HCA Houston Healthcare Conroe
504 Medical Center Blvd, Conroe, TX 77304 · Acute care hospital · Emergency room
These are HCA Houston Healthcare Conroe's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
227 of the services we track have a posted price here; 130 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 | $11,200.73 | $11,200.73 | $3,343.00 – $5,647.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $796.18 | $796.18 | $50.33 – $1,716.00 |
| Emergency room visit, level 2 CPT 99282 | $1,305.89 | $1,305.89 | $50.33 – $1,716.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,181.39 | $2,181.39 | $50.33 – $3,540.00 |
| Emergency room visit, level 4 CPT 99284 | $3,440.29 | $3,440.29 | $300.00 – $4,651.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $6,817.38 | $6,817.38 | $300.00 – $5,647.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $405.37 – $5,841.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $1,789.33 | $1,789.33 | $48.39 – $665.00 |
| Abdominal X-ray, 1 view CPT 74018 | $2,047.00 | $2,047.00 | $30.68 – $182.03 |
| Ankle X-ray, 3 or more views CPT 73610 | $3,880.53 | $3,880.53 | $232.83 – $3,492.48 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $2,069.70 | $2,069.70 | $38.85 – $245.18 |
| Breast ultrasound, one breast, complete CPT 76641 | $5,811.66 | $5,811.66 | $300.00 – $5,230.49 |
| Breast ultrasound, one breast, limited CPT 76642 | $2,904.37 | $2,904.37 | $174.26 – $2,613.93 |
| Chest X-ray, 1 view CPT 71045 | $2,020.00 | $2,020.00 | $25.22 – $330.41 |
| Chest X-ray, 2 views CPT 71046 | $2,121.00 | $2,121.00 | $34.42 – $182.03 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $22,888.00 | $22,888.00 | $171.56 – $1,361.00 |
| CT angiogram of the head CPT 70496 | $22,811.00 | $22,811.00 | $183.95 – $2,106.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $27,886.00 | $27,886.00 | $324.45 – $2,106.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $29,322.00 | $29,322.00 | $343.18 – $1,710.69 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $25,787.00 | $25,787.00 | $193.59 – $2,106.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $15,103.00 | $15,103.00 | $102.66 – $1,361.00 |
| CT scan of the chest, with contrast CPT 71260 | $18,851.00 | $18,851.00 | $176.54 – $2,106.00 |
| CT scan of the chest, without contrast CPT 71250 | $16,573.00 | $16,573.00 | $102.66 – $1,361.00 |
| CT scan of the head, without contrast CPT 70450 | $15,070.00 | $15,070.00 | $109.02 – $2,106.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $16,765.00 | $16,765.00 | $109.02 – $2,106.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $15,131.00 | $15,131.00 | $183.95 – $2,106.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $12,634.00 | $12,634.00 | $102.66 – $1,361.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $2,741.17 | $2,741.17 | $924.17 – $1,250.08 |
| Diagnostic mammogram, one breast CPT 77065 | $1,048.94 | $1,048.94 | $62.94 – $944.05 |
| Foot X-ray, 3 or more views CPT 73630 | $4,443.00 | $4,443.00 | $266.58 – $3,998.70 |
| Hand X-ray, 3 or more views CPT 73130 | $4,342.94 | $4,342.94 | $260.58 – $3,908.65 |
| Knee X-ray, 3 views CPT 73562 | $4,320.50 | $4,320.50 | $259.23 – $3,888.45 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $5,450.79 | $5,450.79 | $195.63 – $195.63 |
| Leg or arm vein ultrasound, one side CPT 93971 | $2,731.64 | $2,731.64 | $163.90 – $2,458.48 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $3,837.12 | $3,837.12 | $39.30 – $464.01 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $537.00 – $2,739.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $30,929.00 | $30,929.00 | $341.53 – $2,268.00 |
| MRI of the brain, without and with contrast CPT 70553 | $30,743.00 | $30,743.00 | $339.46 – $2,739.00 |
| MRI of the brain, without contrast CPT 70551 | $32,113.00 | $32,113.00 | $208.23 – $2,739.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $21,495.90 | $21,495.90 | $1,289.75 – $19,346.31 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $22,879.00 | $22,879.00 | $203.12 – $2,739.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $24,521.00 | $24,521.00 | $192.22 – $2,268.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $18,992.00 | $18,992.00 | $192.55 – $2,268.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $23,623.00 | $23,623.00 | $340.22 – $2,268.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $26,173.58 | $26,173.58 | $1,570.41 – $23,556.22 |
