Baylor Scott and White Medical Center Sunnyvale
231 South Collins Road, Sunnyvale, TX 75182 · Acute care hospital · Emergency room
These are Baylor Scott and White Medical Center Sunnyvale's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
203 of the services we track have a posted price here; 141 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 | $2,945.40 | $4,909.00 | $808.45 – $9,348.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $208.80 | $348.00 | $80.89 – $2,048.00 |
| Emergency room visit, level 2 CPT 99282 | $407.40 | $679.00 | $149.01 – $2,048.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,227.00 | $2,045.00 | $259.94 – $3,067.00 |
| Emergency room visit, level 4 CPT 99284 | $1,963.80 | $3,273.00 | $403.52 – $6,143.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,944.40 | $6,574.00 | $585.19 – $10,230.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $310.80 | $518.00 | $182.40 – $3,361.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $57.60 | $96.00 | $41.76 – $88.28 |
| Abdominal X-ray, 1 view CPT 74018 | $160.20 | $267.00 | $82.79 – $254.98 |
| Ankle X-ray, 3 or more views CPT 73610 | $246.60 | $411.00 | $82.79 – $380.09 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $332.40 | $554.00 | $100.16 – $512.37 |
| Breast ultrasound, one breast, complete CPT 76641 | $153.00 | $255.00 | $100.16 – $235.41 |
| Breast ultrasound, one breast, limited CPT 76642 | $153.00 | $255.00 | $82.79 – $235.41 |
| Chest X-ray, 1 view CPT 71045 | $127.20 | $212.00 | $82.79 – $202.30 |
| Chest X-ray, 2 views CPT 71046 | $171.00 | $285.00 | $82.79 – $271.62 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,713.60 | $2,856.00 | $167.39 – $2,640.71 |
| CT angiogram of the head CPT 70496 | $1,976.40 | $3,294.00 | $167.39 – $3,045.61 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,394.20 | $5,657.00 | $350.37 – $5,229.50 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $3,568.20 | $5,947.00 | $350.37 – $5,497.94 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,735.40 | $4,559.00 | $223.25 – $4,215.75 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,385.40 | $2,309.00 | $100.16 – $2,134.86 |
| CT scan of the chest, with contrast CPT 71260 | $1,713.60 | $2,856.00 | $167.39 – $2,640.68 |
| CT scan of the chest, without contrast CPT 71250 | $1,437.00 | $2,395.00 | $100.16 – $2,214.01 |
| CT scan of the head, without contrast CPT 70450 | $1,330.80 | $2,218.00 | $100.16 – $2,050.77 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,358.40 | $2,264.00 | $100.16 – $2,093.03 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,646.40 | $2,744.00 | $167.39 – $2,536.11 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,130.40 | $1,884.00 | $100.16 – $1,742.08 |
| Diagnostic mammogram, both breasts CPT 77066 | $150.00 | $250.00 | $112.43 – $237.70 |
| Diagnostic mammogram, one breast CPT 77065 | $121.80 | $203.00 | $91.46 – $193.36 |
| Foot X-ray, 3 or more views CPT 73630 | $318.60 | $531.00 | $82.79 – $491.01 |
| Hand X-ray, 3 or more views CPT 73130 | $277.20 | $462.00 | $82.79 – $427.15 |
| Knee X-ray, 3 views CPT 73562 | $265.80 | $443.00 | $82.79 – $409.60 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $825.60 | $1,376.00 | $223.25 – $223.25 |
| Leg or arm vein ultrasound, one side CPT 93971 | $419.40 | $699.00 | $100.16 – $100.16 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $265.20 | $442.00 | $100.16 – $408.63 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,448.28 – $3,061.92 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,400.00 | $4,000.00 | $350.37 – $3,697.79 |
| MRI of the brain, without and with contrast CPT 70553 | $2,571.00 | $4,285.00 | $350.37 – $3,961.18 |
| MRI of the brain, without contrast CPT 70551 | $1,816.80 | $3,028.00 | $223.25 – $2,800.01 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,043.00 | $3,405.00 | $223.25 – $3,148.31 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,788.00 | $2,980.00 | $223.25 – $2,754.77 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,660.20 | $2,767.00 | $223.25 – $2,559.05 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,849.80 | $3,083.00 | $223.25 – $2,850.45 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,047.80 | $3,413.00 | $350.37 – $3,155.95 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,985.40 | $3,309.00 | $223.25 – $3,059.38 |
