Medical City Plano
3901 W 15th St., Plano, TX 75075 · Acute care hospital · Emergency room
These are Medical City Plano'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.
230 of the services we track have a posted price here; 140 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 | $9,113.90 | $9,113.90 | $1,230.38 – $9,113.90 |
| Emergency room visit, level 1 (minor) CPT 99281 | $904.82 | $904.82 | $122.15 – $904.82 |
| Emergency room visit, level 2 CPT 99282 | $1,745.13 | $1,745.13 | $235.59 – $1,745.13 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,819.46 | $2,819.46 | $380.63 – $2,819.46 |
| Emergency room visit, level 4 CPT 99284 | $4,451.42 | $4,451.42 | $600.94 – $4,451.42 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $8,209.23 | $8,209.23 | $1,108.25 – $8,209.23 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $380.91 – $5,932.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $1,156.34 | $1,156.34 | $80.94 – $1,156.34 |
| New patient office visit, about 30 minutes CPT 99203 | $1,618.09 | $1,618.09 | $113.27 – $1,618.09 |
| New patient office visit, about 45 minutes CPT 99204 | $1,939.59 | $1,939.59 | $135.77 – $1,939.59 |
| New patient office visit, about 60 minutes CPT 99205 | $2,265.06 | $2,265.06 | $1,698.80 – $1,698.80 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $267.60 – $520.61 | |
| Office consultation, about 60 minutes CPT 99244 | not posted | $430.13 – $836.79 | |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $926.13 | $926.13 | $694.60 – $694.60 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,266.15 | $1,266.15 | $949.61 – $949.61 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,734.51 | $1,734.51 | $121.42 – $1,734.51 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $2,059.99 | $2,059.99 | $1,544.99 – $1,544.99 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $424.70 | $424.70 | $318.52 – $318.52 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $66.84 – $532.16 | |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $81.23 – $647.83 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $231.93 | $231.93 | $34.51 – $57.31 |
| Abdominal X-ray, 1 view CPT 74018 | $847.26 | $847.26 | $59.31 – $847.26 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,657.37 | $1,657.37 | $116.02 – $1,657.37 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $838.36 | $838.36 | $39.09 – $162.79 |
| Breast ultrasound, one breast, complete CPT 76641 | $4,066.58 | $4,066.58 | $284.66 – $4,066.58 |
| Breast ultrasound, one breast, limited CPT 76642 | $1,563.68 | $1,563.68 | $109.46 – $1,563.68 |
| Chest X-ray, 1 view CPT 71045 | $902.28 | $902.28 | $63.16 – $902.28 |
| Chest X-ray, 2 views CPT 71046 | $908.22 | $908.22 | $63.58 – $908.22 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $9,544.16 | $9,544.16 | $668.09 – $9,544.16 |
| CT angiogram of the head CPT 70496 | $10,328.53 | $10,328.53 | $723.00 – $10,328.53 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $17,230.39 | $17,230.39 | $1,206.13 – $17,230.39 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $19,734.92 | $19,734.92 | $1,381.44 – $19,734.92 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $13,405.45 | $13,405.45 | $938.38 – $13,405.45 |
| CT scan of the abdomen, without contrast CPT 74150 | $6,346.13 | $6,346.13 | $444.23 – $6,346.13 |
| CT scan of the chest, with contrast CPT 71260 | $8,435.76 | $8,435.76 | $590.50 – $8,435.76 |
| CT scan of the chest, without contrast CPT 71250 | $2,536.92 | $2,536.92 | $177.58 – $2,536.92 |
| CT scan of the head, without contrast CPT 70450 | $9,005.11 | $9,005.11 | $630.36 – $9,005.11 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $8,058.72 | $8,058.72 | $564.11 – $8,058.72 |
| CT scan of the pelvis, with contrast CPT 72193 | $7,661.98 | $7,661.98 | $536.34 – $7,661.98 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $5,828.25 | $5,828.25 | $407.98 – $5,828.25 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,451.37 | $1,451.37 | $110.13 – $110.13 |
| Diagnostic mammogram, one breast CPT 77065 | $889.78 | $889.78 | $79.32 – $421.39 |
| Foot X-ray, 3 or more views CPT 73630 | $1,215.91 | $1,215.91 | $85.11 – $1,215.91 |
| Hand X-ray, 3 or more views CPT 73130 | $1,545.89 | $1,545.89 | $108.21 – $1,545.89 |
| Knee X-ray, 3 views CPT 73562 | $1,473.06 | $1,473.06 | $103.11 – $1,473.06 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $4,253.67 | $4,253.67 | $297.76 – $4,253.67 |
| Leg or arm vein ultrasound, one side CPT 93971 | $3,010.24 | $3,010.24 | $210.72 – $3,010.24 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $832.42 | $832.42 | $58.27 – $832.42 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $395.55 – $635.92 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $10,892.43 | $10,892.43 | $762.47 – $10,892.43 |
