Northridge Hospital Medical Center
18300 Roscoe Blvd, Northridge, CA 91325 · Acute care hospital · Emergency room
These are Northridge Hospital Medical Center's own posted figures from its standard-charges file dated February 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
197 of the services we track have a posted price here; 126 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 | $4,385.33 | $15,718.00 | $216.64 – $15,718.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $176.89 | $634.00 | $21.77 – $3,834.00 |
| Emergency room visit, level 2 CPT 99282 | $354.06 | $1,269.00 | $34.97 – $3,834.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $516.15 | $1,850.00 | $63.97 – $7,529.00 |
| Emergency room visit, level 4 CPT 99284 | $1,489.31 | $5,338.00 | $98.04 – $8,504.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $2,197.13 | $7,875.00 | $155.03 – $11,060.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $80.31 – $6,040.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $115.51 | $414.00 | $28.19 – $5,811.00 |
| New patient office visit, about 30 minutes CPT 99203 | $149.55 | $536.00 | $36.03 – $5,811.00 |
| New patient office visit, about 45 minutes CPT 99204 | $896.99 | $3,215.00 | $40.79 – $6,311.00 |
| New patient office visit, about 60 minutes CPT 99205 | $725.40 | $2,600.00 | $44.30 – $2,600.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $115.51 | $414.00 | $20.83 – $5,811.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $237.15 | $850.00 | $25.18 – $850.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $896.99 | $3,215.00 | $33.85 – $6,311.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $196.42 | $704.00 | $39.04 – $5,811.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $365.77 | $1,311.00 | $13.45 – $1,311.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $33.76 | $121.00 | $30.25 – $237.60 |
| Abdominal X-ray, 1 view CPT 74018 | $282.63 | $1,013.00 | $24.60 – $1,013.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $485.74 | $1,741.00 | $34.27 – $1,741.00 |
| Chest X-ray, 1 view CPT 71045 | $317.79 | $1,139.00 | $17.65 – $1,139.00 |
| Chest X-ray, 2 views CPT 71046 | $397.02 | $1,423.00 | $27.47 – $1,423.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,654.41 | $9,514.00 | $226.19 – $9,514.00 |
| CT angiogram of the head CPT 70496 | $2,407.50 | $8,629.00 | $226.19 – $8,629.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $3,726.89 | $13,358.00 | $281.80 – $13,358.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,327.02 | $15,509.00 | $319.24 – $15,509.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,501.24 | $8,965.00 | $174.31 – $8,965.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,427.37 | $5,116.00 | $135.12 – $5,116.00 |
| CT scan of the chest, with contrast CPT 71260 | $2,314.59 | $8,296.00 | $226.19 – $8,296.00 |
| CT scan of the chest, without contrast CPT 71250 | $1,181.01 | $4,233.00 | $135.12 – $4,233.00 |
| CT scan of the head, without contrast CPT 70450 | $2,065.44 | $7,403.00 | $135.12 – $7,403.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,065.44 | $7,403.00 | $135.12 – $7,403.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,016.90 | $7,229.00 | $226.19 – $7,229.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,185.41 | $7,833.00 | $135.12 – $7,833.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $229.34 | $822.00 | $144.00 – $822.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,363.20 | $4,886.00 | $193.06 – $5,811.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $384.47 | $1,378.00 | $43.45 – $1,378.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,305.88 | $11,849.00 | $333.52 – $11,849.00 |
| MRI of the brain, without and with contrast CPT 70553 | $3,255.38 | $11,668.00 | $446.18 – $11,668.00 |
| MRI of the brain, without contrast CPT 70551 | $1,949.38 | $6,987.00 | $272.77 – $6,987.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,425.91 | $8,695.00 | $266.80 – $8,695.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,425.07 | $8,692.00 | $265.87 – $8,692.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,425.07 | $8,692.00 | $266.30 – $8,692.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,524.40 | $9,048.00 | $332.91 – $9,048.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $451.98 | $1,620.00 | $37.27 – $1,620.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $842.86 | $3,021.00 | $97.04 – $3,021.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $528.71 | $1,895.00 | $129.00 – $1,895.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $433.57 | $1,554.00 | $78.42 – $1,554.00 |
| Screening mammogram, both breasts CPT 77067 | $154.57 | $554.00 | $113.00 – $597.25 |
| Transvaginal pregnancy ultrasound CPT 76817 | $450.87 | $1,616.00 | $82.17 – $1,616.00 |
| Transvaginal ultrasound CPT 76830 | $666.81 | $2,390.00 | $97.04 – $2,390.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $961.44 | $3,446.00 | $119.34 – $3,446.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $785.67 | $2,816.00 | $85.69 – $2,816.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $526.76 | $1,888.00 | $62.90 – $1,888.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $292.95 | $1,050.00 | $8.46 – $1,050.00 |
| Blood culture CPT 87040 | $220.14 | $789.00 | $10.32 – $789.00 |
| Blood draw (venipuncture) CPT 36415 | $32.37 | $116.00 | $3.60 – $6,527.00 |
| BNP test (heart failure) CPT 83880 | $165.45 | $593.00 | $30.15 – $593.00 |