| Neck X-ray, 2 or 3 views CPT 72040 | $2,086.00 | $2,086.00 | $38.96 – $330.41 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $5,589.00 | $5,589.00 | $98.21 – $245.18 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $5,587.00 | $5,587.00 | $102.66 – $378.98 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $6,122.00 | $6,122.00 | $102.66 – $304.37 |
| Screening mammogram, both breasts CPT 77067 | $918.00 | $918.00 | $763.68 – $1,032.99 |
| Shoulder X-ray, 2 or more views CPT 73030 | $4,555.46 | $4,555.46 | $273.33 – $4,099.91 |
| Transvaginal pregnancy ultrasound CPT 76817 | $6,106.00 | $6,106.00 | $91.03 – $464.01 |
| Transvaginal ultrasound CPT 76830 | $4,429.00 | $4,429.00 | $109.02 – $245.18 |
| Ultrasound of the abdomen, complete CPT 76700 | $5,519.00 | $5,519.00 | $661.25 – $894.43 |
| Ultrasound of the neck or thyroid CPT 76536 | $3,694.00 | $3,694.00 | $109.02 – $245.18 |
| Wrist X-ray, 3 or more views CPT 73110 | $4,476.14 | $4,476.14 | $268.57 – $4,028.53 |
| X-ray of the lower back, 4 or more views CPT 72110 | $5,146.59 | $5,146.59 | $51.09 – $464.01 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $2,178.17 | $2,178.17 | $8.46 – $44.92 |
| Blood culture CPT 87040 | $1,643.45 | $1,643.45 | $8.50 – $70.95 |
| Blood draw (venipuncture) CPT 36415 | $241.69 | $241.69 | $7.29 – $26.99 |
| BNP test (heart failure) CPT 83880 | $1,643.45 | $1,643.45 | $98.61 – $1,479.11 |
| C-reactive protein (CRP) test CPT 86140 | $1,151.01 | $1,151.01 | $4.26 – $35.66 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $856.46 | $856.46 | $30.07 – $186.82 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $32.04 – $41.29 | |
| Complete blood count (CBC), automated CPT 85027 | $1,111.74 | $1,111.74 | $66.70 – $1,000.57 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $4,035.00 | $4,035.00 | $9.23 – $72.67 |
| COVID-19 PCR test CPT 87635 | $66.47 | $66.47 | $51.31 – $52.34 |
| D-dimer test (blood clots) CPT 85379 | $750.73 | $750.73 | $8.38 – $70.05 |
| Drug screen, instrument chemistry CPT 80307 | $1,889.00 | $1,889.00 | $53.24 – $328.72 |
| Ferritin (iron stores) test CPT 82728 | $1,382.13 | $1,382.13 | $11.22 – $93.76 |
| Free T4 (thyroid) test CPT 84439 | $1,731.06 | $1,731.06 | $7.73 – $48.49 |
| General health panel (blood tests) CPT 80050 | not posted | $45.36 – $45.36 | |
| Glucose (blood sugar) test CPT 82947 | $416.00 | $416.00 | $3.23 – $27.06 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $856.46 | $856.46 | $28.89 – $241.36 |
| Hemoglobin A1c test CPT 83036 | $646.51 | $646.51 | $8.00 – $66.79 |
| Hepatitis C antibody test CPT 86803 | $2,595.08 | $2,595.08 | $12.23 – $75.44 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $1,499.95 | $1,499.95 | $19.83 – $165.62 |
| Iron test CPT 83540 | $601.18 | $601.18 | $5.32 – $44.53 |
| Kidney function panel CPT 80069 | $2,693.25 | $2,693.25 | $6.13 – $46.70 |
| Lipase test (pancreas) CPT 83690 | $936.52 | $936.52 | $5.91 – $35.94 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $1,806.59 | $1,806.59 | $7.51 – $92.13 |
| Liver function panel CPT 80076 | $2,178.17 | $2,178.17 | $6.13 – $43.13 |
| Magnesium test CPT 83735 | $2,178.17 | $2,178.17 | $130.69 – $1,960.35 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $253.28 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $1,042.26 | $1,042.26 | $5.15 – $32.31 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,241.65 | $1,241.65 | $74.50 – $1,117.49 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $759.78 | $759.78 | $3.67 – $23.38 |
| PSA (prostate specific antigen), free CPT 84154 | $249.23 | $249.23 | $15.14 – $126.52 |
| PSA (prostate specific antigen), total CPT 84153 | $1,460.67 | $1,460.67 | $15.76 – $96.98 |
| Rapid strep test CPT 87880 | not posted | $14.17 – $88.00 | |
| Sed rate (ESR) test CPT 85652 | $654.06 | $654.06 | $2.22 – $18.55 |
| TB skin test CPT 86580 | not posted | $41.52 – $53.51 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,499.95 | $1,499.95 | $13.83 – $115.57 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $2,155.52 | $2,155.52 | $99.93 – $157.81 |
| Troponin test (heart damage) CPT 84484 | $1,522.59 | $1,522.59 | $10.68 – $66.46 |
| Urinalysis, automated, with microscope CPT 81001 | $670.68 | $670.68 | $2.71 – $16.18 |
| Urinalysis, automated, without microscope CPT 81003 | $534.00 | $534.00 | $1.93 – $12.55 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.45 – $21.54 | |
| Urinalysis, manual, without microscope CPT 81002 | not posted | $13.94 – $17.97 | |