| MRI of the brain, without and with contrast CPT 70553 | $10,571.53 | $10,571.53 | $740.01 – $10,571.53 |
| MRI of the brain, without contrast CPT 70551 | $7,822.45 | $7,822.45 | $547.57 – $7,822.45 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $12,966.09 | $12,966.09 | $907.63 – $12,966.09 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $9,624.08 | $9,624.08 | $673.69 – $9,624.08 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $9,320.00 | $9,320.00 | $652.40 – $9,320.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $9,333.75 | $9,333.75 | $653.36 – $9,333.75 |
| MRI of the pelvis, without and with contrast CPT 72197 | $8,870.73 | $8,870.73 | $620.95 – $8,870.73 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $8,644.57 | $8,644.57 | $605.12 – $8,644.57 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,132.67 | $1,132.67 | $79.29 – $1,132.67 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,836.46 | $1,836.46 | $128.55 – $1,836.46 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $2,926.06 | $2,926.06 | $204.82 – $2,926.06 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,608.89 | $1,608.89 | $112.62 – $1,608.89 |
| Screening mammogram, both breasts CPT 77067 | $920.40 | $920.40 | $137.05 – $217.46 |
| Shoulder X-ray, 2 or more views CPT 73030 | $1,413.62 | $1,413.62 | $98.95 – $1,413.62 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,563.68 | $1,563.68 | $109.46 – $1,563.68 |
| Transvaginal ultrasound CPT 76830 | $1,563.68 | $1,563.68 | $109.46 – $1,563.68 |
| Ultrasound of the abdomen, complete CPT 76700 | $2,360.11 | $2,360.11 | $165.21 – $2,360.11 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,553.48 | $1,553.48 | $108.74 – $1,553.48 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,296.17 | $1,296.17 | $90.73 – $1,296.17 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,811.98 | $1,811.98 | $126.84 – $1,811.98 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,416.04 | $1,416.04 | $10.71 – $10.71 |
| Blood culture CPT 87040 | $1,065.98 | $1,065.98 | $9.71 – $9.71 |
| Blood draw (venipuncture) CPT 36415 | $126.72 | $126.72 | $8.87 – $126.72 |
| BNP test (heart failure) CPT 83880 | $1,745.50 | $1,745.50 | $122.19 – $1,745.50 |
| C-reactive protein (CRP) test CPT 86140 | $625.64 | $625.64 | $5.18 – $5.18 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $574.95 | $574.95 | $32.43 – $32.43 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $7.77 – $7.77 | |
| Complete blood count (CBC), automated CPT 85027 | $620.90 | $620.90 | $5.97 – $5.97 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,564.93 | $1,564.93 | $9.42 – $58.82 |
| COVID-19 PCR test CPT 87635 | $55.40 | $55.40 | $47.41 – $47.41 |
| D-dimer test (blood clots) CPT 85379 | $920.27 | $920.27 | $8.55 – $56.94 |
| Drug screen, instrument chemistry CPT 80307 | $2,203.26 | $2,203.26 | $58.46 – $58.46 |
| Ferritin (iron stores) test CPT 82728 | $654.17 | $654.17 | $11.45 – $75.91 |
| Free T4 (thyroid) test CPT 84439 | $440.34 | $440.34 | $7.58 – $51.22 |
| General health panel (blood tests) CPT 80050 | not posted | $45.36 – $45.36 | |
| Glucose (blood sugar) test CPT 82947 | $592.39 | $592.39 | $41.47 – $592.39 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $574.95 | $574.95 | $33.02 – $33.02 |
| Hemoglobin A1c test CPT 83036 | $828.40 | $828.40 | $10.20 – $10.20 |
| Hepatitis C antibody test CPT 86803 | $982.04 | $982.04 | $13.43 – $13.43 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $734.95 | $734.95 | $22.25 – $22.25 |
| Iron test CPT 83540 | $1,427.12 | $1,427.12 | $99.90 – $1,427.12 |
| Kidney function panel CPT 80069 | $1,525.33 | $1,525.33 | $6.73 – $6.73 |
| Lipase test (pancreas) CPT 83690 | $758.70 | $758.70 | $5.79 – $37.96 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $598.72 | $598.72 | $8.58 – $8.58 |
| Liver function panel CPT 80076 | $1,935.55 | $1,935.55 | $6.01 – $45.56 |
| Magnesium test CPT 83735 | $733.35 | $733.35 | $51.33 – $733.35 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $47.81 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $733.35 | $733.35 | $6.31 – $6.31 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,449.30 | $1,449.30 | $101.45 – $1,449.30 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $489.43 | $489.43 | $34.26 – $489.43 |
| PSA (prostate specific antigen), free CPT 84154 | $1,170.53 | $1,170.53 | $17.00 – $17.00 |
| PSA (prostate specific antigen), total CPT 84153 | $514.78 | $514.78 | $17.30 – $17.30 |
| Rapid strep test CPT 87880 | $236.00 | $236.00 | $16.53 – $16.53 |
| Sed rate (ESR) test CPT 85652 | not posted | $2.70 – $2.70 | |
| TB skin test CPT 86580 | $147.30 | $147.30 | $24.67 – $24.67 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $861.66 | $861.66 | $16.80 – $16.80 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $248.17 | $248.17 | $17.37 – $248.17 |
