Current Standard Charges

View all hospital standard charges
in a machine-readable format

As of January 1, 2020, the U.S. Department of Health & Human Services and Centers for Medicare & Medicaid Services are requiring hospitals to post their “current standard charges.”

Standard charges are the amounts a hospital bills patients and/or insurance companies for the services and procedures performed. However for most patients, hospitals are paid at a level well below standard charges.

Patients covered by commercial insurance companies have negotiated payment rates with hospitals. Patients covered by Medicare or Medicaid programs have payment rates determined by federal and state governments. Patients eligible for financial assistance will also receive lower rates than the standard charges. These payment rates are much lower than standard charges. In non-emergency situations, patients should contact their insurance company to understand the medical costs that they will be responsible to pay.

You can view a list of our current standard charges. However, please contact your insurance company or our Financial Counselors at the phone numbers listed to understand your estimated medical costs.

As of 5/1/2022

Description	Billing Code	Billing Code Name	CPT/HCPCS	Patient Price
COVID-19 Antibodies Test	3008632801	SER IA NFCT AB SARSCOV2 COVID19 IN HOUSE	86328	$101.90
COVID-19 Antibodies Test	3008676901	SER IA NFCT AB SARSCOV2 COVID19 MULTI-STEP TOTAL	86769	$101.90
COVID-19 Antibodies Test	3068742601	COVID-19/SARS-COV-2 INHOUSE ANTIGEN IA	87426	$94.80
COVID-19 Antibodies Test	3068742801	IAAD IA SARS-COV-2 & INFLUENZA VIRUS TYPES A&B	87428	$69.60
COVID-19 Test	3008763501	COVID-19/SARS-COV-2 INF AGENT DET W/WO RESP W/CDC TEST KIT U0001	U0001	$0.01
COVID-19 Test	306U000201	SARS-COVID-19 PCR NON-CDC TEST KIT/NON-HIGH THROUGHPUT	U0002	$115.45
COVID-19 Test	300U000342	COVID-19/SARS-COV-2 HIGH THROUGHPUT INHOUSE INF AGT DET W/WO RESP U0003	U0003	$168.75
COVID-19 Test	300U000341	COVID-19/SARS-COV-2 INF AGENT DET W/WO RESP NON-CDC SITE U0003	U0003	$168.75
COVID-19 Test	300U000542	COVID-19/SARSCOV2 CEPHEID INHOUSE INF AGENT ADDON U0005	U0005	$56.25
COVID-19 Test	300U000541	COVID-19/SARSCOV2 HIGH THROUGHPUT INF AGENT ADDON U0005	U0005	$56.25
Respiratory panel - 4 targets including COVID-19	3060241U01	COVID-19 0241U CEPHEID RNA 4 TGT RESP SPEC	0241U	$525.00
Respiratory panel - 22 targets including COVID-19	3060202U01	IN HOUSE BCT/VIR RESPIR DNA/RNA 22 TRGT SARSCOV2	0202U	$1680.00
COVID-19 Vaccine - 1st dose (Pfizer)	7710001A01	ADMIN SARSCOVID2 30MCG/0.3ML 1ST	0001A	$90.00
