St. Joseph Medical Center
1401 St. Joseph Parkway, Houston, TX 77002 · Acute care hospital · Emergency room
These are St. Joseph Medical Center'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.
223 of the services we track have a posted price here; 193 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 | $816.51 | $3,425.78 | $787.93 – $1,161.71 |
| Emergency room visit, level 1 (minor) CPT 99281 | $83.35 | $533.81 | $80.43 – $118.59 |
| Emergency room visit, level 2 CPT 99282 | $151.77 | $990.76 | $146.46 – $215.94 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $269.83 | $1,653.46 | $260.39 – $383.91 |
| Emergency room visit, level 4 CPT 99284 | $412.45 | $2,402.74 | $398.01 – $586.82 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $588.67 | $3,261.73 | $568.07 – $837.54 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $3,529.00 | $3,405.48 – $5,040.27 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | not posted | $693.83 | $44.84 – $693.83 |
| New patient office visit, about 30 minutes CPT 99203 | not posted | $721.11 | $62.30 – $721.11 |
| New patient office visit, about 45 minutes CPT 99204 | not posted | $1,189.42 | $102.77 – $1,189.42 |
| New patient office visit, about 60 minutes CPT 99205 | not posted | $1,826.62 | $148.94 – $1,826.62 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | not posted | $495.59 | $22.58 – $495.59 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | not posted | $744.03 | $45.15 – $744.03 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | not posted | $981.00 | $69.61 – $981.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | not posted | $1,435.30 | $98.14 – $1,435.30 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | not posted | $488.06 | $8.15 – $488.06 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $226.94 | $19.61 – $226.94 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $22.76 | $898.64 | $21.96 – $898.64 |
| Abdominal X-ray, 1 view CPT 74018 | $86.02 | $666.20 | $83.01 – $122.39 |
| Ankle X-ray, 3 or more views CPT 73610 | $86.02 | $2,452.51 | $83.01 – $122.39 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $102.92 | $1,100.86 | $99.32 – $147.03 |
| Breast ultrasound, one breast, complete CPT 76641 | $103.34 | $532.60 | $99.72 – $147.03 |
| Breast ultrasound, one breast, limited CPT 76642 | $86.02 | $532.60 | $83.01 – $122.39 |
| Chest X-ray, 1 view CPT 71045 | $86.02 | $633.75 | $83.01 – $122.39 |
| Chest X-ray, 2 views CPT 71046 | $86.02 | $893.16 | $83.01 – $122.39 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $173.38 | $5,406.32 | $167.31 – $246.68 |
| CT angiogram of the head CPT 70496 | $173.38 | $3,850.11 | $167.31 – $246.68 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $344.85 | $6,679.25 | $332.78 – $490.64 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $344.85 | $7,808.57 | $332.78 – $490.64 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $235.85 | $5,642.64 | $227.60 – $335.57 |
| CT scan of the abdomen, without contrast CPT 74150 | $103.34 | $5,617.58 | $99.72 – $147.03 |
| CT scan of the chest, with contrast CPT 71260 | $173.38 | $6,184.94 | $167.31 – $246.68 |
| CT scan of the chest, without contrast CPT 71250 | $103.34 | $5,676.13 | $99.72 – $147.03 |
| CT scan of the head, without contrast CPT 70450 | $103.34 | $6,122.72 | $99.72 – $147.03 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $103.34 | $6,583.93 | $99.72 – $147.03 |
| CT scan of the pelvis, with contrast CPT 72193 | $173.38 | $5,765.22 | $167.31 – $246.68 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $103.34 | $5,050.61 | $99.72 – $147.03 |
| Diagnostic mammogram, both breasts CPT 77066 | $108.28 | $1,235.42 | $104.49 – $1,235.42 |
| Diagnostic mammogram, one breast CPT 77065 | $84.33 | $606.41 | $52.39 – $606.41 |
| Foot X-ray, 3 or more views CPT 73630 | $86.02 | $2,470.83 | $83.01 – $122.39 |
