Baylor Scott & White Medical Center - Buda
5330 Overpass Road Suite 110, Buda, TX 78610 · Acute care hospital · Emergency room
These are Baylor Scott & White Medical Center - Buda's own posted figures from its standard-charges file dated June 13, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
216 of the services we track have a posted price here; 175 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 | $3,595.72 | $5,992.87 | $719.14 – $10,880.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $333.31 | $555.51 | $66.66 – $859.00 |
| Emergency room visit, level 2 CPT 99282 | $561.69 | $936.15 | $112.34 – $1,718.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,006.17 | $1,676.95 | $201.23 – $2,805.00 |
| Emergency room visit, level 4 CPT 99284 | $1,676.36 | $2,793.93 | $335.27 – $4,020.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $2,377.55 | $3,962.58 | $475.51 – $10,880.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $886.50 | $1,477.50 | $177.30 – $1,108.12 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Office visit, established patient, brief (often a nurse) CPT 99211 | $96.94 | $161.56 | $19.39 – $121.17 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $77.46 | $129.10 | $46.97 – $170.00 |
| Abdominal X-ray, 1 view CPT 74018 | $367.60 | $612.67 | $30.40 – $459.50 |
| Ankle X-ray, 3 or more views CPT 73610 | $356.32 | $593.86 | $36.75 – $445.39 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $370.36 | $617.26 | $39.09 – $462.94 |
| Breast ultrasound, one breast, complete CPT 76641 | $386.64 | $644.40 | $99.77 – $483.30 |
| Breast ultrasound, one breast, limited CPT 76642 | $346.09 | $576.82 | $83.05 – $432.62 |
| Chest X-ray, 1 view CPT 71045 | $349.81 | $583.02 | $25.73 – $437.26 |
| Chest X-ray, 2 views CPT 71046 | $412.77 | $687.95 | $33.75 – $515.96 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,579.30 | $4,298.84 | $167.39 – $3,224.13 |
| CT angiogram of the head CPT 70496 | $2,381.40 | $3,969.00 | $167.39 – $2,976.75 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,842.06 | $6,403.43 | $312.08 – $4,802.57 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,135.82 | $6,893.04 | $332.94 – $5,169.78 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,629.39 | $6,048.98 | $188.11 – $4,536.73 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,116.45 | $3,527.42 | $99.77 – $2,645.57 |
| CT scan of the chest, with contrast CPT 71260 | $2,659.49 | $4,432.48 | $167.39 – $3,324.36 |
| CT scan of the chest, without contrast CPT 71250 | $1,166.90 | $1,944.83 | $99.77 – $1,997.00 |
| CT scan of the head, without contrast CPT 70450 | $1,974.63 | $3,291.05 | $99.77 – $2,468.29 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,109.78 | $3,516.30 | $99.77 – $2,637.22 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,721.60 | $4,536.00 | $167.39 – $3,402.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,137.91 | $3,563.18 | $99.77 – $2,672.39 |
| Diagnostic mammogram, both breasts CPT 77066 | $340.20 | $567.00 | $68.04 – $492.31 |
| Diagnostic mammogram, one breast CPT 77065 | $272.16 | $453.60 | $54.43 – $384.71 |
| Foot X-ray, 3 or more views CPT 73630 | $406.02 | $676.70 | $34.41 – $507.52 |
| Hand X-ray, 3 or more views CPT 73130 | $382.93 | $638.22 | $37.43 – $478.67 |
| Knee X-ray, 3 views CPT 73562 | $417.08 | $695.13 | $41.10 – $521.35 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,090.23 | $1,817.05 | $184.78 – $1,362.79 |
| Leg or arm vein ultrasound, one side CPT 93971 | $803.29 | $1,338.82 | $99.77 – $1,117.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $474.69 | $791.15 | $40.10 – $593.36 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,875.95 | $3,126.58 | $375.19 – $2,472.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,387.55 | $5,645.91 | $332.94 – $4,234.43 |
| MRI of the brain, without and with contrast CPT 70553 | $3,969.34 | $6,615.56 | $328.11 – $4,961.67 |
| MRI of the brain, without contrast CPT 70551 | $2,556.77 | $4,261.28 | $202.15 – $3,195.96 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,257.48 | $3,762.47 | $208.84 – $2,821.85 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,065.69 | $3,442.81 | $197.14 – $2,582.11 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,192.54 | $3,654.23 | $196.14 – $2,740.67 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,539.19 | $4,231.98 | $196.48 – $3,173.99 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,382.76 | $5,637.93 | $332.94 – $4,228.45 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,311.68 | $3,852.80 | $209.16 – $2,889.60 |
