Baylor Scott & White Medical Center - Frisco
5601 Warren Parkway, Frisco, TX 75034 · Acute care hospital · Emergency room
These are Baylor Scott & White Medical Center - Frisco's own posted figures from its standard-charges file dated September 29, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
213 of the services we track have a posted price here; 119 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 | $982.38 | $1,637.30 | $769.53 – $8,120.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $374.92 | $624.86 | $202.00 – $468.64 |
| Emergency room visit, level 2 CPT 99282 | $528.99 | $881.65 | $414.37 – $912.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $683.09 | $1,138.49 | $535.09 – $1,946.00 |
| Emergency room visit, level 4 CPT 99284 | $837.18 | $1,395.30 | $655.79 – $3,840.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,248.05 | $2,080.09 | $977.64 – $8,120.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $109.00 – $3,989.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $259.39 | $432.31 | $203.18 – $912.00 |
| New patient office visit, about 30 minutes CPT 99203 | $319.26 | $532.10 | $250.08 – $1,946.00 |
| New patient office visit, about 45 minutes CPT 99204 | $379.12 | $631.87 | $296.97 – $3,840.00 |
| New patient office visit, about 60 minutes CPT 99205 | $438.98 | $731.64 | $343.87 – $8,120.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $259.39 | $432.31 | $151.30 – $324.23 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $319.26 | $532.10 | $186.23 – $399.07 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $379.12 | $631.87 | $221.15 – $473.90 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $438.98 | $731.64 | $256.07 – $548.73 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $199.54 | $332.57 | $116.39 – $249.42 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | not posted | $95.00 – $197.00 | |
| Abdominal X-ray, 1 view CPT 74018 | $178.15 | $296.91 | $103.91 – $380.31 |
| Ankle X-ray, 3 or more views CPT 73610 | $274.78 | $457.96 | $160.28 – $380.31 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $397.64 – $467.84 | |
| Breast ultrasound, one breast, complete CPT 76641 | $367.37 | $612.29 | $214.30 – $467.84 |
| Breast ultrasound, one breast, limited CPT 76642 | not posted | $323.24 – $380.31 | |
| Chest X-ray, 1 view CPT 71045 | $180.13 | $300.21 | $105.07 – $380.31 |
| Chest X-ray, 2 views CPT 71046 | $189.78 | $316.30 | $110.70 – $380.31 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,033.83 | $3,389.72 | $1,186.40 – $2,542.29 |
| CT angiogram of the head CPT 70496 | $2,173.75 | $3,622.91 | $1,268.01 – $2,717.18 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,729.60 | $6,216.00 | $1,454.00 – $4,662.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,920.85 | $6,534.75 | $1,454.00 – $4,901.06 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,989.54 | $4,982.57 | $1,454.00 – $3,736.92 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,693.31 | $2,822.19 | $987.76 – $2,308.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,885.28 | $3,142.13 | $1,099.74 – $2,356.59 |
| CT scan of the chest, without contrast CPT 71250 | $1,593.23 | $2,655.38 | $929.38 – $2,308.00 |
| CT scan of the head, without contrast CPT 70450 | $1,465.01 | $2,441.68 | $854.58 – $2,308.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,506.18 | $2,510.30 | |
| CT scan of the pelvis, with contrast CPT 72193 | $1,810.75 | $3,017.92 | $1,056.27 – $2,308.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,229.03 | $2,048.38 | $716.93 – $2,308.00 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $170.00 – $518.08 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $170.00 – $406.31 | |
| Foot X-ray, 3 or more views CPT 73630 | $353.81 | $589.69 | $206.39 – $442.26 |
| Hand X-ray, 3 or more views CPT 73130 | $308.30 | $513.84 | $179.84 – $385.38 |
| Knee X-ray, 3 views CPT 73562 | $295.80 | $493.00 | $172.55 – $380.31 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $601.71 | $1,002.85 | $350.99 – $1,022.23 |
| Leg or arm vein ultrasound, one side CPT 93971 | $544.27 | $907.12 | $317.49 – $680.34 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $295.12 | $491.86 | $172.15 – $467.84 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,699.00 – $2,860.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,622.23 | $4,370.39 | $1,529.63 – $3,277.79 |
