Banner - University Medical Center Phoenix
1111 East McDowell Road, Phoenix, AZ 85006 · Acute care hospital · Emergency room
These are Banner - University Medical Center Phoenix's own posted figures from its standard-charges file dated September 25, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
196 of the services we track have a posted price here; 161 of them have a discounted cash price. Tap a service to compare it with nearby hospitals. How to read these numbers.
Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $2,539.16 | $10,280.00 | $206.85 – $7,710.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $219.99 | $725.00 | $11.12 – $2,503.00 |
| Emergency room visit, level 2 CPT 99282 | $493.41 | $1,280.00 | $40.62 – $2,503.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $916.94 | $1,835.00 | $69.13 – $2,503.00 |
| Emergency room visit, level 4 CPT 99284 | $1,461.69 | $2,935.00 | $117.63 – $2,503.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,508.88 | $3,610.00 | $170.40 – $2,707.50 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $298.89 | $577.00 | $43.54 – $576.73 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $1,236.62 | $1,625.00 | $46.21 – $1,318.00 |
| New patient office visit, about 30 minutes CPT 99203 | $1,849.23 | $2,430.00 | $54.54 – $1,822.50 |
| New patient office visit, about 45 minutes CPT 99204 | $2,225.93 | $2,925.00 | $54.54 – $2,193.75 |
| New patient office visit, about 60 minutes CPT 99205 | $2,979.32 | $3,915.00 | $54.54 – $2,936.25 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $616.41 | $810.00 | $34.42 – $1,318.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,236.62 | $1,625.00 | $54.54 – $1,318.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,906.30 | $2,505.00 | $54.54 – $1,878.75 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $2,682.52 | $3,525.00 | $54.54 – $2,643.75 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $243.52 | $320.00 | $8.55 – $1,318.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $28.60 | $52.00 | $9.67 – $226.21 |
| Abdominal X-ray, 1 view CPT 74018 | $168.35 | $597.00 | $21.05 – $447.75 |
| Ankle X-ray, 3 or more views CPT 73610 | $84.04 | $298.00 | $27.54 – $333.39 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $124.64 | $442.00 | $28.85 – $449.06 |
| Breast ultrasound, one breast, complete CPT 76641 | $214.29 | $614.00 | $66.49 – $460.50 |
| Breast ultrasound, one breast, limited CPT 76642 | $169.26 | $485.00 | $51.57 – $363.75 |
| Chest X-ray, 1 view CPT 71045 | $88.32 | $368.00 | $16.84 – $333.39 |
| Chest X-ray, 2 views CPT 71046 | $106.32 | $443.00 | $22.68 – $333.39 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $399.06 | $2,404.00 | $129.45 – $1,803.00 |
| CT angiogram of the head CPT 70496 | $427.69 | $2,561.00 | $129.45 – $1,920.75 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $604.57 | $3,642.00 | $220.29 – $2,731.50 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $725.42 | $4,370.00 | $241.82 – $3,277.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $483.56 | $2,913.00 | $103.45 – $2,184.75 |
| CT scan of the abdomen, without contrast CPT 74150 | $192.06 | $1,157.00 | $79.00 – $1,218.00 |
| CT scan of the chest, with contrast CPT 71260 | $316.73 | $1,908.00 | $113.51 – $1,431.00 |
| CT scan of the chest, without contrast CPT 71250 | $253.32 | $1,526.00 | $79.00 – $1,218.00 |
| CT scan of the head, without contrast CPT 70450 | $271.54 | $1,626.00 | $67.14 – $1,219.50 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $285.19 | $1,718.00 | $79.00 – $1,288.50 |
| CT scan of the pelvis, with contrast CPT 72193 | $264.27 | $1,592.00 | $129.45 – $1,362.80 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $180.86 | $1,083.00 | $79.00 – $1,218.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $274.34 | $599.00 | $108.97 – $683.56 |
| Diagnostic mammogram, one breast CPT 77065 | $213.89 | $467.00 | $84.99 – $485.06 |
| Foot X-ray, 3 or more views CPT 73630 | $88.27 | $313.00 | $25.60 – $333.39 |
| Hand X-ray, 3 or more views CPT 73130 | $86.01 | $305.00 | $28.19 – $333.39 |
| Knee X-ray, 3 views CPT 73562 | $76.14 | $270.00 | $31.12 – $333.39 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $553.28 | $2,080.00 | $150.47 – $1,675.90 |