| Neck X-ray, 2 or 3 views CPT 72040 | $418.55 | $697.59 | $39.76 – $523.19 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $520.36 | $867.27 | $96.28 – $650.45 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $607.12 | $1,011.87 | $99.77 – $758.90 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $580.03 | $966.71 | $99.77 – $725.03 |
| Screening mammogram, both breasts CPT 77067 | $238.14 | $396.90 | $47.63 – $406.83 |
| Shoulder X-ray, 2 or more views CPT 73030 | $399.22 | $665.36 | $35.09 – $499.02 |
| Transvaginal pregnancy ultrasound CPT 76817 | $509.00 | $848.33 | $92.89 – $636.25 |
| Transvaginal ultrasound CPT 76830 | $543.02 | $905.03 | $99.77 – $678.77 |
| Ultrasound of the abdomen, complete CPT 76700 | $537.43 | $895.71 | $99.77 – $671.78 |
| Ultrasound of the neck or thyroid CPT 76536 | $644.89 | $1,074.81 | $99.77 – $806.11 |
| Wrist X-ray, 3 or more views CPT 73110 | $415.32 | $692.20 | $41.44 – $519.15 |
| X-ray of the lower back, 4 or more views CPT 72110 | $626.63 | $1,044.39 | $52.13 – $783.29 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $156.44 | $260.74 | $7.11 – $195.56 |
| Blood culture CPT 87040 | $205.15 | $341.92 | $8.67 – $256.44 |
| Blood draw (venipuncture) CPT 36415 | $32.66 | $54.44 | $6.53 – $40.83 |
| BNP test (heart failure) CPT 83880 | $906.00 | $1,510.00 | $12.00 – $1,132.50 |
| C-reactive protein (CRP) test CPT 86140 | $58.01 | $96.69 | $4.35 – $72.52 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $125.96 | $209.93 | $12.00 – $221.42 |
| Complete blood count (CBC) with differential CPT 85025 | $67.31 | $112.18 | $6.53 – $84.14 |
| Complete blood count (CBC), automated CPT 85027 | $93.57 | $155.95 | $5.43 – $116.96 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $214.33 | $357.21 | $8.87 – $267.91 |
| COVID-19 PCR test CPT 87635 | $103.50 | $172.50 | $12.00 – $323.77 |
| D-dimer test (blood clots) CPT 85379 | $123.89 | $206.48 | $8.55 – $154.86 |
| Drug screen, instrument chemistry CPT 80307 | $275.42 | $459.04 | $12.00 – $392.10 |
| Ferritin (iron stores) test CPT 82728 | $97.90 | $163.17 | $11.45 – $122.38 |
| Free T4 (thyroid) test CPT 84439 | $144.14 | $240.24 | $7.58 – $180.18 |
| Glucose (blood sugar) test CPT 82947 | $55.91 | $93.19 | $3.30 – $69.89 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $170.75 | $284.58 | $12.00 – $221.42 |
| Hemoglobin A1c test CPT 83036 | $123.97 | $206.61 | $8.16 – $154.96 |
| Hepatitis C antibody test CPT 86803 | $135.98 | $226.63 | $11.99 – $169.97 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $140.83 | $234.71 | $12.00 – $176.03 |
| Iron test CPT 83540 | $91.76 | $152.94 | $5.43 – $114.70 |
| Kidney function panel CPT 80069 | $128.89 | $214.81 | $7.29 – $161.11 |
| Lipase test (pancreas) CPT 83690 | $93.58 | $155.96 | $5.79 – $116.97 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $185.75 | $309.58 | $11.25 – $232.19 |
| Liver function panel CPT 80076 | $161.95 | $269.91 | $6.86 – $202.43 |
| Magnesium test CPT 83735 | $116.29 | $193.82 | $5.63 – $145.37 |
| Obstetric blood test panel CPT 80055 | $252.96 | $421.60 | $12.00 – $316.20 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $118.76 | $197.93 | $5.05 – $148.45 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $181.31 | $302.19 | $12.00 – $226.64 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $71.17 | $118.62 | $3.60 – $88.97 |
| PSA (prostate specific antigen), free CPT 84154 | $113.17 | $188.62 | $12.00 – $141.47 |
| PSA (prostate specific antigen), total CPT 84153 | $150.97 | $251.62 | $12.00 – $188.72 |
| Rapid strep test CPT 87880 | $77.77 | $129.62 | $12.00 – $104.30 |
| Sed rate (ESR) test CPT 85652 | $61.15 | $101.92 | $2.27 – $76.44 |
| TB skin test CPT 86580 | $60.68 | $101.13 | $12.00 – $145.07 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $177.40 | $295.66 | $12.00 – $221.75 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $474.00 | $790.00 | $36.00 – $592.50 |
| Troponin test (heart damage) CPT 84484 | $241.65 | $402.75 | $10.47 – $302.06 |
| Urinalysis, automated, with microscope CPT 81001 | $77.87 | $129.78 | $2.66 – $97.33 |
| Urinalysis, automated, without microscope CPT 81003 | $96.30 | $160.50 | $1.89 – $120.38 |
| Urinalysis, manual, with microscope CPT 81000 | $33.17 | $55.29 | $3.38 – $41.47 |
| Urinalysis, manual, without microscope CPT 81002 | $24.61 | $41.01 | $2.92 – $30.76 |
| Urine culture, colony count CPT 87086 | $121.84 | $203.06 | $6.78 – $152.29 |
| Urine pregnancy test CPT 81025 | $9.07 | $15.11 | $7.01 – $54.33 |
| Vitamin B12 test CPT 82607 | $121.23 | $202.05 | $12.00 – $151.54 |
| Vitamin D test CPT 82306 | $210.29 | $350.49 | $12.00 – $262.87 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,224.72 | $2,041.20 | $187.79 – $1,530.90 |