| Hand X-ray, 3 or more views CPT 73130 | $86.02 | $2,452.51 | $83.01 – $122.39 |
| Knee X-ray, 3 views CPT 73562 | $86.02 | $1,622.35 | $83.01 – $122.39 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $235.85 | $3,060.13 | $227.60 – $335.57 |
| Leg or arm vein ultrasound, one side CPT 93971 | $103.34 | $1,980.15 | $99.72 – $147.03 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $103.34 | $988.32 | $99.72 – $147.03 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $4,841.94 | $293.00 – $4,841.94 |
| MRI of the abdomen, without and with contrast CPT 74183 | $344.85 | $11,934.30 | $332.78 – $490.64 |
| MRI of the brain, without and with contrast CPT 70553 | $344.85 | $11,659.75 | $332.78 – $490.64 |
| MRI of the brain, without contrast CPT 70551 | $235.85 | $7,628.38 | $227.60 – $335.57 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $520.39 | $15,076.18 | $502.18 – $740.39 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $235.85 | $7,832.15 | $227.60 – $335.57 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $235.85 | $8,192.09 | $227.60 – $335.57 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $235.85 | $7,860.22 | $227.60 – $335.57 |
| MRI of the pelvis, without and with contrast CPT 72197 | $344.85 | $10,925.23 | $332.78 – $490.64 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $520.39 | $11,116.78 | $502.18 – $740.39 |
| Neck X-ray, 2 or 3 views CPT 72040 | $86.02 | $918.78 | $83.01 – $122.39 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $103.34 | $1,942.67 | $99.72 – $147.03 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $103.34 | $1,669.81 | $99.72 – $147.03 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $103.34 | $1,820.47 | $99.72 – $147.03 |
| Screening mammogram, both breasts CPT 77067 | $88.86 | $599.10 | $51.76 – $599.10 |
| Shoulder X-ray, 2 or more views CPT 73030 | $86.02 | $1,350.71 | $83.01 – $122.39 |
| Transvaginal pregnancy ultrasound CPT 76817 | $103.34 | $960.27 | $99.72 – $147.03 |
| Transvaginal ultrasound CPT 76830 | $103.34 | $1,428.80 | $99.72 – $147.03 |
| Ultrasound of the abdomen, complete CPT 76700 | $103.34 | $2,269.48 | $99.72 – $147.03 |
| Ultrasound of the neck or thyroid CPT 76536 | $103.34 | $1,572.78 | $99.72 – $147.03 |
| Wrist X-ray, 3 or more views CPT 73110 | $86.02 | $2,470.83 | $83.01 – $122.39 |
| X-ray of the lower back, 4 or more views CPT 72110 | $103.34 | $1,471.50 | $99.72 – $147.03 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $8.29 | $735.76 | $4.45 – $735.76 |
| Blood culture CPT 87040 | $10.11 | $540.14 | $5.43 – $540.14 |
| Blood draw (venipuncture) CPT 36415 | $9.15 | $59.80 | $1.08 – $59.80 |
| BNP test (heart failure) CPT 83880 | $38.47 | $591.77 | $17.84 – $591.77 |
| C-reactive protein (CRP) test CPT 86140 | $5.08 | $308.71 | $2.72 – $308.71 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $34.39 | $131.36 | $18.45 – $131.36 |
| Complete blood count (CBC) with differential CPT 85025 | $7.61 | $384.36 | $4.09 – $384.36 |
| Complete blood count (CBC), automated CPT 85027 | $6.34 | $306.26 | $3.40 – $306.26 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $10.35 | $968.80 | $5.56 – $968.80 |
| COVID-19 PCR test CPT 87635 | $50.28 | $252.61 | $22.92 – $252.61 |
| D-dimer test (blood clots) CPT 85379 | $9.98 | $443.89 | $5.35 – $443.89 |
| Drug screen, instrument chemistry CPT 80307 | $60.90 | $609.70 | $28.73 – $609.70 |
| Ferritin (iron stores) test CPT 82728 | $13.36 | $262.42 | $7.16 – $262.42 |
| Free T4 (thyroid) test CPT 84439 | $8.84 | $490.50 | $4.74 – $490.50 |
| General health panel (blood tests) CPT 80050 | not posted | $2,140.72 | $14.54 – $2,140.72 |
| Glucose (blood sugar) test CPT 82947 | $3.85 | $252.57 | $2.06 – $252.57 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $34.39 | $255.02 | $18.45 – $255.02 |
| Hemoglobin A1c test CPT 83036 | $9.52 | $313.58 | $5.10 – $313.58 |