| Neck X-ray, 2 or 3 views CPT 72040 | $254.40 | $424.00 | $82.79 – $392.28 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $527.40 | $879.00 | $100.16 – $812.06 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $289.80 | $483.00 | $100.16 – $445.78 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $364.80 | $608.00 | $100.16 – $562.84 |
| Screening mammogram, both breasts CPT 77067 | $121.80 | $203.00 | $91.46 – $193.36 |
| Shoulder X-ray, 2 or more views CPT 73030 | $255.00 | $425.00 | $82.79 – $393.72 |
| Transvaginal pregnancy ultrasound CPT 76817 | $206.40 | $344.00 | $100.16 – $317.92 |
| Transvaginal ultrasound CPT 76830 | $427.20 | $712.00 | $100.16 – $658.17 |
| Ultrasound of the abdomen, complete CPT 76700 | $619.20 | $1,032.00 | $100.16 – $953.98 |
| Ultrasound of the neck or thyroid CPT 76536 | $420.60 | $701.00 | $100.16 – $648.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $258.00 | $430.00 | $82.79 – $397.04 |
| X-ray of the lower back, 4 or more views CPT 72110 | $355.80 | $593.00 | $100.16 – $547.69 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $334.80 | $558.00 | $48.55 – $102.65 |
| Blood culture CPT 87040 | $264.00 | $440.00 | $89.85 – $189.95 |
| Blood draw (venipuncture) CPT 36415 | $22.80 | $38.00 | $10.77 – $6,746.00 |
| BNP test (heart failure) CPT 83880 | $337.80 | $563.00 | $103.46 – $218.73 |
| C-reactive protein (CRP) test CPT 86140 | $189.60 | $316.00 | $37.36 – $78.96 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $201.00 | $335.00 | $75.78 – $160.21 |
| Complete blood count (CBC) with differential CPT 85025 | $125.40 | $209.00 | $43.42 – $91.82 |
| Complete blood count (CBC), automated CPT 85027 | $165.00 | $275.00 | $32.53 – $68.76 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $447.60 | $746.00 | $71.54 – $151.26 |
| COVID-19 PCR test CPT 87635 | $280.20 | $467.00 | $525.03 – $1,110.00 |
| D-dimer test (blood clots) CPT 85379 | $303.00 | $505.00 | $75.92 – $160.49 |
| Drug screen, instrument chemistry CPT 80307 | $214.80 | $358.00 | $101.69 – $214.97 |
| Ferritin (iron stores) test CPT 82728 | $183.60 | $306.00 | $60.88 – $128.72 |
| Free T4 (thyroid) test CPT 84439 | $213.00 | $355.00 | $57.53 – $121.61 |
| General health panel (blood tests) CPT 80050 | $295.80 | $493.00 | $121.58 – $257.04 |
| Glucose (blood sugar) test CPT 82947 | $105.60 | $176.00 | $20.27 – $42.86 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $166.20 | $277.00 | $68.30 – $144.40 |
| Hepatitis C antibody test CPT 86803 | $254.40 | $424.00 | $71.40 – $150.97 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $184.80 | $308.00 | $160.62 – $339.56 |
| Iron test CPT 83540 | $194.40 | $324.00 | $35.37 – $74.78 |
| Kidney function panel CPT 80069 | $395.40 | $659.00 | $108.94 – $230.33 |
| Lipase test (pancreas) CPT 83690 | $186.00 | $310.00 | $52.79 – $111.60 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $296.40 | $494.00 | $67.21 – $142.08 |
| Liver function panel CPT 80076 | $410.40 | $684.00 | $79.94 – $169.00 |
| Magnesium test CPT 83735 | $158.40 | $264.00 | $42.43 – $89.69 |
| Obstetric blood test panel CPT 80055 | not posted | $172.71 – $365.16 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $148.80 | $248.00 | $43.55 – $92.05 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $291.00 | $485.00 | $83.69 – $176.91 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $123.60 | $206.00 | $30.31 – $64.09 |
| PSA (prostate specific antigen), free CPT 84154 | $298.20 | $497.00 | $65.22 – $137.90 |
| PSA (prostate specific antigen), total CPT 84153 | $147.00 | $245.00 | $65.78 – $139.06 |
| Rapid strep test CPT 87880 | not posted | $40.89 – $86.44 | |
| Sed rate (ESR) test CPT 85652 | $61.80 | $103.00 | $29.76 – $62.93 |
| TB skin test CPT 86580 | not posted | $27.13 – $68.29 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $338.40 | $564.00 | $70.53 – $149.14 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $358.80 | $598.00 | $49.37 – $262.78 |
| Troponin test (heart damage) CPT 84484 | $298.80 | $498.00 | $79.99 – $169.13 |
| Urinalysis, automated, with microscope CPT 81001 | $127.20 | $212.00 | $34.30 – $72.50 |
| Urinalysis, automated, without microscope CPT 81003 | $82.20 | $137.00 | $26.99 – $57.05 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $24.46 – $51.73 | |
