Price Transparency

In compliance with Centers for Medicare & Medicaid Services, this link provides a comprehensive list of charges for each inpatient and outpatient service or item provided by The Bellevue Hospital, also known as a chargemaster. The hospital's charges are the same for all patients, but a patient's responsibility may vary depending on payment plans negotiated with individual health insurers. Uninsured or underinsured patients should consult with our admitting and billing staff to determine whether they qualify for discounts. For more information on the chargemaster, please read the chargemaster FAQ link below. For more information about the cost of your care, please contact our Patient Financial Services staff via email.

 

Chargemaster FAQ               Chargemaster List PDF           Machine Readable File
 

Price Estimator & Shoppable Services    

 

The Bellevue Hospital is also providing a price list below containing our charges for room and board, emergency department, operating room, delivery, physical therapy and other procedures.  These prices are correct as of 01/01/2024 through 12/31/2024.  Your charges may vary dependent on what your physician requests. 

 

Room and Board - Per Day Charges

   Charge
 Intensive Care  $2,567.00
 Routine Care  $1,342.00
 Birthing Room  $1,625.00
 Nursery  $1,027.00

 

Labor and Delivery Charges

The following list does not include charges for anesthesia, drugs or supplies required for a particular delivery room procedure.  Fees for physician services or anesthesia administration are also not reflected, and will be billed separately by your physician. 

   Charge  
 Normal Delivery Mom  $14,250.00 - $18,000.00  Average Cost
 Cesarean Section Delivery Mom  $22,500.00 - $23,500.00  Average Cost
 Normal Delivery Baby  $4,400.00 - $4,600.00  Average Cost
 Cesarean Section Delivery Baby  $5,400.00 - $5,600.00  Average Cost
     
   Charge  CPT
 Fetal Monitor Non Stress  $594.00  59025
 Fetal Monitor Stress  $594.00  59020
 Fetal Monitor Labor  $538.00  59050

 

Emergency Department Charges

Emergency Department charges are based on the level of emergency care provided to our patients.  The levels, with level 1 representing basic emergency care, reflect the type of accommodations needed, the personnel resources, the intensity of care and the amount of time needed to provide treatment.  The following charges do not include fees for drugs, supplies, emergency room physician or additional ancillary procedures that may be required for a particular emergency treatment. 

   Charge  CPT
 Level 1   $210.00  99281
 Level 2  $315.00  99282
 Level 3  $630.00  99283
 Level 4  $996.00  99284
 Level 5  $926.00  99285
 Critical Care  $2,429.00  99291

 

Operating Room Charges

Operating Room charges are based on the complexity level, with level 1 being the most basic, for a particular operation.  This time is charged per minute.  This price does not include anesthesiologist. 

   Charge Per Minute
 Special Procedure  $65.00
 Level 2   $96.00
 OR Time   $124.00
 OR Complex Case  $179.00

 

Physical Therapy Charges

The following charges reflect the most common services offered by our Physical Therapy department.  Patients may have additional charges, depending on the services performed. 

   Charge  CPT
 Elec Stim Unattended   $135.00  G0283
 Exercise  $172.00  97110
 Mannual Exercise  $174.00  97140
 Neuro Muscular Re-education  $181.00  97112
 Therapuetic Activity  $142.00  97530
 Aquatic Therapy 15 minutes  $138.00  97113
 Hot Cold Pack  $25.00  97010

 

Occupational Therapy Charges

The following charges reflect the most common services offered by our Occupational Therapy Department.  Patients may have additional charges, depending on the services performed.

   Charge  CPT
Therapeutic Activities  $142.00  97530
Manual Therapy  $174.00  97140
 Self Care / Home Mgt. 15 min.  $121.00  97535
 Therapeutic Procedure   $172.00  97110
 Ultrasound  $135.00  97035

 

Pulmonary Therapy Charges

The following charges reflect the most common services offered by our Pulmonary Therapy Department.  Patients may have additional charges, depending on the services performed. 

