Children's Specialized Hospital
Children's Specialized Hospital in Mountainside, NJ publishes cash prices for 217 common procedures listed here, from its own machine-readable price file updated Mar 4, 2026. Compared with other hospitals in the state, its outpatient cash prices are above the New Jersey median for 186 of 216 procedures and below it for 29. By typical cash price it ranks #42 of 55 New Jersey hospitals and #73 of 86 hospitals in the New York, NY area, cheapest first. Select a procedure to compare it with other hospitals nearby.
150 New Providence Rd, Mountainside, NJ 07092 Collected Oct 29, 2026 Source price file Check a bill from this hospital (732) 258-7050
Children's hospital Nonprofit hospital No emergency department CCN 313300 · CMS hospital register NPI 1396886297
Financial assistance
Nonprofit hospital: it must offer free or discounted care to patients who qualify. How to apply
Children's Specialized Hospital is a nonprofit hospital in the CMS register. Under section 501(r) of the federal tax code it must have a written Financial Assistance Policy with a free application, publish both on its website, and charge patients who qualify no more than the amounts generally billed to insured patients for emergency and other medically necessary care. Who qualifies depends on household income; the policy states the limits.
You can apply up to 240 days after the first bill. Before collection actions such as credit reporting or a lawsuit, the hospital must tell you about the policy and wait at least 120 days after that bill. Ask the billing office for the policy and the application before you pay, or search the hospital's website for “financial assistance”. Letters you can copy.
Source: IRS, section 501(r) requirements for nonprofit hospitals.
State law
This state limits hospital bills for lower-income patients
Why New Jersey prices look low: under state law (P.L.2008, c.60), a hospital may not charge an uninsured New Jersey resident whose family income is below 500% of the federal poverty level more than 115% of what Medicare pays for the same service. If that is you, ask the hospital's billing office to apply this limit; a separate physician fee may still apply. Other states' laws.
Scans and imaging
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Ankle X-ray, complete, 3 or more views both sides CPT 73610 HC Xr Ankle 3+V Bi | $253.00 | $506.00 | $15.20–$770.00 | — | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle 3+V Lt | $126.50 | $253.00 | $15.20–$770.00 | 8% above | 50% |
| Ankle X-ray, complete, 3 or more views one side CPT 73610 HC Xr Ankle 3+V Rt | $126.50 | $253.00 | $15.20–$770.00 | 8% above | 50% |
| CT scan of abdomen and pelvis, no contrast dye CPT 74176 HC CT Abd & Pelvis W/O Contrast | $1,487.50 | $2,975.00 | $95.10–$2,915.50 | 136% above | 50% |
| CT scan of abdomen and pelvis, with contrast dye CPT 74177 HC CT Abd & Pelvis W/ Contrast | $2,083.50 | $4,167.00 | $150.65–$4,083.66 | 178% above | 50% |
| CT scan of abdomen and pelvis, without and then with contrast dye CPT 74178 HC CT Abd & Pelv W&W/O Cont 1+Reg | $2,570.50 | $5,141.00 | $191.06–$5,038.18 | 176% above | 50% |
| CT scan of the head or brain, no contrast dye CPT 70450 HC CT Head/Brain W/O Contrast | $640.50 | $1,281.00 | $137.50–$1,255.38 | 54% above | 50% |
| CT scan of the head with contrast CPT 70460 HC CT Head/Brain W/ Contrast | $862.00 | $1,724.00 | $140.59–$1,689.52 | 80% above | 50% |
| CT scan of the head without and with contrast CPT 70470 HC CT Head/Brain W&W/O Contrast | $1,028.00 | $2,056.00 | $171.80–$2,014.88 | 68% above | 50% |
| CT scan of the neck (cervical spine), no contrast dye CPT 72125 HC CT C-Spine W/O Contrast | $820.50 | $1,641.00 | $125.00–$1,608.18 | 49% above | 50% |
| CT scan of the pelvis, with contrast dye CPT 72193 HC CT Pelvis W/ Contrast | $1,077.50 | $2,155.00 | $164.09–$2,111.90 | 107% above | 50% |
| Chest CT scan without and with contrast CPT 71270 HC CT Thorax W&W/O Contrast | $1,165.50 | $2,331.00 | $175.00–$2,284.38 | 51% above | 50% |
| Chest X-ray, single view CPT 71045 HC Xr Chest 1 View | $105.00 | $210.00 | $12.25–$770.00 | 1% above | 50% |
| Collarbone (clavicle) X-ray, complete both sides CPT 73000 HC Xr Clavicle Cmpl Bi | $209.00 | $418.00 | $14.00–$770.00 | — | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Cmpl Lt | $104.50 | $209.00 | $14.00–$770.00 | 11% below | 50% |
| Collarbone (clavicle) X-ray, complete one side CPT 73000 HC Xr Clavicle Cmpl Rt | $104.50 | $209.00 | $14.00–$770.00 | 11% below | 50% |
| Complete ultrasound of the back of the abdomen, such as both kidneys CPT 76770 HC US Retroperitioneal Cmpl | $363.00 | $726.00 | $66.00–$711.48 | 74% above | 50% |
| DEXA bone density scan of the hip, pelvis or spine CPT 77080 HC Xr Bone Density Axial | $268.50 | $537.00 | $65.00–$770.00 | 89% above | 50% |
| DEXA bone density scan of the wrist, heel or finger (peripheral) CPT 77081 HC Xr Bone Density Appendicular | $210.00 | $420.00 | $45.00–$770.00 | 101% above | 50% |
| Diagnostic CT scan of the chest, no contrast dye CPT 71250 HC CT Thorax W/O Contrast | $744.50 | $1,489.00 | $145.97–$1,459.22 | 39% above | 50% |
| Diagnostic CT scan of the chest, with contrast dye CPT 71260 HC CT Thorax W/ Contrast | $977.00 | $1,954.00 | $170.90–$1,914.92 | 60% above | 50% |
