UT of Texas Southwestern University Hospital - William P. Clements Jr.
6201 Harry Hines Blvd, Dallas, TX 75390 · Acute care hospital · Emergency room
These are UT of Texas Southwestern University Hospital - William P. Clements Jr.'s own posted figures from its standard-charges file dated March 10, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
234 of the services we track have a posted price here; 205 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 | $2,122.50 | $4,245.00 | $613.23 – $10,480.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $226.00 | $452.00 | $51.36 – $1,156.00 |
| Emergency room visit, level 2 CPT 99282 | $470.00 | $940.00 | $51.36 – $2,356.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $770.50 | $1,541.00 | $51.36 – $4,165.00 |
| Emergency room visit, level 4 CPT 99284 | $1,221.50 | $2,443.00 | $352.92 – $6,740.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,879.00 | $3,758.00 | $542.88 – $10,480.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $395.25 | $527.00 | $35.82 – $474.30 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $168.75 | $225.00 | $22.99 – $202.50 |
| Abdominal X-ray, 1 view CPT 74018 | $179.00 | $358.00 | $30.08 – $487.16 |
| Ankle X-ray, 3 or more views CPT 73610 | $225.50 | $451.00 | $37.09 – $487.16 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $239.25 | $319.00 | $7.48 – $287.10 |
| Breast ultrasound, one breast, complete CPT 76641 | $356.00 | $712.00 | $103.91 – $684.14 |
| Breast ultrasound, one breast, limited CPT 76642 | $280.50 | $561.00 | $85.54 – $648.00 |
| Chest X-ray, 1 view CPT 71045 | $251.00 | $502.00 | $26.06 – $487.16 |
| Chest X-ray, 2 views CPT 71046 | $333.50 | $667.00 | $33.75 – $586.96 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,388.50 | $2,777.00 | $178.02 – $2,443.76 |
| CT angiogram of the head CPT 70496 | $1,597.00 | $3,194.00 | $178.02 – $2,810.72 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,973.00 | $3,946.00 | $318.09 – $4,337.43 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,795.50 | $3,591.00 | $356.19 – $4,337.43 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,243.00 | $2,486.00 | $189.79 – $2,647.10 |
| CT scan of the abdomen, without contrast CPT 74150 | $618.00 | $1,236.00 | $106.34 – $1,273.12 |
| CT scan of the chest, with contrast CPT 71260 | $1,374.50 | $2,749.00 | $173.08 – $2,419.12 |
| CT scan of the chest, without contrast CPT 71250 | $797.50 | $1,595.00 | $106.34 – $1,403.60 |
| CT scan of the head, without contrast CPT 70450 | $1,062.50 | $2,125.00 | $106.34 – $1,870.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $803.00 | $1,606.00 | $106.34 – $1,413.28 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,377.50 | $2,755.00 | $178.02 – $2,424.40 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,062.50 | $2,125.00 | $106.34 – $1,870.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $393.50 | $787.00 | $113.69 – $734.74 |
| Diagnostic mammogram, one breast CPT 77065 | $307.00 | $614.00 | $88.70 – $574.14 |
| Foot X-ray, 3 or more views CPT 73630 | $259.50 | $519.00 | $34.41 – $487.16 |
| Hand X-ray, 3 or more views CPT 73130 | $229.00 | $458.00 | $37.09 – $487.16 |
| Knee X-ray, 3 views CPT 73562 | $226.50 | $453.00 | $40.76 – $487.16 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $922.00 | $1,844.00 | $188.79 – $1,622.72 |
| Leg or arm vein ultrasound, one side CPT 93971 | $590.00 | $1,180.00 | $106.34 – $1,038.40 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $248.50 | $497.00 | $40.10 – $684.14 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,768.00 | $3,536.00 | $510.81 – $3,328.19 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,954.00 | $3,908.00 | $354.51 – $4,337.43 |
| MRI of the brain, without and with contrast CPT 70553 | $2,584.50 | $5,169.00 | $332.80 – $4,548.72 |
