Baylor St. Lukes Medical Center
6720 Bertner Ave, Ste Mc1-266, Houston, TX 77030 · Acute care hospital · Emergency room
These are Baylor St. Lukes Medical Center's own posted figures from its standard-charges file dated February 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
211 of the services we track have a posted price here; 147 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 | $2,335.20 | $6,672.00 | $607.67 – $6,672.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $252.35 | $721.00 | $30.82 – $1,240.20 |
| Emergency room visit, level 2 CPT 99282 | $505.40 | $1,444.00 | $30.82 – $1,444.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $962.15 | $2,749.00 | $30.82 – $3,983.00 |
| Emergency room visit, level 4 CPT 99284 | $1,372.00 | $3,920.00 | $307.09 – $5,594.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,760.15 | $5,029.00 | $442.14 – $7,127.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $362.25 | $1,035.00 | $92.70 – $2,700.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $165.90 | $474.00 | $60.82 – $474.00 |
| New patient office visit, about 30 minutes CPT 99203 | $207.90 | $594.00 | $82.00 – $594.00 |
| New patient office visit, about 45 minutes CPT 99204 | $238.35 | $681.00 | $82.00 – $681.00 |
| New patient office visit, about 60 minutes CPT 99205 | $251.65 | $719.00 | $82.00 – $719.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $118.65 | $339.00 | $30.62 – $339.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $148.40 | $424.00 | $61.24 – $424.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $168.70 | $482.00 | $82.00 – $482.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $174.65 | $499.00 | $82.00 – $499.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $340.55 | $973.00 | $11.06 – $973.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $64.75 | $185.00 | $20.35 – $215.00 |
| Abdominal X-ray, 1 view CPT 74018 | $456.40 | $1,304.00 | $30.08 – $1,304.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $542.85 | $1,551.00 | $36.75 – $1,551.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $416.50 | $1,190.00 | $36.76 – $1,190.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $980.35 | $2,801.00 | $76.69 – $2,801.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $754.95 | $2,157.00 | $63.50 – $2,157.00 |
| Chest X-ray, 1 view CPT 71045 | $436.80 | $1,248.00 | $25.73 – $1,248.00 |
| Chest X-ray, 2 views CPT 71046 | $572.25 | $1,635.00 | $33.75 – $1,635.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,421.25 | $9,775.00 | $128.38 – $9,775.00 |
| CT angiogram of the head CPT 70496 | $3,731.00 | $10,660.00 | $128.38 – $10,660.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,736.45 | $19,247.00 | $257.55 – $19,247.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,343.00 | $20,980.00 | $257.55 – $20,980.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $5,658.80 | $16,168.00 | $174.32 – $16,168.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,371.30 | $3,918.00 | $76.69 – $3,918.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,540.25 | $10,115.00 | $128.38 – $10,115.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,796.85 | $7,991.00 | $76.69 – $7,991.00 |
| CT scan of the head, without contrast CPT 70450 | $2,399.25 | $6,855.00 | $76.69 – $6,855.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,851.10 | $8,146.00 | $76.69 – $8,146.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,722.65 | $7,779.00 | $128.38 – $7,779.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,256.80 | $6,448.00 | $76.69 – $6,448.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $680.75 | $1,945.00 | $144.00 – $1,945.00 |
| Diagnostic mammogram, one breast CPT 77065 | $449.40 | $1,284.00 | $112.87 – $1,284.00 |
| Foot X-ray, 3 or more views CPT 73630 | $513.80 | $1,468.00 | $34.41 – $1,468.00 |
| Hand X-ray, 3 or more views CPT 73130 | $505.75 | $1,445.00 | $37.09 – $1,445.00 |
| Knee X-ray, 3 views CPT 73562 | $504.35 | $1,441.00 | $40.76 – $1,441.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,336.65 | $3,819.00 | $174.32 – $3,819.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $908.95 | $2,597.00 | $76.69 – $2,597.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $713.65 | $2,039.00 | $40.10 – $2,039.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $988.75 | $2,825.00 | $351.60 – $2,825.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,936.05 | $14,103.00 | $257.55 – $14,103.00 |