| Urinalysis, manual, without microscope CPT 81002 | not posted | $14.88 – $31.46 | |
| Urine culture, colony count CPT 87086 | $240.00 | $400.00 | $52.89 – $111.81 |
| Urine pregnancy test CPT 81025 | $265.20 | $442.00 | $44.01 – $93.07 |
| Vitamin B12 test CPT 82607 | $217.80 | $363.00 | $62.29 – $131.70 |
| Vitamin D test CPT 82306 | $352.80 | $588.00 | $83.53 – $176.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $825.60 | $1,376.00 | $223.25 – $223.25 |
| ECG tracing only (no interpretation) CPT 93005 | $282.00 | $470.00 | $55.73 – $55.73 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,845.60 | $3,076.00 | $502.61 – $502.61 |
| Left heart catheterization CPT 93452 | $10,534.80 | $17,558.00 | $2,968.76 – $12,028.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $11,151.60 | $18,586.00 | $2,968.76 – $8,020.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,514.00 | $4,190.00 | $1,293.68 – $3,873.60 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $20,528.40 | $34,214.00 | $5,689.00 – $12,028.00 |
| Appendix removal, laparoscopic CPT 44970 | $16,435.80 | $27,393.00 | $5,256.83 – $12,028.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,981.40 | $4,969.00 | $1,477.10 – $3,361.00 |
| Carpal tunnel release CPT 64721 | $5,897.40 | $9,829.00 | $1,759.07 – $6,366.00 |
| Colonoscopy with biopsy CPT 45380 | $3,429.00 | $5,715.00 | $1,075.12 – $3,538.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $3,429.00 | $5,715.00 | $1,075.12 – $3,538.00 |
| Colonoscopy, diagnostic CPT 45378 | $2,599.80 | $4,333.00 | $832.67 – $3,538.00 |
| Colposcopy with biopsy CPT 57454 | not posted | $292.27 – $3,538.00 | |
| Cystoscopy (bladder scope) CPT 52000 | $2,071.20 | $3,452.00 | $622.36 – $7,101.00 |
| Ear tubes, under general anesthesia CPT 69436 | $4,541.40 | $7,569.00 | $1,389.42 – $6,891.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,284.20 | $3,807.00 | $832.67 – $3,361.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $16,435.80 | $27,393.00 | $5,256.83 – $12,028.00 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $6,931.00 – $15,999.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $5,689.00 – $12,028.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $8,320.80 | $13,868.00 | $2,848.32 – $6,366.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $14,395.80 | $23,993.00 | $5,256.83 – $12,028.00 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $10,658.40 | $17,764.00 | $3,011.00 – $6,366.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $13,569.60 | $22,616.00 | $3,176.11 – $12,028.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $9,685.80 | $16,143.00 | $2,872.00 – $6,071.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,075.12 – $3,361.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $180.46 – $3,361.00 | |
| Prostate biopsy CPT 55700 | $6,362.40 | $10,604.00 | $1,590.00 – $3,361.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $23,120.40 | $38,534.00 | $5,689.00 – $13,934.00 |
| Removal of a breast lump, open surgery CPT 19120 | $9,988.20 | $16,647.00 | $1,590.00 – $3,697.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | $20,528.40 | $34,214.00 | $5,689.00 – $12,028.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,599.80 | $4,333.00 | $832.67 – $3,361.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,599.80 | $4,333.00 | $832.67 – $3,361.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $8,052.00 | $13,420.00 | $2,933.28 – $8,726.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $16,810.80 | $28,018.00 | $1,481.00 – $12,028.00 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $6,931.00 – $15,999.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,590.00 – $5,335.35 | |
| Total hip replacement CPT 27130 | $39,876.60 | $66,461.00 | $7,568.00 – $15,999.00 |
| Total knee replacement CPT 27447 | $37,065.60 | $61,776.00 | $7,568.00 – $15,999.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,722.80 | $4,538.00 | $825.87 – $3,538.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,722.80 | $4,538.00 | $825.87 – $3,538.00 |
| Vasectomy CPT 55250 | $6,208.80 | $10,348.00 | $1,855.67 – $6,366.00 |
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 | $3,359.00 – $7,101.00 | |
| Fetal non-stress test CPT 59025 | not posted | $181.55 – $3,193.00 | |