| Troponin test (heart damage) CPT 84484 | $1,286.14 | $1,286.14 | $90.03 – $1,286.14 |
| Urinalysis, automated, with microscope CPT 81001 | $612.98 | $612.98 | $2.93 – $2.93 |
| Urinalysis, automated, without microscope CPT 81003 | $555.96 | $555.96 | $38.92 – $555.96 |
| Urinalysis, manual, with microscope CPT 81000 | $500.53 | $500.53 | $3.79 – $3.79 |
| Urinalysis, manual, without microscope CPT 81002 | $555.96 | $555.96 | $38.92 – $555.96 |
| Urine culture, colony count CPT 87086 | $799.88 | $799.88 | $7.46 – $7.46 |
| Urine pregnancy test CPT 81025 | $793.55 | $793.55 | $55.55 – $793.55 |
| Vitamin B12 test CPT 82607 | $1,154.69 | $1,154.69 | $13.94 – $13.94 |
| Vitamin D test CPT 82306 | $2,374.33 | $2,374.33 | $166.20 – $2,374.33 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $4,554.70 | $4,554.70 | $318.83 – $4,554.70 |
| ECG tracing only (no interpretation) CPT 93005 | $460.65 | $460.65 | $32.25 – $460.65 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $9,030.01 | $9,030.01 | $372.65 – $1,668.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $12.23 – $1,668.00 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $55.64 – $1,668.00 | |
| Left heart catheterization CPT 93452 | $20,135.35 | $20,135.35 | $2,718.27 – $20,135.35 |
| Left heart catheterization with coronary angiogram CPT 93458 | $35,415.35 | $35,415.35 | $4,781.07 – $35,415.35 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $6,394.74 | $6,394.74 | $481.86 – $481.86 |
| Treadmill stress test, complete CPT 93015 | not posted | $199.21 – $1,668.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $8,858.00 – $8,858.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $8,858.00 – $8,858.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $544.82 – $544.82 | |
| Carpal tunnel release CPT 64721 | not posted | $692.94 – $6,680.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,995.00 – $6,680.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $450.72 – $6,680.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $344.93 – $6,680.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $71.57 – $71.57 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $3,293.00 – $3,293.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $462.70 – $462.70 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $146.35 – $146.35 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,077.74 – $2,077.74 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $8,858.00 – $37,859.65 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,265.51 – $23,556.71 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,063.52 – $9,831.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $1,983.29 – $16,960.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $1,266.69 – $1,266.69 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $6,580.42 – $16,960.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,218.86 – $1,218.86 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $429.26 – $1,208.10 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $71.55 – $6,680.00 | |
| Prostate biopsy CPT 55700 | not posted | $2,214.00 – $2,214.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,995.00 – $25,750.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,060.03 – $1,060.03 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,369.00 – $30,876.00 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $2,700.00 – $3,816.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $3,293.00 – $6,680.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,796.00 – $19,415.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,259.00 – $10,853.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $8,024.00 – $24,385.87 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $2,051.93 – $13,581.48 | |
| Total hip replacement CPT 27130 | not posted | $12,000.00 – $88,845.00 | |
| Total knee replacement CPT 27447 | not posted | $10,122.00 – $10,122.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $2,700.00 – $3,816.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $375.14 – $375.14 | |
| Vasectomy CPT 55250 | not posted | $718.08 – $718.08 |
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 | $2,152.00 – $2,152.00 | |
| Fetal non-stress test CPT 59025 | $898.53 | $898.53 | $62.90 – $898.53 |
| IUD insertion CPT 58300 | not posted | $2,636.00 – $5,932.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,287.00 – $47,784.37 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,152.00 – $45,538.63 |
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 | $9,314.77 – $9,482.61 | |
| C-section, without complications MS-DRG 788 | not posted | $717.00 – $717.00 | |