| Duplex ultrasound of the leg veins, both legs both sides CPT 93970 HC Duplex Venous Ext Bilat | $573.00 | $1,146.00 | $114.60–$1,123.08 | — | 50% |
| Elbow X-ray, 2 views both sides CPT 73070 HC Xr Elbow 2v Bi | $214.00 | $428.00 | $16.50–$770.00 | — | 50% |
| Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2v Lt | $107.00 | $214.00 | $16.50–$770.00 | 4% below | 50% |
| Elbow X-ray, 2 views one side CPT 73070 HC Xr Elbow 2v Rt | $107.00 | $214.00 | $16.50–$770.00 | 4% below | 50% |
| Elbow X-ray, complete, 3 or more views both sides CPT 73080 HC Xr Elbow Cmpl 3+V Bi | $234.00 | $468.00 | $16.50–$770.00 | — | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow Cmpl 3+V Lt | $117.00 | $234.00 | $16.50–$770.00 | at median | 50% |
| Elbow X-ray, complete, 3 or more views one side CPT 73080 HC Xr Elbow Cmpl 3+V Rt | $117.00 | $234.00 | $16.50–$770.00 | at median | 50% |
| Forearm X-ray (radius and ulna), 2 views both sides CPT 73090 HC Xr Forearm 2v Bi | $188.00 | $376.00 | $14.00–$770.00 | — | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2v Rt | $94.00 | $188.00 | $14.00–$770.00 | 20% below | 50% |
| Forearm X-ray (radius and ulna), 2 views one side CPT 73090 HC Xr Forearm 2v Lt | $94.00 | $188.00 | $14.00–$770.00 | 20% below | 50% |
| Hand X-ray, 2 views both sides CPT 73120 HC Xr Hand Ltd 2v Bi | $343.00 | $686.00 | $11.00–$770.00 | — | 50% |
| Hand X-ray, 2 views one side CPT 73120 HC Xr Hand Ltd 2v Lt | $171.50 | $343.00 | $11.00–$770.00 | 27% above | 50% |
| Hand X-ray, 2 views one side CPT 73120 HC Xr Hand Ltd 2v Rt | $171.50 | $343.00 | $11.00–$770.00 | 27% above | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views both sides CPT 73650 HC Xr Calcaneus 2+V Bi | $162.00 | $324.00 | $13.45–$770.00 | — | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Calcaneus 2+V Rt | $81.00 | $162.00 | $13.45–$770.00 | 29% below | 50% |
| Heel bone (calcaneus) X-ray, 2 or more views one side CPT 73650 HC Xr Calcaneus 2+V Lt | $81.00 | $162.00 | $13.45–$770.00 | 29% below | 50% |
| Knee X-ray, 3 views both sides CPT 73562 HC Xr Knee 3v Bi | $394.00 | $788.00 | $16.50–$772.24 | — | 50% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3v Rt | $197.00 | $394.00 | $16.50–$770.00 | 68% above | 50% |
| Knee X-ray, 3 views one side CPT 73562 HC Xr Knee 3v Lt | $197.00 | $394.00 | $16.50–$770.00 | 68% above | 50% |
| Knee X-ray, complete, 4 or more views both sides CPT 73564 HC Xr Knee Cmpl 4+V Bi | $485.00 | $970.00 | $24.75–$950.60 | — | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee Cmpl 4+V Rt | $242.50 | $485.00 | $24.75–$770.00 | 71% above | 50% |
| Knee X-ray, complete, 4 or more views one side CPT 73564 HC Xr Knee Cmpl 4+V Lt | $242.50 | $485.00 | $24.75–$770.00 | 71% above | 50% |
| Limited abdominal ultrasound of one organ or area, such as the gallbladder CPT 76705 HC US Abdomen Ltd | $354.00 | $708.00 | $44.00–$693.84 | 116% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) both sides CPT 76882 HC US Extremity Non Vasc Ltd Bi | $283.00 | $566.00 | $13.06–$554.68 | — | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extremity Non Vasc Ltd Rt | $141.50 | $283.00 | $13.06–$277.34 | 4% above | 50% |
| Limited ultrasound of an arm or leg (non-vascular) one side CPT 76882 HC US Extremity Non Vasc Ltd Lt | $141.50 | $283.00 | $13.06–$277.34 | 4% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views both sides CPT 73590 HC Xr Tibia/Fibula 2v Bi | $304.00 | $608.00 | $16.50–$770.00 | — | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2v Lt | $152.00 | $304.00 | $16.50–$770.00 | 29% above | 50% |
| Lower leg X-ray (tibia and fibula), 2 views one side CPT 73590 HC Xr Tibia/Fibula 2v Rt | $152.00 | $304.00 | $16.50–$770.00 | 29% above | 50% |
| MRI of the brain, no contrast dye CPT 70551 HC MRI Brain W/O Con | $1,577.00 | $3,154.00 | $330.00–$3,090.92 | 137% above | 50% |
| MRI of the brain, with and without contrast dye CPT 70553 HC MRI Brain W&W/O Con | $2,209.00 | $4,418.00 | $544.09–$4,329.64 | 116% above | 50% |
| MRI of the neck (cervical spine) without and with contrast CPT 72156 HC MRI C-Spine W&W/O Con | $2,103.00 | $4,206.00 | $479.30–$4,121.88 | 111% above | 50% |
| MRI of the neck (cervical spine), no contrast dye CPT 72141 HC MRI C-Spine W/O Con | $1,200.50 | $2,401.00 | $330.00–$2,352.98 | 110% above | 50% |
| Neck (cervical spine) X-ray, 4 or 5 views CPT 72050 HC Xr C-Spine 4 or 5 Views | $226.50 | $453.00 | $25.64–$770.00 | 30% above | 50% |
| Neck soft tissue X-ray CPT 70360 HC Xr Neck Soft Tissue | $131.50 | $263.00 | $12.91–$770.00 | 17% above | 50% |
| Pelvic CT scan without contrast CPT 72192 HC CT Pelvis W/O Contrast | $820.50 | $1,641.00 | $143.64–$1,608.18 | 95% above | 50% |
| Pelvic ultrasound through the belly, complete (not pregnancy) CPT 76856 HC US Pelvis Cmpl Non-OB | $363.00 | $726.00 | $66.00–$711.48 | 54% above | 50% |
| Shoulder X-ray, complete, 2 or more views both sides CPT 73030 HC Xr Shoulder Cmpl 2+V Bi | $234.00 | $468.00 | $16.50–$770.00 | — | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder Cmpl 2+V Rt | $117.00 | $234.00 | $16.50–$770.00 | at median | 50% |
| Shoulder X-ray, complete, 2 or more views one side CPT 73030 HC Xr Shoulder Cmpl 2+V Lt | $117.00 | $234.00 | $16.50–$770.00 | at median | 50% |
