Report for Resnick Neuropsychiatric Hospital

The table of average charges for outpatient cases shows the average charges for the most common outpatient services, procedures and surgeries. As is the case for all data on this site, these are averages to provide a general idea of expected charges. Actual charges will vary.

In all cases except where noted, this does not include the prices for physician services — this is for hospital services only.

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Evaluation & Management Services (CPT Codes 99201-99499)

Service Title	CPT Code	Avg. Charge
"Emergency Room Visit, Level 2 (low to moderate severity)"	99282	$510.00
"Emergency Room Visit, Level 3 (moderate severity)"	99283	$780.00
"Emergency Room Visit, Level 4 (high severity with significant threat)"	99285	$1,870.00
"Emergency Room Visit, Level 4 (high severity without signigicant threat)"	99284	$1,310.00
"Outpatient Visit, established patient, 15 minutes"	99213	$230.00

Laboratory & Pathology Services (CPT Codes 80047-89398)

Service Title	CPT Code	Avg. Charge
"Blood Gas Analysis, including 02 saturation"	82805	$180.00
"Complete Blood Count, automated"	85027	$40.00
"Complete Blood Count, with differential WBC, automated"	85025	$50.00
"Creatine Kinase (CK), (CPK), Total"	82550	$50.00
"Troponin, Quantitative"	84484	$130.00
"Urinalysis, with microscopy"	81000 or 81001	$80.00
"Urinalysis, without microscopy"	81002 or 81003	$60.00
Basic Metabolic Panel	80048	$250.00
Comprehensive Metabolic Panel	80053	$440.00
Lipid Panel	80061	$110.00
Partial Thromboplastin Time	85730	$110.00
Prothrombin Time	85610	$70.00
Thyroid Stimulating Hormone	84443	$100.00

Medicine Services (CPT Codes 90281-99607)

Service Title	CPT Code	Avg. Charge
"Cardiac Catheterization, Left Heart, percutaneous "	93452	NA
"Echocardiography, Transthoracic, complete"	93307	$1,700.00
"Electrocardiogram, routine, with interpretation and report"	93005	$360.00
"Inhalation Treatment, pressurized or nonpressurized"	94640	$220.00
"Physical Therapy, Evaluation"	97161	$250.00
"Physical Therapy, Gait Training"	97116	$120.00
"Physical Therapy, Therapeutic Exercise"	97110	$180.00

Other Common Outpatient Procedures (list as needed)

Service Title	CPT Code	Avg. Charge
ELECTROCONVULSIVE THERAPY	90870	$1,950.00
FAMILY PSYTX W/PT 50 MIN	90847	$430.00
GROUP PSYCHOTHERAPY	90853	$210.00
GRP PSYCH PARTIAL HOSP 45-50	G0410	$200.00
OPPS/PHP; ACTIVITY THERAPY	G0176	$290.00
OPPS/PHP; TRAIN EDUC SERV	G0177	$190.00
PARTIAL HOSP PROG SERVICE	G0129	$290.00
PSYCHIATRIC SERVICE/THERAPY	90899	$200.00
PSYTX W PT 30 MINUTES	90832	$230.00
PSYTX W PT 45 MINUTES	90834	$330.00

Radiology Services (CPT Codes 70010-79999)

Service Title	CPT Code	Avg. Charge
"CT Scan, Abdomen, with contrast"	74160	$2,590.00
"CT Scan, Head or Brain, without contrast"	70450	$2,500.00
"CT Scan, Pelvis, with contrast"	72193	$2,160.00
"Mammography, Screening, Bilateral"	77067	$450.00
"MRI, Brain, without contrast, followed by contrast"	70553	$7,840.00
"Ultrasound, Abdomen, Complete"	76700	$810.00
"Ultrasound, OB, 14 weeks or more, transabdominal"	76805	$1,300.00
"X-Ray, Chest, two views"	71046	$270.00
"X-Ray, Lower Back, minimum four views"	72110	$420.00