   Charge  CPT
 Blood Gas Draw  $170.00  36600
 Hand Held Nebulizer  $470.00  94640
PEP Therapy  $270.00  94667
PFT Diffusion  $386.00  94729
 Common Cannister  $470.00  94640

 

X-Ray and Radiological Charges 

The following charges reflect the hospital's 30 most common x-ray and radiological procedures.  There is an additional cost for contrast material that is used for certain procedures.  The radiologist will bill separately for their services. 

   Charge  CPT
 CT Abdomen / Pelvis with Contrast  $3,675.00  74177
 CT Abdomen / Pelvis without Contrast  $3,518.00  74176
 CT C Spine without Contrast  $1,890.00  72125
 CT Head without Contrast  $2,048.00  70450
 CT Thorax with Contrast  $2,048.00  71260
 CT Thorax without Contrast  $1,890.00  71250
 CTA Chest with or without Contrast  $2,772.00  71275    
 MRI L-Spine without Contrast  $4,200.00  72148
Nuclear Medicine Stress/Resting Multiple Studies  $6,698.00  78452
 Radiology Abd Flat Upright / PA Chest  $588.00  74022 
 Radiology Ankle min 3 Views  $410.00  73610
 Radiology Bilat Mamm Screen with Tomography  $492.00  77067 & 77063
 Radiology Chest 1 View  $242.00  71045
 Radiology Chest 2 Views  $299.00  71046
 Radiology Dexa Bone Density / Skeletal Bone Density  $526.00  77080
 Radiology Foot min 3 Views unilateral  $410.00  73630 
 Radiology knee 4 or more Views unilateral  $502.00  73564
 Radiology KUB 1 View  $24200  74018
 Radiology L Spine 2-3 Views  $410.00  72100
 Radiology L Spine min 4 Views  $502.00  72110
 Radiology Shoulder 2 or more Views   $410.00  73030
 Ultrasound Biophysical with Non Stress Test  $1,035.00  76818
 Ultrasound Cervical Length  $705.00  76817
 Ultrasound Gallbladder  $819.00  76705
 Ultrasound Growth  $599.00  76816
 Ultrasound Pelvis  $1,041.00  76856
 Ultrasound Pelvis Transvaginal  $1,019.00  76830
 Ultrasound Pregnancy Anatomy Single  $608.00  76805
 Ultrasound Pregnancy Transvaginal  $705.00  76817
 Ultrasound Thyroid $570.00  76536

 

Laboratory Charges

   Charge  CPT
 Blood Grouping ABO  $205.00  86900
 BNP  $275.00  83880
 CBC Auto Diff  $130.00  85025
 CKMB  $135.00  82553
 COVID-19 Amp PRB High Thruput Rapid  $269.00  U0003 & U0005
 CPK  $96.00  82550
 CRP  $151.00  86140
 Culture ID Aerobic  $201.00  87077
 Culture Urine  $158.00  87086
 Free T4  $187.00  84439
 Glycochemoglobin/ A1C  $249.00  83036
 HPV Reflex  $284.00  87624
 Iron  $113.00  83540
 Lactic Acid  $96.00  83605
 Lipase   $131.00  83690
 Lipid Profile  $212.00  80061
 Myoglobin  $169.00  83874
 Pap Test   $153.00  G0145
 Profile 14  $697.00  80053
 Profile 8  $390.00  80048
 Protime  $100.00  85610
 PTT  $100.00  85730
 RH D Type  $204.00  86901
 Suscept MIC  $119.00  87186
 T4  $177.00  84436
 Troponin  $187.00  84484
 TSH  $218.00  84443
 Urinalysis without Micro  $40.00  81003
Vitamin D 25 OJ  $307.00   82306

 

 

Consumers can access a number of government and private websites which provide additional information on hospitals' charges and quality. Here are two guides that may be helpful in understanding your medical bills:

 

Understanding Healthcare Prices: A Consumer Guide 

 

Avoiding Surprises in your Medical Bills: A Consumer Guide

 

Patient Financial Services