| MRI of the brain, without contrast CPT 70551 | $1,602.50 | $3,205.00 | $204.15 – $2,820.40 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,384.50 | $2,769.00 | $210.84 – $2,647.10 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,423.00 | $2,846.00 | $199.14 – $2,647.10 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,811.00 | $3,622.00 | $198.48 – $3,187.36 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,798.50 | $3,597.00 | $198.48 – $3,165.36 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,054.50 | $4,109.00 | $353.18 – $4,337.43 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,094.00 | $2,188.00 | $211.18 – $2,647.10 |
| Neck X-ray, 2 or 3 views CPT 72040 | $199.00 | $398.00 | $39.76 – $487.16 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $495.50 | $991.00 | $96.28 – $872.08 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $392.50 | $785.00 | $106.34 – $690.80 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $311.50 | $623.00 | $106.34 – $648.00 |
| Screening mammogram, both breasts CPT 77067 | $260.00 | $520.00 | $75.12 – $607.16 |
| Shoulder X-ray, 2 or more views CPT 73030 | $173.00 | $346.00 | $34.75 – $487.16 |
| Transvaginal pregnancy ultrasound CPT 76817 | $259.00 | $518.00 | $93.23 – $684.14 |
| Transvaginal ultrasound CPT 76830 | $217.00 | $434.00 | $106.34 – $648.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $435.50 | $871.00 | $106.34 – $766.48 |
| Ultrasound of the neck or thyroid CPT 76536 | $440.50 | $881.00 | $106.34 – $775.28 |
| Wrist X-ray, 3 or more views CPT 73110 | $153.00 | $306.00 | $41.10 – $487.16 |
| X-ray of the lower back, 4 or more views CPT 72110 | $235.00 | $470.00 | $51.45 – $684.14 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $68.50 | $137.00 | $7.11 – $120.56 |
| Blood culture CPT 87040 | $66.50 | $133.00 | $8.67 – $117.04 |
| Blood draw (venipuncture) CPT 36415 | $60,125.00 | $120,250.00 | $3.00 – $105,820.00 |
| BNP test (heart failure) CPT 83880 | $167.00 | $334.00 | $32.98 – $353.85 |
| C-reactive protein (CRP) test CPT 86140 | $289.00 | $578.00 | $4.35 – $508.64 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $169.00 | $338.00 | $29.48 – $316.27 |
| Complete blood count (CBC) with differential CPT 85025 | $59.50 | $119.00 | $6.53 – $104.72 |
| Complete blood count (CBC), automated CPT 85027 | $55.00 | $110.00 | $5.43 – $96.80 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $76.00 | $152.00 | $8.87 – $133.76 |
| COVID-19 PCR test CPT 87635 | $88.50 | $177.00 | $47.21 – $462.46 |
| D-dimer test (blood clots) CPT 85379 | $88.00 | $176.00 | $8.55 – $154.88 |
| Drug screen, instrument chemistry CPT 80307 | $297.00 | $594.00 | $52.20 – $560.07 |
| Ferritin (iron stores) test CPT 82728 | $79.50 | $159.00 | $11.45 – $139.92 |
| Free T4 (thyroid) test CPT 84439 | $68.50 | $137.00 | $7.58 – $120.56 |
| General health panel (blood tests) CPT 80050 | $159.00 | $318.00 | $45.94 – $318.34 |
| Glucose (blood sugar) test CPT 82947 | $35.50 | $71.00 | $3.30 – $62.48 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $145.50 | $291.00 | $29.48 – $316.27 |
| Hemoglobin A1c test CPT 83036 | $63.50 | $127.00 | $8.16 – $111.76 |
| Hepatitis C antibody test CPT 86803 | $202.00 | $404.00 | $11.99 – $355.52 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $138.50 | $277.00 | $20.23 – $243.76 |
| Iron test CPT 83540 | $45.50 | $91.00 | $5.43 – $80.08 |
| Kidney function panel CPT 80069 | $69.50 | $139.00 | $7.29 – $122.32 |
| Lipase test (pancreas) CPT 83690 | $36.50 | $73.00 | $5.79 – $64.24 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $71.00 | $142.00 | $11.25 – $124.96 |
| Liver function panel CPT 80076 | $58.00 | $116.00 | $6.86 – $102.08 |
| Magnesium test CPT 83735 | $46.00 | $92.00 | $5.63 – $80.96 |
