Baylor Scott and White Medical Center Uptown

2727 East Lemmon Avenue Building I, Dallas, TX 75204 · Acute care hospital · Emergency room

These are Baylor Scott and White Medical Center Uptown's own posted figures from its standard-charges file dated April 14, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

225 of the services we track have a posted price here; 145 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	$1,087.80	$1,813.00	$3,840.00 – $8,427.00
Emergency room visit, level 1 (minor) CPT 99281	$291.60	$486.00	$202.00 – $8,427.00
Emergency room visit, level 2 CPT 99282	$511.20	$852.00	$432.00 – $8,427.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,090.20	$1,817.00	$917.00 – $8,427.00
Emergency room visit, level 4 CPT 99284	$2,154.00	$3,590.00	$1,820.00 – $8,427.00
Emergency room visit, level 5 (most severe) CPT 99285	$4,557.00	$7,595.00	$2,457.00 – $8,427.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$627.60	$1,046.00	$109.00 – $8,427.00

Office visits

Service	Cash price	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted	$432.00 – $8,427.00
New patient office visit, about 30 minutes CPT 99203	not posted	$917.00 – $8,427.00
New patient office visit, about 45 minutes CPT 99204	not posted	$1,820.00 – $8,427.00
New patient office visit, about 60 minutes CPT 99205	not posted	$3,840.00 – $8,427.00
Office consultation, about 40 minutes CPT 99243	not posted	$3,986.00 – $8,427.00
Office consultation, about 60 minutes CPT 99244	not posted	$3,986.00 – $8,427.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted	$3,986.00 – $8,427.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted	$3,986.00 – $8,427.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted	$3,986.00 – $8,427.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted	$3,986.00 – $8,427.00
Office visit, established patient, brief (often a nurse) CPT 99211	not posted	$3,986.00 – $8,427.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted	$3,986.00 – $8,427.00
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted	$3,986.00 – $8,427.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$51.29 – $8,427.00
Abdominal X-ray, 1 view CPT 74018	$160.20	$267.00	$125.49 – $8,427.00
Ankle X-ray, 3 or more views CPT 73610	$246.60	$411.00	$193.17 – $8,427.00
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$297.66 – $8,427.00
Breast ultrasound, one breast, complete CPT 76641	$153.00	$255.00	$119.85 – $8,427.00
Breast ultrasound, one breast, limited CPT 76642	$153.00	$255.00	$119.85 – $8,427.00
Chest X-ray, 1 view CPT 71045	$127.20	$212.00	$99.64 – $8,427.00
Chest X-ray, 2 views CPT 71046	$171.00	$285.00	$133.95 – $8,427.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,713.60	$2,856.00	$1,342.32 – $8,427.00
CT angiogram of the head CPT 70496	$1,976.40	$3,294.00	$1,548.18 – $8,427.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,394.20	$5,657.00	$2,658.79 – $8,427.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,568.20	$5,947.00	$2,795.09 – $8,427.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,735.40	$4,559.00	$2,142.73 – $8,427.00
CT scan of the abdomen, without contrast CPT 74150	$1,385.40	$2,309.00	$1,085.23 – $8,427.00
CT scan of the chest, with contrast CPT 71260	$1,713.60	$2,856.00	$1,342.32 – $8,427.00
CT scan of the chest, without contrast CPT 71250	$1,437.00	$2,395.00	$1,125.65 – $8,427.00
CT scan of the head, without contrast CPT 70450	$1,330.80	$2,218.00	$1,042.46 – $8,427.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,358.40	$2,264.00	$1,064.08 – $8,427.00
CT scan of the pelvis, with contrast CPT 72193	$1,646.40	$2,744.00	$1,289.68 – $8,427.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,130.40	$1,884.00	$885.48 – $8,427.00
Diagnostic mammogram, both breasts CPT 77066	not posted		$134.08 – $8,427.00
Diagnostic mammogram, one breast CPT 77065	$624.00	$1,040.00	$109.06 – $8,427.00
Foot X-ray, 3 or more views CPT 73630	$318.60	$531.00	$249.57 – $8,427.00
Hand X-ray, 3 or more views CPT 73130	$277.20	$462.00	$217.14 – $8,427.00
Knee X-ray, 3 views CPT 73562	$265.80	$443.00	$208.21 – $8,427.00
Leg or arm vein ultrasound, both sides CPT 93970	$563.40	$939.00	$441.33 – $8,427.00
Leg or arm vein ultrasound, one side CPT 93971	$621.60	$1,036.00	$397.64 – $8,427.00
Lower back X-ray, 2 or 3 views CPT 72100	$265.20	$442.00	$207.74 – $8,427.00