| IUD insertion CPT 58300 | not posted | $1,481.00 – $3,361.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3,359.00 – $7,101.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,011.00 – $6,366.00 |
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 | $5,801.30 – $11,385.47 | |
| C-section, without complications MS-DRG 788 | not posted | $5,797.23 – $5,797.23 | |
| Chest pain MS-DRG 313 | not posted | $4,262.27 – $9,628.95 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $6,395.77 – $14,664.31 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $3,842.17 – $8,540.43 | |
| Fainting (syncope) MS-DRG 312 | not posted | $5,024.11 – $11,490.59 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $5,803.62 – $13,091.43 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $7,540.58 – $17,084.86 | |
| Heart failure, without complications MS-DRG 293 | not posted | $3,301.29 – $7,471.88 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $57,399.27 – $129,148.43 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $11,264.91 – $25,039.78 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,247.67 – $7,358.77 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $5,272.75 – $11,986.95 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $4,687.68 – $10,737.42 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $14,936.81 – $32,743.20 | |
| Normal newborn care MS-DRG 795 | not posted | $1,192.54 – $2,684.02 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $4,538.02 – $10,398.09 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $4,950.46 – $10,941.02 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $7,651.94 – $17,653.07 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $3,781.49 – $8,324.86 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $9,264.72 – $18,182.68 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $11,531.82 – $26,382.46 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $6,056.98 – $13,704.88 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $5,195.57 – $11,772.70 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $22,189.27 – $48,675.68 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $4,640.54 – $10,453.98 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $5,988.63 – $13,525.23 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $6,897.18 – $15,462.73 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,436.41 – $4,436.41 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $9,162.06 – $20,190.71 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,118.00 | $3,530.00 | $269.84 – $3,361.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,460.60 | $4,101.00 | $830.42 – $3,361.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,266.00 | $2,110.00 | $630.04 – $3,361.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,989.60 | $3,316.00 | $830.42 – $3,538.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,123.11 – $6,891.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $120.43 – $120.43 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $529.58 – $3,361.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $142.31 – $142.31 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $142.31 – $142.31 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $952.55 – $952.55 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $952.55 – $952.55 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $275.40 | $459.00 | $142.31 – $142.31 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $145.26 – $145.26 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $145.26 – $145.26 | |
| Group psychotherapy CPT 90853 | not posted | $81.21 – $81.21 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $145.26 – $145.26 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $145.26 – $145.26 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $145.26 – $145.26 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $145.26 – $145.26 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $211.80 | $353.00 | $64.18 – $64.18 |
| IV hydration, each additional hour CPT 96361 | $123.60 | $206.00 | $43.28 – $43.28 |
| IV hydration, first hour CPT 96360 | $467.40 | $779.00 | $195.28 – $195.28 |
| IV push injection of a drug, first CPT 96374 | $196.80 | $328.00 | $195.28 – $195.28 |
| IV push injection, each additional drug CPT 96375 | $191.40 | $319.00 | $43.28 – $43.28 |
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.