| Obstetric blood test panel CPT 80055 | $195.75 | $261.00 | $5.00 – $234.90 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $54.00 | $108.00 | $5.05 – $95.04 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $169.00 | $338.00 | $12.64 – $297.44 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $35.50 | $71.00 | $3.60 – $62.48 |
| PSA (prostate specific antigen), free CPT 84154 | $68.00 | $136.00 | $15.45 – $165.75 |
| PSA (prostate specific antigen), total CPT 84153 | $108.50 | $217.00 | $15.45 – $190.96 |
| Rapid strep test CPT 87880 | $44.25 | $59.00 | $5.00 – $53.10 |
| Sed rate (ESR) test CPT 85652 | $21.00 | $42.00 | $2.27 – $36.96 |
| TB skin test CPT 86580 | $21.40 | $42.80 | $6.18 – $207.21 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $98.50 | $197.00 | $14.11 – $173.36 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $340.50 | $454.00 | $28.87 – $408.60 |
| Troponin test (heart damage) CPT 84484 | $74.00 | $148.00 | $10.47 – $130.24 |
| Urinalysis, automated, with microscope CPT 81001 | $25.50 | $51.00 | $2.66 – $44.88 |
| Urinalysis, automated, without microscope CPT 81003 | $16.00 | $32.00 | $1.89 – $28.16 |
| Urinalysis, manual, with microscope CPT 81000 | $31.50 | $42.00 | $2.90 – $37.80 |
| Urinalysis, manual, without microscope CPT 81002 | $16.00 | $32.00 | $2.92 – $31.37 |
| Urine culture, colony count CPT 87086 | $42.75 | $57.00 | $4.58 – $51.30 |
| Urine pregnancy test CPT 81025 | $57.00 | $114.00 | $7.23 – $100.32 |
| Vitamin B12 test CPT 82607 | $52.00 | $104.00 | $12.67 – $135.92 |
| Vitamin D test CPT 82306 | $145.50 | $291.00 | $24.86 – $266.78 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $737.50 | $1,475.00 | $191.46 – $1,298.00 |
| ECG tracing only (no interpretation) CPT 93005 | $235.50 | $471.00 | $59.40 – $928.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,899.50 | $3,799.00 | $482.96 – $3,343.12 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | $99.00 | $132.00 | $11.49 – $118.80 |
| Holter monitor, up to 48 hours CPT 93224 | $358.50 | $478.00 | $68.65 – $484.87 |
| Left heart catheterization CPT 93452 | $7,501.00 | $15,002.00 | $2,167.19 – $19,062.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $11,706.00 | $23,412.00 | $3,216.41 – $20,602.56 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,775.00 | $3,550.00 | $438.05 – $3,124.00 |
| Treadmill stress test, complete CPT 93015 | $408.00 | $544.00 | $71.26 – $489.60 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $3,638.25 | $4,851.00 | $781.60 – $4,501.36 |
| Appendix removal, laparoscopic CPT 44970 | $1,576.50 | $2,102.00 | $485.96 – $2,677.22 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,742.50 | $5,485.00 | $486.45 – $6,261.00 |
| Carpal tunnel release CPT 64721 | $1,101.00 | $1,468.00 | $357.39 – $1,911.96 |
| Colonoscopy with biopsy CPT 45380 | $2,969.00 | $5,938.00 | $429.26 – $6,261.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,969.00 | $5,938.00 | $429.26 – $6,261.00 |
| Colonoscopy, diagnostic CPT 45378 | $2,182.00 | $4,364.00 | $328.50 – $6,261.00 |
| Colposcopy with biopsy CPT 57454 | $360.50 | $721.00 | $65.06 – $2,667.00 |
| Cystoscopy (bladder scope) CPT 52000 | $1,206.00 | $2,412.00 | $135.00 – $4,750.00 |
| Ear tubes, under general anesthesia CPT 69436 | $522.00 | $696.00 | $128.31 – $750.26 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,293.50 | $2,587.00 | $130.67 – $4,750.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $1,923.00 | $2,564.00 | $532.47 – $3,341.29 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $5,142.00 | $6,856.00 | $1,392.39 – $7,808.04 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $2,720.25 | $3,627.00 | $798.86 – $4,726.30 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $3,621.00 | $4,828.00 | $210.20 – $4,345.20 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $1,237.50 | $1,650.00 | $350.70 – $1,901.11 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $1,423.50 | $1,898.00 | $422.88 – $2,317.07 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $2,732.25 | $3,643.00 | $450.94 – $4,045.86 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $2,160.75 | $2,881.00 | $436.51 – $2,921.09 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,020.75 | $1,361.00 | $202.88 – $1,379.86 |