MRI of both breasts, without and with contrast CPT 77049	not posted		$1,727.01 – $8,427.00
MRI of the abdomen, without and with contrast CPT 74183	$2,400.00	$4,000.00	$1,880.00 – $8,427.00
MRI of the brain, without and with contrast CPT 70553	$2,571.00	$4,285.00	$2,013.95 – $8,427.00
MRI of the brain, without contrast CPT 70551	$1,816.80	$3,028.00	$1,423.16 – $8,427.00
MRI of the knee or other leg joint, without contrast CPT 73721	$2,043.00	$3,405.00	$1,600.35 – $8,427.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,788.00	$2,980.00	$1,400.60 – $8,427.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,660.20	$2,767.00	$1,300.49 – $8,427.00
MRI of the neck (cervical spine), without contrast CPT 72141	$1,849.80	$3,083.00	$1,449.01 – $8,427.00
MRI of the pelvis, without and with contrast CPT 72197	$2,047.80	$3,413.00	$1,604.11 – $8,427.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,985.40	$3,309.00	$1,555.23 – $8,427.00
Neck X-ray, 2 or 3 views CPT 72040	$254.40	$424.00	$199.28 – $8,427.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$590.40	$984.00	$397.64 – $8,427.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$289.80	$483.00	$227.01 – $8,427.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$364.80	$608.00	$285.76 – $8,427.00
Screening mammogram, both breasts CPT 77067	not posted		$109.06 – $8,427.00
Shoulder X-ray, 2 or more views CPT 73030	$255.00	$425.00	$199.75 – $8,427.00
Transvaginal pregnancy ultrasound CPT 76817	$206.40	$344.00	$161.68 – $8,427.00
Transvaginal ultrasound CPT 76830	$427.20	$712.00	$334.64 – $8,427.00
Ultrasound of the abdomen, complete CPT 76700	$964.80	$1,608.00	$397.64 – $8,427.00
Ultrasound of the neck or thyroid CPT 76536	$420.60	$701.00	$329.47 – $8,427.00
Wrist X-ray, 3 or more views CPT 73110	$258.00	$430.00	$202.10 – $8,427.00
X-ray of the lower back, 4 or more views CPT 72110	$355.80	$593.00	$278.71 – $8,427.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$25.80	$43.00	? – $8,427.00
Blood culture CPT 87040	$91.80	$153.00	? – $8,427.00
Blood draw (venipuncture) CPT 36415	$25.80	$43.00	$13.23 – $8,427.00
BNP test (heart failure) CPT 83880	$84.60	$141.00	? – $8,427.00
C-reactive protein (CRP) test CPT 86140	$115.20	$192.00	? – $8,427.00
Chlamydia test (DNA/NAAT) CPT 87491	$27.60	$46.00	? – $8,427.00
Complete blood count (CBC) with differential CPT 85025	$10.80	$18.00	? – $8,427.00
Complete blood count (CBC), automated CPT 85027	$49.80	$83.00	? – $8,427.00
Comprehensive metabolic panel (blood test) CPT 80053	$30.00	$50.00	? – $8,427.00
COVID-19 PCR test CPT 87635	$288.00	$480.00	? – $8,427.00
D-dimer test (blood clots) CPT 85379	$49.80	$83.00	? – $8,427.00
Drug screen, instrument chemistry CPT 80307	$184.20	$307.00	? – $8,427.00
Ferritin (iron stores) test CPT 82728	$24.60	$41.00	? – $8,427.00
Free T4 (thyroid) test CPT 84439	$152.40	$254.00	? – $8,427.00
General health panel (blood tests) CPT 80050	not posted		? – $8,427.00
Glucose (blood sugar) test CPT 82947	$19.20	$32.00	? – $8,427.00
Gonorrhea test (DNA/NAAT) CPT 87591	$27.60	$46.00	? – $8,427.00
Hemoglobin A1c test CPT 83036	$25.80	$43.00	? – $8,427.00
Hepatitis C antibody test CPT 86803	$51.00	$85.00	? – $8,427.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	not posted		? – $8,427.00
Iron test CPT 83540	$30.00	$50.00	? – $8,427.00
Kidney function panel CPT 80069	$49.80	$83.00	? – $8,427.00
Lipase test (pancreas) CPT 83690	$94.80	$158.00	? – $8,427.00
Lipid panel, cholesterol and triglycerides CPT 80061	$30.00	$50.00	? – $8,427.00
Liver function panel CPT 80076	$30.00	$50.00	? – $8,427.00
Magnesium test CPT 83735	$27.60	$46.00	? – $8,427.00
Obstetric blood test panel CPT 80055	not posted		? – $8,427.00
Partial thromboplastin time (PTT), clotting test CPT 85730	$171.60	$286.00	? – $8,427.00
Pregnancy blood test (hCG), quantitative CPT 84702	$82.20	$137.00	? – $8,427.00
Prothrombin time (PT/INR), clotting test CPT 85610	$226.80	$378.00	? – $8,427.00
PSA (prostate specific antigen), free CPT 84154	not posted		? – $8,427.00
PSA (prostate specific antigen), total CPT 84153	$133.20	$222.00	? – $8,427.00
Rapid strep test CPT 87880	$27.60	$46.00	? – $8,427.00
Sed rate (ESR) test CPT 85652	$28.20	$47.00	? – $8,427.00
TB skin test CPT 86580	not posted		? – $8,427.00
Thyroid stimulating hormone (TSH) CPT 84443	$53.40	$89.00	? – $8,427.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$125.40	$209.00	? – $8,427.00
