Riverside Community Hospital

4445 Magnolia Avenue, Riverside, CA 92501 · Acute care hospital · Emergency room

These are Riverside Community Hospital's own posted figures from its standard-charges file dated September 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

228 of the services we track have a posted price here; 129 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	$45,114.00	$45,114.00	$4,101.00 – $4,101.00
Emergency room visit, level 1 (minor) CPT 99281	$1,400.25	$1,400.25	$747.00 – $894.00
Emergency room visit, level 2 CPT 99282	$3,681.50	$3,681.50	$2,161.00 – $2,165.00
Emergency room visit, level 3 (moderate) CPT 99283	$6,007.00	$6,007.00	$1,736.00 – $6,432.00
Emergency room visit, level 4 CPT 99284	$10,526.50	$10,526.50	$3,573.00 – $8,910.00
Emergency room visit, level 5 (most severe) CPT 99285	$15,824.00	$15,824.00	$3,160.00 – $4,101.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$432.00 – $3,684.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$429.25	$429.25	$42.92 – $386.32
New patient office visit, about 30 minutes CPT 99203	$494.25	$494.25	$49.42 – $444.82
New patient office visit, about 45 minutes CPT 99204	$717.75	$717.75	$71.78 – $645.98
New patient office visit, about 60 minutes CPT 99205	$717.75	$717.75	$71.78 – $645.98
Office visit, established patient, about 10 to 19 minutes CPT 99212	$429.25	$429.25	$42.92 – $386.32
Office visit, established patient, about 20 to 29 minutes CPT 99213	$494.25	$494.25	$49.42 – $444.82
Office visit, established patient, about 30 to 39 minutes CPT 99214	$717.75	$717.75	$71.78 – $645.98
Office visit, established patient, about 40 to 54 minutes CPT 99215	$717.75	$717.75	$71.78 – $645.98
Office visit, established patient, brief (often a nurse) CPT 99211	$429.25	$429.25	$42.92 – $386.32
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$66.82 – $70.34
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$81.16 – $85.43

