Posted Hospital Charges and Fees, 1995: Summary Data
CPT Code Item Hosp. A Hosp. B Hosp. C Hosp. D Hosp. E Children's Hosp. F Hosp. G Hosp. H Hosp. I Mean Ratio Maximum/ Minimum
Inpatient Care
Medical/Surgical
Private 405.00 460.00 340.00 430.00 357 645.00 418.00 460.00 476.00 443.44 1.90
• Semi-private 405.00 432.00 315.00 430.00 294 635.00 405.00 445.00 441.00 422.44 2.16
• ICU-Regular 1300.00 1298.00 890.00 1180.00 966 1575.00 1150.00 1220.00 1288.00 1207.44 1.77
TCU 995.00 1067.00 615.00 900.00 715 1275.00 875.00 775.00 833.00 894.44 2.07
ER Visit
Level 1 20.93 48.00 50.25 33.00 50.00 20.93 35.00 37.90 47.00 38.11 2.40
Level 2 82.40 87.00 109.00 55.00 118.00 82.40 70.00 79.00 112.00 88.31 2.15
Level 3 122.95 221.00 227.00 99.00 149.99 122.95 130.00 170.25 169.00 156.90 2.29
• Level 4 209.28 435.50 346.00 176.00 275.00 209.28 210.00 241.25 349.00 272.37 2.47
Level 5 327.00 650.50 452.00 275.00 405.00 327.00 360.00 463.60 709.00 441.01 2.58
Level 6 542.82 440.00 542.82 508.55
Outpatient Observation
First Hour 75.50 79.00 17.32 105.00 116.00 157.30 35.00 83.59 9.08
ER Critical Care 15.50 13.40 17.32 9.00 13.00 13.05 17.50 14.11 1.94
Radiology
76092 Screening Mammogram 85.80 99.00 64.67 110.00 91.80 85.80 110.00 89.30 70.00 89.60 1.70
•76091 Bilat, Diag. Mammogram 85.80 99.00 64.67 110.00 183.60 85.80 110.00 111.40 80.00 103.36 2.84
71010 Chest, Portable 193.50 90.00 115.50 80.00 125.00 77.35 193.00 124.91 2.50
•71020 Chest, 2 view 104.02 112.50 74.80 85.00 85.92 104.02 90.00 102.35 134.00 99.18 1.79
•70470 CT Head w/wo contrast 751.11 463.70 625.00 736.32 754.68 751.11 780.00 770.00 549.99 686.88 1.68
Laboratory
• CBC 40.27 74.00 37.45 44.90 33.70 40.27 50.00 67.50 38.56 47.41 2.20
85014 Hematocrit 11.72 40.50 29.45 n/a 15.00 11.72 42.00 19.00 24.20 3.58
•85610 Prothrombin time 23.46 40.00 31.50 36.30 22.80 23.46 48.00 33.00 44.37 33.65 2.11
•82803 ABG 94.96 61.50 56.00 80.00 66.10 94.96 90.00 70.15 90.00 78.19 1.70
• Glucose venous 29.29 60.00 20.80 27.50 22.40 29.26 30.00 29.95 25.08 30.48 2.88
Glucose finger 16.19 22.40 29.95 25.08 23.41 1.85
•81000 Urinalysis 28.00 44.00 12.25 25.00 20.00 28.00 30.00 43.00 24.83 28.34 3.59
•87083 Urine culture 68.00 120.50 43.55 75.00 65.80 68.00 90.00 46.20 72.32 72.15 2.77
•87040 Blood culture 74.17 133.00 58.00 62.70 60.00 74.17 75.00 68.75 92.00 77.53 2.29
•86920 Blood cross match 50.86 133.25 104.80 55.44 63.96 50.86 30.00 27.50 59.00 63.96 4.85
•82550 CPK 43.09 88.90 11.25 66.00 34.90 43.09 45.00 33.15 63.00 47.60 7.90
•83735 Magnesium 48.71 99.00 20.00 47.89 40.00 48.71 45.00 33.00 63.12 49.49 4.95
•80007 SMA 7 59.00 135.00 44.50 61.00 50.00 59.00 80.00 60.50 56.93 67.33 3.03
•80018 Chem 18 81.00 152.50 81.00 80.00 80.00 81.00 110.00 66.00 92.00 91.50 2.31
Ultrasound
•76805 Obstetrical 277.44 295.40 264.00 246.65 333.50 277.44 292.00 382.75 80.00 272.13 4.78
•76705 Gallbaldder 308.42 340.20 258.00 330.00 274.60 308.42 345.00 283.30 99.00 282.99 3.48
Cardiac
•93005 EKG 65.00 89.00 65.85 75.00 61.60 65.00 90.00 66.00 68.00 71.72 1.46
•93017 Stress test/tredmill 274.68 504.50 205.00 250.00 202.20 274.68 250.00 192.50 242.00 266.17 2.62
Rehab
• Therapeutic exercise, 1 hr 103.46 143.00 92.65 51.70 141.60 103.46 100.00 155.80 136.08 114.19 3.01
• Cold/Hot pack 36.95 27.50 28.67 42.90 16.68 36.95 85.00 44.90 28.67 38.69 5.10
MRI
70553 Head without contrast 1197.40 1450.00 1323.70 1.21
70553 Head with contrast 1372.60 1450.00 1411.30 1.06
•70553 Head ± contrast 1100.00 1197.40 1080.00 1327.32 1,200.00 1100.00 1,226.59 1193.50 1614.50 1226.59 1.49
Imaging Studies Only 2627 2508 2366 2835 2832 2627 2844 2843 2557 2671 1.20
Index 0.98 0.94 0.89 1.06 1.06 0.98 1.06 1.06 0.96 1.20
Lab Studies Only 641 1142 521 662 560 641 723 579 721 688 2.19
Index 0.93 1.66 0.76 0.96 0.81 0.93 1.05 0.84 1.05 2.19
Cardiology Only 340 594 271 325 264 340 340 259 310 338 2.30
Index 1.01 1.76 0.80 0.96 0.78 1.01 1.01 0.77 0.92 2.30
Hypothetical Admission 6067 7011 5146 6133 5643 6802 6262 6232 6272 6174 1.36
Overall Index 0.98 1.14 0.83 0.99 0.91 1.10 1.01 1.01 1.02 1.36