| Sinus X-ray, complete, 3 or more views CPT 70220 HC Xr Sinuses 3+V | $128.50 | $257.00 | $27.50–$770.00 | 14% above | 50% |
| Swallow study (modified barium swallow, video X-ray) CPT 74230 HC Xr Swallow Cine/Video Cntrst | $363.00 | $726.00 | $40.53–$770.00 | 60% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views both sides CPT 73552 HC Xr Femur 2+V Bi | $243.00 | $486.00 | $18.00–$770.00 | — | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur 2+V Lt | $121.50 | $243.00 | $18.00–$770.00 | 8% above | 50% |
| Thigh bone (femur) X-ray, 2 or more views one side CPT 73552 HC Xr Femur 2+V Rt | $121.50 | $243.00 | $18.00–$770.00 | 8% above | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) 2+V Rt | $87.00 | $174.00 | $7.00–$770.00 | 22% below | 50% |
| Toe X-ray, 2 or more views one side CPT 73660 HC Xr Toe(S) 2+V Lt | $87.00 | $174.00 | $7.00–$770.00 | 22% below | 50% |
| Ultrasound of the abdomen, complete CPT 76700 HC US Abdomen Cmpl | $363.00 | $726.00 | $66.00–$711.48 | 64% above | 50% |
| Upper GI series (X-ray of esophagus, stomach and duodenum with contrast) CPT 74240 HC Xr Ugi Sngl Cntrst | $340.50 | $681.00 | $47.88–$770.00 | 47% above | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus 2+V Rt | $121.50 | $243.00 | $16.50–$770.00 | 3% above | 50% |
| Upper arm X-ray (humerus), 2 views one side CPT 73060 HC Xr Humerus 2+V Lt | $121.50 | $243.00 | $16.50–$770.00 | 3% above | 50% |
| Vein ultrasound (duplex) of one arm or leg, or a limited study one side CPT 93971 HC Duplex Venous Ext Uni/Ltd Rt | $557.00 | $1,114.00 | $111.40–$1,091.72 | 178% above | 50% |
| Wrist X-ray, 2 views both sides CPT 73100 HC Xr Wrist 2v Bi | $210.00 | $420.00 | $13.81–$770.00 | — | 50% |
| Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2v Lt | $105.00 | $210.00 | $13.81–$770.00 | 6% below | 50% |
| Wrist X-ray, 2 views one side CPT 73100 HC Xr Wrist 2v Rt | $105.00 | $210.00 | $13.81–$770.00 | 6% below | 50% |
| Wrist X-ray, complete, 3 or more views both sides CPT 73110 HC Xr Wrist Cmpl 3+V Bi | $226.00 | $452.00 | $16.50–$770.00 | — | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Cmpl 3+V Lt | $113.00 | $226.00 | $16.50–$770.00 | 4% below | 50% |
| Wrist X-ray, complete, 3 or more views one side CPT 73110 HC Xr Wrist Cmpl 3+V Rt | $113.00 | $226.00 | $16.50–$770.00 | 4% below | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip Uni W/Pelvis 2-3v Rt | $282.00 | $564.00 | $22.96–$770.00 | 151% above | 50% |
| X-ray of one hip, 2 or 3 views, with the pelvis when included one side CPT 73502 HC Xr Hip Uni W/Pelvis 2-3v Lt | $282.00 | $564.00 | $22.96–$770.00 | 151% above | 50% |
| X-ray of the abdomen, 1 view CPT 74018 HC Xr Abdomen 1 View | $117.00 | $234.00 | $16.32–$770.00 | 5% above | 50% |
| X-ray of the ankle, 2 views both sides CPT 73600 HC Xr Ankle 2v Bi | $234.00 | $468.00 | $13.81–$770.00 | — | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2v Lt | $117.00 | $234.00 | $13.81–$770.00 | 4% above | 50% |
| X-ray of the ankle, 2 views one side CPT 73600 HC Xr Ankle 2v Rt | $117.00 | $234.00 | $13.81–$770.00 | 4% above | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) 2+V Lt | $89.50 | $179.00 | $7.00–$770.00 | 20% below | 50% |
| X-ray of the finger(s), 2 or more views one side CPT 73140 HC Xr Finger(S) 2+V Rt | $89.50 | $179.00 | $7.00–$770.00 | 20% below | 50% |
| X-ray of the foot, 2 views both sides CPT 73620 HC Xr Foot 2v Bi | $231.00 | $462.00 | $13.81–$770.00 | — | 50% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2v Rt | $115.50 | $231.00 | $13.81–$770.00 | 1% below | 50% |
| X-ray of the foot, 2 views one side CPT 73620 HC Xr Foot 2v Lt | $115.50 | $231.00 | $13.81–$770.00 | 1% below | 50% |
| X-ray of the foot, complete, 3 or more views both sides CPT 73630 HC Xr Foot Cmpl 3+V Bi | $279.00 | $558.00 | $15.20–$770.00 | — | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Cmpl 3+V Lt | $139.50 | $279.00 | $15.20–$770.00 | 19% above | 50% |
| X-ray of the foot, complete, 3 or more views one side CPT 73630 HC Xr Foot Cmpl 3+V Rt | $139.50 | $279.00 | $15.20–$770.00 | 19% above | 50% |
| X-ray of the hand, 3 or more views both sides CPT 73130 HC Xr Hand Cmpl 3+V Bi | $365.00 | $730.00 | $16.50–$770.00 | — | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand Cmpl 3+V Lt | $182.50 | $365.00 | $16.50–$770.00 | 55% above | 50% |
| X-ray of the hand, 3 or more views one side CPT 73130 HC Xr Hand Cmpl 3+V Rt | $182.50 | $365.00 | $16.50–$770.00 | 55% above | 50% |
| X-ray of the knee, 1 or 2 views both sides CPT 73560 HC Xr Knee 1-2v Bi | $321.00 | $642.00 | $16.50–$770.00 | — | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2v Rt | $160.50 | $321.00 | $16.50–$770.00 | 37% above | 50% |
| X-ray of the knee, 1 or 2 views one side CPT 73560 HC Xr Knee 1-2v Lt | $160.50 | $321.00 | $16.50–$770.00 | 37% above | 50% |
| X-ray of the lower back (lumbar spine), 2 or 3 views CPT 72100 HC Xr L-Spine 2-3v | $145.50 | $291.00 | $22.00–$770.00 | 12% above | 50% |
| X-ray of the lower back, 4 or more views CPT 72110 HC Xr L-Spine 4+V | $197.50 | $395.00 | $27.50–$770.00 | 23% above | 50% |
| X-ray of the mid back (thoracic spine), 2 views CPT 72070 HC Xr T-Spine 2v | $137.50 | $275.00 | $18.65–$770.00 | 3% above | 50% |
| X-ray of the neck (cervical spine), 2 or 3 views CPT 72040 HC Xr C-Spine 2 or 3v | $208.00 | $416.00 | $17.75–$770.00 | 77% above | 50% |