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$211.25	$211.25	$57.31 – $180.78
Abdominal X-ray, 1 view CPT 74018	$1,456.75	$1,456.75	$218.51 – $1,311.08
Ankle X-ray, 3 or more views CPT 73610	$2,857.50	$2,857.50	$428.63 – $2,571.75
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$133.32 – $214.68
Breast ultrasound, one breast, complete CPT 76641	$4,353.00	$4,353.00	$652.95 – $3,917.70
Breast ultrasound, one breast, limited CPT 76642	$3,386.00	$3,386.00	$507.90 – $3,047.40
Chest X-ray, 1 view CPT 71045	$976.50	$976.50	$146.47 – $878.85
Chest X-ray, 2 views CPT 71046	$1,428.75	$1,428.75	$214.31 – $1,285.88
CT angiogram of the chest (checks for lung clots) CPT 71275	$18,743.25	$18,743.25	$1,359.00 – $1,359.00
CT angiogram of the head CPT 70496	$18,743.25	$18,743.25	$401.74 – $2,789.16
CT scan of the abdomen and pelvis, with contrast CPT 74177	$26,036.75	$26,036.75	$828.27 – $1,864.58
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$29,473.00	$29,473.00	$1,359.00 – $1,359.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$22,350.75	$22,350.75	$1,359.00 – $1,359.00
CT scan of the abdomen, without contrast CPT 74150	$14,900.00	$14,900.00	$245.18 – $1,483.35
CT scan of the chest, with contrast CPT 71260	$17,358.00	$17,358.00	$401.74 – $1,856.43
CT scan of the chest, without contrast CPT 71250	$14,900.00	$14,900.00	$1,359.00 – $1,359.00
CT scan of the head, without contrast CPT 70450	$14,900.00	$14,900.00	$1,359.00 – $1,359.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$14,900.00	$14,900.00	$1,359.00 – $1,359.00
CT scan of the pelvis, with contrast CPT 72193	$17,358.00	$17,358.00	$1,359.00 – $1,359.00
CT scan of the sinuses or face, without contrast CPT 70486	$14,900.00	$14,900.00	$1,359.00 – $1,359.00
Diagnostic mammogram, both breasts CPT 77066	$1,607.00	$1,607.00	$263.00 – $761.49
Diagnostic mammogram, one breast CPT 77065	$1,344.50	$1,344.50	$201.68 – $1,210.05
Foot X-ray, 3 or more views CPT 73630	$2,814.00	$2,814.00	$422.10 – $2,532.60
Hand X-ray, 3 or more views CPT 73130	$2,814.00	$2,814.00	$422.10 – $2,532.60
Knee X-ray, 3 views CPT 73562	$2,622.00	$2,622.00	$393.30 – $2,359.80
Leg or arm vein ultrasound, both sides CPT 93970	$3,021.75	$3,021.75	$453.26 – $2,719.57
Leg or arm vein ultrasound, one side CPT 93971	$1,488.50	$1,488.50	$223.28 – $1,339.65
Lower back X-ray, 2 or 3 views CPT 72100	$1,730.50	$1,730.50	$259.57 – $1,557.45
MRI of both breasts, without and with contrast CPT 77049	not posted		$1,271.81 – $2,047.89
MRI of the abdomen, without and with contrast CPT 74183	$16,563.50	$16,563.50	$1,920.00 – $1,920.00
MRI of the brain, without and with contrast CPT 70553	$24,629.75	$24,629.75	$3,694.46 – $22,166.78
MRI of the brain, without contrast CPT 70551	$19,922.00	$19,922.00	$2,988.30 – $17,929.80
MRI of the knee or other leg joint, without contrast CPT 73721	$26,562.00	$26,562.00	$3,984.30 – $23,905.80
MRI of the lower back (lumbar spine), without contrast CPT 72148	$13,281.00	$13,281.00	$1,920.00 – $1,920.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$13,279.75	$13,279.75	$517.79 – $3,261.27
MRI of the neck (cervical spine), without contrast CPT 72141	$13,281.00	$13,281.00	$517.79 – $2,939.68
MRI of the pelvis, without and with contrast CPT 72197	$16,563.50	$16,563.50	$1,920.00 – $1,920.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$24,046.50	$24,046.50	$3,606.97 – $21,641.85
Neck X-ray, 2 or 3 views CPT 72040	$1,398.75	$1,398.75	$209.81 – $1,258.88
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$3,679.25	$3,679.25	$551.89 – $3,311.32
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$5,716.50	$5,716.50	$245.18 – $739.96
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,433.75	$3,433.75	$424.05 – $424.05
Screening mammogram, both breasts CPT 77067	$1,299.75	$1,299.75	$217.46 – $771.57
Shoulder X-ray, 2 or more views CPT 73030	$3,229.00	$3,229.00	$484.35 – $2,906.10
Transvaginal pregnancy ultrasound CPT 76817	$2,457.25	$2,457.25	$368.59 – $2,211.53
Transvaginal ultrasound CPT 76830	$3,650.25	$3,650.25	$547.54 – $3,285.22
Ultrasound of the abdomen, complete CPT 76700	$4,221.50	$4,221.50	$633.23 – $3,799.35
Ultrasound of the neck or thyroid CPT 76536	$1,005.25	$1,005.25	$150.79 – $904.73
Wrist X-ray, 3 or more views CPT 73110	$1,358.00	$1,358.00	$203.70 – $1,222.20
X-ray of the lower back, 4 or more views CPT 72110	$2,963.25	$2,963.25	$444.49 – $2,666.93