| Hepatitis C antibody test CPT 86803 | $13.98 | $617.40 | $7.50 – $617.40 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $23.60 | $508.09 | $12.28 – $508.09 |
| Iron test CPT 83540 | $6.34 | $316.02 | $3.41 – $316.02 |
| Kidney function panel CPT 80069 | $8.51 | $659.32 | $4.56 – $659.32 |
| Lipase test (pancreas) CPT 83690 | $6.75 | $386.80 | $3.62 – $386.80 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $13.12 | $643.02 | $7.05 – $643.02 |
| Liver function panel CPT 80076 | $8.01 | $628.93 | $4.29 – $628.93 |
| Magnesium test CPT 83735 | $6.57 | $216.72 | $3.52 – $216.72 |
| Obstetric blood test panel CPT 80055 | $46.85 | $428.66 | $21.16 – $428.66 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $5.89 | $253.28 | $3.15 – $253.28 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $14.75 | $497.81 | $7.91 – $497.81 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $4.20 | $192.09 | $2.07 – $192.09 |
| PSA (prostate specific antigen), free CPT 84154 | $18.02 | $248.91 | $9.67 – $248.91 |
| PSA (prostate specific antigen), total CPT 84153 | $18.02 | $600.32 | $9.67 – $600.32 |
| Rapid strep test CPT 87880 | $16.20 | $275.06 | $6.31 – $275.06 |
| Sed rate (ESR) test CPT 85652 | $2.65 | $9.09 | $1.42 – $9.09 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $16.46 | $56.58 | $8.83 – $56.58 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $51.51 | $1,210.39 | $49.71 – $73.29 |
| Troponin test (heart damage) CPT 84484 | $12.22 | $662.55 | $5.17 – $662.55 |
| Urinalysis, automated, with microscope CPT 81001 | $3.11 | $215.26 | $1.67 – $215.26 |
| Urinalysis, automated, without microscope CPT 81003 | $2.20 | $173.27 | $1.18 – $173.27 |
| Urinalysis, manual, with microscope CPT 81000 | $3.94 | $12.06 | $1.67 – $12.30 |
| Urinalysis, manual, without microscope CPT 81002 | $3.41 | $93.96 | $1.35 – $93.96 |
| Urine culture, colony count CPT 87086 | $7.91 | $24.21 | $4.24 – $24.69 |
| Urine pregnancy test CPT 81025 | $8.44 | $122.01 | $3.33 – $122.01 |
| Vitamin B12 test CPT 82607 | $14.78 | $579.59 | $7.92 – $579.59 |
| Vitamin D test CPT 82306 | $29.01 | $614.96 | $15.56 – $614.96 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $235.85 | $3,413.99 | $227.60 – $335.57 |
| ECG tracing only (no interpretation) CPT 93005 | $58.31 | $723.55 | $56.27 – $82.96 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $540.12 | $4,903.75 | $521.22 – $768.46 |
| Left heart catheterization with coronary angiogram CPT 93458 | $3,208.55 | $23,816.12 | $3,096.25 – $4,559.38 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,279.74 | $8,486.14 | $1,234.95 – $1,820.77 |
| Treadmill stress test, complete CPT 93015 | not posted | $930.72 | $59.40 – $930.72 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $7,172.65 | $6,921.61 – $10,204.99 | |
| Appendix removal, laparoscopic CPT 44970 | $5,975.91 | $5,766.75 – $8,502.31 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,871.26 | $4,332.15 | $2,770.77 – $4,085.13 |
| Carpal tunnel release CPT 64721 | $1,930.23 | $1,862.67 – $2,746.27 | |
| Colonoscopy with biopsy CPT 45380 | $1,182.86 | $1,141.46 – $1,682.93 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,182.86 | $1,141.46 – $1,682.93 | |
| Colonoscopy, diagnostic CPT 45378 | $919.25 | $887.08 – $1,307.88 | |
| Colposcopy with biopsy CPT 57454 | $3,542.22 | $3,418.24 – $5,058.56 | |
| Cystoscopy (bladder scope) CPT 52000 | $3,592.11 | $3,466.39 – $5,127.58 | |
| Ear tubes, under general anesthesia CPT 69436 | $1,533.71 | $1,480.03 – $2,182.11 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $919.25 | $887.08 – $1,307.88 | |