| X-ray of the pelvis, 1 or 2 views CPT 72170 HC Xr Pelvis 1-2v | $113.00 | $226.00 | $16.50–$770.00 | 9% below | 50% |
Lab tests
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| ACTH blood test CPT 82024 HC Assay of Acth - Acth | $201.00 | $402.00 | $30.90–$393.96 | 353% above | 50% |
| AST (aspartate aminotransferase) enzyme test CPT 84450 HC Transferase Aspartate Amino (Ast) (Sgot) - Ast (Sgot) | $20.50 | $41.00 | $4.10–$40.18 | 244% above | 50% |
| Acute hepatitis panel (hepatitis A, B and C) CPT 80074 HC Hepatitis Panel,Acute | $209.00 | $418.00 | $38.10–$409.64 | 282% above | 50% |
| Albumin blood test CPT 82040 HC Assay of Serum Albumin - Albumin | $36.50 | $73.00 | $3.96–$71.54 | 541% above | 50% |
| Aldosterone blood test CPT 82088 HC Assay of Aldosterone | $212.50 | $425.00 | $32.60–$416.50 | 353% above | 50% |
| Alkaline phosphatase (ALP) blood test CPT 84075 HC Assay Alkal Phosphatase - Alkaline Phosphatase | $18.50 | $37.00 | $3.70–$36.26 | 210% above | 50% |
| Allergy blood test, specific IgE, per allergen CPT 86003 HC Allg Spec Ige Crude Xtrc Ea | $202.00 | $404.00 | $4.18–$395.92 | 3267% above | 50% |
| Alpha-fetoprotein (AFP) blood test CPT 82105 HC Alpha-Fetoprotein Serum | $99.00 | $198.00 | $13.42–$194.04 | 413% above | 50% |
| Ammonia blood test CPT 82140 HC Assay of Ammonia - Ammonia | $113.50 | $227.00 | $11.66–$222.46 | 577% above | 50% |
| Amylase blood test CPT 82150 HC Assay of Amylase | $34.00 | $68.00 | $5.18–$66.64 | 356% above | 50% |
| Anti-CCP antibody test (rheumatoid arthritis) CPT 86200 HC Cyclic Cirullinated Peptide Antibody - Cyclic Citrul Peptide Antibdy | $48.50 | $97.00 | $9.70–$95.06 | 226% above | 50% |
| BNP or NT-proBNP blood test (heart failure marker) CPT 83880 HC Natriuretic Peptide | $183.50 | $367.00 | $31.41–$359.66 | 306% above | 50% |
| Bacterial culture of a sample other than urine, blood or stool (wound, throat, fluid) CPT 87070 HC Culture Othr Specimn Aerobic | $38.00 | $76.00 | $6.90–$74.48 | 283% above | 50% |
| Basic metabolic panel (blood test) CPT 80048 HC Basic Metabolic Panel Calcium Total | $27.00 | $54.00 | $5.40–$52.92 | 177% above | 50% |
| Bilirubin blood test, total CPT 82247 HC Bilirubin Total | $20.50 | $41.00 | $4.02–$40.18 | 255% above | 50% |
| Blood culture for bacteria CPT 87040 HC Culture Blood | $124.50 | $249.00 | $8.26–$244.02 | 125% above | 50% |
| Blood draw from a vein (venipuncture), collection fee only CPT 36415 HC Venipuncture | $29.00 | $58.00 | $4.42–$56.84 | 199% above | 50% |
| Blood glucose (sugar) test CPT 82947 HC Assay Quantitative,Blood Glucose | $21.50 | $43.00 | $3.14–$42.14 | 376% above | 50% |
| Blood lead test CPT 83655 HC Assay of Lead | $37.00 | $74.00 | $7.40–$72.52 | 166% above | 50% |
| Blood type test, ABO group only (Rh factor is a separate test) CPT 86900 HC Blood Typing Serologic Abo - Blood Type and Screen | $21.50 | $43.00 | $2.39–$42.14 | 85% below | 50% |
| Blood urea nitrogen (BUN) test CPT 84520 HC Assay Urea Nitrogen | $20.50 | $41.00 | $3.16–$40.18 | 352% above | 50% |
| C-peptide blood test CPT 84681 HC Assay of C-Peptide - C-Peptide | $108.00 | $216.00 | $16.65–$211.68 | 351% above | 50% |
| C-reactive protein (CRP) blood test, standard (not high-sensitivity) CPT 86140 HC C-Reactive Protein - C-Reactive Protein | $8.00 | $16.00 | $1.60–$15.68 | 34% above | 50% |
| C. difficile toxin gene test (stool PCR) CPT 87493 HC C Diff Amplified Probe | $142.00 | $284.00 | $28.40–$278.32 | 231% above | 50% |
| COVID-19 PCR test (SARS-CoV-2 lab test) CPT 87635 HC Covid 19 Lab Test Non-Cdc | $80.50 | $161.00 | $16.10–$157.78 | 43% above | 50% |
| Calcium blood test, total CPT 82310 HC Assay of Calcium, Total - Calcium | $21.50 | $43.00 | $4.13–$42.14 | 263% above | 50% |
| Chickenpox (varicella) immunity blood test CPT 86787 HC Varicella-Zoster Antibody | $53.50 | $107.00 | $10.30–$104.86 | 261% above | 50% |
| Chlamydia test by nucleic acid amplification (NAAT, PCR-type) CPT 87491 HC Chylmd Trach, Dna, Amp Probe - Chlamydia Dna Pcr | $76.50 | $153.00 | $15.30–$149.94 | 90% above | 50% |
| Cholesterol and triglycerides (lipid panel) blood test CPT 80061 HC Lipid Panel | $65.00 | $130.00 | $10.71–$127.40 | 322% above | 50% |
| Complete blood count (CBC) with differential CPT 85025 HC Complete Cbc & Auto Diff Wbc - Additional Charge | $25.00 | $50.00 | $5.00–$49.00 | 180% above | 50% |
| Complete blood count (CBC), no differential CPT 85027 HC Complete Cbc Automated | $17.00 | $34.00 | $3.40–$33.32 | 128% above | 50% |
| Comprehensive metabolic panel (blood test) CPT 80053 HC Metabolic Panel,Comprehensive | $32.00 | $64.00 | $6.40–$62.72 | 164% above | 50% |
| Cortisol blood test, total CPT 82533 HC Total Cortisol | $55.50 | $111.00 | $11.10–$108.78 | 196% above | 50% |
| Creatinine blood test CPT 82565 HC Assay of Creatinine | $20.50 | $41.00 | $4.10–$40.18 | 248% above | 50% |
| Cytomegalovirus (CMV) antibody test CPT 86644 HC Cmv Antibody - Cmv Igg | $74.50 | $149.00 | $11.51–$146.02 | 371% above | 50% |
| D-dimer blood test (blood clot marker) CPT 85379 HC Fibrin Degradproducts,D-Dimer, Quant - D-Dimer,Quantitative | $57.50 | $115.00 | $8.14–$112.70 | 391% above | 50% |
