $346.61 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $55.26 | $153.50 | $25.23 – $102.18 |
| Abdominal X-ray, 1 view CPT 74018 | $343.17 | $953.25 | $18.65 – $428.96 |
| Ankle X-ray, 3 or more views CPT 73610 | $577.98 | $1,605.50 | $23.43 – $722.48 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $300.60 | $835.00 | $32.98 – $375.75 |
| Breast ultrasound, one breast, complete CPT 76641 | $168.84 | $469.00 | $72.72 – $453.92 |
| Breast ultrasound, one breast, limited CPT 76642 | $285.48 | $793.00 | $55.44 – $530.46 |
| Chest X-ray, 1 view CPT 71045 | $301.23 | $836.75 | $13.14 – $376.54 |
| Chest X-ray, 2 views CPT 71046 | $301.23 | $836.75 | $20.12 – $376.54 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $487.62 | $1,354.50 | $180.34 – $1,345.00 |
| CT angiogram of the head CPT 70496 | $390.24 | $1,084.00 | $180.34 – $814.52 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,447.00 | $9,575.00 | $228.53 – $4,308.75 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,543.57 | $9,843.25 | $252.74 – $4,429.46 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,440.26 | $6,778.50 | $117.52 – $3,050.32 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,203.12 | $3,342.00 | $93.26 – $1,503.90 |
| CT scan of the chest, with contrast CPT 71260 | $2,120.67 | $5,890.75 | $139.21 – $2,650.84 |
| CT scan of the chest, without contrast CPT 71250 | $378.27 | $1,050.75 | $106.88 – $882.99 |
| CT scan of the head, without contrast CPT 70450 | $1,347.21 | $3,742.25 | $75.99 – $1,684.01 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,637.64 | $4,549.00 | $106.88 – $2,047.05 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,358.64 | $3,774.00 | $173.75 – $1,701.09 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,292.04 | $3,589.00 | $99.87 – $1,615.05 |
| Diagnostic mammogram, both breasts CPT 77066 | $189.45 | $526.25 | $120.37 – $487.50 |
| Diagnostic mammogram, one breast CPT 77065 | $146.88 | $408.00 | $94.06 – $380.94 |
| Foot X-ray, 3 or more views CPT 73630 | $319.14 | $886.50 | $21.59 – $398.93 |
| Hand X-ray, 3 or more views CPT 73130 | $573.75 | $1,593.75 | $23.79 – $717.19 |
| Knee X-ray, 3 views CPT 73562 | $610.92 | $1,697.00 | $27.10 – $763.65 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,038.60 | $2,885.00 | $148.38 – $1,673.30 |
| Leg or arm vein ultrasound, one side CPT 93971 | $577.71 | $1,604.75 | $96.28 – $930.75 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $346.68 | $963.00 | $24.52 – $453.92 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $274.73 – $2,690.55 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,015.01 | $5,597.25 | $329.50 – $4,621.65 |
| MRI of the brain, without and with contrast CPT 70553 | $2,710.98 | $7,530.50 | $274.01 – $3,388.72 |
| MRI of the brain, without contrast CPT 70551 | $1,493.28 | $4,148.00 | $162.73 – $1,969.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $728.19 | $2,022.75 | $175.86 – $1,975.92 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,144.35 | $3,178.75 | $156.11 – $1,969.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,271.34 | $3,531.50 | $156.48 – $1,969.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,871.10 | $5,197.50 | $156.11 – $2,338.88 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,763.01 | $4,897.25 | $328.40 – $4,613.24 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $775.08 | $2,153.00 | $175.86 – $1,971.71 |
| Neck X-ray, 2 or 3 views CPT 72040 | $352.62 | $979.50 | $22.69 – $440.77 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $256.95 | $713.75 | $79.30 – $594.65 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $571.23 | $1,586.75 | $91.54 – $896.31 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $336.69 | $935.25 | $73.52 – $716.67 |
| Screening mammogram, both breasts CPT 77067 | $192.78 | $535.50 | $44.79 – $402.85 |
| Shoulder X-ray, 2 or more views CPT 73030 | $308.16 | $856.00 | $20.48 – $385.20 |
| Transvaginal pregnancy ultrasound CPT 76817 | $256.05 | $711.25 | $62.02 – $587.61 |
| Transvaginal ultrasound CPT 76830 | $265.68 | $738.00 | $88.30 – $706.39 |
| Ultrasound of the abdomen, complete CPT 76700 | $292.23 | $811.75 | $85.91 – $806.49 |