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,928.75	$1,928.75	$289.31 – $1,735.88
Blood culture CPT 87040	$1,481.00	$1,481.00	$8.26 – $28.62
Blood draw (venipuncture) CPT 36415	$495.00	$495.00	$89.10 – $445.50
BNP test (heart failure) CPT 83880	$536.50	$536.50	$39.26 – $398.41
C-reactive protein (CRP) test CPT 86140	$582.50	$582.50	$4.14 – $14.37
Chlamydia test (DNA/NAAT) CPT 87491	$43.25	$43.25	$6.49 – $38.92
Complete blood count (CBC) with differential CPT 85025	not posted		$56.47 – $91.22
Complete blood count (CBC), automated CPT 85027	$513.50	$513.50	$5.18 – $17.94
Comprehensive metabolic panel (blood test) CPT 80053	$2,266.25	$2,266.25	$8.45 – $29.26
COVID-19 PCR test CPT 87635	$236.75	$236.75	$35.51 – $213.07
D-dimer test (blood clots) CPT 85379	$1,243.00	$1,243.00	$8.14 – $28.23
Drug screen, instrument chemistry CPT 80307	$4,712.50	$4,712.50	$706.88 – $4,241.25
Ferritin (iron stores) test CPT 82728	$1,261.75	$1,261.75	$13.63 – $159.85
Free T4 (thyroid) test CPT 84439	$740.75	$740.75	$9.02 – $105.84
General health panel (blood tests) CPT 80050	not posted		$45.36 – $299.96
Glucose (blood sugar) test CPT 82947	$348.00	$348.00	$3.14 – $10.88
Gonorrhea test (DNA/NAAT) CPT 87591	$43.25	$43.25	$6.49 – $38.92
Hemoglobin A1c test CPT 83036	$477.25	$477.25	$71.59 – $429.52
Hepatitis C antibody test CPT 86803	$200.50	$200.50	$30.07 – $180.45
HIV-1/HIV-2 antigen and antibody test CPT 87389	$120.25	$120.25	$18.04 – $108.22
Iron test CPT 83540	$477.25	$477.25	$71.59 – $429.52
Kidney function panel CPT 80069	$1,991.75	$1,991.75	$8.68 – $101.89
Lipase test (pancreas) CPT 83690	$854.00	$854.00	$5.51 – $19.10
Lipid panel, cholesterol and triglycerides CPT 80061	$1,261.75	$1,261.75	$10.71 – $37.11
Liver function panel CPT 80076	$1,689.00	$1,689.00	$6.54 – $22.65
Magnesium test CPT 83735	$477.25	$477.25	$71.59 – $429.52
Obstetric blood test panel CPT 80055	$1,043.25	$1,043.25	$38.25 – $132.53
Partial thromboplastin time (PTT), clotting test CPT 85730	$735.25	$735.25	$110.29 – $661.73
Pregnancy blood test (hCG), quantitative CPT 84702	$1,502.00	$1,502.00	$225.30 – $1,351.80
Prothrombin time (PT/INR), clotting test CPT 85610	$606.50	$606.50	$4.29 – $46.12
PSA (prostate specific antigen), free CPT 84154	$9.77	$9.77	$14.71 – $50.96
PSA (prostate specific antigen), total CPT 84153	$1,261.75	$1,261.75	$189.26 – $1,135.58
Rapid strep test CPT 87880	$113.75	$113.75	$16.53 – $109.03
Sed rate (ESR) test CPT 85652	$536.50	$536.50	$2.16 – $7.50
TB skin test CPT 86580	$479.50	$479.50	$28.15 – $28.15
Thyroid stimulating hormone (TSH) CPT 84443	$1,261.75	$1,261.75	$189.26 – $1,135.58
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,706.75	$1,706.75	$256.01 – $1,536.08
Troponin test (heart damage) CPT 84484	$1,354.00	$1,354.00	$203.10 – $1,218.60
Urinalysis, automated, with microscope CPT 81001	$477.25	$477.25	$71.59 – $429.52
Urinalysis, automated, without microscope CPT 81003	$374.25	$374.25	$1.80 – $6.22
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $37.21
Urinalysis, manual, without microscope CPT 81002	not posted		$18.56 – $29.99
Urine culture, colony count CPT 87086	$735.25	$735.25	$8.07 – $94.75
Urine pregnancy test CPT 81025	not posted		$8.61 – $64.68
Vitamin B12 test CPT 82607	$717.00	$717.00	$107.55 – $645.30
Vitamin D test CPT 82306	$177.50	$177.50	$26.63 – $159.75

