HCA Houston Healthcare Southeast
4000 Spencer Hwy, Pasadena, TX 77504 · Acute care hospital · Emergency room
These are HCA Houston Healthcare Southeast'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.
232 of the services we track have a posted price here; 143 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 | $8,146.29 | $8,146.29 | $1,059.02 – $7,331.66 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,782.00 | $1,782.00 | $359.96 – $1,603.80 |
| Emergency room visit, level 2 CPT 99282 | $3,544.00 | $3,544.00 | $715.89 – $3,189.60 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $5,373.00 | $5,373.00 | $1,085.35 – $4,835.70 |
| Emergency room visit, level 4 CPT 99284 | $6,678.00 | $6,678.00 | $1,348.96 – $6,010.20 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $8,314.00 | $8,314.00 | $1,679.43 – $7,482.60 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $304.03 – $5,841.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $1,015.46 | $1,015.46 | $60.93 – $913.91 |
| New patient office visit, about 30 minutes CPT 99203 | $1,455.78 | $1,455.78 | $87.35 – $1,310.20 |
| New patient office visit, about 45 minutes CPT 99204 | $1,834.39 | $1,834.39 | $238.47 – $1,650.95 |
| New patient office visit, about 60 minutes CPT 99205 | $2,562.07 | $2,562.07 | $153.72 – $2,305.86 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $227.71 – $335.72 | |
| Office consultation, about 60 minutes CPT 99244 | not posted | $366.00 – $539.61 | |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $1,210.06 | $1,210.06 | $157.31 – $1,089.05 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,210.06 | $1,210.06 | $157.31 – $1,089.05 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,604.52 | $1,604.52 | $208.59 – $1,444.07 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $1,939.67 | $1,939.67 | $252.16 – $1,745.70 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $3,051.87 | $3,051.87 | $300.00 – $2,746.68 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | $498.11 | $498.11 | $29.89 – $600.00 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | $498.11 | $498.11 | $29.89 – $600.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $1,888.94 | $1,888.94 | $52.83 – $665.00 |
| Abdominal X-ray, 1 view CPT 74018 | $2,178.18 | $2,178.18 | $130.69 – $1,960.36 |
| Ankle X-ray, 3 or more views CPT 73610 | $4,344.27 | $4,344.27 | $260.66 – $3,909.84 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $1,563.40 | $1,563.40 | $38.85 – $133.96 |
| Breast ultrasound, one breast, complete CPT 76641 | $3,063.21 | $3,063.21 | $183.79 – $2,756.89 |
| Breast ultrasound, one breast, limited CPT 76642 | $944.47 | $944.47 | $56.67 – $850.02 |
| Chest X-ray, 1 view CPT 71045 | $1,771.85 | $1,771.85 | $106.31 – $1,594.66 |
| Chest X-ray, 2 views CPT 71046 | $2,199.31 | $2,199.31 | $131.96 – $1,979.38 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $7,173.25 | $7,173.25 | $430.39 – $6,455.93 |
| CT angiogram of the head CPT 70496 | $18,509.13 | $18,509.13 | $1,110.55 – $16,658.22 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $32,617.61 | $32,617.61 | $1,957.06 – $29,355.85 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $39,867.27 | $39,867.27 | $2,392.04 – $35,880.54 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $30,027.19 | $30,027.19 | $1,801.63 – $27,024.47 |
| CT scan of the abdomen, without contrast CPT 74150 | $17,173.50 | $17,173.50 | $1,030.41 – $15,456.15 |
| CT scan of the chest, with contrast CPT 71260 | $18,325.46 | $18,325.46 | $1,099.53 – $16,492.91 |
| CT scan of the chest, without contrast CPT 71250 | $14,832.86 | $14,832.86 | $889.97 – $13,349.57 |
| CT scan of the head, without contrast CPT 70450 | $14,059.99 | $14,059.99 | $843.60 – $12,653.99 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $19,136.53 | $19,136.53 | $1,148.19 – $17,222.88 |
| CT scan of the pelvis, with contrast CPT 72193 | $14,393.53 | $14,393.53 | $863.61 – $12,954.18 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $13,623.61 | $13,623.61 | $817.42 – $12,261.25 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,399.66 | $1,399.66 | $83.98 – $1,259.69 |
| Diagnostic mammogram, one breast CPT 77065 | $791.76 | $791.76 | $47.51 – $712.58 |
| Foot X-ray, 3 or more views CPT 73630 | $4,312.55 | $4,312.55 | $258.75 – $3,881.30 |
| Hand X-ray, 3 or more views CPT 73130 | $3,718.90 | $3,718.90 | $223.13 – $3,347.01 |
| Knee X-ray, 3 views CPT 73562 | $2,536.17 | $2,536.17 | $152.17 – $2,282.55 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $6,762.36 | $6,762.36 | $300.00 – $6,086.12 |
| Leg or arm vein ultrasound, one side CPT 93971 | $4,026.27 | $4,026.27 | $241.58 – $3,623.64 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,885.13 | $1,885.13 | $113.11 – $1,696.62 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $2,127.00 – $2,739.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $23,324.97 | $23,324.97 | $341.53 – $2,268.00 |