Troponin test (heart damage) CPT 84484	$48.00	$80.00	? – $8,427.00
Urinalysis, automated, with microscope CPT 81001	$27.60	$46.00	? – $8,427.00
Urinalysis, automated, without microscope CPT 81003	$30.60	$51.00	? – $8,427.00
Urinalysis, manual, with microscope CPT 81000	not posted		? – $8,427.00
Urinalysis, manual, without microscope CPT 81002	not posted		? – $8,427.00
Urine culture, colony count CPT 87086	$130.20	$217.00	? – $8,427.00
Urine pregnancy test CPT 81025	$181.20	$302.00	? – $8,427.00
Vitamin B12 test CPT 82607	$51.00	$85.00	? – $8,427.00
Vitamin D test CPT 82306	$152.40	$254.00	? – $8,427.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$405.00	$675.00	$317.25 – $8,427.00
ECG tracing only (no interpretation) CPT 93005	$144.00	$240.00	$112.80 – $8,427.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$936.60	$1,561.00	$733.67 – $8,427.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$3,986.00 – $8,427.00
Holter monitor, up to 48 hours CPT 93224	not posted		$3,986.00 – $8,427.00
Left heart catheterization CPT 93452	not posted		$3,986.00 – $15,456.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$3,986.00 – $15,456.00
Nuclear stress test (heart perfusion imaging) CPT 78452	not posted		$2,250.40 – $8,427.00
Treadmill stress test, complete CPT 93015	not posted		$3,986.00 – $8,427.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$3,591.60	$5,986.00	$3,292.30 – $14,275.00
Appendix removal, laparoscopic CPT 44970	$2,078.40	$3,464.00	$1,905.20 – $14,275.00
Breast biopsy with ultrasound guidance CPT 19083	$601.20	$1,002.00	$551.10 – $8,427.00
Carpal tunnel release CPT 64721	$1,575.60	$2,626.00	$1,444.30 – $8,427.00
Colonoscopy with biopsy CPT 45380	$1,575.60	$2,626.00	$1,444.30 – $8,427.00
Colonoscopy with polyp removal (snare) CPT 45385	$2,863.20	$4,772.00	$1,659.00 – $8,427.00
Colonoscopy, diagnostic CPT 45378	$2,265.60	$3,776.00	$1,659.00 – $8,427.00
Colposcopy with biopsy CPT 57454	$627.60	$1,046.00	$575.30 – $8,427.00
Cystoscopy (bladder scope) CPT 52000	$1,071.00	$1,785.00	$981.75 – $8,427.00
Ear tubes, under general anesthesia CPT 69436	$1,071.00	$1,785.00	$981.75 – $8,427.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$2,491.20	$4,152.00	$1,659.00 – $8,427.00
Gallbladder removal, laparoscopic CPT 47562	$1,575.60	$2,626.00	$1,444.30 – $14,275.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$2,646.00	$4,410.00	$2,425.50 – $19,020.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$1,943.40	$3,239.00	$1,781.45 – $14,275.00
Hysteroscopy with biopsy or polyp removal CPT 58558	$1,071.00	$1,785.00	$981.75 – $8,427.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$1,575.60	$2,626.00	$1,444.30 – $14,275.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$1,575.60	$2,626.00	$1,444.30 – $8,427.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$3,986.00 – $14,275.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$2,646.00	$4,410.00	$2,425.50 – $8,427.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$1,659.00 – $8,427.00
Nasal endoscopy, diagnostic CPT 31231	$1,071.00	$1,785.00	$109.00 – $8,427.00
Prostate biopsy CPT 55700	$1,071.00	$1,785.00	$981.75 – $8,427.00
Prostate removal, laparoscopic or robotic CPT 55866	$2,078.40	$3,464.00	$1,905.20 – $16,185.00
Removal of a breast lump, open surgery CPT 19120	$1,071.00	$1,785.00	$981.75 – $8,427.00
Rotator cuff repair, arthroscopic CPT 29827	$3,591.60	$5,986.00	$3,292.30 – $14,275.00
Screening colonoscopy, average risk HCPCS G0121	$906.00	$1,510.00	$830.50 – $4,173.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$1,659.00 – $4,173.00
Septoplasty (nasal septum repair) CPT 30520	$2,078.40	$3,464.00	$1,905.20 – $10,356.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$3,591.60	$5,986.00	$1,105.00 – $14,275.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$16,474.80	$27,458.00	$3,986.00 – $19,020.00
Tonsil and adenoid removal, under age 12 CPT 42820	$1,071.00	$1,785.00	$981.75 – $8,427.00
Total hip replacement CPT 27130	$3,591.60	$5,986.00	$3,292.30 – $18,989.00
Total knee replacement CPT 27447	$3,591.60	$5,986.00	$3,292.30 – $18,989.00
Upper endoscopy (EGD) with biopsy CPT 43239	$2,187.60	$3,646.00	$1,659.00 – $8,427.00
Upper endoscopy (EGD), diagnostic CPT 43235	$1,071.00	$1,785.00	$981.75 – $8,427.00
Vasectomy CPT 55250	$1,071.00	$1,785.00	$981.75 – $8,427.00