| Leg or arm vein ultrasound, one side CPT 93971 | $290.74 | $1,093.00 | $79.00 – $1,092.72 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $97.29 | $345.00 | $28.52 – $449.06 |
| MRI of both breasts, without and with contrast CPT 77049 | $546.05 | $2,844.00 | $238.10 – $2,133.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $607.68 | $3,165.00 | $238.43 – $2,373.75 |
| MRI of the brain, without and with contrast CPT 70553 | $477.95 | $3,006.00 | $214.41 – $2,254.50 |
| MRI of the brain, without contrast CPT 70551 | $318.64 | $2,004.00 | $128.76 – $1,618.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $297.02 | $1,547.00 | $140.78 – $1,618.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $281.23 | $1,953.00 | $123.58 – $1,618.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $236.88 | $1,645.00 | $122.92 – $1,618.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $284.11 | $1,973.00 | $123.25 – $1,618.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $436.99 | $2,276.00 | $237.13 – $1,843.40 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $343.87 | $1,791.00 | $141.10 – $1,618.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $82.63 | $293.00 | $28.19 – $333.39 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $175.90 | $504.00 | $71.36 – $459.04 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $198.58 | $569.00 | $79.00 – $583.82 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $172.76 | $495.00 | $69.09 – $508.29 |
| Screening mammogram, both breasts CPT 77067 | $309.65 | $563.00 | $89.86 – $550.77 |
| Shoulder X-ray, 2 or more views CPT 73030 | $78.68 | $279.00 | $25.28 – $333.39 |
| Transvaginal pregnancy ultrasound CPT 76817 | $152.51 | $437.00 | $55.78 – $449.06 |
| Transvaginal ultrasound CPT 76830 | $205.91 | $590.00 | $79.00 – $518.90 |
| Ultrasound of the abdomen, complete CPT 76700 | $223.36 | $640.00 | $76.51 – $508.37 |
| Ultrasound of the neck or thyroid CPT 76536 | $173.80 | $498.00 | $79.00 – $483.77 |
| Wrist X-ray, 3 or more views CPT 73110 | $77.83 | $276.00 | $32.09 – $333.39 |
| X-ray of the lower back, 4 or more views CPT 72110 | $110.54 | $392.00 | $38.59 – $449.06 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $60.32 | $377.00 | $8.46 – $282.75 |
| Blood culture CPT 87040 | $59.67 | $270.00 | $10.32 – $202.50 |
| BNP test (heart failure) CPT 83880 | $45.76 | $286.00 | $39.26 – $214.50 |
| C-reactive protein (CRP) test CPT 86140 | $4.94 | $26.00 | $5.18 – $24.35 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $25.42 | $115.00 | $35.09 – $164.70 |
| Complete blood count (CBC) with differential CPT 85025 | $25.99 | $142.00 | $7.77 – $106.50 |
| Complete blood count (CBC), automated CPT 85027 | $19.40 | $106.00 | $6.47 – $79.50 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $107.36 | $671.00 | $10.56 – $503.25 |
| COVID-19 PCR test CPT 87635 | $55.03 | $249.00 | $51.31 – $247.99 |
| D-dimer test (blood clots) CPT 85379 | $43.92 | $240.00 | $10.18 – $180.00 |
| Drug screen, instrument chemistry CPT 80307 | $29.92 | $187.00 | $62.14 – $291.62 |
| Ferritin (iron stores) test CPT 82728 | $10.40 | $65.00 | $13.63 – $63.93 |
| Free T4 (thyroid) test CPT 84439 | $10.56 | $66.00 | $9.02 – $49.50 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $23.43 | $106.00 | $35.09 – $164.70 |
| Hemoglobin A1c test CPT 83036 | $7.52 | $47.00 | $9.71 – $45.57 |
| Hepatitis C antibody test CPT 86803 | $48.45 | $255.00 | $14.27 – $191.25 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $19.23 | $87.00 | $24.08 – $104.29 |
| Iron test CPT 83540 | $33.28 | $208.00 | $6.47 – $156.00 |
| Kidney function panel CPT 80069 | $36.80 | $230.00 | $8.68 – $172.50 |
| Lipase test (pancreas) CPT 83690 | $29.92 | $187.00 | $6.89 – $140.25 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $27.36 | $171.00 | $13.39 – $128.25 |
| Liver function panel CPT 80076 | $39.04 | $244.00 | $8.17 – $183.00 |
| Magnesium test CPT 83735 | $15.84 | $99.00 | $6.70 – $74.25 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $20.86 | $114.00 | $6.01 – $85.50 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $11.36 | $71.00 | $15.05 – $70.64 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $17.38 | $95.00 | $4.29 – $71.25 |
| PSA (prostate specific antigen), free CPT 84154 | $8.96 | $56.00 | $18.39 – $86.34 |
| PSA (prostate specific antigen), total CPT 84153 | $8.96 | $56.00 | $18.39 – $86.34 |