| MRI of the brain, without and with contrast CPT 70553 | $2,809.01 | $4,681.68 | $1,638.58 – $3,511.26 |
| MRI of the brain, without contrast CPT 70551 | $1,985.59 | $3,309.32 | $1,158.26 – $2,860.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,246.92 | $3,744.87 | $1,310.70 – $2,860.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,198.56 | $3,664.26 | $1,282.49 – $2,860.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,235.17 | $3,725.28 | $1,303.84 – $2,860.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,261.75 | $3,769.59 | $1,319.35 – $2,860.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,271.08 | $3,785.14 | $1,324.79 – $2,860.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,202.31 | $3,670.52 | $1,284.68 – $2,860.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $325.61 | $542.69 | $189.94 – $407.01 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $582.52 | $970.86 | $339.80 – $728.14 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $340.09 | $566.81 | $198.38 – $467.84 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $498.29 | $830.48 | $290.66 – $622.86 |
| Screening mammogram, both breasts CPT 77067 | not posted | $170.00 – $429.60 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $284.50 | $474.16 | $165.95 – $380.31 |
| Transvaginal pregnancy ultrasound CPT 76817 | $433.32 | $722.20 | $252.77 – $541.65 |
| Transvaginal ultrasound CPT 76830 | $472.89 | $788.15 | $275.85 – $591.11 |
| Ultrasound of the abdomen, complete CPT 76700 | $683.63 | $1,139.39 | $397.64 – $854.54 |
| Ultrasound of the neck or thyroid CPT 76536 | $465.65 | $776.08 | $271.62 – $582.06 |
| Wrist X-ray, 3 or more views CPT 73110 | $287.33 | $478.89 | |
| X-ray of the lower back, 4 or more views CPT 72110 | $441.08 | $735.13 | $257.29 – $551.34 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $73.88 | $123.14 | $6.30 – $92.35 |
| Blood culture CPT 87040 | $142.27 | $237.12 | $6.30 – $177.84 |
| Blood draw (venipuncture) CPT 36415 | $16.40 | $27.33 | $6.30 – $8,427.00 |
| BNP test (heart failure) CPT 83880 | $154.29 | $257.15 | $6.30 – $192.86 |
| C-reactive protein (CRP) test CPT 86140 | $80.93 | $134.88 | $6.30 – $101.16 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $134.31 | $223.85 | $6.30 – $167.88 |
| Complete blood count (CBC) with differential CPT 85025 | $86.92 | $144.86 | $6.30 – $108.64 |
| Complete blood count (CBC), automated CPT 85027 | $99.52 | $165.87 | $6.30 – $124.40 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $174.99 | $291.65 | $6.30 – $218.73 |
| COVID-19 PCR test CPT 87635 | $210.95 | $351.58 | $6.30 – $263.68 |
| D-dimer test (blood clots) CPT 85379 | $118.45 | $197.42 | $6.30 – $148.06 |
| Drug screen, instrument chemistry CPT 80307 | $222.64 | $371.06 | $6.30 – $278.29 |
| Ferritin (iron stores) test CPT 82728 | $97.39 | $162.32 | $6.30 – $121.74 |
| Free T4 (thyroid) test CPT 84439 | $87.51 | $145.85 | $6.30 – $109.38 |
| General health panel (blood tests) CPT 80050 | not posted | $6.30 – $102.85 | |
| Glucose (blood sugar) test CPT 82947 | $50.43 | $84.05 | $6.30 – $63.03 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $134.31 | $223.85 | $6.30 – $167.88 |
| Hemoglobin A1c test CPT 83036 | $62.13 | $103.55 | $6.30 – $77.66 |
| Hepatitis C antibody test CPT 86803 | $167.55 | $279.25 | $6.30 – $209.43 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $220.37 | $367.28 | $6.30 – $275.46 |
| Iron test CPT 83540 | $56.00 | $93.34 | $6.30 – $70.00 |
| Kidney function panel CPT 80069 | $149.91 | $249.85 | $6.30 – $187.38 |
| Lipase test (pancreas) CPT 83690 | $130.21 | $217.01 | $6.30 – $162.75 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $122.67 | $204.45 | $6.30 – $153.33 |
| Liver function panel CPT 80076 | $168.94 | $281.57 | $6.30 – $211.17 |
| Magnesium test CPT 83735 | $175.26 | $292.10 | $6.30 – $219.07 |
| Obstetric blood test panel CPT 80055 | not posted | $6.30 – $140.02 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $86.18 | $143.64 | $6.30 – $107.73 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $114.86 | $191.44 | $6.30 – $143.58 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $46.13 | $76.88 | $6.30 – $57.66 |
| PSA (prostate specific antigen), free CPT 84154 | $131.29 | $218.82 | $6.30 – $164.11 |
| PSA (prostate specific antigen), total CPT 84153 | $131.29 | $218.82 | $6.30 – $164.11 |
| Rapid strep test CPT 87880 | not posted | $6.30 – $48.38 | |
