University Health System
4502 Medical Dr, San Antonio, TX 78229 · Acute care hospital · Emergency room
These are University Health System's own posted figures from its standard-charges file dated October 7, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
233 of the services we track have a posted price here; 160 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $2,320.75 | $9,283.00 | $750.00 – $23,207.50 |
| Emergency room visit, level 1 (minor) CPT 99281 | $125.00 | $500.00 | $84.71 – $1,250.00 |
| Emergency room visit, level 2 CPT 99282 | $216.75 | $867.00 | $154.24 – $2,167.50 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $486.00 | $1,944.00 | $274.22 – $4,860.00 |
| Emergency room visit, level 4 CPT 99284 | $1,025.25 | $4,101.00 | $419.16 – $10,252.50 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,612.00 | $6,448.00 | $598.24 – $16,120.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $123.25 | $493.00 | $166.63 – $1,530.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $192.50 | $770.00 | $41.90 – $1,925.00 |
| Abdominal X-ray, 1 view CPT 74018 | $207.00 | $828.00 | $30.08 – $2,070.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $192.00 | $768.00 | $37.09 – $1,920.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $90.00 | $360.00 | $38.09 – $900.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $257.00 | $1,028.00 | $103.91 – $2,570.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $157.25 | $629.00 | $85.54 – $1,572.50 |
| Chest X-ray, 1 view CPT 71045 | $168.00 | $672.00 | $26.06 – $1,680.00 |
| Chest X-ray, 2 views CPT 71046 | $238.00 | $952.00 | $33.75 – $2,380.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,393.50 | $5,574.00 | $176.20 – $13,935.00 |
| CT angiogram of the head CPT 70496 | $702.00 | $2,808.00 | $176.20 – $7,020.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,370.25 | $9,481.00 | $318.09 – $23,702.50 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,548.75 | $10,195.00 | $350.46 – $25,487.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,857.25 | $7,429.00 | $189.79 – $18,572.50 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,113.50 | $4,454.00 | $105.02 – $11,135.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,463.00 | $5,852.00 | $173.08 – $14,630.00 |
| CT scan of the chest, without contrast CPT 71250 | $940.50 | $3,762.00 | $105.02 – $9,405.00 |
| CT scan of the head, without contrast CPT 70450 | $1,084.25 | $4,337.00 | $105.02 – $10,842.50 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,261.25 | $5,045.00 | $105.02 – $12,612.50 |
| CT scan of the pelvis, with contrast CPT 72193 | $592.00 | $2,368.00 | $176.20 – $5,920.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $746.50 | $2,986.00 | $105.02 – $7,465.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $121.75 | $487.00 | $150.52 – $1,217.50 |
| Diagnostic mammogram, one breast CPT 77065 | $95.00 | $380.00 | $118.85 – $950.00 |
| Foot X-ray, 3 or more views CPT 73630 | $115.25 | $461.00 | $34.41 – $1,152.50 |
| Hand X-ray, 3 or more views CPT 73130 | $98.00 | $392.00 | $37.09 – $980.00 |
| Knee X-ray, 3 views CPT 73562 | $348.25 | $1,393.00 | $40.76 – $3,482.50 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $481.75 | $1,927.00 | $188.79 – $4,817.50 |
| Leg or arm vein ultrasound, one side CPT 93971 | $386.25 | $1,545.00 | $105.02 – $3,862.50 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $122.75 | $491.00 | $40.10 – $1,227.50 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $325.93 – $570.38 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,583.50 | $6,334.00 | $350.46 – $15,835.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,965.50 | $7,862.00 | $332.80 – $19,655.00 |
| MRI of the brain, without contrast CPT 70551 | $1,739.00 | $6,956.00 | $204.15 – $17,390.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $525.75 | $2,103.00 | $210.84 – $5,257.50 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $789.50 | $3,158.00 | $199.14 – $7,895.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,540.00 | $6,160.00 | $198.48 – $15,400.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,404.00 | $5,616.00 | $198.48 – $14,040.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,480.75 | $5,923.00 | $350.46 – $14,807.50 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $570.75 | $2,283.00 | $211.18 – $5,707.50 |
| Neck X-ray, 2 or 3 views CPT 72040 | $250.25 | $1,001.00 | $39.76 – $2,502.50 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $182.25 | $729.00 | $96.28 – $1,822.50 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $149.50 | $598.00 | $105.02 – $1,495.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $138.75 | $555.00 | $105.02 – $1,387.50 |