| DHEA sulfate (DHEA-S) blood test CPT 82627 HC Dehydroepiandrosterone-Sulfate - Dhea-Sulfate | $104.50 | $209.00 | $17.78–$204.82 | 318% above | 50% |
| Electrolyte panel (sodium, potassium, chloride, CO2) CPT 80051 HC Electrolyte Panel | $19.00 | $38.00 | $3.80–$37.24 | 136% above | 50% |
| Epstein-Barr virus (EBV) antibody test CPT 86665 HC Epstein-Barr Capsid Vca | $22.00 | $44.00 | $4.40–$43.12 | 6% above | 50% |
| Estradiol blood test CPT 82670 HC Assay of Estradiol - Estradiol | $146.50 | $293.00 | $22.35–$287.14 | 356% above | 50% |
| FSH (follicle-stimulating hormone) test CPT 83001 HC Gonadotropin (Fsh) - Fsh | $99.00 | $198.00 | $14.86–$194.04 | 363% above | 50% |
| Fecal calprotectin (stool inflammation test) CPT 83993 HC Calprotectin | $245.50 | $491.00 | $15.70–$481.18 | 988% above | 50% |
| Ferritin blood test (iron stores) CPT 82728 HC Assay of Ferritin - Ferritin | $63.00 | $126.00 | $10.90–$123.48 | 302% above | 50% |
| Fibrinogen blood test CPT 85384 HC Fibrinogen, Activity - Fibrinogen,Quantitative | $70.00 | $140.00 | $7.78–$137.20 | 526% above | 50% |
| Folate (folic acid) blood test CPT 82746 HC Blood Folic Acid Serum - Folate | $74.50 | $149.00 | $11.76–$146.02 | 341% above | 50% |
| Free T3 thyroid hormone test CPT 84481 HC Triiodothyronine Free Assay (Ft-3) - T3 Free | $103.00 | $206.00 | $13.55–$201.88 | 429% above | 50% |
| Free T4 (free thyroxine) thyroid blood test CPT 84439 HC Assay of Free Thyroxine - T4 Free | $68.00 | $136.00 | $7.22–$133.28 | 556% above | 50% |
| Free testosterone test CPT 84402 HC Assay of Testosterone - Testosterone Free | $40.00 | $80.00 | $8.00–$78.40 | 43% above | 50% |
| Gamma-glutamyl transferase (GGT) blood test CPT 82977 HC Assay of Ggt - Gamma Gt | $36.50 | $73.00 | $5.76–$71.54 | 341% above | 50% |
| General health panel: metabolic panel, blood count and TSH in one order CPT 80050 HC General Health Panel | $35.00 | $70.00 | $7.00–$68.60 | 86% below | 50% |
| Gonorrhea test by nucleic acid amplification (NAAT, PCR-type) CPT 87591 HC N.Gonorrhoeae, Dna, Amp Prob - Gc Dna Pcr | $76.50 | $153.00 | $15.30–$149.94 | 90% above | 50% |
| H. pylori stool antigen test CPT 87338 HC Iaad Ia Hpylori Stool - H Pylori Antigen Stool | $47.50 | $95.00 | $9.50–$93.10 | 200% above | 50% |
| HIV viral load test (HIV-1 RNA, quantitative) CPT 87536 HC Hiv-1 Quant&Revrse Trnscrpj - Hiv 1 Rna Quant by Pcr | $179.00 | $358.00 | $35.80–$350.84 | 83% above | 50% |
| HIV-1 and HIV-2 antibody test CPT 86703 HC Hiv-1/Hiv-2, Single Assay - Rapid Hiv 1 and 2 Screen | $131.50 | $263.00 | $10.97–$257.74 | 734% above | 50% |
| HIV-1/2 antigen and antibody combination blood test (4th generation) CPT 87389 HC Hiv 1 Antigens With Hiv 1 & Hiv 2 Antibodies by Immunoassay | $88.00 | $176.00 | $17.60–$172.48 | 218% above | 50% |
| Hemoglobin A1C blood test (average blood sugar over about 3 months) CPT 83036 HC Glycosylated Hemoglobin Test - Hemoglobin A1c | $67.00 | $134.00 | $7.77–$131.32 | 500% above | 50% |
| Hemoglobin blood test CPT 85018 HC Hemoglobin | $15.50 | $31.00 | $1.90–$30.38 | 281% above | 50% |
| Hepatitis B core antibody test (total) CPT 86704 HC Hep B Core Ab Test, Total - Hepatitis B Core Antibody, Total | $61.00 | $122.00 | $9.64–$119.56 | 360% above | 50% |
| Hepatitis B surface antibody (anti-HBs) test, immunity check CPT 86706 HC Hep B Surface Antibody | $53.50 | $107.00 | $8.59–$104.86 | 333% above | 50% |
| Hepatitis B surface antigen (HBsAg) test CPT 87340 HC Iaad Ia Hepatitis B Surface Antigen - Hepatitis B Surface Antigen | $61.00 | $122.00 | $8.26–$119.56 | 413% above | 50% |
| Hepatitis C antibody blood test (screening) CPT 86803 HC Hepatitis C Ab Test - Hepatitis C Antibody | $71.00 | $142.00 | $11.42–$139.16 | 333% above | 50% |
| Hepatitis C viral load (HCV RNA) test CPT 87522 HC Iadna Hepatitis C Quant & Reverse Transcription | $223.00 | $446.00 | $34.27–$437.08 | 353% above | 50% |
| High-sensitivity CRP (hs-CRP) test CPT 86141 HC C-Reactive Protein,High Sensitivity - High Sensitivity Crp | $67.50 | $135.00 | $10.36–$132.30 | 353% above | 50% |
| Homocysteine blood test CPT 83090 HC Assay of Homocystine | $90.00 | $180.00 | $14.34–$176.40 | 337% above | 50% |
| Insulin blood test CPT 83525 HC Assay of Insulin,Total - Insulin, Total | $95.00 | $190.00 | $9.14–$186.20 | 623% above | 50% |
| Iron blood test (serum iron) CPT 83540 HC Assay of Iron | $24.00 | $48.00 | $4.80–$47.04 | 223% above | 50% |
| Iron-binding capacity (TIBC) test CPT 83550 HC Iron Bind Capacity | $49.00 | $98.00 | $6.99–$96.04 | 388% above | 50% |
| Kidney function blood test panel CPT 80069 HC Renal Function Panel | $55.50 | $111.00 | $6.94–$108.78 | 88% above | 50% |
| LH (luteinizing hormone) test CPT 83002 HC Gonadotropin (Lh) - Luteinizing Hormone | $97.50 | $195.00 | $14.82–$191.10 | 379% above | 50% |
| Lactate (lactic acid) blood test CPT 83605 HC Assay of Lactic Acid | $73.00 | $146.00 | $9.26–$143.08 | 448% above | 50% |
| Lactate dehydrogenase (LDH) blood test CPT 83615 HC Lactate Dehydrogenase Ldh | $30.50 | $61.00 | $4.83–$59.78 | 339% above | 50% |
| Lipase blood test (pancreas enzyme) CPT 83690 HC Assay of Lipase | $52.00 | $104.00 | $5.51–$101.92 | 557% above | 50% |
| Liver function blood test panel CPT 80076 HC Hepatic Function Panel | $27.00 | $54.00 | $6.54–$52.92 | 6% above | 50% |