| MRI of the brain, without and with contrast CPT 70553 | $4,119.50 | $11,770.00 | $257.55 – $11,770.00 |
| MRI of the brain, without contrast CPT 70551 | $1,647.80 | $4,708.00 | $174.32 – $4,708.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,725.80 | $7,788.00 | $174.32 – $7,788.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,528.70 | $10,082.00 | $174.32 – $10,082.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,760.85 | $5,031.00 | $174.32 – $5,031.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,950.15 | $8,429.00 | $174.32 – $8,429.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,936.05 | $14,103.00 | $257.55 – $14,103.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,790.25 | $5,115.00 | $174.32 – $5,115.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $520.80 | $1,488.00 | $39.76 – $1,488.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $989.80 | $2,828.00 | $76.69 – $2,828.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,088.50 | $3,110.00 | $76.69 – $3,110.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $938.35 | $2,681.00 | $76.69 – $2,681.00 |
| Screening mammogram, both breasts CPT 77067 | $297.50 | $850.00 | $119.36 – $850.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $558.60 | $1,596.00 | $34.75 – $1,596.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $710.85 | $2,031.00 | $76.69 – $2,031.00 |
| Transvaginal ultrasound CPT 76830 | $705.25 | $2,015.00 | $76.69 – $2,015.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,812.30 | $5,178.00 | $76.69 – $5,178.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,158.15 | $3,309.00 | $76.69 – $3,309.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $462.35 | $1,321.00 | $41.10 – $1,321.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $926.80 | $2,648.00 | $51.45 – $2,648.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $380.10 | $1,086.00 | $6.09 – $1,086.00 |
| Blood culture CPT 87040 | $245.70 | $702.00 | $7.43 – $702.00 |
| Blood draw (venipuncture) CPT 36415 | $22.05 | $63.00 | $4.50 – $2,700.00 |
| BNP test (heart failure) CPT 83880 | $127.75 | $365.00 | $28.27 – $365.00 |
| C-reactive protein (CRP) test CPT 86140 | $121.45 | $347.00 | $3.73 – $347.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $136.85 | $391.00 | $25.26 – $391.00 |
| Complete blood count (CBC) with differential CPT 85025 | $93.80 | $268.00 | $5.59 – $268.00 |
| Complete blood count (CBC), automated CPT 85027 | $174.30 | $498.00 | $4.66 – $498.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $472.85 | $1,351.00 | $7.60 – $1,351.00 |
| D-dimer test (blood clots) CPT 85379 | $175.00 | $500.00 | $7.33 – $500.00 |
| Drug screen, instrument chemistry CPT 80307 | $206.15 | $589.00 | $44.74 – $589.00 |
| Ferritin (iron stores) test CPT 82728 | $103.95 | $297.00 | $9.81 – $297.00 |
| Free T4 (thyroid) test CPT 84439 | $62.65 | $179.00 | $6.49 – $179.00 |
| Glucose (blood sugar) test CPT 82947 | $67.90 | $194.00 | $2.83 – $194.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $146.30 | $418.00 | $25.26 – $418.00 |
| Hemoglobin A1c test CPT 83036 | $74.90 | $214.00 | $6.99 – $214.00 |
| Hepatitis C antibody test CPT 86803 | $134.05 | $383.00 | $10.27 – $383.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $135.45 | $387.00 | $17.34 – $387.00 |
| Iron test CPT 83540 | $92.05 | $263.00 | $4.66 – $263.00 |
| Lipase test (pancreas) CPT 83690 | $160.65 | $459.00 | $4.96 – $459.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $155.05 | $443.00 | $7.66 – $443.00 |
| Liver function panel CPT 80076 | $326.55 | $933.00 | $5.88 – $933.00 |
| Magnesium test CPT 83735 | $168.70 | $482.00 | $4.82 – $482.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $210.70 | $602.00 | $4.33 – $602.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $112.35 | $321.00 | $10.84 – $321.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $178.15 | $509.00 | $3.09 – $509.00 |
| PSA (prostate specific antigen), free CPT 84154 | $67.90 | $194.00 | $13.24 – $194.00 |
| PSA (prostate specific antigen), total CPT 84153 | $126.70 | $362.00 | $13.24 – $362.00 |
| Rapid strep test CPT 87880 | $34.65 | $99.00 | $11.90 – $99.00 |
| Sed rate (ESR) test CPT 85652 | $48.30 | $138.00 | $1.94 – $138.00 |
| TB skin test CPT 86580 | $25.90 | $74.00 | $14.05 – $79.72 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $151.55 | $433.00 | $12.10 – $433.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $408.10 | $1,166.00 | $38.53 – $1,166.00 |