| Ultrasound of the neck or thyroid CPT 76536 | $417.06 | $1,158.50 | $92.52 – $866.34 |
| Wrist X-ray, 3 or more views CPT 73110 | $610.92 | $1,697.00 | $27.10 – $763.65 |
| X-ray of the lower back, 4 or more views CPT 72110 | $514.71 | $1,429.75 | $34.08 – $643.39 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $237.51 | $659.75 | $7.04 – $296.89 |
| Blood culture CPT 87040 | $183.78 | $510.50 | $7.37 – $229.72 |
| Blood draw (venipuncture) CPT 36415 | $14.76 | $41.00 | $3.00 – $6.28 |
| BNP test (heart failure) CPT 83880 | $167.31 | $464.75 | $10.85 – $252.39 |
| C-reactive protein (CRP) test CPT 86140 | $19.62 | $54.50 | $4.35 – $38.48 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $141.48 | $393.00 | $16.84 – $260.89 |
| Complete blood count (CBC) with differential CPT 85025 | $59.58 | $165.50 | $1.99 – $74.47 |
| Complete blood count (CBC), automated CPT 85027 | $62.28 | $173.00 | $1.99 – $77.85 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $95.13 | $264.25 | $8.87 – $118.91 |
| COVID-19 PCR test CPT 87635 | $40.68 | $113.00 | $45.20 – $97.49 |
| D-dimer test (blood clots) CPT 85379 | $67.05 | $186.25 | $8.55 – $83.81 |
| Drug screen, instrument chemistry CPT 80307 | $501.84 | $1,394.00 | $32.98 – $627.30 |
| Ferritin (iron stores) test CPT 82728 | $34.29 | $95.25 | $11.45 – $74.28 |
| Free T4 (thyroid) test CPT 84439 | $43.83 | $121.75 | $5.77 – $67.04 |
| General health panel (blood tests) CPT 80050 | not posted | $53.28 – $166.36 | |
| Glucose (blood sugar) test CPT 82947 | $36.54 | $101.50 | $3.30 – $45.67 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $54.99 | $152.75 | $16.84 – $149.48 |
| Hemoglobin A1c test CPT 83036 | $70.20 | $195.00 | $8.16 – $87.75 |
| Hepatitis C antibody test CPT 86803 | $55.44 | $154.00 | $10.82 – $106.11 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $112.23 | $311.75 | $8.68 – $179.09 |
| Iron test CPT 83540 | $32.94 | $91.50 | $5.43 – $48.12 |
| Kidney function panel CPT 80069 | $147.33 | $409.25 | $7.29 – $184.16 |
| Lipase test (pancreas) CPT 83690 | $50.49 | $140.25 | $5.79 – $63.11 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $203.31 | $564.75 | $11.25 – $254.14 |
| Liver function panel CPT 80076 | $163.35 | $453.75 | $6.86 – $204.19 |
| Magnesium test CPT 83735 | $133.56 | $371.00 | $5.63 – $166.95 |
| Obstetric blood test panel CPT 80055 | not posted | $46.85 – $86.06 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $81.81 | $227.25 | $5.05 – $102.26 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $162.99 | $452.75 | $9.57 – $203.74 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $78.84 | $219.00 | $3.60 – $98.55 |
| PSA (prostate specific antigen), free CPT 84154 | $53.28 | $148.00 | $15.45 – $136.74 |
| PSA (prostate specific antigen), total CPT 84153 | $89.37 | $248.25 | $15.45 – $136.74 |
| Rapid strep test CPT 87880 | $84.51 | $234.75 | $12.84 – $105.64 |
| Sed rate (ESR) test CPT 85652 | $31.86 | $88.50 | $2.27 – $39.83 |
| TB skin test CPT 86580 | $6.75 | $18.75 | $8.06 – $18.10 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $46.62 | $129.50 | $7.58 – $124.97 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $139.86 | $388.50 | $30.78 – $233.00 |
| Troponin test (heart damage) CPT 84484 | $74.25 | $206.25 | $10.47 – $92.81 |
| Urinalysis, automated, with microscope CPT 81001 | $90.27 | $250.75 | $2.66 – $112.84 |
| Urinalysis, automated, without microscope CPT 81003 | $50.49 | $140.25 | $1.89 – $63.11 |
| Urinalysis, manual, with microscope CPT 81000 | $13.23 | $36.75 | $3.38 – $23.54 |
| Urinalysis, manual, without microscope CPT 81002 | $14.76 | $41.00 | $2.92 – $19.02 |
| Urine culture, colony count CPT 87086 | $48.06 | $133.50 | $6.78 – $60.08 |
| Urine pregnancy test CPT 81025 | $50.49 | $140.25 | $7.23 – $63.11 |
| Vitamin B12 test CPT 82607 | $60.93 | $169.25 | $12.67 – $112.05 |
| Vitamin D test CPT 82306 | $141.93 | $394.25 | $24.86 – $202.03 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,067.40 | $2,965.00 | $120.83 – $1,719.70 |
| ECG tracing only (no interpretation) CPT 93005 | $154.35 | $428.75 | $8.06 – $248.68 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,389.50 | $6,637.50 | $141.68 – $3,849.75 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $16.50 – $81.48 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $85.81 – $375.41 | |