| Lyme disease antibody test CPT 86618 HC Lyme Disease Antibody | $68.50 | $137.00 | $13.62–$134.26 | 250% above | 50% |
| Magnesium blood test CPT 83735 HC Assay of Magnesium | $32.50 | $65.00 | $5.36–$63.70 | 322% above | 50% |
| Measles (rubeola) antibody test CPT 86765 HC Rubeola Antibody | $55.00 | $110.00 | $10.30–$107.80 | 271% above | 50% |
| Mono test (heterophile antibody, Monospot) CPT 86308 HC Heterophile Antibodies,Screen - Mononucleosis Screen | $31.50 | $63.00 | $4.14–$61.74 | 168% above | 50% |
| Mumps immunity blood test CPT 86735 HC Mumps Antibody | $70.00 | $140.00 | $10.44–$137.20 | 366% above | 50% |
| Parathyroid hormone (PTH) blood test CPT 83970 HC Assay of Parathormone | $215.50 | $431.00 | $33.02–$422.38 | 354% above | 50% |
| Partial thromboplastin time (PTT) clotting test CPT 85730 HC Thromboplas Time Partial - Aptt | $27.00 | $54.00 | $4.81–$52.92 | 291% above | 50% |
| Phosphorus (phosphate) blood test CPT 84100 HC Assay of Inorganic Phosphorus | $21.50 | $43.00 | $3.79–$42.14 | 294% above | 50% |
| Potassium blood test CPT 84132 HC Assay of Serum Potassium - Potassium | $20.50 | $41.00 | $3.81–$40.18 | 275% above | 50% |
| Prolactin blood test CPT 84146 HC Assay of Prolactin - Prolactin | $91.50 | $183.00 | $15.50–$179.34 | 310% above | 50% |
| Prothrombin time (PT/INR) clotting test CPT 85610 HC Prothrombin Time | $21.50 | $43.00 | $3.43–$42.14 | 336% above | 50% |
| Rapid strep A antigen test from a throat swab, read visually CPT 87880 HC Strep a Assay W/Optic | $32.00 | $64.00 | $6.40–$62.72 | 76% above | 50% |
| Renin blood test CPT 84244 HC Assay of Renin | $67.00 | $134.00 | $13.40–$131.32 | 171% above | 50% |
| Rh blood typing CPT 86901 HC Blood Typing Serologic Rh(D) | $28.00 | $56.00 | $2.39–$54.88 | 39% below | 50% |
| Rheumatoid factor (RF) test CPT 86431 HC Rheumatoid Factor Quantitative | $49.50 | $99.00 | $4.54–$97.02 | 659% above | 50% |
| Rubella antibody test (immunity check) CPT 86762 HC Rubella Antibody | $56.50 | $113.00 | $11.30–$110.74 | 241% above | 50% |
| Sed rate (ESR, erythrocyte sedimentation rate) CPT 85652 HC RBC Sed Rate, Auto - Sedimentation Rate, Automated | $15.50 | $31.00 | $2.16–$30.38 | at median | 50% |
| Sodium blood test CPT 84295 HC Assay of Serum Sodium - Sodium | $26.50 | $53.00 | $3.85–$51.94 | 401% above | 50% |
| Stool ova and parasites exam CPT 87177 HC Ova and Parasites Smears - Ova and Parasite Examination | $55.50 | $111.00 | $7.12–$108.78 | 442% above | 50% |
| Stool test for hidden blood by immunoassay (FIT) CPT 82274 HC Occult Blood Feces | $20.00 | $40.00 | $4.00–$39.20 | 9% above | 50% |
| Syphilis screening blood test, non-treponemal (RPR or VDRL), yes/no result CPT 86592 HC Syphilis Test Non Treponemal Antibody Qual | $21.50 | $43.00 | $3.42–$42.14 | 338% above | 50% |
| TB blood test measuring immune response (IGRA, gamma interferon) CPT 86480 HC TB Test, Cell Mediated Antigen Response,Gamma Interfron - TB Test | $130.00 | $260.00 | $26.00–$254.80 | 91% above | 50% |
| Testosterone blood test, total (not free testosterone) CPT 84403 HC Assay of Total Testosterone - Testosterone | $133.50 | $267.00 | $20.65–$261.66 | 350% above | 50% |
| Thyroid peroxidase (TPO) antibody test CPT 86376 HC Microsomal Antibody Each | $74.50 | $149.00 | $11.64–$146.02 | 365% above | 50% |
| Thyroid-stimulating hormone (TSH) blood test CPT 84443 HC Assay Thyroid Stim Hormone - Thyroid Stimulating Hormone | $92.50 | $185.00 | $13.44–$181.30 | 379% above | 50% |
| Total IgE blood test CPT 82785 HC Assay of Gammaglobulin Ige | $85.50 | $171.00 | $13.17–$167.58 | 352% above | 50% |
| Total cholesterol blood test CPT 82465 HC Assay, Bld/Serum Cholesterol | $20.50 | $41.00 | $3.48–$40.18 | 310% above | 50% |
| Total thyroxine (T4) blood test CPT 84436 HC Assay of Total Thyroxine - T4 (Thyroid Hormone) | $50.00 | $100.00 | $5.50–$98.00 | 533% above | 50% |
| Total triiodothyronine (T3) blood test CPT 84480 HC Assay Triiodothyronine (T3) | $86.00 | $172.00 | $11.34–$168.56 | 427% above | 50% |
| Triglycerides blood test CPT 84478 HC Assay of Triglycerides | $20.50 | $41.00 | $4.10–$40.18 | 211% above | 50% |
| Troponin test, quantitative CPT 84484 HC Assay of Troponin Quantitative | $80.00 | $160.00 | $9.98–$156.80 | 458% above | 50% |
| Uric acid blood test CPT 84550 HC Assay of Uric Acid, Blood - Uric Acid | $7.50 | $15.00 | $1.50–$14.70 | 44% above | 50% |
| Urinalysis with microscope exam, automated CPT 81001 HC Urinalysis, Auto, W/Scope - Urinalysis Microscopic | $23.50 | $47.00 | $2.54–$46.06 | 5% below | 50% |
| Urinalysis with microscope exam, manual CPT 81000 HC Urinalysis Nonauto W/Micro | $20.00 | $40.00 | $3.22–$39.20 | 352% above | 50% |
| Urinalysis without microscope exam, automated CPT 81003 HC Urinalysis Auto W/O Scope | $18.00 | $36.00 | $1.80–$35.28 | 254% above | 50% |
| Urinalysis without microscope exam, manual CPT 81002 HC Urinalysis Nonauto W/O Scope | $18.00 | $36.00 | $2.78–$35.28 | 370% above | 50% |
| Urine culture for bacteria, with colony count CPT 87086 HC Culture Urine | $61.00 | $122.00 | $6.46–$119.56 | 557% above | 50% |
| Urine microalbumin (albumin) test CPT 82043 HC Urine Albumin Quantitative | $40.00 | $80.00 | $4.62–$78.40 | 502% above | 50% |
| Urine pregnancy test, read by color change CPT 81025 HC Urine Pregnancy Test - Pregnancy Urine | $14.00 | $28.00 | $6.89–$27.44 | 41% above | 50% |