| C-reactive protein (CRP) test CPT 86140 | $42.97 | $154.00 | $5.18 – $154.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $109.93 | $394.00 | $35.09 – $394.00 |
| Complete blood count (CBC) with differential CPT 85025 | $139.78 | $501.00 | $7.77 – $501.00 |
| Complete blood count (CBC), automated CPT 85027 | $114.67 | $411.00 | $6.47 – $411.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $381.96 | $1,369.00 | $10.56 – $1,369.00 |
| COVID-19 PCR test CPT 87635 | $42.97 | $154.00 | $21.56 – $256.55 |
| D-dimer test (blood clots) CPT 85379 | $159.59 | $572.00 | $10.18 – $572.00 |
| Drug screen, instrument chemistry CPT 80307 | $89.84 | $322.00 | $43.50 – $322.00 |
| Ferritin (iron stores) test CPT 82728 | $146.48 | $525.00 | $13.63 – $525.00 |
| Free T4 (thyroid) test CPT 84439 | $118.58 | $425.00 | $9.02 – $425.00 |
| General health panel (blood tests) CPT 80050 | $662.35 | $2,374.00 | $54.43 – $2,374.00 |
| Glucose (blood sugar) test CPT 82947 | $99.89 | $358.00 | $3.93 – $358.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $131.97 | $473.00 | $35.09 – $473.00 |
| Hemoglobin A1c test CPT 83036 | $103.23 | $370.00 | $9.71 – $370.00 |
| Hepatitis C antibody test CPT 86803 | $138.95 | $498.00 | $14.27 – $498.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $114.12 | $409.00 | $20.26 – $409.00 |
| Iron test CPT 83540 | $99.89 | $358.00 | $6.47 – $358.00 |
| Kidney function panel CPT 80069 | $192.24 | $689.00 | $8.68 – $689.00 |
| Lipase test (pancreas) CPT 83690 | $166.29 | $596.00 | $6.89 – $596.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $342.34 | $1,227.00 | $13.39 – $1,227.00 |
| Liver function panel CPT 80076 | $231.85 | $831.00 | $8.17 – $831.00 |
| Magnesium test CPT 83735 | $124.16 | $445.00 | $6.70 – $445.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $154.29 | $553.00 | $6.01 – $553.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $196.70 | $705.00 | $15.05 – $705.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $112.44 | $403.00 | $4.29 – $403.00 |
| PSA (prostate specific antigen), free CPT 84154 | $68.08 | $244.00 | $18.39 – $244.00 |
| PSA (prostate specific antigen), total CPT 84153 | $150.11 | $538.00 | $18.39 – $538.00 |
| Sed rate (ESR) test CPT 85652 | $83.70 | $300.00 | $2.70 – $300.00 |
| TB skin test CPT 86580 | $99.33 | $356.00 | $4.82 – $356.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $160.43 | $575.00 | $16.80 – $575.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $156.80 | $562.00 | $58.80 – $562.00 |
| Troponin test (heart damage) CPT 84484 | $223.48 | $801.00 | $12.15 – $801.00 |
| Urinalysis, automated, with microscope CPT 81001 | $114.39 | $410.00 | $3.17 – $410.00 |
| Urinalysis, automated, without microscope CPT 81003 | $73.66 | $264.00 | $2.25 – $264.00 |
| Urinalysis, manual, without microscope CPT 81002 | $21.77 | $78.00 | $3.08 – $78.00 |
| Urine culture, colony count CPT 87086 | $190.28 | $682.00 | $8.07 – $682.00 |
| Vitamin B12 test CPT 82607 | $119.42 | $428.00 | $15.08 – $428.00 |
| Vitamin D test CPT 82306 | $47.43 | $170.00 | $23.80 – $170.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,410.35 | $5,055.00 | $179.75 – $5,811.00 |
| ECG tracing only (no interpretation) CPT 93005 | $282.91 | $1,014.00 | $18.82 – $5,811.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,117.34 | $7,589.00 | $239.76 – $7,589.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $9,381.10 | $33,624.00 | $1,090.16 – $33,624.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,782.06 | $17,140.00 | $115.00 – $17,140.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $774.13 – $14,252.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $313.58 – $9,266.42 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,855.01 | $10,233.00 | $613.92 – $10,233.00 |
| Carpal tunnel release CPT 64721 | not posted | $363.57 – $6,040.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $378.95 – $4,849.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $459.26 – $4,849.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $338.78 – $4,849.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $98.85 – $6,040.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $99.55 – $6,040.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $138.43 – $6,040.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $695.27 | $2,492.00 | $62.80 – $4,849.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $534.88 – $21,283.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,088.27 – $6,527.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $748.40 – $16,535.63 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $251.48 – $6,933.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $379.70 – $10,365.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $394.76 – $10,365.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $769.00 – $21,283.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $790.35 – $10,365.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $194.68 – $6,040.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $56.39 – $4,316.00 | |
| Prostate biopsy CPT 55700 | not posted | $100.40 – $6,040.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,093.88 – $16,535.63 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $302.26 – $7,773.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $566.83 – $13,386.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $427.22 – $13,386.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $605.06 – $11,223.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $1,073.34 – $13,386.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $193.53 – $10,365.00 | |