| Troponin test (heart damage) CPT 84484 | $135.45 | $387.00 | $8.98 – $387.00 |
| Urinalysis, automated, with microscope CPT 81001 | $91.70 | $262.00 | $2.28 – $262.00 |
| Urinalysis, automated, without microscope CPT 81003 | $53.90 | $154.00 | $1.62 – $154.00 |
| Urinalysis, manual, without microscope CPT 81002 | $13.65 | $39.00 | $2.51 – $39.00 |
| Urine culture, colony count CPT 87086 | $173.25 | $495.00 | $5.81 – $495.00 |
| Urine pregnancy test CPT 81025 | $143.50 | $410.00 | $6.20 – $410.00 |
| Vitamin B12 test CPT 82607 | $71.40 | $204.00 | $10.86 – $204.00 |
| Vitamin D test CPT 82306 | $128.80 | $368.00 | $21.31 – $368.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,324.40 | $3,784.00 | $174.32 – $3,784.00 |
| ECG tracing only (no interpretation) CPT 93005 | $295.40 | $844.00 | $42.84 – $844.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,651.25 | $7,575.00 | $100.00 – $7,575.00 |
| Left heart catheterization CPT 93452 | $4,753.35 | $13,581.00 | $1,493.91 – $28,954.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $8,642.55 | $24,693.00 | $2,319.57 – $28,954.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,876.90 | $13,934.00 | $438.05 – $13,934.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,369.00 – $23,254.72 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $1,369.00 – $18,992.38 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $3,854.90 | $11,014.00 | $511.75 – $11,014.00 |
| Carpal tunnel release CPT 64721 | not posted | $694.26 – $7,221.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $451.58 – $7,221.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $451.58 – $7,221.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $345.58 – $7,221.00 | |
| Colposcopy with biopsy CPT 57454 | $114.80 | $328.00 | $66.74 – $5,160.00 |
| Cystoscopy (bladder scope) CPT 52000 | $1,101.80 | $3,148.00 | $250.53 – $30,902.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $442.51 – $9,029.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $723.80 | $2,068.00 | $133.80 – $5,160.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $1,926.00 – $18,992.38 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,213.10 – $30,120.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $2,222.00 – $33,891.29 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,118.82 – $10,350.21 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $1,695.00 – $18,992.38 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $1,211.42 – $11,488.03 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,202.33 – $30,902.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,144.86 – $10,562.08 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $451.58 – $7,221.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $71.68 – $2,700.00 | |
| Prostate biopsy CPT 55700 | $849.80 | $2,428.00 | $655.56 – $7,221.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,926.00 – $33,891.29 | |
| Removal of a breast lump, open surgery CPT 19120 | $3,114.30 | $8,898.00 | $1,013.77 – $12,465.31 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,926.00 – $23,254.72 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $932.72 – $10,557.04 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,369.00 – $9,029.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $781.37 – $30,120.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,369.00 – $19,257.03 | |
| Total hip replacement CPT 27130 | not posted | $2,222.00 – $41,884.89 | |
| Total knee replacement CPT 27447 | not posted | $2,222.00 – $41,884.89 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $352.37 – $7,221.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $352.37 – $5,160.00 | |
| Vasectomy CPT 55250 | not posted | $686.75 – $7,221.00 |
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 | $140.12 – $5,529.48 | |
| Fetal non-stress test CPT 59025 | $481.25 | $1,375.00 | $16.60 – $2,700.00 |
| IUD insertion CPT 58300 | $224.35 | $641.00 | $37.19 – $2,700.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $116.76 – $5,233.20 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $61.22 – $4,987.25 |
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 | $5,972.93 – $26,961.13 | |
| C-section, without complications MS-DRG 788 | not posted | $6,098.71 – $27,528.90 | |
| Chest pain MS-DRG 313 | not posted | $5,029.26 – $22,701.48 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $7,319.11 – $33,037.65 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $4,620.00 – $21,030.92 | |