| Sed rate (ESR) test CPT 85652 | $40.88 | $68.14 | $6.30 – $51.10 |
| TB skin test CPT 86580 | not posted | $6.30 – $29.78 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $107.33 | $178.89 | $6.30 – $134.16 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $187.15 | $311.92 | $25.20 – $233.94 |
| Troponin test (heart damage) CPT 84484 | $175.26 | $292.10 | $6.30 – $219.07 |
| Urinalysis, automated, with microscope CPT 81001 | $60.28 | $100.46 | $6.30 – $75.34 |
| Urinalysis, automated, without microscope CPT 81003 | $37.64 | $62.73 | $5.59 – $47.04 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $6.30 – $11.76 | |
| Urinalysis, manual, without microscope CPT 81002 | not posted | $6.30 – $10.18 | |
| Urine culture, colony count CPT 87086 | not posted | $6.30 – $23.65 | |
| Urine pregnancy test CPT 81025 | $103.75 | $172.91 | $6.30 – $129.68 |
| Vitamin B12 test CPT 82607 | $106.71 | $177.85 | $6.30 – $133.38 |
| Vitamin D test CPT 82306 | $127.09 | $211.82 | $6.30 – $158.86 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $452.34 | $753.90 | $263.86 – $1,022.23 |
| ECG tracing only (no interpretation) CPT 93005 | $262.07 | $436.78 | $152.87 – $327.58 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $578.10 | $963.50 | $337.22 – $722.62 |
| Left heart catheterization CPT 93452 | not posted | $10,286.00 – $15,456.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $6,857.00 – $15,456.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | not posted | $3,569.00 – $5,810.01 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $2,508.00 – $14,275.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,452.00 – $14,275.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $1,887.00 – $5,831.00 | |
| Carpal tunnel release CPT 64721 | not posted | $2,508.00 – $7,556.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,987.00 – $4,200.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,987.00 – $4,200.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $1,987.00 – $4,200.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $1,720.00 – $4,200.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $1,670.00 – $8,427.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $2,508.00 – $8,179.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,887.00 – $3,989.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $6,752.00 – $14,275.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $8,982.00 – $19,020.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $6,752.00 – $14,275.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $2,508.00 – $7,556.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $3,751.00 – $14,275.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $3,574.00 – $8,033.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $6,752.00 – $14,275.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,408.00 – $12,343.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,887.00 – $3,989.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $109.00 – $3,989.00 | |
| Prostate biopsy CPT 55700 | not posted | $1,887.00 – $3,989.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $5,724.00 – $16,185.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,887.00 – $5,831.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $5,056.00 – $14,275.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,887.00 – $3,989.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,887.00 – $3,989.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,751.00 – $10,356.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,720.00 – $14,275.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $8,982.00 – $19,020.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,887.00 – $6,304.00 | |
| Total hip replacement CPT 27130 | not posted | $5,724.00 – $18,989.00 | |
| Total knee replacement CPT 27447 | not posted | $5,724.00 – $18,989.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $1,987.00 – $4,200.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $1,670.00 – $4,200.00 | |
| Vasectomy CPT 55250 | not posted | $2,416.00 – $7,556.00 |
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 | $3,986.00 – $8,427.00 | |
| Fetal non-stress test CPT 59025 | $364.94 | $608.24 | $285.87 – $6,734.00 |
| IUD insertion CPT 58300 | not posted | $109.00 – $3,989.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,986.00 – $8,427.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,574.00 – $7,556.00 |