| MRI of the brain, without and with contrast CPT 70553 | $14,937.12 | $14,937.12 | $339.46 – $2,739.00 |
| MRI of the brain, without contrast CPT 70551 | $10,868.21 | $10,868.21 | $208.23 – $2,739.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $40,501.60 | $40,501.60 | $2,430.10 – $36,451.44 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $17,958.70 | $17,958.70 | $203.12 – $2,739.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $15,391.45 | $15,391.45 | $923.49 – $13,852.31 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $18,434.37 | $18,434.37 | $192.55 – $2,268.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $25,184.88 | $25,184.88 | $360.24 – $2,739.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $46,672.82 | $46,672.82 | $2,800.37 – $42,005.54 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,802.06 | $1,802.06 | $108.12 – $1,621.85 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $3,192.21 | $3,192.21 | $191.53 – $2,872.99 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $3,076.56 | $3,076.56 | $184.59 – $2,768.90 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,435.23 | $1,435.23 | $86.11 – $1,291.71 |
| Screening mammogram, both breasts CPT 77067 | $834.75 | $834.75 | $516.00 – $665.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $4,492.29 | $4,492.29 | $269.54 – $4,043.06 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,355.17 | $1,355.17 | $81.31 – $1,219.65 |
| Transvaginal ultrasound CPT 76830 | $2,427.15 | $2,427.15 | $145.63 – $2,184.43 |
| Ultrasound of the abdomen, complete CPT 76700 | $3,588.08 | $3,588.08 | $215.28 – $3,229.27 |
| Ultrasound of the neck or thyroid CPT 76536 | $3,118.07 | $3,118.07 | $187.08 – $2,806.26 |
| Wrist X-ray, 3 or more views CPT 73110 | $3,818.60 | $3,818.60 | $229.12 – $3,436.74 |
| X-ray of the lower back, 4 or more views CPT 72110 | $2,942.50 | $2,942.50 | $176.55 – $2,648.25 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $2,087.39 | $2,087.39 | $125.24 – $1,878.65 |
| Blood culture CPT 87040 | $1,713.59 | $1,713.59 | $8.84 – $53.90 |
| Blood draw (venipuncture) CPT 36415 | $47.68 | $47.68 | $2.86 – $42.91 |
| BNP test (heart failure) CPT 83880 | $1,907.41 | $1,907.41 | $114.44 – $1,716.67 |
| C-reactive protein (CRP) test CPT 86140 | $822.95 | $822.95 | $4.26 – $35.66 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $624.00 | $624.00 | $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 | $814.00 | $814.00 | $48.84 – $732.60 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $3,580.00 | $3,580.00 | $214.80 – $3,222.00 |
| COVID-19 PCR test CPT 87635 | $70.00 | $70.00 | $52.34 – $52.34 |
| D-dimer test (blood clots) CPT 85379 | $1,344.00 | $1,344.00 | $80.64 – $1,209.60 |
| Drug screen, instrument chemistry CPT 80307 | $2,962.00 | $2,962.00 | $177.72 – $2,665.80 |
| Ferritin (iron stores) test CPT 82728 | $1,361.34 | $1,361.34 | $11.68 – $71.87 |
| Free T4 (thyroid) test CPT 84439 | $998.32 | $998.32 | $7.73 – $48.49 |
| General health panel (blood tests) CPT 80050 | not posted | $167.27 – $215.56 | |
| Glucose (blood sugar) test CPT 82947 | $590.68 | $590.68 | $35.44 – $531.61 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $624.00 | $624.00 | $28.89 – $241.36 |
| Hemoglobin A1c test CPT 83036 | $1,321.35 | $1,321.35 | $8.00 – $66.79 |
| Hepatitis C antibody test CPT 86803 | $1,810.50 | $1,810.50 | $12.23 – $75.44 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $573.00 | $573.00 | $19.83 – $165.62 |
| Iron test CPT 83540 | $1,516.71 | $1,516.71 | $91.00 – $1,365.04 |
| Kidney function panel CPT 80069 | $2,087.39 | $2,087.39 | $6.13 – $46.70 |
| Lipase test (pancreas) CPT 83690 | $1,396.72 | $1,396.72 | $83.80 – $1,257.05 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $2,850.36 | $2,850.36 | $7.81 – $71.87 |
| Liver function panel CPT 80076 | $2,330.43 | $2,330.43 | $139.83 – $2,097.39 |
| Magnesium test CPT 83735 | $1,016.00 | $1,016.00 | $60.96 – $914.40 |
| Obstetric blood test panel CPT 80055 | $992.16 | $992.16 | $46.85 – $328.88 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $1,321.00 | $1,321.00 | $79.26 – $1,188.90 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,558.25 | $1,558.25 | $93.50 – $1,402.42 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $675.00 | $675.00 | $40.50 – $607.50 |
| PSA (prostate specific antigen), free CPT 84154 | $1,161.38 | $1,161.38 | $15.76 – $96.98 |
| PSA (prostate specific antigen), total CPT 84153 | $1,655.14 | $1,655.14 | $15.14 – $126.52 |
| Rapid strep test CPT 87880 | $869.11 | $869.11 | $14.17 – $88.00 |
| Sed rate (ESR) test CPT 85652 | $1,023.00 | $1,023.00 | $2.32 – $14.40 |