| Left heart catheterization CPT 93452 | $4,941.00 | $13,725.00 | $610.21 – $13,357.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $11,946.15 | $33,183.75 | $739.86 – $28,206.19 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,798.38 | $4,995.50 | $409.40 – $3,884.58 |
| Treadmill stress test, complete CPT 93015 | not posted | $69.42 – $300.63 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $969.15 – $6,998.88 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $598.63 – $5,655.44 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $159.68 – $1,605.94 | |
| Carpal tunnel release CPT 64721 | not posted | $422.46 – $2,011.64 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $203.98 – $1,174.94 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $258.93 – $1,174.94 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $865.87 – $1,590.37 | |
| Colposcopy with biopsy CPT 57454 | not posted | $288.89 – $530.62 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $633.91 – $1,164.33 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $155.52 – $1,578.73 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $865.87 – $1,590.37 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $655.46 – $19,004.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $969.15 – $2,118.40 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $893.54 – $9,843.34 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $230.83 – $2,922.78 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $426.11 – $5,655.44 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $517.65 – $3,637.93 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $572.39 – $14,620.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $535.09 – $3,202.82 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $262.58 – $1,174.94 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $184.38 – $338.65 | |
| Prostate biopsy CPT 55700 | not posted | $131.65 – $2,072.71 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $969.15 – $9,843.34 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $409.12 – $3,544.57 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $969.15 – $6,998.88 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $620.34 – $3,064.57 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $175.13 – $1,549.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $839.69 – $10,225.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $286.93 – $5,675.12 | |
| Total hip replacement CPT 27130 | not posted | $969.15 – $14,153.00 | |
| Total knee replacement CPT 27447 | not posted | $969.15 – $14,153.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $890.42 – $1,635.46 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $890.42 – $1,635.46 | |
| Vasectomy CPT 55250 | not posted | $228.02 – $2,072.71 |
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 | $969.15 – $2,825.11 | |
| Fetal non-stress test CPT 59025 | $202.86 | $563.50 | $11.19 – $135.83 |
| IUD insertion CPT 58300 | not posted | $39.96 – $1,000.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $969.15 – $2,673.73 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $969.15 – $2,548.07 |
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 | $1,042.00 – $9,379.00 | |
| C-section, without complications MS-DRG 788 | not posted | $5,961.09 – $10,948.93 | |
| Chest pain MS-DRG 313 | not posted | $4,476.41 – $8,221.99 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $6,886.83 – $12,649.28 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $3,991.47 – $7,331.27 | |
| Fainting (syncope) MS-DRG 312 | not posted | $5,418.94 – $9,953.15 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $6,097.25 – $11,199.02 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $7,981.69 – $14,660.24 | |
| Heart failure, without complications MS-DRG 293 | not posted | $3,518.95 – $6,463.39 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $60,821.99 – $111,713.87 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $11,992.43 – $22,026.91 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,519.58 – $6,464.54 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $5,445.06 – $10,001.12 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $5,032.86 – $9,244.03 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $15,178.14 – $27,878.22 | |