| Nasal endoscopy, diagnostic CPT 31231 | $500.25 | $667.00 | $51.59 – $867.72 |
| Prostate biopsy CPT 55700 | $594.00 | $1,188.00 | $463.32 – $7,826.71 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $5,540.25 | $7,387.00 | $940.38 – $8,214.11 |
| Removal of a breast lump, open surgery CPT 19120 | $1,580.50 | $3,161.00 | $963.66 – $13,384.55 |
| Rotator cuff repair, arthroscopic CPT 29827 | $3,411.75 | $4,549.00 | $856.71 – $4,912.58 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,041.00 | $1,388.00 | $145.15 – $1,808.40 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,338.00 | $1,784.00 | $144.88 – $1,808.40 |
| Septoplasty (nasal septum repair) CPT 30520 | $2,726.25 | $3,635.00 | $546.10 – $3,271.50 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $2,100.75 | $2,801.00 | $136.59 – $3,023.51 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $4,172.25 | $5,563.00 | $882.91 – $5,934.48 |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $779.25 | $1,039.00 | $287.55 – $1,353.41 |
| Total hip replacement CPT 27130 | $4,188.00 | $5,584.00 | $1,026.18 – $6,579.90 |
| Total knee replacement CPT 27447 | $5,202.75 | $6,937.00 | $1,025.11 – $7,033.16 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,594.00 | $5,188.00 | $334.95 – $6,261.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,525.50 | $3,051.00 | $334.95 – $6,261.00 |
| Vasectomy CPT 55250 | $1,363.50 | $1,818.00 | $226.44 – $1,962.85 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | $5,564.25 | $7,419.00 | $2,588.41 – $9,665.74 |
| Fetal non-stress test CPT 59025 | $190.00 | $380.00 | $15.78 – $777.00 |
| IUD insertion CPT 58300 | $180.00 | $360.00 | $52.01 – $2,667.00 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $6,765.75 | $9,021.00 | $2,440.30 – $9,146.04 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $5,519.25 | $7,359.00 | $2,334.44 – $8,680.83 |
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 | $2,520.00 – $29,562.52 | |
| C-section, without complications MS-DRG 788 | not posted | $9,011.81 – $27,141.00 | |
| Chest pain MS-DRG 313 | not posted | $7,565.44 – $23,902.68 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $10,662.30 – $37,641.78 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $7,064.93 – $23,784.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $8,759.27 – $29,197.26 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $9,625.73 – $33,037.51 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $12,036.83 – $43,727.20 | |
| Heart failure, without complications MS-DRG 293 | not posted | $6,320.20 – $23,784.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $23,784.00 – $328,928.79 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $16,427.34 – $63,183.11 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,401.86 – $23,784.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,892.35 – $29,787.04 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,239.86 – $26,895.13 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $20,070.83 – $79,324.87 | |
| Normal newborn care MS-DRG 795 | not posted | $1,020.00 – $7,364.56 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,079.58 – $26,188.07 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,371.42 – $27,478.20 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $12,134.38 – $44,159.48 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,879.70 – $23,784.