| TB skin test CPT 86580 | not posted | $41.52 – $53.51 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $2,253.52 | $2,253.52 | $135.21 – $2,028.17 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $1,673.60 | $1,673.60 | $100.42 – $1,506.24 |
| Troponin test (heart damage) CPT 84484 | $1,646.00 | $1,646.00 | $98.76 – $1,481.40 |
| Urinalysis, automated, with microscope CPT 81001 | $713.74 | $713.74 | $42.82 – $642.37 |
| Urinalysis, automated, without microscope CPT 81003 | $444.55 | $444.55 | $26.67 – $400.10 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $16.71 – $21.54 | |
| Urinalysis, manual, without microscope CPT 81002 | $444.55 | $444.55 | $26.67 – $400.10 |
| Urine culture, colony count CPT 87086 | $1,278.27 | $1,278.27 | $6.92 – $43.13 |
| Urine pregnancy test CPT 81025 | $751.00 | $751.00 | $45.06 – $675.90 |
| Vitamin B12 test CPT 82607 | $1,329.05 | $1,329.05 | $12.42 – $103.71 |
| Vitamin D test CPT 82306 | $1,376.00 | $1,376.00 | $82.56 – $1,238.40 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $6,673.78 | $6,673.78 | $300.00 – $6,006.40 |
| ECG tracing only (no interpretation) CPT 93005 | $1,698.56 | $1,698.56 | $101.91 – $1,528.70 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $13,277.63 | $13,277.63 | $300.00 – $11,949.87 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $13.25 – $55.19 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $59.98 – $312.09 | |
| Left heart catheterization CPT 93452 | $15,009.16 | $15,009.16 | $300.00 – $13,508.24 |
| Left heart catheterization with coronary angiogram CPT 93458 | $15,009.16 | $15,009.16 | $300.00 – $13,508.24 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $18,355.32 | $18,355.32 | $300.00 – $16,519.79 |
| Treadmill stress test, complete CPT 93015 | not posted | $169.51 – $249.92 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,465.05 – $16,995.26 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $4,505.00 – $12,983.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $510.77 – $510.77 | |
| Carpal tunnel release CPT 64721 | not posted | $692.94 – $5,571.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $450.72 – $450.72 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $2,434.00 – $2,434.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $352.49 – $3,249.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $68.31 – $5,841.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $255.54 – $3,083.00 | |
| 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 – $10,924.18 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $9,124.00 – $21,292.66 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,047.81 – $18,353.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,116.70 – $10,586.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,026.81 – $10,924.18 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $1,128.51 – $4,505.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,200.05 – $10,342.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $2,369.00 – $2,369.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $450.72 – $4,349.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $71.55 – $5,841.00 | |
| Prostate biopsy CPT 55700 | not posted | $2,434.00 – $2,434.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $948.00 – $19,013.63 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,034.05 – $10,586.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,369.00 – $2,369.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $2,251.00 – $2,251.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $352.49 – $4,349.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $2,369.00 – $2,369.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,672.00 – $10,586.00 | |
| 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 | $948.00 – $10,962.20 | |
| Total hip replacement CPT 27130 | not posted | $3,375.00 – $48,316.88 | |
| Total knee replacement CPT 27447 | not posted | $948.00 – $48,316.88 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $351.70 – $4,349.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $351.70 – $351.70 | |
| 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 | $3,390.00 – $28,395.93 | |
| Fetal non-stress test CPT 59025 | $2,503.19 | $2,503.19 | $150.19 – $2,252.87 |
| 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 | $3,390.00 – $26,874.42 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $948.00 – $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 | $15,308.68 – $15,308.68 | |
| C-section, without complications MS-DRG 788 | not posted | $15,935.12 – $15,935.12 | |
| Chest pain MS-DRG 313 | not posted | $13,966.79 – $13,966.79 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $17,162.44 – $17,162.44 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $13,323.87 – $13,323.87 | |