| Total hip replacement CPT 27130 | not posted | $1,708.89 – $20,435.72 | |
| Total knee replacement CPT 27447 | not posted | $1,708.89 – $21,283.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $268.73 – $6,040.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $257.18 – $6,040.00 | |
| Vasectomy CPT 55250 | not posted | $299.06 – $6,040.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | not posted | $1,995.21 – $9,976.05 | |
| Fetal non-stress test CPT 59025 | $354.33 | $1,270.00 | $32.70 – $6,311.00 |
| IUD insertion CPT 58300 | not posted | $193.04 – $965.20 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,994.02 – $9,970.10 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $1,994.02 – $9,970.10 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $8,743.00 – $11,407.14 | |
| C-section, without complications MS-DRG 788 | not posted | $9,732.17 – $19,187.00 | |
| Chest pain MS-DRG 313 | not posted | $7,808.81 – $11,193.00 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $8,743.00 – $14,312.38 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $7,143.23 – $11,193.00 | |
| Fainting (syncope) MS-DRG 312 | not posted | $8,743.00 – $11,275.64 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,743.00 – $12,658.28 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $8,743.00 – $16,505.79 | |
| Heart failure, without complications MS-DRG 293 | not posted | $6,152.90 – $11,193.00 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $13,188.00 – $117,203.48 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $10,521.00 – $26,997.00 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,261.48 – $11,193.00 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $8,743.00 – $11,487.98 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,705.64 – $11,193.00 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $10,521.00 – $29,326.00 | |
| Normal newborn care MS-DRG 795 | not posted | $2,645.02 – $11,193.00 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,492.49 – $11,193.00 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $8,743.00 – $11,193.00 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $8,743.00 – $16,661.43 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,896.90 – $11,193.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $8,743.00 – $17,770.19 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $8,743.00 – $24,436.08 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,743.00 – $13,202.40 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $8,743.00 – $11,390.25 | |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $10,521.00 – $14,667.00 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,481.43 – $11,193.00 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,743.00 – $13,032.29 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,521.00 – $29,953.00 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $7,043.69 – $11,193.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,188.00 – $19,187.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $537.92 | $1,928.00 | $52.54 – $7,773.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $164.49 – $4,849.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $586.18 | $2,101.00 | $220.03 – $4,316.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $138.50 – $4,316.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $1,153.50 – $13,386.00 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $213.61 – $6,040.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $202.56 | $726.00 | $28.23 – $726.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $402.88 | $1,444.00 | $89.65 – $1,833.00 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $402.88 | $1,444.00 | $86.64 – $1,833.00 |
| Group psychotherapy CPT 90853 | $219.86 | $788.00 | $3.98 – $1,833.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $222.09 | $796.00 | $146.97 – $6,311.00 |
| Psychotherapy, 30 minutes CPT 90832 | $275.94 | $989.00 | $60.67 – $1,833.00 |
| Psychotherapy, 45 minutes CPT 90834 | $367.17 | $1,316.00 | $77.07 – $1,833.00 |
| Psychotherapy, 60 minutes CPT 90837 | $549.08 | $1,968.00 | $112.48 – $1,968.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $198.37 | $711.00 | $21.52 – $1,280.00 |
| IV hydration, each additional hour CPT 96361 | $194.19 | $696.00 | $18.13 – $891.00 |
| IV hydration, first hour CPT 96360 | $303.28 | $1,087.00 | $63.71 – $1,087.00 |
| IV push injection of a drug, first CPT 96374 | $236.04 | $846.00 | $57.17 – $6,311.00 |
| IV push injection, each additional drug CPT 96375 | $236.04 | $846.00 | $24.43 – $3,391.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $51.06 | $183.00 | ? – $183.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $9.21 | $33.00 | ? – $33.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $36.00 | $129.00 | ? – $129.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $7.26 | $26.00 | ? – $26.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $83.15 | $298.00 | ? – $298.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $36.00 | $129.00 | $1.71 – $129.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $7.26 | $26.00 | ? – $26.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $36.83 | $132.00 | ? – $132.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $15.07 | $54.00 | $2.42 – $54.00 |
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.