| Normal newborn care MS-DRG 795 | not posted | $1,242.21 – $2,281.61 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $4,838.25 – $8,886.58 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $5,010.48 – $9,202.91 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $8,171.94 – $15,009.68 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $3,907.53 – $7,177.10 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $8,684.24 – $15,950.65 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $12,076.98 – $22,182.21 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $6,362.10 – $11,685.49 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $5,414.59 – $9,945.16 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $4,846.96 – $8,902.58 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $6,281.27 – $11,537.03 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $7,713.73 – $14,168.07 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,191.67 – $7,698.98 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $9,378.08 – $17,225.05 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $478.71 | $1,329.75 | $20.55 – $969.15 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $845.52 – $1,553.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,946.07 | $5,405.75 | $99.21 – $1,675.78 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $987.12 | $2,742.00 | $85.91 – $969.15 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $629.86 – $2,365.58 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $122.39 – $224.80 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $521.02 – $956.97 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $148.60 – $272.93 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $113.11 – $1,589.00 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $551.82 – $2,185.10 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $524.25 – $2,078.90 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $418.86 | $1,163.50 | $28.58 – $574.15 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $57.96 | $161.00 | $27.61 – $134.43 |
| Physical therapy evaluation, low complexity CPT 97161 | $103.05 | $286.25 | $83.55 – $180.42 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $120.24 | $334.00 | $83.55 – $324.34 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $57.24 | $159.00 | $30.31 – $144.05 |
| Therapeutic activities, 15 minutes CPT 97530 | $76.05 | $211.25 | $35.49 – $180.18 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $152.60 – $280.28 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $152.60 – $280.28 | |
| Group psychotherapy CPT 90853 | not posted | $87.85 – $161.35 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $152.60 – $280.28 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $152.60 – $280.28 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $152.60 – $280.28 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $152.60 – $280.28 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $182.79 | $507.75 | $16.22 – $250.95 |
| IV hydration, each additional hour CPT 96361 | $109.08 | $303.00 | $12.99 – $56.81 |
| IV hydration, first hour CPT 96360 | $144.00 | $400.00 | $36.45 – $160.02 |
| IV push injection of a drug, first CPT 96374 | $309.60 | $860.00 | $37.48 – $164.51 |
| IV push injection, each additional drug CPT 96375 | $180.00 | $500.00 | $16.06 – $70.30 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $29.52 | $82.00 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $4.23 | $11.75 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $102.69 | $285.25 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $12.15 | $33.75 | ? – $1.25 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $129.06 | $358.50 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $27.45 | $76.25 | $2.57 – $2.57 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $6.12 | $17.00 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $31.05 | $86.25 | $2.50 – $2.50 |
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.