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$3,249.00	$3,249.00	$660.69 – $1,063.85
ECG tracing only (no interpretation) CPT 93005	$1,941.25	$1,941.25	$72.69 – $117.04
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$11,843.50	$11,843.50	$1,776.53 – $10,659.15
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$83.20 – $133.96
Holter monitor, up to 48 hours CPT 93224	not posted		$593.57 – $955.78
Left heart catheterization CPT 93452	not posted		$1,292.00 – $13,748.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$1,292.00 – $13,748.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$14,798.25	$14,798.25	$1,850.43 – $1,951.77
Treadmill stress test, complete CPT 93015	not posted		$322.51 – $519.31

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$5,071.00 – $5,071.00
Appendix removal, laparoscopic CPT 44970	not posted	$5,071.00 – $5,071.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$3,722.00 – $5,997.00
Carpal tunnel release CPT 64721	not posted	$2,804.00 – $2,804.00
Colonoscopy with biopsy CPT 45380	not posted	$579.00 – $6,150.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$579.00 – $6,150.00
Colonoscopy, diagnostic CPT 45378	not posted	$579.00 – $6,150.00
Colposcopy with biopsy CPT 57454	not posted	$5,892.00 – $5,892.00
Cystoscopy (bladder scope) CPT 52000	not posted	$2,215.00 – $2,215.00
Ear tubes, under general anesthesia CPT 69436	not posted	$663.00 – $6,853.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$432.00 – $4,795.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$5,892.00 – $5,892.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$6,871.00 – $11,071.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$5,892.00 – $5,892.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$663.00 – $7,161.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$818.00 – $11,906.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$4,604.99 – $4,604.99
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$5,668.00 – $18,003.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$818.00 – $8,485.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$579.00 – $6,150.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$579.00 – $4,748.00
Prostate biopsy CPT 55700	not posted	$579.00 – $5,997.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$931.00 – $21,361.00
Removal of a breast lump, open surgery CPT 19120	not posted	$663.00 – $7,161.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$9,332.70 – $12,480.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$2,804.00 – $2,804.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$579.00 – $4,795.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$4,781.00 – $4,781.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$4,253.00 – $6,853.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$7,533.00 – $13,377.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$5,892.00 – $5,892.00
Total hip replacement CPT 27130	not posted	$1,072.00 – $41,569.00
Total knee replacement CPT 27447	not posted	$1,072.00 – $41,569.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$5,892.00 – $5,892.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$432.00 – $6,150.00
Vasectomy CPT 55250	not posted	$579.00 – $7,161.00