| Chest pain MS-DRG 313 | not posted | $7,981.53 – $8,125.35 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $1,126.00 – $11,357.60 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $7,342.76 – $7,475.06 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,223.05 – $9,389.23 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $1,126.00 – $10,298.80 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $12,598.74 – $12,825.75 | |
| Heart failure, without complications MS-DRG 293 | not posted | $1,126.00 – $6,841.45 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $82,200.81 – $83,681.90 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $1,318.00 – $1,318.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,721.18 – $6,842.28 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $1,126.00 – $9,424.25 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $1,126.00 – $8,871.51 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $22,078.02 – $22,475.82 | |
| Normal newborn care MS-DRG 795 | not posted | $3,721.39 – $3,788.44 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $1,126.00 – $8,610.56 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,685.01 – $8,841.49 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $1,126.00 – $13,080.86 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $1,126.00 – $7,362.51 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $13,524.15 – $13,767.83 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $1,126.00 – $18,317.32 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $10,465.39 – $10,653.96 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $1,126.00 – $1,126.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,469.62 – $8,622.23 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $10,358.93 – $10,545.58 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $1,318.00 – $12,466.42 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $7,606.46 – $7,743.51 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $3,000.00 – $4,000.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $2,152.00 – $5,932.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $357.81 – $5,932.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $276.00 – $5,932.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $276.00 – $5,932.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $3,796.00 – $18,490.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $318.81 – $620.23 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $218.75 – $6,680.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $380.46 – $740.17 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,291.83 | $1,291.83 | $90.43 – $1,291.83 |
| Sleep study with CPAP titration CPT 95811 | $14,627.66 | $14,627.66 | $1,927.00 – $3,130.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $13,015.13 | $13,015.13 | $796.00 – $2,680.03 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $251.86 | $251.86 | $380.46 – $740.17 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $226.16 | $226.16 | $15.83 – $226.16 |
| Physical therapy evaluation, low complexity CPT 97161 | $290.34 | $290.34 | $92.62 – $462.72 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $574.57 | $574.57 | $92.62 – $462.72 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $139.06 | $139.06 | $9.73 – $139.06 |
| Therapeutic activities, 15 minutes CPT 97530 | $169.62 | $169.62 | $11.87 – $169.62 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Psychiatric diagnostic evaluation CPT 90791 | $577.62 | $577.62 | $40.43 – $577.62 |
| Psychotherapy, 30 minutes CPT 90832 | $273.31 | $273.31 | $19.13 – $273.31 |
| Psychotherapy, 45 minutes CPT 90834 | $409.97 | $409.97 | $28.70 – $409.97 |
| Psychotherapy, 60 minutes CPT 90837 | $545.20 | $545.20 | $38.16 – $545.20 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $270.67 | $270.67 | $18.95 – $270.67 |
| IV hydration, each additional hour CPT 96361 | $723.80 | $723.80 | $50.67 – $723.80 |
| IV hydration, first hour CPT 96360 | $981.63 | $981.63 | $68.71 – $981.63 |
| IV push injection of a drug, first CPT 96374 | $1,063.19 | $1,063.19 | $74.42 – $1,063.19 |
| IV push injection, each additional drug CPT 96375 | $275.19 | $275.19 | $19.26 – $275.19 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $61.76 | $61.76 | $46.32 – $46.32 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $41.19 | $41.19 | $30.89 – $30.89 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $78.48 | $78.48 | $5.49 – $78.48 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $41.20 | $41.20 | $2.88 – $41.20 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $321.98 | $321.98 | $22.54 – $321.98 |
| Morphine injection, up to 10 mg HCPCS J2270 | $41.20 | $41.20 | $2.88 – $41.20 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $44.35 | $44.35 | $3.10 – $44.35 |
| Propofol injection, per 10 mg HCPCS J2704 | $71.88 | $71.88 | $5.03 – $71.88 |
| Saline IV solution, 1000 ml HCPCS J7030 | $38.14 | $38.14 | $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.