| Rapid strep test CPT 87880 | $11.05 | $50.00 | $16.53 – $77.56 |
| Sed rate (ESR) test CPT 85652 | $1.65 | $9.00 | $2.70 – $12.64 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $39.36 | $246.00 | $16.80 – $184.50 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $78.40 | $282.00 | $34.68 – $301.70 |
| Troponin test (heart damage) CPT 84484 | $39.84 | $249.00 | $12.47 – $186.75 |
| Urinalysis, automated, with microscope CPT 81001 | $25.02 | $91.00 | $3.17 – $68.25 |
| Urinalysis, automated, without microscope CPT 81003 | $29.42 | $107.00 | $2.25 – $80.25 |
| Urinalysis, manual, without microscope CPT 81002 | $3.03 | $11.00 | $3.48 – $16.30 |
| Urine culture, colony count CPT 87086 | $44.42 | $201.00 | $8.07 – $150.75 |
| Urine pregnancy test CPT 81025 | $15.95 | $58.00 | $8.61 – $43.50 |
| Vitamin B12 test CPT 82607 | $11.52 | $72.00 | $15.08 – $70.78 |
| Vitamin D test CPT 82306 | $14.24 | $89.00 | $29.60 – $155.32 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $444.75 | $1,672.00 | $148.53 – $1,671.18 |
| ECG tracing only (no interpretation) CPT 93005 | $118.92 | $543.00 | $6.13 – $433.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $658.79 | $2,678.00 | $125.48 – $2,497.00 |
| Left heart catheterization CPT 93452 | $3,764.86 | $14,207.00 | $636.89 – $16,111.14 |
| Left heart catheterization with coronary angiogram CPT 93458 | $7,091.32 | $18,066.00 | $719.33 – $16,111.14 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,425.63 | $3,591.00 | $348.90 – $5,381.65 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $955.58 – $12,775.92 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $588.48 – $10,644.28 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,455.27 | $4,065.00 | $148.27 – $6,689.00 |
| Carpal tunnel release CPT 64721 | not posted | $434.00 – $6,689.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $193.33 – $5,444.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $244.64 – $5,444.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $177.90 – $5,444.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $130.51 – $6,689.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $77.75 – $5,849.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $157.59 – $7,704.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $55.07 – $3,698.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $644.59 – $18,194.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $982.00 – $17,878.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $892.50 – $18,715.80 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $225.20 – $7,704.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $424.62 – $10,644.28 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $511.97 – $8,715.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $559.87 – $22,523.67 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $535.72 – $8,715.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $248.02 – $5,444.00 | |
| Prostate biopsy CPT 55700 | not posted | $126.11 – $6,689.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,160.79 – $18,715.80 | |
| Removal of a breast lump, open surgery CPT 19120 | $3,138.56 | $6,059.00 | $409.89 – $6,893.85 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $1,047.62 – $12,775.92 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $178.19 – $4,596.53 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $177.90 – $4,596.53 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $664.71 – $8,715.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $165.68 – $7,704.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $982.00 – $17,878.00 | |
| Total hip replacement CPT 27130 | not posted | $1,253.83 – $27,605.80 | |
| Total knee replacement CPT 27447 | not posted | $1,251.96 – $27,605.80 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $133.85 – $5,444.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $118.50 – $5,444.00 | |
| Vasectomy CPT 55250 | not posted | $226.11 – $6,689.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $559.02 | $626.00 | $19.76 – $711.00 |
| IUD insertion CPT 58300 | not posted | $49.12 – $5,681.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $13,616.67 | $2,093.00 – $28,924.94 | |
| C-section, without complications MS-DRG 788 | $13,600.76 | $5,297.00 – $23,771.63 | |
| Chest pain MS-DRG 313 | $11,516.90 | $7,920.01 – $23,590.80 | |