| ECG tracing only (no interpretation) CPT 93005 | $284.07 | $473.45 | $56.30 – $917.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,589.56 | $4,315.93 | $409.24 – $3,236.95 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $140.07 | $233.45 | $28.01 – $917.00 |
| Left heart catheterization CPT 93452 | $9,848.25 | $16,413.75 | $1,969.65 – $17,181.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $17,211.76 | $28,686.27 | $3,093.86 – $21,514.70 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,337.71 | $7,229.51 | $422.34 – $5,422.13 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $8,358.27 | $13,930.45 | $71.00 – $17,722.46 |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,132.00 – $15,811.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,756.77 | $4,594.61 | $486.45 – $4,400.00 |
| Carpal tunnel release CPT 64721 | $3,899.19 | $6,498.65 | $659.94 – $5,266.00 |
| Colonoscopy with biopsy CPT 45380 | not posted | $429.26 – $5,266.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $429.26 – $5,266.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $328.50 – $5,266.00 | |
| Colposcopy with biopsy CPT 57454 | $771.19 | $1,285.31 | $65.06 – $3,500.00 |
| Cystoscopy (bladder scope) CPT 52000 | $2,748.03 | $4,580.05 | $238.15 – $3,934.00 |
| Ear tubes, under general anesthesia CPT 69436 | $3,340.97 | $5,568.28 | $71.00 – $6,022.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $130.67 – $4,563.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $1,888.85 – $15,811.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $10,720.51 | $17,867.52 | $71.00 – $25,500.18 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $6,678.35 | $11,130.59 | $71.00 – $8,347.94 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $14,745.53 | $24,575.89 | $71.00 – $18,431.92 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $8,365.41 | $13,942.35 | $71.00 – $10,456.76 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $13,092.17 | $21,820.28 | $71.00 – $16,365.21 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $8,186.99 | $13,644.99 | $71.00 – $10,233.74 |
| Nasal endoscopy, diagnostic CPT 31231 | $525.95 | $876.58 | $68.14 – $657.43 |
| Prostate biopsy CPT 55700 | $3,139.32 | $5,232.20 | $71.00 – $5,045.72 |
| Removal of a breast lump, open surgery CPT 19120 | $5,165.63 | $8,609.38 | $963.66 – $9,442.65 |
| Rotator cuff repair, arthroscopic CPT 29827 | $4,880.57 | $8,134.29 | $71.00 – $17,722.46 |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $328.50 – $5,266.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | $2,269.03 | $3,781.71 | $328.50 – $5,266.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $3,652.15 | $6,086.92 | $71.00 – $7,975.81 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $5,243.73 | $8,739.55 | $71.00 – $6,554.66 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $4,555.73 | $7,592.89 | $71.00 – $14,507.25 |
| Total hip replacement CPT 27130 | not posted | $5,388.00 – $32,603.53 | |
| Total knee replacement CPT 27447 | not posted | $5,388.00 – $32,603.53 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $334.95 – $5,266.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $334.95 – $4,563.00 | |
| Vasectomy CPT 55250 | $4,572.37 | $7,620.62 | $71.00 – $5,715.47 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $4,155.91 | $6,926.51 | $71.00 – $7,441.00 |
| Fetal non-stress test CPT 59025 | $497.73 | $829.55 | $15.78 – $622.16 |
| IUD insertion CPT 58300 | $667.61 | $1,112.68 | $71.00 – $7,441.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $7,970.66 | $13,284.44 | $71.00 – $9,963.33 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $2,756.98 | $4,594.97 | $71.00 – $7,441.00 |
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 | $2,950.00 – $16,046.19 | |
| C-section, without complications MS-DRG 788 | not posted | $6,033.00 – $17,338.94 | |
| Chest pain MS-DRG 313 | not posted | $2,950.00 – $14,673.83 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $2,950.00 – $20,134.08 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $2,950.00 – $11,669.29 | |
| Fainting (syncope) MS-DRG 312 | not posted | $2,950.00 – $15,842.61 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $2,950.00 – $17,825.66 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $2,950.00 – $31,821.06 | |
| Heart failure, without complications MS-DRG 293 | not posted | $2,950.00 – $10,287.88 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $66,448.68 – $242,482.55 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $13,101.86 – $37,529.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $2,950.00 – $14,031.71 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $2,950.00 – $15,918.95 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $2,950.00 – $14,713.85 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $16,582.29 – $44,148.47 | |