| Fainting (syncope) MS-DRG 312 | not posted | $5,911.99 – $26,686.05 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $6,552.66 – $29,577.96 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $8,335.47 – $37,625.35 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,042.00 – $18,545.28 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $54,995.33 – $248,242.77 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $11,581.86 – $52,279.21 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $3,980.00 – $18,817.83 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $6,010.38 – $27,130.19 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $5,527.93 – $24,952.43 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $14,275.91 – $64,439.87 | |
| Normal newborn care MS-DRG 795 | not posted | $1,452.00 – $9,740.87 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $5,409.41 – $24,417.45 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $5,625.20 – $25,391.51 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $8,407.58 – $37,950.87 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $4,503.00 – $20,412.67 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $8,921.35 – $40,269.97 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $12,010.09 – $54,212.21 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $6,804.79 – $30,716.05 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $5,965.10 – $26,925.77 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $26,329.00 – $42,725.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $5,403.26 – $24,389.69 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $6,725.96 – $30,360.24 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $7,742.32 – $34,947.94 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,603.81 – $20,781.09 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $9,213.18 – $41,587.23 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,723.75 | $4,925.00 | $28.56 – $5,160.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $936.25 | $2,675.00 | $358.49 – $5,160.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,877.75 | $5,365.00 | $276.53 – $5,365.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $276.53 – $5,160.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $894.14 – $12,381.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $219.16 – $7,221.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $126.70 | $362.00 | $97.74 – $1,043.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $301.70 | $862.00 | $100.00 – $2,714.00 |
| Sleep study with CPAP titration CPT 95811 | $3,214.40 | $9,184.00 | $100.00 – $9,184.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,948.75 | $8,425.00 | $100.00 – $8,425.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $339.50 | $970.00 | $100.00 – $970.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $112.70 | $322.00 | $33.59 – $383.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $122.50 | $350.00 | $36.99 – $383.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $98.00 | $280.00 | $48.05 – $383.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $306.60 | $876.00 | $37.66 – $876.00 |
| IV hydration, each additional hour CPT 96361 | $196.35 | $561.00 | $16.15 – $561.00 |
| IV hydration, first hour CPT 96360 | $534.45 | $1,527.00 | $45.50 – $1,527.00 |
| IV push injection of a drug, first CPT 96374 | $306.60 | $876.00 | $46.78 – $876.00 |
| IV push injection, each additional drug CPT 96375 | $306.60 | $876.00 | $19.99 – $876.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $23.12 | $66.05 | ? – $66.05 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $19.81 | $56.58 | ? – $56.58 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $102.67 | $293.34 | ? – $293.34 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $20.46 | $58.44 | $12.86 – $58.44 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $21.74 | $62.11 | ? – $62.11 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $51.54 | $147.25 | ? – $147.25 |
| Morphine injection, up to 10 mg HCPCS J2270 | $32.61 | $93.16 | ? – $93.16 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $19.46 | $55.60 | ? – $55.60 |
| Propofol injection, per 10 mg HCPCS J2704 | $29.44 | $84.11 | ? – $84.11 |
| Saline IV solution, 1000 ml HCPCS J7030 | $7.35 | $21.00 | $4.38 – $21.00 |
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.