| Gallbladder removal, laparoscopic CPT 47562 | $5,975.91 | $5,766.75 – $8,502.31 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,958.00 – $50,000.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $10,499.42 | $10,131.94 – $14,949.58 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,199.85 | $3,087.86 – $4,552.63 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $5,975.91 | $5,766.75 – $8,502.31 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $3,539.17 | $3,415.30 – $5,035.41 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $3,484.38 | $3,362.43 – $4,957.46 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,234.32 | $3,121.12 – $4,601.67 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,182.86 | $1,141.46 – $1,682.93 | |
| Nasal endoscopy, diagnostic CPT 31231 | $3,528.86 | $3,405.35 – $5,040.08 | |
| Prostate biopsy CPT 55700 | not posted | $686.75 – $50,000.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | $10,499.42 | $10,131.94 – $14,949.58 | |
| Removal of a breast lump, open surgery CPT 19120 | $3,870.35 | $3,734.89 – $5,506.59 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $7,172.65 | $6,921.61 – $10,204.99 | |
| Septoplasty (nasal septum repair) CPT 30520 | $3,277.28 | $3,162.58 – $4,662.80 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $529.00 – $50,000.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,317.84 – $50,000.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $5,851.66 | $5,646.85 – $8,325.53 | |
| Total hip replacement CPT 27130 | $12,673.97 | $12,230.38 – $18,056.07 | |
| Total knee replacement CPT 27447 | $12,673.97 | $12,230.38 – $18,056.07 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $3,618.75 | $3,492.09 – $5,164.45 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $3,618.75 | $3,492.09 – $5,164.45 | |
| Vasectomy CPT 55250 | $2,066.31 | $1,993.99 – $2,939.87 |
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 | $1,958.00 – $50,000.00 | |
| Fetal non-stress test CPT 59025 | $3,529.19 | $3,405.67 – $5,040.55 | |
| IUD insertion CPT 58300 | not posted | $1,266.51 | $45.35 – $1,266.51 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,958.00 – $50,000.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,958.00 – $30,000.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $23,469.30 | $1,100.00 – $32,126.92 | |
| C-section, without complications MS-DRG 788 | $24,120.81 | $5,133.00 – $34,215.80 | |
| Chest pain MS-DRG 313 | $22,073.71 | $1,750.00 – $31,419.81 | |
| COPD flare-up, with major complications MS-DRG 190 | $25,397.25 | $1,750.00 – $36,009.32 | |
| COPD flare-up, without complications MS-DRG 192 | $21,405.06 | $1,750.00 – $30,506.65 | |
| Fainting (syncope) MS-DRG 312 | $23,373.30 | $1,750.00 – $33,194.61 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $24,308.54 | $1,750.00 – $34,479.57 | |
| Heart failure, with major complications MS-DRG 291 | $26,906.85 | $1,750.00 – $38,130.47 | |
| Heart failure, without complications MS-DRG 293 | $20,753.55 | $1,750.00 – $29,616.91 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $99,763.97 | $3,652.00 – $140,502.15 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $32,436.92 | $1,750.00 – $45,900.78 | |
| Irregular heartbeat, without complications MS-DRG 310 | $20,754.41 | $1,750.00 – $29,618.09 | |
| Kidney failure, with complications MS-DRG 683 | $23,409.30 | $1,750.00 – $33,243.77 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $22,840.94 | $1,750.00 – $32,467.58 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $36,829.46 | $1,750.00 – $52,072.74 | |
| Normal newborn care MS-DRG 795 | $17,614.31 | $811.00 – $25,329.77 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $22,572.62 | $1,750.00 – $32,101.15 | |
| Pneumonia, with complications MS-DRG 194 | $22,810.08 | $1,750.00 – $32,425.43 | |
| Pneumonia, with major complications MS-DRG 193 | $27,169.17 | $1,750.00 – $38,499.05 | |
| Pneumonia, without complications MS-DRG 195 | $21,289.33 | $1,750.00 – $30,348.61 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $27,875.53 | $1,100.00 – $38,106.24 | |
| Sepsis, with major complications MS-DRG 871 | $32,553.51 | $1,750.00 – $46,064.60 | |