| Vitamin B12 (cobalamin) blood test CPT 82607 HC Vitamin B-12 - Vitamin B12 | $74.50 | $149.00 | $12.06–$146.02 | 330% above | 50% |
| Vitamin D blood test, 25-hydroxy (the standard vitamin D level test) CPT 82306 HC Vitamin D 25 Hydroxy | $138.50 | $277.00 | $23.68–$271.46 | 307% above | 50% |
| Vitamin D, 1,25-dihydroxy blood test CPT 82652 HC Vit D 1 25 Dihydroxy Includes Fractions if Performed | $138.50 | $277.00 | $27.70–$271.46 | 213% above | 50% |
| Zinc blood test CPT 84630 HC Assay of Zinc | $82.00 | $164.00 | $9.11–$160.72 | 526% above | 50% |
| hCG pregnancy hormone blood test, quantitative (measures the level) CPT 84702 HC Chorionic Gonadotropin Quant | $74.50 | $149.00 | $12.04–$146.02 | 330% above | 50% |
Surgery and procedures
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Short arm cast (elbow to hand) CPT 29075 HC Ot Cast Short Arm | $156.50 | $313.00 | $31.30–$306.74 | 82% below | 50% |
| Short arm cast (elbow to hand) CPT 29075 HC Apply Short Arm Cast | $156.50 | $313.00 | $31.30–$306.74 | 82% below | 50% |
| Short arm splint (forearm and hand) both sides CPT 29125 HC Ot Stat Short Arm Spt Bilat | $325.00 | $650.00 | $65.00–$637.00 | — | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC Apply Short Arm Splint | $162.50 | $325.00 | $32.50–$318.50 | 79% below | 50% |
| Short arm splint (forearm and hand) CPT 29125 HC Ot Stat Short Arm Spt | $162.50 | $325.00 | $32.50–$318.50 | 79% below | 50% |
| Short leg cast (below the knee) both sides CPT 29405 HC Pt Application Cast Leg Short Bilat | $331.00 | $662.00 | $42.00–$648.76 | — | 50% |
| Short leg cast (below the knee) CPT 29405 HC Application Cast Leg Short | $165.50 | $331.00 | $42.00–$324.38 | 75% below | 50% |
| Short leg splint (calf to foot) both sides CPT 29515 HC Pt Application Lowr Leg Splint Bilat | $361.00 | $722.00 | $72.20–$707.56 | — | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Short Leg Splint | $180.50 | $361.00 | $36.10–$353.78 | 72% below | 50% |
| Short leg splint (calf to foot) CPT 29515 HC Pt Application Lowr Leg Splint | $180.50 | $361.00 | $36.10–$353.78 | 72% below | 50% |
| Trigger point injections, 1 or 2 muscles CPT 20552 HC Inject Trigger Point, 1 or 2 | $215.50 | $431.00 | $43.10–$422.38 | 46% below | 50% |
Doctor visits and therapy
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Breathing treatment (nebulizer or inhaler) for airway obstruction CPT 94640 HC Inhalation Treatment | $121.50 | $243.00 | $24.30–$464.00 | 46% below | 50% |
| Comprehensive hearing test: tone and speech audiometry, both ears CPT 92557 HC Comprehensive Hearing Test | $307.00 | $614.00 | $270.32–$601.72 | 67% above | 50% |
| Family therapy with the patient, 50 minutes CPT 90847 HC Family Psychotherapy W Patient Present 30 Min | $243.00 | $486.00 | $291.60–$476.28 | 25% above | 50% |
| Family therapy without the patient, 50 minutes CPT 90846 HC Family Psychotherapy,No Pt per 30 Min | $239.50 | $479.00 | $287.40–$469.42 | 28% above | 50% |
| Group psychotherapy session CPT 90853 HC Group Psychotherapy per 60 Min | $132.00 | $264.00 | $130.00–$258.72 | 21% above | 50% |
| Injection under the skin or into a muscle, for treatment or testing CPT 96372 HC Im/Sq Injection Nonchemo | $25.00 | $50.00 | $21.80–$49.00 | 70% below | 50% |
| Mental health diagnostic evaluation (intake), without medical services CPT 90791 HC Psychiatric Diagnostic Evaluation 30 Min | $402.50 | $805.00 | $383.00–$788.90 | 113% above | 50% |
| Nerve conduction study, 7 or 8 nerve studies CPT 95910 HC Nerve Conduction 7-8 Studies | $303.00 | $606.00 | $60.60–$593.88 | 12% below | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Pt Neuromusc Reeducat,1+ Areas, Ea 15 Min | $70.00 | $140.00 | $84.00–$464.00 | 70% above | 50% |
| Neuromuscular re-education, 15 minutes CPT 97112 HC Ot Neuromusc Reeducat,1+ Areas, Ea 15 Min | $70.00 | $140.00 | $84.00–$237.00 | 70% above | 50% |
| New patient office visit, about 30 minutes CPT 99203 HC E&M Visit New Level 3 | $300.50 | $601.00 | $175.68–$588.98 | 208% above | 50% |
| New patient office visit, about 45 minutes CPT 99204 HC E&M Visit New Level 4 | $413.50 | $827.00 | $261.30–$810.46 | 180% above | 50% |
| New patient office visit, about 60 minutes CPT 99205 HC E&M Visit New Level 5 | $488.50 | $977.00 | $344.63–$957.46 | 185% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M Visit New Level 2 | $255.50 | $511.00 | $114.91–$500.78 | 238% above | 50% |
| New patient office visit, straightforward problem or 15+ minutes CPT 99202 HC E&M Visit New Level 1 | $255.50 | $511.00 | $114.91–$500.78 | 238% above | 50% |
| Nutrition counseling (medical nutrition therapy), first visit, 15 minutes CPT 97802 HC Nutrition Therapy Ind Eval Ea 15 Min | $62.50 | $125.00 | $31.05–$464.00 | 53% above | 50% |
| Occupational therapy evaluation, low complexity CPT 97165 HC Ot Occupational Therapy Eval Low Complex 30 Mins | $299.00 | $598.00 | $237.00–$586.04 | 132% above | 50% |
| Physical therapy evaluation, high complexity (typically about 45 minutes) CPT 97163 HC Pt Physical Therapy Evaluation High Complex 45 Mins | $354.50 | $709.00 | $237.00–$694.82 | 181% above | 50% |
| Physical therapy evaluation, low complexity (typically about 20 minutes) CPT 97161 HC Pt Physical Therapy Evaluation Low Complex 20 Mins | $291.50 | $583.00 | $237.00–$571.34 | 131% above | 50% |