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	not posted		$228.49 – $8,427.00
IUD insertion CPT 58300	$993.00	$1,655.00	$109.00 – $8,427.00
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 – $8,427.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$274.00 – $6,024.67
C-section, without complications MS-DRG 788	not posted	$12,159.17 – $19,707.08
Chest pain MS-DRG 313	not posted	$5,191.58 – $8,091.38
COPD flare-up, with major complications MS-DRG 190	not posted	$8,739.74 – $12,737.07
COPD flare-up, without complications MS-DRG 192	not posted	$5,314.89 – $7,340.54
Fainting (syncope) MS-DRG 312	not posted	$5,883.01 – $9,882.28
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$7,268.80 – $11,182.08
Heart failure, with major complications MS-DRG 291	not posted	$9,875.24 – $14,799.04
Heart failure, without complications MS-DRG 293	not posted	$4,885.50 – $6,223.36
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$34,236.00 – $109,462.78
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$17,807.00 – $34,953.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$4,127.28 – $6,345.85
Kidney failure, with complications MS-DRG 683	not posted	$6,745.46 – $10,081.90
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$5,828.69 – $9,103.09
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$14,942.00 – $35,308.00
Normal newborn care MS-DRG 795	not posted	$555.00 – $4,773.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$5,518.95 – $8,862.64
Pneumonia, with complications MS-DRG 194	not posted	$6,607.47 – $9,300.44
Pneumonia, with major complications MS-DRG 193	not posted	$9,664.58 – $14,945.35
Pneumonia, without complications MS-DRG 195	not posted	$5,041.11 – $7,062.66
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$274.00 – $8,779.37
Sepsis, with major complications MS-DRG 871	not posted	$13,625.98 – $22,254.14
Sepsis, without major complications MS-DRG 872	not posted	$7,728.29 – $11,693.60
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$6,222.12 – $9,990.03
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$18,268.00 – $35,308.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$5,544.64 – $8,850.16
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$7,571.21 – $11,533.68
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$8,188.50 – $13,595.66
Vaginal delivery, without complications MS-DRG 807	not posted	$3,108.00 – $13,882.31
Weight loss surgery, without complications MS-DRG 621	not posted	$11,584.72 – $28,245.00