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		$4,253.00 – $6,853.00
Fetal non-stress test CPT 59025	$1,262.50	$1,262.50	$21.74 – $544.00
IUD insertion CPT 58300	not posted		$2,215.00 – $2,215.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$3,722.00 – $5,997.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$3,722.00 – $5,997.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$3,350.00 – $3,350.00
C-section, without complications MS-DRG 788	not posted	$3,350.00 – $3,350.00
Chest pain MS-DRG 313	not posted	$3,350.00 – $3,350.00
COPD flare-up, with major complications MS-DRG 190	not posted	$3,350.00 – $12,255.00
COPD flare-up, without complications MS-DRG 192	not posted	$2,882.00 – $5,314.00
Fainting (syncope) MS-DRG 312	not posted	$5,314.00 – $5,314.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$3,350.00 – $12,255.00
Heart failure, with major complications MS-DRG 291	not posted	$5,314.00 – $5,314.00
Heart failure, without complications MS-DRG 293	not posted	$3,350.00 – $12,255.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$89,342.96 – $89,342.96
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$17,534.03 – $17,534.03
Irregular heartbeat, without complications MS-DRG 310	not posted	$12,255.00 – $12,255.00
Kidney failure, with complications MS-DRG 683	not posted	$2,882.00 – $5,314.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$16,296.97 – $16,296.97
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$1,022.00 – $1,022.00
Normal newborn care MS-DRG 795	not posted	$974.00 – $977.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$2,882.00 – $5,314.00
Pneumonia, with complications MS-DRG 194	not posted	$7,705.47 – $7,705.47
Pneumonia, with major complications MS-DRG 193	not posted	$12,255.00 – $12,255.00
Pneumonia, without complications MS-DRG 195	not posted	$3,350.00 – $3,350.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$3,350.00 – $3,350.00
Sepsis, with major complications MS-DRG 871	not posted	$36,563.00 – $36,563.00
Sepsis, without major complications MS-DRG 872	not posted	$1,022.00 – $12,255.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$3,350.00 – $12,255.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$22,989.00 – $52,934.90
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$2,882.00 – $5,314.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,022.00 – $12,255.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$10,735.57 – $10,735.57
Vaginal delivery, without complications MS-DRG 807	not posted	$3,350.00 – $3,350.00
Weight loss surgery, without complications MS-DRG 621	not posted	$33,093.00 – $33,093.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$432.00 – $3,684.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$2,215.00 – $4,481.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$5,892.00 – $5,892.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$432.00 – $4,795.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$5,892.00 – $5,892.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$270.61 – $435.74
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$3,722.00 – $5,997.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$199.73 – $321.61

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$548.19 – $882.70
Sleep study with CPAP titration CPT 95811	not posted	$2,737.59 – $4,408.11
Sleep study, overnight in a sleep lab CPT 95810	not posted	$2,526.70 – $4,068.53

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$672.00	$672.00	$99.29 – $159.89

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$795.00	$795.00	$119.25 – $715.50
Physical therapy evaluation, low complexity CPT 97161	$721.00	$721.00	$72.63 – $154.34
Physical therapy evaluation, moderate complexity CPT 97162	$897.25	$897.25	$82.54 – $175.39
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$618.25	$618.25	$92.74 – $556.42
Therapeutic activities, 15 minutes CPT 97530	$554.00	$554.00	$83.10 – $498.60

Mental health

Service	Cash price	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	not posted	$82.31 – $132.54
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted	$71.79 – $115.60
Group psychotherapy CPT 90853	not posted	$32.43 – $52.22

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$609.25	$609.25	$91.39 – $548.33
IV hydration, each additional hour CPT 96361	$1,151.75	$1,151.75	$172.76 – $1,036.58
IV hydration, first hour CPT 96360	$3,639.50	$3,639.50	$545.92 – $3,275.55
IV push injection of a drug, first CPT 96374	$609.25	$609.25	$91.39 – $548.33
IV push injection, each additional drug CPT 96375	$609.25	$609.25	$91.39 – $548.33

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$121.00	$121.00	$12.10 – $108.90
Dexamethasone injection, per 1 mg HCPCS J1100	$51.50	$51.50	$5.15 – $46.35
Fentanyl injection, per 0.1 mg HCPCS J3010	$272.50	$272.50	$27.25 – $245.25
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$88.00	$88.00	$13.20 – $79.20
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$47.50	$47.50	$4.75 – $42.75
Morphine injection, up to 10 mg HCPCS J2270	$183.50	$183.50	$18.35 – $165.15
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$24.00	$24.00	$2.40 – $21.60
Propofol injection, per 10 mg HCPCS J2704	$535.75	$535.75	$53.58 – $482.18
Saline IV solution, 1000 ml HCPCS J7030	$181.75	$181.75	$3.61 – $3.61

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.

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