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $2,520.00 – $47,232.35 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $17,006.48 – $65,756.67 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,966.74 – $34,548.81 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $8,831.10 – $29,518.96 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,071.27 – $26,147.85 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,860.12 – $34,079.67 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $11,234.66 – $40,165.09 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $6,990.08 – $19,119.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,223.87 – $43,456.34 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $651.00 | $868.00 | $35.82 – $781.20 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,422.00 | $2,844.00 | $340.77 – $4,750.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $751.00 | $1,502.00 | $262.86 – $4,750.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $631.00 | $1,262.00 | $262.86 – $4,750.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,166.75 | $2,889.00 | $524.04 – $3,393.51 |
| Eye exam, new patient, comprehensive CPT 92004 | $387.00 | $516.00 | $78.59 – $640.63 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $985.50 | $1,314.00 | $248.33 – $1,437.72 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $236.50 | $473.00 | $68.33 – $859.02 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $531.50 | $1,063.00 | $153.56 – $1,639.00 |
| Sleep study with CPAP titration CPT 95811 | $2,035.50 | $4,071.00 | $588.10 – $3,990.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,587.50 | $3,175.00 | $458.66 – $3,990.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $355.50 | $711.00 | $102.71 – $859.02 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $128.50 | $257.00 | $37.13 – $298.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $214.00 | $428.00 | $61.83 – $537.02 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $248.50 | $497.00 | $71.80 – $537.02 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $119.50 | $239.00 | $34.53 – $298.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $114.50 | $229.00 | $33.08 – $298.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $340.50 | $454.00 | $78.32 – $481.58 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $286.50 | $382.00 | $97.91 – $386.55 |
| Group psychotherapy CPT 90853 | $140.00 | $280.00 | $40.45 – $246.40 |
| Psychiatric diagnostic evaluation CPT 90791 | $441.75 | $589.00 | $118.95 – $530.10 |
| Psychotherapy, 30 minutes CPT 90832 | $228.75 | $305.00 | $52.66 – $274.50 |
| Psychotherapy, 45 minutes CPT 90834 | $249.75 | $333.00 | $69.77 – $302.18 |
| Psychotherapy, 60 minutes CPT 90837 | $375.75 | $501.00 | $100.00 – $450.90 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $137.50 | $275.00 | $39.73 – $777.00 |
| IV hydration, each additional hour CPT 96361 | $216.00 | $432.00 | $46.14 – $1,102.00 |
| IV hydration, first hour CPT 96360 | $315.00 | $630.00 | $91.01 – $1,102.00 |
| IV push injection of a drug, first CPT 96374 | $213.00 | $426.00 | $61.54 – $1,102.00 |
| IV push injection, each additional drug CPT 96375 | $161.50 | $323.00 | $46.14 – $1,102.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $90.75 | $181.49 | $5.01 – $159.71 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $6.83 | $13.66 | ? – $12.02 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $76.64 | $153.27 | ? – $134.88 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $151.50 | $303.00 | $43.77 – $266.64 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $38.25 | $51.00 | ? – $45.90 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $8.35 | $16.69 | ? – $14.69 |
| Morphine injection, up to 10 mg HCPCS J2270 | $100.31 | $200.61 | ? – $176.54 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $14.25 | $19.00 | ? – $17.10 |
| Propofol injection, per 10 mg HCPCS J2704 | $65.56 | $131.11 | ? – $115.38 |
| Saline IV solution, 1000 ml HCPCS J7030 | $57.00 | $76.00 | $2.28 – $68.40 |
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.