COVID-19 Vaccine - 2nd dose (Pfizer)	7710002A01	ADMIN SARSCOVID2 30MCG/0.3ML 2ND	0002A	$90.00
COVID-19 Vaccine - 3rd dose (Pfizer)	7710003A01	IM ADMIN, THIRD DOSE, SARS-COV2 VAC, 30MCG/0.3ML DOSE (PFIZER)	0003A	$90.00
COVID-19 Booster (Pfizer)	7710004A01	IM ADMIN, BOOSTER DOSE, SARS-COV-2 Vaccine, 30 MCG/0.3 ML Dosage (Pfizer)	0004A	$90.00
COVID-19 Vaccine - 1st dose Tris-Sucrose (Pfizer)	7710051A01	IM ADMIN, FIRST DOSE, SARSCOV2 30MCG/0.3ML TRIS-SUCROSE (PFIZER)	0051A	$90.00
COVID-19 Vaccine - 2nd dose Tris-Sucrose (Pfizer)	7710052A01	IM ADMIN, SECOND DOSE, SARSCOV2 30MCG/0.3ML TRIS-SUCROSE (PFIZER)	0052A	$90.00
COVID-19 Vaccine - 3rd dose Tris-Sucrose (Pfizer)	7710053A01	IM ADMIN, THIRD DOSE, SARSCOV2 30MCG/0.3ML TRIS-SUCROSE (PFIZER)	0053A	$90.00
COVID-19 Booster Tris-Sucrose (Pfizer)	7710054A01	IM ADMIN, BOOSTER DOSE, SARSCOV2 30MCG/0.3ML TRIS-SUCROSE (PFIZER)	0054A	$90.00
COVID-19 1st dose Pediatric (Pfizer)	7710071A01	IM ADMIN, FIRST DOSE, SARS-COV-2 Vaccine, 10 MCG/0.2 ML Pediatric Tris-sucrose (Pfizer)	0071A	$90.00
COVID-19 2nd dose Pediatric (Pfizer)	7710072A01	IM ADMIN, SECOND DOSE, SARS-COV-2 Vaccine, 10 MCG/0.2 ML Pediatric Tris-sucrose (Pfizer)	0072A	$90.00
COVID-19 3rd dose Pediatric (Pfizer)	7710073A01	IM ADMIN, THIRD DOSE, SARSCOV2, 10 MCG/0.2 ML, PEDIATRIC TRIS-SURCOSE (PFIZER)	0073A	$90.00
COVID-19 1st dose Pediatric (Pfizer)	7710081A01	IM ADMIN, FIRST DOSE, SARSCOV2, 3 MCG/0.2 ML, PEDIATRIC TRIS-SURCOSE, 6MO to <5YRS (PFIZER)		$90.00
COVID-19 2nd dose Pediatric (Pfizer)	7710082A01	IM ADMIN, SECOND DOSE, SARSCOV2, 3 MCG/0.2 ML, PEDIATRIC TRIS-SURCOSE, 6MO to <5YRS (PFIZER)	0013A	$90.00
COVID-19 Vaccine - 1st dose (Moderna)	7710011A01	ADMIN SARSCOVID2 100MCG/0.5ML1ST	0011A	$90.00
COVID-19 Vaccine - 2nd dose (Moderna)	7710012A01	ADMIN SARSCOVID2 100MCG/0.5ML2ND	0012A	$90.00
COVID-19 Vaccine - 3rd dose (Moderna)	7710013A01	IM ADMIN, THIRD DOSE, SARS-COV2 VAC, 100MCG/0.5ML (MODERNA)	0013A	$90.00
COVID-19 Vaccine - Booster dose (Moderna)	7710064A01	IM ADMIN, BOOSTER DOSE, SARS-COV2 VAC, 100MCG/0.5ML (MODERNA)	0064A	$90.00
COVID-19 Treatment (IV Infusion)	260M024901	IIV INFUSION, COVID-19, TOCILIZUMAB	M0249	$1,031.65
COVID-19 Treatment (IV Infusion)	335M024701	IV INFUSION, COVID-19, SOTROVIMAB	M0247	$1,031.65
COVID-19 Treatment (IV Infusion)	335M024501	IV INFUSION, COVID-19, BAMLANIVIMAB	M0245	$1,031.65
COVID-19 Treatment (IV Infusion)	335M024301	IV INFUSION, COVID-19, CASIRIVIMAB AND IMDEVIMAB	M0243	$1,031.65
COVID-19 Treatment (injection)	335M022001	COVID INJ, TIXAGEVIMAB and CILGAVIMAB, INCL POST ADMIN MONITOR	M0220	$338.65
COVID-19 Treatment (Convalescent Plasma Admin)	3913643001	IM ADMIN BLOOD TRANSFUSION DAILY	36430	$1,071.54