Los Angeles Community Hospital

4081 E Olympic Blvd, Los Angeles, CA 90023 · Acute care hospital · Emergency room

These are Los Angeles Community Hospital's own posted figures from its standard-charges file dated March 18, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

235 of the services we track have a posted price here; 108 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	$9,679.31	$9,679.31	$40.88 – $8,324.21
Emergency room visit, level 1 (minor) CPT 99281	$1,260.57	$1,260.57	$4.27 – $1,758.00
Emergency room visit, level 2 CPT 99282	$2,044.53	$2,044.53	$7.85 – $1,758.30
Emergency room visit, level 3 (moderate) CPT 99283	$3,149.69	$3,149.69	$13.69 – $2,708.73
Emergency room visit, level 4 CPT 99284	$5,304.74	$5,304.74	$21.57 – $4,562.08
Emergency room visit, level 5 (most severe) CPT 99285	$7,568.01	$7,568.01	$30.93 – $6,508.49
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$10.71 – $640.49

Office visits

Service	Cash price	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted	$34.30 – $109.17
New patient office visit, about 30 minutes CPT 99203	not posted	$57.20 – $168.45
New patient office visit, about 45 minutes CPT 99204	not posted	$68.90 – $279.65
New patient office visit, about 60 minutes CPT 99205	not posted	$82.70 – $359.63
Office consultation, about 40 minutes CPT 99243	not posted	$59.50 – $207.04
Office consultation, about 60 minutes CPT 99244	not posted	$81.40 – $329.03
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted	$18.10 – $86.18
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted	$24.00 – $138.27
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted	$37.50 – $194.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted	$57.20 – $271.80
Office visit, established patient, brief (often a nurse) CPT 99211	not posted	$12.00 – $36.17
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted	$114.10 – $196.10
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted	$132.20 – $225.30

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$1.41 – $80.18
Abdominal X-ray, 1 view CPT 74018	$736.77	$736.77	$4.89 – $633.62
Ankle X-ray, 3 or more views CPT 73610	$785.12	$785.12	$4.89 – $675.20
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$6.87 – $342.78
Breast ultrasound, one breast, complete CPT 76641	$1,590.96	$1,590.96	$6.87 – $1,368.23
Breast ultrasound, one breast, limited CPT 76642	$500.78	$500.78	$4.89 – $430.67
Chest X-ray, 1 view CPT 71045	$462.79	$462.79	$4.89 – $398.00
Chest X-ray, 2 views CPT 71046	$842.68	$842.68	$4.89 – $724.70
CT angiogram of the chest (checks for lung clots) CPT 71275	$3,877.23	$3,877.23	$11.17 – $3,334.42
CT angiogram of the head CPT 70496	$4,512.71	$4,512.71	$11.17 – $3,880.93
CT scan of the abdomen and pelvis, with contrast CPT 74177	$8,322.39	$8,322.39	$23.41 – $7,157.26
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$9,643.62	$9,643.62	$23.41 – $8,293.51
CT scan of the abdomen and pelvis, without contrast CPT 74176	$6,642.44	$6,642.44	$14.29 – $5,712.50
CT scan of the abdomen, without contrast CPT 74150	$3,557.22	$3,557.22	$6.87 – $3,059.21
CT scan of the chest, with contrast CPT 71260	$3,923.30	$3,923.30	$11.17 – $3,374.04
CT scan of the chest, without contrast CPT 71250	$3,146.24	$3,146.24	$6.87 – $2,705.77
CT scan of the head, without contrast CPT 70450	$4,063.74	$4,063.74	$6.87 – $3,494.82
CT scan of the neck (cervical spine), without contrast CPT 72125	$4,403.35	$4,403.35	$6.87 – $3,786.88
CT scan of the pelvis, with contrast CPT 72193	$4,155.84	$4,155.84	$11.17 – $3,574.02
CT scan of the sinuses or face, without contrast CPT 70486	$4,062.21	$4,062.21	$6.87 – $3,493.50
Diagnostic mammogram, both breasts CPT 77066	not posted		$6.72 – $300.63
Diagnostic mammogram, one breast CPT 77065	not posted		$5.27 – $234.95
Foot X-ray, 3 or more views CPT 73630	$785.12	$785.12	$4.89 – $675.20
Hand X-ray, 3 or more views CPT 73130	$785.12	$785.12	$4.89 – $675.20
Knee X-ray, 3 views CPT 73562	$782.82	$782.82	$4.89 – $673.23
Leg or arm vein ultrasound, both sides CPT 93970	$2,640.85	$2,640.85	$14.29 – $2,271.13
Leg or arm vein ultrasound, one side CPT 93971	$1,712.89	$1,712.89	$6.87 – $1,473.09
Lower back X-ray, 2 or 3 views CPT 72100	$861.10	$861.10	$6.87 – $740.55
MRI of both breasts, without and with contrast CPT 77049	not posted		$239.65 – $833.85
MRI of the abdomen, without and with contrast CPT 74183	$8,766.53	$8,766.53	$23.41 – $7,539.22
MRI of the brain, without and with contrast CPT 70553	$9,126.87	$9,126.87	$23.41 – $7,849.11
MRI of the brain, without contrast CPT 70551	$5,328.92	$5,328.92	$14.29 – $4,582.87
MRI of the knee or other leg joint, without contrast CPT 73721	$5,328.63	$5,328.63	$14.29 – $4,582.62
MRI of the lower back (lumbar spine), without contrast CPT 72148	$6,504.98	$6,504.98	$14.29 – $5,594.28
MRI of the mid back (thoracic spine), without contrast CPT 72146	$5,693.16	$5,693.16	$14.29 – $4,896.12
MRI of the neck (cervical spine), without contrast CPT 72141	$5,690.02	$5,690.02	$14.29 – $4,893.42
MRI of the pelvis, without and with contrast CPT 72197	$9,231.62	$9,231.62	$23.41 – $7,939.19
MRI of the shoulder or other arm joint, without contrast CPT 73221	$5,497.28	$5,497.28	$14.29 – $4,727.66
Neck X-ray, 2 or 3 views CPT 72040	$828.87	$828.87	$4.89 – $712.83
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$2,037.63	$2,037.63	$6.87 – $1,752.36
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$1,503.47	$1,503.47	$6.87 – $1,292.98
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,503.47	$1,503.47	$6.87 – $1,292.98
Screening mammogram, both breasts CPT 77067	not posted		$5.57 – $248.26
Shoulder X-ray, 2 or more views CPT 73030	$751.96	$751.96	$4.89 – $646.69
Transvaginal pregnancy ultrasound CPT 76817	not posted		$6.87 – $342.78
Transvaginal ultrasound CPT 76830	$1,845.38	$1,845.38	$6.87 – $1,587.03
Ultrasound of the abdomen, complete CPT 76700	$2,037.63	$2,037.63	$6.87 – $1,752.36
Ultrasound of the neck or thyroid CPT 76536	$1,590.96	$1,590.96	$6.87 – $1,368.23
Wrist X-ray, 3 or more views CPT 73110	$828.87	$828.87	$4.89 – $712.83
X-ray of the lower back, 4 or more views CPT 72110	$1,161.56	$1,161.56	$6.87 – $998.94