| Screening mammogram, both breasts CPT 77067 | $100.50 | $402.00 | $121.00 – $1,005.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $288.00 | $1,152.00 | $34.75 – $2,880.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $125.50 | $502.00 | $93.23 – $1,255.00 |
| Transvaginal ultrasound CPT 76830 | $158.75 | $635.00 | $105.02 – $1,587.50 |
| Ultrasound of the abdomen, complete CPT 76700 | $308.00 | $1,232.00 | $105.02 – $3,080.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $188.25 | $753.00 | $105.02 – $1,882.50 |
| Wrist X-ray, 3 or more views CPT 73110 | $260.25 | $1,041.00 | $41.10 – $2,602.50 |
| X-ray of the lower back, 4 or more views CPT 72110 | $165.50 | $662.00 | $51.45 – $1,655.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $41.50 | $166.00 | $7.11 – $415.00 |
| Blood culture CPT 87040 | $25.75 | $103.00 | $8.67 – $257.50 |
| Blood draw (venipuncture) CPT 36415 | $5.75 | $23.00 | $7.77 – $57.50 |
| BNP test (heart failure) CPT 83880 | $42.75 | $171.00 | $32.98 – $427.50 |
| C-reactive protein (CRP) test CPT 86140 | $10.75 | $43.00 | $4.35 – $107.50 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $37.25 | $149.00 | $29.48 – $372.50 |
| Complete blood count (CBC) with differential CPT 85025 | $23.75 | $95.00 | $6.53 – $237.50 |
| Complete blood count (CBC), automated CPT 85027 | $14.00 | $56.00 | $5.43 – $140.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $82.25 | $329.00 | $8.87 – $822.50 |
| COVID-19 PCR test CPT 87635 | $41.25 | $165.00 | $33.00 – $412.50 |
| D-dimer test (blood clots) CPT 85379 | $51.50 | $206.00 | $8.55 – $515.00 |
| Drug screen, instrument chemistry CPT 80307 | $73.25 | $293.00 | $33.00 – $732.50 |
| Ferritin (iron stores) test CPT 82728 | $27.75 | $111.00 | $11.45 – $277.50 |
| Free T4 (thyroid) test CPT 84439 | $30.75 | $123.00 | $7.58 – $307.50 |
| General health panel (blood tests) CPT 80050 | $101.75 | $407.00 | $33.00 – $1,017.50 |
| Glucose (blood sugar) test CPT 82947 | $31.50 | $126.00 | $3.30 – $315.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $39.50 | $158.00 | $29.48 – $395.00 |
| Hemoglobin A1c test CPT 83036 | $27.00 | $108.00 | $8.16 – $270.00 |
| Hepatitis C antibody test CPT 86803 | $33.25 | $133.00 | $11.99 – $332.50 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $34.25 | $137.00 | $20.23 – $342.50 |
| Iron test CPT 83540 | $13.00 | $52.00 | $5.43 – $130.00 |
| Kidney function panel CPT 80069 | $32.00 | $128.00 | $7.29 – $320.00 |
| Lipase test (pancreas) CPT 83690 | $35.00 | $140.00 | $5.79 – $350.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $36.25 | $145.00 | $11.25 – $362.50 |
| Liver function panel CPT 80076 | $36.25 | $145.00 | $6.86 – $362.50 |
| Magnesium test CPT 83735 | $53.00 | $212.00 | $5.63 – $530.00 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $83.67 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $50.50 | $202.00 | $5.05 – $505.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $30.75 | $123.00 | $12.64 – $307.50 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $29.25 | $117.00 | $3.60 – $292.50 |
| PSA (prostate specific antigen), free CPT 84154 | $15.00 | $60.00 | $15.45 – $150.00 |
| PSA (prostate specific antigen), total CPT 84153 | $70.50 | $282.00 | $15.45 – $705.00 |
| Rapid strep test CPT 87880 | $42.75 | $171.00 | $13.89 – $427.50 |
| Sed rate (ESR) test CPT 85652 | $14.25 | $57.00 | $2.27 – $142.50 |
| TB skin test CPT 86580 | $18.75 | $75.00 | $25.35 – $187.50 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $28.00 | $112.00 | $14.11 – $280.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $212.75 | $851.00 | $33.00 – $2,127.50 |
| Troponin test (heart damage) CPT 84484 | $46.75 | $187.00 | $10.47 – $467.50 |
| Urinalysis, automated, with microscope CPT 81001 | $13.25 | $53.00 | $2.66 – $132.50 |
| Urinalysis, automated, without microscope CPT 81003 | $8.75 | $35.00 | $1.89 – $87.50 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.38 – $7.04 | |
| Urinalysis, manual, without microscope CPT 81002 | $9.50 | $38.00 | $2.92 – $95.00 |
| Urine culture, colony count CPT 87086 | $27.75 | $111.00 | $6.78 – $277.50 |
| Urine pregnancy test CPT 81025 | $8.00 | $32.00 | $7.23 – $80.00 |
| Vitamin B12 test CPT 82607 | $33.00 | $132.00 | $12.67 – $330.00 |
| Vitamin D test CPT 82306 | $41.00 | $164.00 | $24.86 – $410.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $392.75 | $1,571.00 | $191.46 – $3,927.50 |