| Sepsis, without major complications MS-DRG 872 | $24,673.72 | $1,750.00 – $34,992.70 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $23,367.29 | $1,750.00 – $33,186.39 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | $47,258.67 | $1,750.00 – $79,728.89 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $22,584.62 | $1,750.00 – $32,117.53 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $24,562.30 | $1,750.00 – $34,836.13 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $26,537.38 | $1,750.00 – $37,611.33 | |
| Vaginal delivery, without complications MS-DRG 807 | $21,681.10 | $1,926.00 – $30,883.63 | |
| Weight loss surgery, without complications MS-DRG 621 | $28,832.23 | $1,750.00 – $40,835.82 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $303.42 | $1,188.43 | $292.80 – $431.69 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $3,615.89 | $3,489.33 – $5,160.48 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,593.20 | $3,467.44 – $5,129.10 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $3,615.89 | $3,489.33 – $5,160.48 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,281.25 | $2,201.41 – $3,245.68 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $543.66 | $3,952.07 | $524.63 – $773.50 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $213.44 | $470.34 | $205.97 – $303.67 |
| Sleep study with CPAP titration CPT 95811 | $848.85 | $8,885.65 | $819.14 – $1,207.71 |
| Sleep study, overnight in a sleep lab CPT 95810 | $848.85 | $7,956.10 | $819.14 – $1,207.71 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $213.44 | $457.90 | $205.97 – $303.67 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $27.42 | $398.32 | $23.35 – $398.32 |
| Physical therapy evaluation, low complexity CPT 97161 | $96.51 | $299.92 | $25.91 – $299.92 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $96.51 | $362.31 | $31.30 – $362.31 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $28.74 | $386.80 | $25.71 – $386.80 |
| Therapeutic activities, 15 minutes CPT 97530 | $34.61 | $248.91 | $21.51 – $248.91 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $175.45 | $583.23 | $169.31 – $249.62 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $175.45 | $389.23 | $169.31 – $249.62 |
| Group psychotherapy CPT 90853 | $100.42 | $483.18 | $96.91 – $142.87 |
| Psychiatric diagnostic evaluation CPT 90791 | $175.45 | $489.28 | $169.31 – $249.62 |
| Psychotherapy, 30 minutes CPT 90832 | $175.45 | $367.26 | $169.31 – $249.62 |
| Psychotherapy, 45 minutes CPT 90834 | $175.45 | $489.28 | $169.31 – $249.62 |
| Psychotherapy, 60 minutes CPT 90837 | $175.45 | $489.28 | $169.31 – $249.62 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $71.17 | $282.06 | $68.68 – $101.26 |
| IV hydration, each additional hour CPT 96361 | $46.29 | $852.89 | $44.67 – $65.86 |
| IV hydration, first hour CPT 96360 | $210.25 | $1,011.55 | $202.89 – $299.14 |
| IV push injection of a drug, first CPT 96374 | $210.25 | $438.05 | $202.89 – $299.14 |
| IV push injection, each additional drug CPT 96375 | $46.29 | $400.91 | $44.67 – $65.86 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $139.70 | $12.07 – $139.70 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | not posted | $39.00 | ? – $39.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $130.70 | $4.55 – $130.70 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $10.00 | ? – $10.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $131.00 | $11.32 – $131.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $52.00 | $2.72 – $52.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $10.00 | ? – $10.00 |
| Propofol injection, per 10 mg HCPCS J2704 | not posted | $156.00 | $18.06 – $156.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $14.20 | $1.23 – $14.20 |
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.