| Fainting (syncope) MS-DRG 312 | not posted | $15,216.37 – $15,216.37 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $16,115.63 – $16,115.63 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $18,613.96 – $18,613.96 | |
| Heart failure, without complications MS-DRG 293 | not posted | $8,516.60 – $10,970.78 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $88,667.85 – $88,667.85 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $23,931.27 – $23,931.27 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $12,698.25 – $12,698.25 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $15,250.99 – $15,250.99 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $14,704.50 – $14,704.50 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $28,154.78 – $28,154.78 | |
| Normal newborn care MS-DRG 795 | not posted | $9,678.98 – $9,678.98 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $14,446.50 – $14,446.50 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $14,674.82 – $14,674.82 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $18,866.19 – $18,866.19 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $13,212.59 – $13,212.59 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $19,545.38 – $19,545.38 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $24,043.37 – $24,043.37 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $16,466.77 – $16,466.77 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $15,210.59 – $15,210.59 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $14,458.04 – $14,458.04 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $16,359.61 – $16,359.61 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $18,258.71 – $18,258.71 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $13,589.27 – $13,589.27 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $16,731.00 – $23,879.00 |
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 – $29.36 | |
| 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 – $5,841.00 | |
| 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 | $892.44 – $5,571.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $271.28 – $399.96 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $218.75 – $218.75 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $323.74 – $477.31 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $2,476.00 – $3,534.00 | |
| Sleep study with CPAP titration CPT 95811 | $24,346.21 | $24,346.21 | $1,232.08 – $1,816.53 |
| Sleep study, overnight in a sleep lab CPT 95810 | $8,828.36 | $8,828.36 | $2,476.00 – $3,534.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $1,899.19 | $1,899.19 | $323.74 – $477.31 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $401.87 | $401.87 | $24.11 – $600.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $394.00 | $394.00 | $23.64 – $600.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $891.00 | $891.00 | $53.46 – $801.90 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $398.00 | $398.00 | $23.88 – $600.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $341.07 | $341.07 | $20.46 – $600.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $344.00 | $344.00 | $20.64 – $600.00 |
| Group psychotherapy CPT 90853 | $344.00 | $344.00 | $20.64 – $600.00 |
| Psychotherapy, 30 minutes CPT 90832 | $573.00 | $573.00 | $34.38 – $600.00 |
| Psychotherapy, 45 minutes CPT 90834 | $746.00 | $746.00 | $44.76 – $671.40 |
| Psychotherapy, 60 minutes CPT 90837 | $1,032.00 | $1,032.00 | $61.92 – $928.80 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $585.76 | $585.76 | $76.15 – $600.00 |
| IV hydration, each additional hour CPT 96361 | $2,608.00 | $2,608.00 | $339.04 – $2,347.20 |
| IV hydration, first hour CPT 96360 | $2,670.00 | $2,670.00 | $347.10 – $2,403.00 |
| IV push injection of a drug, first CPT 96374 | $1,064.00 | $1,064.00 | $138.32 – $957.60 |
| IV push injection, each additional drug CPT 96375 | $1,085.00 | $1,085.00 | $141.05 – $976.50 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1,198.85 | $1,198.85 | $71.93 – $1,078.96 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $95.26 | $95.26 | $5.72 – $85.73 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $570.16 | $570.16 | $34.21 – $513.14 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $81.65 | $81.65 | $4.90 – $73.49 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $195.96 | $195.96 | $11.76 – $176.36 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $330.67 | $330.67 | $19.84 – $297.60 |
| Morphine injection, up to 10 mg HCPCS J2270 | $468.12 | $468.12 | $28.09 – $421.31 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $148.33 | $148.33 | $8.90 – $133.50 |
| Propofol injection, per 10 mg HCPCS J2704 | $504.86 | $504.86 | $30.29 – $454.37 |
| Saline IV solution, 1000 ml HCPCS J7030 | $350.57 | $350.57 | $21.03 – $315.51 |
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.