| ECG tracing only (no interpretation) CPT 93005 | $111.75 | $447.00 | $59.26 – $1,117.50 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $852.50 | $3,410.00 | $548.90 – $8,525.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $82.25 | $329.00 | $14.84 – $822.50 |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $67.48 – $118.09 | |
| Left heart catheterization CPT 93452 | $2,389.25 | $9,557.00 | $2,400.00 – $23,892.50 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,216.75 | $16,867.00 | $2,400.00 – $42,167.50 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,455.50 | $5,822.00 | $438.05 – $14,555.00 |
| Treadmill stress test, complete CPT 93015 | not posted | $70.92 – $124.10 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $3,340.00 – $11,662.85 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $3,340.00 – $9,716.92 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $689.25 | $2,757.00 | $486.45 – $6,892.50 |
| Carpal tunnel release CPT 64721 | not posted | $565.00 – $3,432.84 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,245.23 – $3,000.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,245.23 – $3,000.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $947.21 – $3,000.00 | |
| Colposcopy with biopsy CPT 57454 | $157.50 | $630.00 | $65.06 – $3,000.00 |
| Cystoscopy (bladder scope) CPT 52000 | $255.50 | $1,022.00 | $238.15 – $2,555.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,673.18 – $3,340.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $180.35 – $1,530.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $4,705.00 – $9,716.92 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $2,245.14 – $5,444.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $899.00 – $18,686.98 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $999.50 | $3,998.00 | $565.00 – $9,995.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $899.00 – $10,627.88 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $699.00 – $6,294.25 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $3,742.99 – $7,365.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,394.44 – $5,259.06 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,245.23 – $3,000.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $82.25 | $329.00 | $68.14 – $822.50 |
| Prostate biopsy CPT 55700 | not posted | $494.00 – $1,109.76 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $4,705.00 – $17,085.24 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $565.00 – $6,883.23 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $4,705.00 – $11,662.85 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $947.21 – $3,000.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $947.21 – $3,000.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,247.92 – $5,328.91 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $230.72 – $3,340.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,446.13 – $5,444.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $565.00 – $10,406.91 | |
| Total hip replacement CPT 27130 | not posted | $5,460.00 – $20,635.50 | |
| Total knee replacement CPT 27447 | not posted | $5,460.00 – $20,635.50 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $974.54 – $3,000.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $974.54 – $2,376.00 | |
| Vasectomy CPT 55250 | $736.25 | $2,945.00 | $565.00 – $7,362.50 |
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 | $2,994.13 – $3,835.44 | |
| Fetal non-stress test CPT 59025 | $174.25 | $697.00 | $15.78 – $1,742.50 |
| IUD insertion CPT 58300 | $282.25 | $1,129.00 | $68.82 – $2,822.50 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $2,833.70 – $3,613.88 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $2,700.52 – $3,437.40 |
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 | $1,024.00 – $51,325.56 | |
| C-section, without complications MS-DRG 788 | not posted | $3,200.00 – $52,613.93 | |
| Chest pain MS-DRG 313 | not posted | $5,799.60 – $48,565.70 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,922.52 – $55,138.11 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,171.31 – $47,243.44 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,020.74 – $51,135.70 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $7,899.54 – $52,985.19 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,341.01 – $58,123.42 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,559.13 – $45,955.02 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $24,000.00 – $202,201.18 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,537.29 – $69,059.38 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,559.94 – $45,956.75 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,054.57 – $51,206.89 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,520.52 – $50,082.95 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $19,664.67 – $77,745.75 | |