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$772.46	$772.46	? – $664.32
Blood culture CPT 87040	$349.97	$349.97	? – $300.97
Blood draw (venipuncture) CPT 36415	$61.02	$61.02	? – $52.48
BNP test (heart failure) CPT 83880	$246.36	$246.36	$2.05 – $211.87
C-reactive protein (CRP) test CPT 86140	$191.10	$191.10	? – $164.35
Chlamydia test (DNA/NAAT) CPT 87491	not posted		$1.83 – $104.49
Complete blood count (CBC) with differential CPT 85025	$267.08	$267.08	? – $229.69
Complete blood count (CBC), automated CPT 85027	$212.98	$212.98	? – $183.16
Comprehensive metabolic panel (blood test) CPT 80053	$925.57	$925.57	? – $795.99
COVID-19 PCR test CPT 87635	$177.21	$177.21	$2.68 – $168.93
D-dimer test (blood clots) CPT 85379	$39.08	$39.08	? – $33.61
Drug screen, instrument chemistry CPT 80307	$267.08	$267.08	$3.24 – $229.69
Ferritin (iron stores) test CPT 82728	$267.08	$267.08	? – $229.69
Free T4 (thyroid) test CPT 84439	$305.07	$305.07	? – $262.36
General health panel (blood tests) CPT 80050	not posted		$32.65 – $104.37
Glucose (blood sugar) test CPT 82947	$177.29	$177.29	? – $152.47
Gonorrhea test (DNA/NAAT) CPT 87591	not posted		$1.83 – $104.49
Hemoglobin A1c test CPT 83036	$310.82	$310.82	? – $267.31
Hepatitis C antibody test CPT 86803	$54.74	$54.74	? – $47.08
HIV-1/HIV-2 antigen and antibody test CPT 87389	not posted		$1.26 – $72.18
Iron test CPT 83540	$246.36	$246.36	? – $211.87
Kidney function panel CPT 80069	$772.46	$772.46	? – $664.32
Lipase test (pancreas) CPT 83690	$212.98	$212.98	? – $183.16
Lipid panel, cholesterol and triglycerides CPT 80061	$293.56	$293.56	? – $252.46
Liver function panel CPT 80076	$725.26	$725.26	? – $623.72
Magnesium test CPT 83735	$212.98	$212.98	? – $183.16
Obstetric blood test panel CPT 80055	not posted		$2.49 – $152.61
Partial thromboplastin time (PTT), clotting test CPT 85730	$246.36	$246.36	? – $211.87
Pregnancy blood test (hCG), quantitative CPT 84702	$267.08	$267.08	? – $229.69
Prothrombin time (PT/INR), clotting test CPT 85610	$177.29	$177.29	? – $152.47
PSA (prostate specific antigen), free CPT 84154	not posted		? – $54.79
PSA (prostate specific antigen), total CPT 84153	$267.08	$267.08	? – $229.69
Rapid strep test CPT 87880	not posted		? – $33.89
Sed rate (ESR) test CPT 85652	not posted		? – $8.04
TB skin test CPT 86580	not posted		$1.41 – $78.95
Thyroid stimulating hormone (TSH) CPT 84443	$374.15	$374.15	? – $321.77
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$627.41	$627.41	$3.03 – $539.57
Troponin test (heart damage) CPT 84484	$335.00	$335.00	? – $288.10
Urinalysis, automated, with microscope CPT 81001	$177.29	$177.29	? – $152.47
Urinalysis, automated, without microscope CPT 81003	$133.54	$133.54	? – $114.84
Urinalysis, manual, with microscope CPT 81000	$124.33	$124.33	? – $106.92
Urinalysis, manual, without microscope CPT 81002	not posted		? – $7.62
Urine culture, colony count CPT 87086	not posted		? – $24.04
Urine pregnancy test CPT 81025	$246.36	$246.36	? – $211.87
Vitamin B12 test CPT 82607	$88.64	$88.64	? – $76.23
Vitamin D test CPT 82306	$15.00	$15.00	$1.54 – $97.45