| Normal newborn care MS-DRG 795 | not posted | $794.00 – $3,613.18 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $2,950.00 – $17,876.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $2,950.00 – $14,648.42 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $2,950.00 – $23,891.15 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $2,950.00 – $11,423.91 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $2,950.00 – $25,388.89 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $2,950.00 – $35,307.79 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $2,950.00 – $18,599.98 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $2,950.00 – $15,829.89 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $37,499.00 – $37,499.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $2,950.00 – $14,170.38 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $2,950.00 – $18,363.69 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $6,566.00 – $22,436.82 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,950.00 – $12,192.23 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $10,245.66 – $30,324.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,080.06 | $1,800.10 | $27.96 – $1,350.08 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,284.54 | $3,807.56 | $340.77 – $3,934.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,824.76 | $3,041.26 | $262.86 – $2,970.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,255.99 | $2,093.32 | $71.00 – $3,500.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $4,301.64 | $7,169.40 | $71.00 – $9,718.00 |
| Eye exam, new patient, comprehensive CPT 92004 | $241.00 | $401.67 | $48.20 – $327.47 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,637.51 | $2,729.18 | $71.00 – $4,025.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $299.76 | $499.60 | $59.95 – $510.51 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $757.21 | $1,262.02 | $151.44 – $2,062.00 |
| Sleep study with CPAP titration CPT 95811 | $4,654.35 | $7,757.25 | $819.52 – $5,817.94 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,141.16 | $6,901.94 | $819.52 – $5,176.45 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $600.80 | $1,001.33 | $120.16 – $751.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $140.92 | $234.86 | $28.18 – $176.15 |
| Physical therapy evaluation, low complexity CPT 97161 | $351.47 | $585.79 | $70.29 – $439.34 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.31 | $587.18 | $70.46 – $440.38 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $143.44 | $239.06 | $28.69 – $179.29 |
| Therapeutic activities, 15 minutes CPT 97530 | $147.08 | $245.14 | $29.42 – $183.85 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $155.45 | $259.08 | $31.09 – $394.97 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $165.49 | $275.81 | $33.10 – $394.97 |
| Group psychotherapy CPT 90853 | $97.39 | $162.32 | $19.48 – $220.82 |
| Psychiatric diagnostic evaluation CPT 90791 | $342.20 | $570.34 | $68.44 – $427.75 |
| Psychotherapy, 30 minutes CPT 90832 | $189.14 | $315.24 | $37.83 – $394.97 |
| Psychotherapy, 45 minutes CPT 90834 | $216.61 | $361.01 | $43.32 – $394.97 |
| Psychotherapy, 60 minutes CPT 90837 | $216.61 | $361.01 | $43.32 – $394.97 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $197.78 | $329.64 | $39.56 – $247.23 |
| IV hydration, each additional hour CPT 96361 | $241.37 | $402.28 | $41.34 – $301.71 |
| IV hydration, first hour CPT 96360 | $527.15 | $878.59 | $105.43 – $658.94 |
| IV push injection of a drug, first CPT 96374 | $362.20 | $603.66 | $72.44 – $530.97 |
| IV push injection, each additional drug CPT 96375 | $255.96 | $426.60 | $44.69 – $319.95 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $103.80 | $173.00 | ? – $129.75 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $27.00 | $45.00 | ? – $33.75 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $122.40 | $204.00 | $1.28 – $153.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $85.79 | $142.98 | $17.16 – $107.23 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $29.52 | $49.20 | ? – $36.90 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $5.15 | $8.58 | ? – $350.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $156.83 | $261.38 | $4.89 – $196.03 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $28.30 | $47.16 | ? – $35.37 |
| Propofol injection, per 10 mg HCPCS J2704 | $108.00 | $180.00 | ? – $135.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $63.36 | $105.60 | $2.40 – $350.00 |
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.