| Normal newborn care MS-DRG 795 | not posted | $912.00 – $39,747.12 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,268.40 – $49,552.34 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,491.52 – $50,021.93 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,587.49 – $58,642.19 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,062.57 – $47,014.59 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,024.00 – $60,039.04 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $15,646.84 – $69,289.90 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,242.68 – $53,707.36 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,015.10 – $51,123.84 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,279.68 – $49,576.07 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,137.97 – $53,486.97 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $8,023.47 – $57,392.81 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,850.00 – $47,789.30 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $12,150.16 – $61,930.94 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $128.75 | $515.00 | $27.96 – $1,530.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $417.00 | $1,668.00 | $340.77 – $4,170.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $288.00 | $1,152.00 | $262.86 – $2,880.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $383.25 | $1,533.00 | $262.86 – $3,832.50 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,507.11 – $4,705.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | $50.19 | $200.75 | $67.85 – $4,400.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $628.59 – $3,000.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $167.50 | $670.00 | $62.00 – $1,675.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $216.91 – $1,450.00 | |
| Sleep study with CPAP titration CPT 95811 | $793.00 | $3,172.00 | $862.65 – $7,930.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $606.50 | $2,426.00 | $819.99 – $6,065.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $111.75 | $447.00 | $104.00 – $1,117.50 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $46.75 | $187.00 | $27.03 – $467.50 |
| Physical therapy evaluation, low complexity CPT 97161 | $129.50 | $518.00 | $64.00 – $1,295.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $139.50 | $558.00 | $64.00 – $1,395.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $63.50 | $254.00 | $28.33 – $635.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $68.50 | $274.00 | $34.02 – $685.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $90.50 | $362.00 | $122.36 – $905.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $178.30 – $312.03 | |
| Group psychotherapy CPT 90853 | $56.25 | $225.00 | $76.05 – $562.50 |
| Psychiatric diagnostic evaluation CPT 90791 | $117.00 | $468.00 | $158.18 – $1,170.00 |
| Psychotherapy, 30 minutes CPT 90832 | $76.25 | $305.00 | $103.09 – $762.50 |
| Psychotherapy, 45 minutes CPT 90834 | $95.50 | $382.00 | $129.12 – $955.00 |
| Psychotherapy, 60 minutes CPT 90837 | $112.50 | $450.00 | $152.10 – $1,125.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $90.00 | $360.00 | $72.33 – $900.00 |
| IV hydration, each additional hour CPT 96361 | $63.25 | $253.00 | $47.04 – $632.50 |
| IV hydration, first hour CPT 96360 | $156.25 | $625.00 | $82.00 – $1,562.50 |
| IV push injection of a drug, first CPT 96374 | $140.75 | $563.00 | $82.00 – $1,407.50 |
| IV push injection, each additional drug CPT 96375 | $34.25 | $137.00 | $46.31 – $342.50 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $115.02 | $460.05 | $155.50 – $1,150.13 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $23.99 | $95.95 | $32.43 – $239.88 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $20.25 | $81.00 | $27.38 – $202.50 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $6.36 | $25.44 | ? – $63.60 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $112.25 | $449.00 | $151.76 – $1,122.50 |
| Morphine injection, up to 10 mg HCPCS J2270 | $126.61 | $506.41 | $171.17 – $1,266.03 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.41 | $5.63 | $1.90 – $14.08 |
| Propofol injection, per 10 mg HCPCS J2704 | $10.40 | $41.60 | $14.06 – $104.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $20.00 | $80.00 | $27.04 – $200.00 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.