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 | $1,736.00 – $12,777.78 | |
| C-section, without complications MS-DRG 788 | not posted | $5,891.00 – $19,707.08 | |
| Chest pain MS-DRG 313 | not posted | $2,145.00 – $11,051.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $2,145.00 – $16,269.88 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $2,145.00 – $11,051.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $2,145.00 – $12,619.91 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $2,145.00 – $14,279.78 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $2,145.00 – $18,900.17 | |
| Heart failure, without complications MS-DRG 293 | not posted | $2,145.00 – $11,051.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $11,051.00 – $186,407.13 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $11,051.00 – $38,266.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $2,145.00 – $11,051.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $2,145.00 – $12,874.83 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $2,145.00 – $11,624.86 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $5,894.00 – $38,650.00 | |
| Normal newborn care MS-DRG 795 | not posted | $320.00 – $2,893.90 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $2,145.00 – $11,319.25 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $2,145.00 – $11,876.88 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $2,145.00 – $19,087.02 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $2,145.00 – $11,051.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,736.00 – $20,415.20 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $2,145.00 – $28,421.95 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $2,145.00 – $14,933.00 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $2,145.00 – $12,758.96 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $27,247.61 – $35,927.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $2,145.00 – $11,301.87 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $2,145.00 – $14,730.23 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $3,338.00 – $17,360.52 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $2,778.00 – $13,882.31 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,051.00 – $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 | not posted | $1,720.00 – $3,989.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $1,670.00 – $3,989.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $1,887.00 – $3,989.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $1,987.00 – $4,200.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $3,866.00 – $9,391.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $1,887.00 – $3,989.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $741.95 | $1,236.59 | $432.80 – $927.44 |
| Sleep study with CPAP titration CPT 95811 | $2,405.59 | $4,009.32 | $1,403.26 – $3,006.99 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,405.59 | $4,009.32 | $1,403.26 – $3,006.99 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $290.30 | $483.84 | $169.34 – $362.88 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $81.74 | $136.23 | $47.68 – $168.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $166.56 | $277.60 | $97.16 – $208.20 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $205.52 | $342.54 | $102.00 – $256.90 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $166.56 | $277.60 | $97.16 – $208.20 |
| Therapeutic activities, 15 minutes CPT 97530 | $112.85 | $188.08 | $65.82 – $168.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $178.12 | $296.86 | $103.90 – $222.64 |
| IV hydration, each additional hour CPT 96361 | $113.35 | $188.91 | $66.11 – $141.68 |
| IV hydration, first hour CPT 96360 | $584.81 | $974.69 | $341.14 – $731.01 |
| IV push injection of a drug, first CPT 96374 | $584.81 | $974.69 | $341.14 – $731.01 |
| IV push injection, each additional drug CPT 96375 | $113.35 | $188.91 | $66.11 – $141.68 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $12.98 | $21.63 | $7.57 – $16.22 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $8.23 | $13.71 | $4.79 – $10.28 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $5.62 | $9.37 | $3.27 – $7.02 |
| Propofol injection, per 10 mg HCPCS J2704 | $55.68 | $92.80 | $32.48 – $69.60 |
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.