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	$1,105.00 – $8,427.00
Lower back nerve root injection with imaging guidance CPT 64483	$627.60	$1,046.00	$575.30 – $8,427.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,071.60	$1,786.00	$982.30 – $8,427.00
Lower back spinal injection (epidural), without imaging CPT 62322	$1,071.60	$1,786.00	$982.30 – $8,427.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$2,646.00	$4,410.00	$2,425.50 – $9,391.00
Eye exam, new patient, comprehensive CPT 92004	not posted		$3,986.00 – $8,427.00
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$1,071.00	$1,785.00	$981.75 – $8,427.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$3,986.00 – $8,427.00

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$3,986.00 – $8,427.00
Sleep study with CPAP titration CPT 95811	not posted	$3,986.00 – $8,427.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$3,986.00 – $8,427.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$153.00	$255.00	$3,986.00 – $8,427.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$65.40	$109.00	$3,986.00 – $8,427.00
Physical therapy evaluation, low complexity CPT 97161	$116.40	$194.00	$3,986.00 – $8,427.00
Physical therapy evaluation, moderate complexity CPT 97162	$116.40	$194.00	$3,986.00 – $8,427.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$65.40	$109.00	$3,986.00 – $8,427.00
Therapeutic activities, 15 minutes CPT 97530	$69.00	$115.00	$3,986.00 – $8,427.00

Mental health

Service	Cash price	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	not posted	$3,986.00 – $8,427.00
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted	$3,986.00 – $8,427.00
Group psychotherapy CPT 90853	not posted	$3,986.00 – $8,427.00
Psychiatric diagnostic evaluation CPT 90791	not posted	$3,986.00 – $8,427.00
Psychotherapy, 30 minutes CPT 90832	not posted	$3,986.00 – $8,427.00
Psychotherapy, 45 minutes CPT 90834	not posted	$3,986.00 – $8,427.00
Psychotherapy, 60 minutes CPT 90837	not posted	$3,986.00 – $8,427.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$315.60	$526.00	$3,986.00 – $8,427.00
IV hydration, each additional hour CPT 96361	$175.80	$293.00	$3,986.00 – $8,427.00
IV hydration, first hour CPT 96360	$271.80	$453.00	$3,986.00 – $8,427.00
IV push injection of a drug, first CPT 96374	$315.60	$526.00	$3,986.00 – $8,427.00
IV push injection, each additional drug CPT 96375	$84.60	$141.00	$3,986.00 – $8,427.00

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.

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