| Physical therapy evaluation, moderate complexity (typically about 30 minutes) CPT 97162 HC Pt Physical Therapy Evaluation Mod Complex 30 Mins | $340.00 | $680.00 | $237.00–$666.40 | 169% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Ot Manual Ther Tech,1+Regions,Ea 15 Min | $68.50 | $137.00 | $82.20–$237.00 | 95% above | 50% |
| Physical therapy, hands-on manual therapy (15-minute unit) CPT 97140 HC Pt Manual Ther Tech,1+Regions,Ea 15 Min | $68.50 | $137.00 | $82.20–$464.00 | 95% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Pt Therapeutic Exercises 15 Min | $68.50 | $137.00 | $82.20–$464.00 | 85% above | 50% |
| Physical therapy, therapeutic exercise (15-minute unit) CPT 97110 HC Ot Therapeutic Exercises 15 Min | $68.50 | $137.00 | $82.20–$237.00 | 85% above | 50% |
| Psychiatric evaluation with medical services CPT 90792 HC Psychiatric Diagnostic Eval W/Medical Services 30 Min | $428.00 | $856.00 | $513.60–$1,396.39 | 126% above | 50% |
| Psychological testing evaluation by a psychologist or physician, first hour CPT 96130 HC Psych Test Eval 1st Hr | $249.50 | $499.00 | $166.38–$489.02 | 28% below | 50% |
| Psychotherapy for crisis, first 60 minutes CPT 90839 HC Psytx Crisis Initial 60 Min | $205.00 | $410.00 | $246.00–$401.80 | 8% above | 50% |
| Psychotherapy session, 30 minutes CPT 90832 HC Iop Psych Therapy 30 Min Indiv | $110.50 | $221.00 | $132.60–$242.46 | 38% below | 50% |
| Psychotherapy session, 45 minutes CPT 90834 HC Psych Therapy 45 Min Indiv | $162.50 | $325.00 | $192.00–$318.50 | 9% below | 50% |
| Psychotherapy session, 60 minutes CPT 90837 HC Psych Therapy 60 Min Indiv | $183.50 | $367.00 | $220.20–$359.66 | 3% above | 50% |
| Returning patient office visit, high complexity or 40+ minutes CPT 99215 HC E&M Visit Est Level 5 | $385.00 | $770.00 | $366.00–$754.60 | 173% above | 50% |
| Returning patient office visit, low complexity or 20+ minutes CPT 99213 HC E&M Visit Est Level 3 | $224.00 | $448.00 | $223.15–$439.04 | 111% above | 50% |
| Returning patient office visit, moderate complexity or 30+ minutes CPT 99214 HC E&M Visit Est Level 4 | $304.50 | $609.00 | $289.00–$596.82 | 160% above | 50% |
| Returning patient office visit, straightforward problem or 10+ minutes CPT 99212 HC E&M Visit Est Level 2 | $159.00 | $318.00 | $134.16–$311.64 | 65% above | 50% |
| Speech and language evaluation CPT 92523 HC Slp Eval Speech Sound Product Language Comprehension | $445.50 | $891.00 | $237.00–$873.18 | 53% above | 50% |
| Speech therapy session, individual CPT 92507 HC Slp Speech/Hearing Therapy, Individual | $250.50 | $501.00 | $237.00–$490.98 | 155% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Pt Therapeut Actvity Direct Pt Contact Each 15 Min | $76.50 | $153.00 | $91.80–$464.00 | 71% above | 50% |
| Therapeutic activities (functional training), 15 minutes CPT 97530 HC Ot Therapeut Actvity Direct Pt Contact Each 15 Min | $76.50 | $153.00 | $91.80–$237.00 | 71% above | 50% |
Vaccines
| Procedure | Cash price | List price | Insurers pay | vs New Jersey | Off list |
|---|---|---|---|---|---|
| Vaccine administration fee (giving the shot), first vaccine of the visit CPT 90471 HC Immune Admin Vaccine-Init | $39.00 | $78.00 | $7.80–$76.44 | 46% below | 50% |
| Vaccine administration fee, each additional vaccine at the same visit CPT 90472 HC Immune Adm Vaccine Ea Add | $25.50 | $51.00 | $5.10–$49.98 | 27% below | 50% |
Procedure The service, with its billing code (CPT or HCPCS) and, in small type, the line exactly as the hospital wrote it in its price file. More
Cash price The hospital's own price for a patient paying without insurance (“discounted cash” in its price file). Hospitals must publish it under federal law, 45 CFR 180.50. Call to confirm it before booking. More
List price The hospital's full chargemaster price (“gross charge”) before any discount. Almost nobody pays it; the gap to the cash price shows what the self-pay discount is worth. More
Insurers pay The lowest and highest rates this hospital has agreed with insurance plans for the same item, from its price file. If the cash price is below what your plan pays and you have not met your deductible, paying cash can cost you less. More
Against the state median This hospital's cash price compared with the median cash price of hospitals in the state for the same code. Shown when at least three hospitals in the state price it.
Off list How much lower the cash price is than the list price.
No cash discount This line's cash price equals the hospital's full list price. Many hospitals still reduce bills for uninsured patients: ask the billing office for its self-pay discount in writing. More
At or below Medicare This cash price is at or below what Medicare pays a hospital for the same service, which is unusually low. It is what the hospital's file says; confirm it and what it includes before booking. More
Check the item The description in the hospital file looks like a supply or device (a catheter, a brace, an implant), not this procedure. The hospital may have filed it under the wrong code: ask before relying on this price.
Source file: https://mrfs.hyvehealthcare.com/RWJBarnabasHealth/221487148_children's-specialized-hospital_standardcharges.json