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,868.40	$1,868.40	$14.29 – $1,606.82
ECG tracing only (no interpretation) CPT 93005	$428.25	$428.25	$3.37 – $368.30
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$2,424.43	$2,424.43	$29.53 – $2,085.01
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$14.42 – $49.06
Holter monitor, up to 48 hours CPT 93224	not posted		$73.08 – $268.45
Left heart catheterization CPT 93452	not posted		$174.74 – $11,671.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$174.74 – $11,671.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$7,355.03	$7,355.03	$78.00 – $6,325.33
Treadmill stress test, complete CPT 93015	not posted		$74.82 – $233.08

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$366.78 – $23,026.51
Appendix removal, laparoscopic CPT 44970	not posted	$273.27 – $18,806.01
Breast biopsy with ultrasound guidance CPT 19083	not posted	$84.16 – $5,222.54
Carpal tunnel release CPT 64721	not posted	$105.42 – $6,294.41
Colonoscopy with biopsy CPT 45380	not posted	$61.57 – $3,879.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$61.57 – $3,879.00
Colonoscopy, diagnostic CPT 45378	not posted	$46.84 – $3,879.00
Colposcopy with biopsy CPT 57454	not posted	$16.60 – $3,544.00
Cystoscopy (bladder scope) CPT 52000	not posted	$34.12 – $3,544.00
Ear tubes, under general anesthesia CPT 69436	not posted	$82.73 – $4,774.65
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$46.84 – $3,544.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$296.37 – $18,806.01
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$948.37 – $6,341.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$515.84 – $33,558.67
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$153.17 – $10,248.62
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$264.71 – $18,806.01
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$190.65 – $11,375.28
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$185.08 – $11,117.12
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$167.84 – $10,458.41
Lower colon endoscopy with ultrasound CPT 45391	not posted	$61.57 – $3,879.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$9.60 – $625.77
Prostate biopsy CPT 55700	not posted	$87.49 – $6,602.99
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$515.84 – $33,558.67
Removal of a breast lump, open surgery CPT 19120	not posted	$185.75 – $12,342.99
Rotator cuff repair, arthroscopic CPT 29827	not posted	$366.78 – $23,026.51
Screening colonoscopy, average risk HCPCS G0121	not posted	$46.84 – $3,879.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$46.84 – $3,879.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$160.60 – $10,453.44
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$164.24 – $4,212.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$1,031.85 – $6,341.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$168.65 – $19,068.05
Total hip replacement CPT 27130	not posted	$729.68 – $41,473.84
Total knee replacement CPT 27447	not posted	$729.68 – $41,473.84
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$48.19 – $3,879.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$48.19 – $3,544.00
Vasectomy CPT 55250	not posted	$108.62 – $6,602.99

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted	$1,390.97 – $5,227.11
Fetal non-stress test CPT 59025	not posted	$10.18 – $648.45
IUD insertion CPT 58300	not posted	$106.00 – $587.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted	$1,390.14 – $5,227.11
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted	$1,390.14 – $5,227.11