| Urine culture, colony count CPT 87086 | $725.06 | $725.06 | $6.64 – $55.48 |
| Urine pregnancy test CPT 81025 | $1,258.26 | $1,258.26 | $7.09 – $59.19 |
| Vitamin B12 test CPT 82607 | $1,111.74 | $1,111.74 | $12.92 – $80.85 |
| Vitamin D test CPT 82306 | $2,842.80 | $2,842.80 | $25.36 – $156.30 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $5,092.30 | $5,092.30 | $199.37 – $199.37 |
| ECG tracing only (no interpretation) CPT 93005 | $1,571.50 | $1,571.50 | $128.72 – $184.28 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $17,578.77 | $17,578.77 | $317.09 – $453.96 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $12.61 – $55.19 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $57.36 – $303.04 | |
| Left heart catheterization CPT 93452 | $37,848.62 | $37,848.62 | $300.00 – $34,063.76 |
| Left heart catheterization with coronary angiogram CPT 93458 | $45,269.40 | $45,269.40 | $300.00 – $40,742.46 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $22,019.41 | $22,019.41 | $3,089.27 – $4,178.67 |
| Treadmill stress test, complete CPT 93015 | not posted | $169.51 – $242.67 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,541.08 – $16,995.26 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $2,369.00 – $2,369.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $521.99 – $3,249.00 | |
| Carpal tunnel release CPT 64721 | not posted | $692.94 – $5,571.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $450.72 – $3,755.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $460.61 – $3,249.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $352.49 – $3,755.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $68.31 – $5,841.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $250.06 – $3,128.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $441.67 – $441.67 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $137.20 – $3,128.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $1,983.29 – $11,214.21 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $948.00 – $21,292.66 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,265.51 – $3,265.51 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,116.70 – $12,562.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $1,983.29 – $11,214.21 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $2,369.00 – $2,369.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,200.05 – $9,000.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,066.50 – $14,052.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $450.72 – $3,755.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $5,841.00 – $5,841.00 | |
| Prostate biopsy CPT 55700 | not posted | $685.44 – $3,755.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $948.00 – $19,518.42 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $944.39 – $3,952.94 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,518.45 – $2,518.45 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $352.49 – $3,755.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $352.49 – $3,755.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $2,369.00 – $2,369.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,120.00 – $12,562.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $948.00 – $16,425.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $2,051.93 – $2,051.93 | |
| Total hip replacement CPT 27130 | not posted | $3,375.00 – $46,412.77 | |
| Total knee replacement CPT 27447 | not posted | $3,375.00 – $46,412.77 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $351.70 – $3,755.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $351.70 – $3,128.00 | |
| Vasectomy CPT 55250 | not posted | $685.44 – $5,571.00 |
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 | $948.00 – $28,395.93 | |
| Fetal non-stress test CPT 59025 | $994.84 | $994.84 | $15.46 – $680.00 |
| IUD insertion CPT 58300 | not posted | $508.94 – $5,841.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $5,841.00 – $5,841.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,390.00 – $25,611.40 |
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 | $11,545.01 – $11,545.01 | |
| C-section, without complications MS-DRG 788 | not posted | $12,216.05 – $12,216.05 | |
| Chest pain MS-DRG 313 | not posted | $6,181.92 – $7,963.20 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $13,530.76 – $13,530.76 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $9,418.87 – $9,418.87 | |