| COPD flare-up, with major complications MS-DRG 190 | $17,529.87 | $11,511.96 – $36,714.74 | |
| COPD flare-up, without complications MS-DRG 192 | $10,212.50 | $7,197.37 – $26,848.40 | |
| Fainting (syncope) MS-DRG 312 | $13,743.93 | $9,324.55 – $28,557.97 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $15,652.81 | $10,335.32 – $32,436.61 | |
| Heart failure, with major complications MS-DRG 291 | $20,425.00 | $13,143.49 – $42,063.71 | |
| Heart failure, without complications MS-DRG 293 | $8,939.92 | $6,493.24 – $27,734.47 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $154,380.57 | $91,884.48 – $320,533.44 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $29,937.58 | $19,120.17 – $79,332.98 | |
| Irregular heartbeat, without complications MS-DRG 310 | $8,796.75 | $6,494.18 – $21,156.91 | |
| Kidney failure, with complications MS-DRG 683 | $14,332.50 | $9,363.46 – $36,524.48 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $12,837.21 | $8,749.21 – $26,523.27 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $39,147.92 | $23,867.41 – $79,989.19 | |
| Normal newborn care MS-DRG 795 | $3,213.28 | $1,376.00 – $6,546.45 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $12,423.62 | $8,459.24 – $25,497.72 | |
| Pneumonia, with complications MS-DRG 194 | $13,075.82 | $8,715.85 – $27,522.47 | |
| Pneumonia, with major complications MS-DRG 193 | $21,109.02 | $13,426.98 – $43,066.32 | |
| Pneumonia, without complications MS-DRG 195 | $9,957.98 | $7,072.29 – $23,070.38 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $21,729.40 | $2,093.00 – $45,766.15 | |
| Sepsis, with major complications MS-DRG 871 | $31,544.22 | $19,246.16 – $63,646.01 | |
| Sepsis, without major complications MS-DRG 872 | $16,384.54 | $10,730.02 – $42,531.26 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $14,077.98 | $9,318.08 – $28,535.04 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $12,503.16 | $8,472.20 – $25,543.59 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $16,161.84 | $10,609.57 – $46,238.62 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $18,484.31 | $12,744.17 – $40,651.54 | |
| Vaginal delivery, without complications MS-DRG 807 | $10,403.39 | $5,297.00 – $12,367.92 | |
| Weight loss surgery, without complications MS-DRG 621 | $24,131.41 | $15,224.34 – $59,844.92 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $44.27 – $5,681.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,324.24 | $3,699.00 | $108.61 – $5,681.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $668.39 | $1,867.00 | $96.84 – $5,681.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $505.50 | $1,412.00 | $77.20 – $5,681.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $701.00 | $785.00 | $49.90 – $1,051.88 |
| Sleep study with CPAP titration CPT 95811 | $3,657.68 | $8,647.00 | $517.35 – $6,485.25 |
| Sleep study, overnight in a sleep lab CPT 95810 | $3,172.50 | $7,500.00 | $494.34 – $5,625.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $242.16 | $686.00 | $18.78 – $514.50 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $17.58 | $169.00 | $26.61 – $283.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $73.78 | $424.00 | $78.86 – $531.03 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $97.27 | $559.00 | $85.00 – $558.97 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $17.47 | $168.00 | $28.89 – $283.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $22.67 | $218.00 | $36.03 – $283.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $52.27 | $176.00 | $14.06 – $945.00 |
| IV hydration, each additional hour CPT 96361 | $52.58 | $138.00 | $12.04 – $478.00 |
| IV hydration, first hour CPT 96360 | $178.69 | $469.00 | $31.58 – $478.00 |
| IV push injection of a drug, first CPT 96374 | $173.74 | $585.00 | $35.77 – $945.00 |
| IV push injection, each additional drug CPT 96375 | $111.97 | $377.00 | $14.97 – $945.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $8.90 | ? – $6.67 |
Cash price: the hospital's posted discounted price for people paying themselves. Gross charge: its list price before any discount. Insurer rates: the lowest and highest rates it says it negotiated with any insurer. When the file lists a service on several rows, this page shows one (the facility row for the usual setting); the service's own page lists every row.