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$9,347.09 – $20,649.99
C-section, without complications MS-DRG 788	not posted	$6,460.00 – $22,394.87
Chest pain MS-DRG 313	not posted	$7,623.36 – $16,912.39
COPD flare-up, with major complications MS-DRG 190	not posted	$11,728.33 – $25,813.36
COPD flare-up, without complications MS-DRG 192	not posted	$6,797.50 – $15,121.64
Fainting (syncope) MS-DRG 312	not posted	$9,228.50 – $20,392.91
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$10,383.65 – $22,897.64
Heart failure, with major complications MS-DRG 291	not posted	$13,592.87 – $29,856.29
Heart failure, without complications MS-DRG 293	not posted	$5,992.81 – $13,376.84
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$56,991.00 – $224,979.11
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$16,966.00 – $44,666.71
Irregular heartbeat, without complications MS-DRG 310	not posted	$5,993.87 – $13,379.12
Kidney failure, with complications MS-DRG 683	not posted	$9,272.97 – $20,489.28
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$8,570.99 – $18,967.20
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$14,543.00 – $56,430.57
Normal newborn care MS-DRG 795	not posted	$2,115.48 – $4,969.48
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,239.58 – $18,248.58
Pneumonia, with complications MS-DRG 194	not posted	$8,532.87 – $18,884.50
Pneumonia, with major complications MS-DRG 193	not posted	$13,916.87 – $30,558.82
Pneumonia, without complications MS-DRG 195	not posted	$6,654.56 – $14,811.73
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$14,789.32 – $32,450.63
Sepsis, with major complications MS-DRG 871	not posted	$20,567.19 – $44,978.98
Sepsis, without major complications MS-DRG 872	not posted	$10,834.70 – $23,875.67
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$9,221.09 – $20,376.81
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$14,543.00 – $14,543.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$8,254.40 – $18,280.70
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$10,697.06 – $23,577.17
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$13,136.53 – $28,866.80
Vaginal delivery, without complications MS-DRG 807	not posted	$4,992.00 – $15,860.90
Weight loss surgery, without complications MS-DRG 621	not posted	$15,970.94 – $35,012.72

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$16.05 – $3,544.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$49.79 – $3,544.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$38.32 – $3,544.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$38.32 – $3,544.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$123.97 – $7,351.51
Eye exam, new patient, comprehensive CPT 92004	not posted	$7.11 – $415.38
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$31.08 – $3,879.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$8.48 – $504.31

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$8.48 – $504.31
Sleep study with CPAP titration CPT 95811	not posted	$55.73 – $3,279.38
Sleep study, overnight in a sleep lab CPT 95810	not posted	$55.73 – $3,279.38

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$600.93	$600.93	$8.48 – $705.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$230.24	$230.24	$1.56 – $316.00
Physical therapy evaluation, low complexity CPT 97161	$427.10	$427.10	$4.75 – $367.31
Physical therapy evaluation, moderate complexity CPT 97162	$450.12	$450.12	$4.75 – $387.10
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$343.06	$343.06	$1.70 – $316.00
Therapeutic activities, 15 minutes CPT 97530	$359.18	$359.18	$2.20 – $316.00

Mental health

Service	Cash price	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	not posted	$8.05 – $517.90
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted	$8.05 – $517.90
Group psychotherapy CPT 90853	not posted	$4.82 – $298.17
Psychiatric diagnostic evaluation CPT 90791	not posted	$8.05 – $517.90
Psychotherapy, 30 minutes CPT 90832	not posted	$8.05 – $517.90
Psychotherapy, 45 minutes CPT 90834	not posted	$8.05 – $517.90
Psychotherapy, 60 minutes CPT 90837	not posted	$8.05 – $517.90

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$270.67	$270.67	$3.71 – $232.78
IV hydration, each additional hour CPT 96361	$340.73	$340.73	$2.34 – $293.03
IV hydration, first hour CPT 96360	$443.22	$443.22	$11.27 – $679.12
IV push injection of a drug, first CPT 96374	$724.11	$724.11	$11.27 – $679.12
IV push injection, each additional drug CPT 96375	$340.73	$340.73	$2.34 – $293.03

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$952.04	$952.04	$5.03 – $818.75
Dexamethasone injection, per 1 mg HCPCS J1100	$185.34	$185.34	$4.58 – $159.39
Fentanyl injection, per 0.1 mg HCPCS J3010	$131.13	$131.13	$5.30 – $112.77
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$8.81 – $12.33
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$267.08	$267.08	? – $229.69
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$157.71	$157.71	$4.60 – $135.63
Morphine injection, up to 10 mg HCPCS J2270	$77.13	$77.13	$9.06 – $66.33
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$14.97	$14.97	$3.00 – $12.87
Propofol injection, per 10 mg HCPCS J2704	$394.87	$394.87	$4.56 – $339.59
Saline IV solution, 1000 ml HCPCS J7030	$382.20	$382.20	$7.00 – $328.69

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.

Check a bill from this hospital