| Fainting (syncope) MS-DRG 312 | not posted | $11,446.12 – $11,446.12 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $12,409.41 – $12,409.41 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $15,085.63 – $15,085.63 | |
| Heart failure, without complications MS-DRG 293 | not posted | $995.00 – $3,702.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $90,127.35 – $90,127.35 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $20,781.52 – $20,781.52 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,860.53 – $6,261.07 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $11,483.20 – $11,483.20 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $10,897.80 – $10,897.80 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $25,305.74 – $25,305.74 | |
| Normal newborn care MS-DRG 795 | not posted | $5,514.47 – $5,514.47 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $10,621.44 – $10,621.44 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $10,866.02 – $10,866.02 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $15,355.81 – $15,355.81 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $9,299.67 – $9,299.67 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $16,083.36 – $16,083.36 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $20,901.61 – $20,901.61 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $12,785.55 – $12,785.55 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $11,439.94 – $11,439.94 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $31,877.98 – $31,877.98 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $10,633.80 – $10,633.80 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $12,670.76 – $12,670.76 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $14,705.07 – $14,705.07 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $9,703.18 – $9,703.18 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,250.00 – $22,972.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $29.36 – $5,841.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $357.81 – $3,128.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $276.00 – $3,128.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $276.00 – $5,841.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $832.94 – $2,329.93 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $271.28 – $388.37 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $218.75 – $3,755.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $323.74 – $463.47 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $2,366.00 – $3,400.00 | |
| Sleep study with CPAP titration CPT 95811 | not posted | $3,146.64 – $4,245.08 | |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $2,366.00 – $3,400.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $250.62 | $250.62 | $15.04 – $600.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $595.14 | $595.14 | $35.71 – $600.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $1,078.51 | $1,078.51 | $64.71 – $970.66 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $1,078.51 | $1,078.51 | $64.71 – $970.66 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $799.07 | $799.07 | $47.94 – $719.16 |
| Therapeutic activities, 15 minutes CPT 97530 | $493.95 | $493.95 | $29.64 – $600.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $256.00 | $256.00 | $15.36 – $600.00 |
| IV hydration, each additional hour CPT 96361 | $252.00 | $252.00 | $15.12 – $600.00 |
| IV hydration, first hour CPT 96360 | $1,148.00 | $1,148.00 | $68.88 – $1,033.20 |
| IV push injection of a drug, first CPT 96374 | $512.00 | $512.00 | $30.72 – $600.00 |
| IV push injection, each additional drug CPT 96375 | $512.00 | $512.00 | $30.72 – $600.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $74.82 | $74.82 | $4.49 – $67.34 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $86.84 | $86.84 | $5.21 – $78.16 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $1,854.26 | $1,854.26 | $111.26 – $1,668.83 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $56.11 | $56.11 | $3.37 – $50.50 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $488.46 | $488.46 | $29.31 – $439.61 |
| Morphine injection, up to 10 mg HCPCS J2270 | $68.13 | $68.13 | $4.09 – $61.32 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $34.74 | $34.74 | $2.08 – $31.27 |
| Propofol injection, per 10 mg HCPCS J2704 | $208.41 | $208.41 | $12.50 – $187.57 |
| Saline IV solution, 1000 ml HCPCS J7030 | $580.24 | $580.24 | $3.61 – $3.61 |
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.