Scripps Memorial Hospital - Encinitas
354 Santa Fe Drive, Encinitas, CA 92024 · Acute care hospital · Emergency room
These are Scripps Memorial Hospital - Encinitas's own posted figures from its standard-charges file dated March 30, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
185 of the services we track have a posted price here. 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 | $7,086.82 | $28,347.30 | $203.09 – $25,512.57 |
| Emergency room visit, level 1 (minor) CPT 99281 | $209.98 | $839.92 | $11.14 – $755.93 |
| Emergency room visit, level 2 CPT 99282 | $328.09 | $1,312.38 | $40.78 – $1,181.14 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $603.69 | $2,414.77 | $69.85 – $2,173.29 |
| Emergency room visit, level 4 CPT 99284 | $4,908.28 | $19,633.13 | $118.58 – $17,669.82 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $5,905.69 | $23,622.75 | $172.27 – $21,260.48 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $851.34 | $3,405.35 | $44.25 – $3,064.82 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $60.53 | $242.11 | $19.37 – $428.09 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $73.43 | $293.71 | $23.50 – $428.09 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $66.15 | $264.60 | $7.97 – $1,914.88 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Abdominal X-ray, 1 view CPT 74018 | $67.68 | $270.72 | $21.66 – $279.82 |
| Ankle X-ray, 3 or more views CPT 73610 | $341.26 | $1,365.04 | $34.14 – $1,092.03 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $127.15 | $508.61 | $35.73 – $406.89 |
| Breast ultrasound, one breast, complete CPT 76641 | $846.50 | $3,386.00 | $79.28 – $2,708.80 |
| Breast ultrasound, one breast, limited CPT 76642 | $414.07 | $1,656.27 | $62.10 – $1,325.02 |
| Chest X-ray, 1 view CPT 71045 | $75.74 | $302.98 | $20.15 – $279.82 |
| Chest X-ray, 2 views CPT 71046 | $243.65 | $974.59 | $27.35 – $779.67 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,664.74 | $6,658.96 | $183.32 – $5,327.17 |
| CT angiogram of the head CPT 70496 | $2,343.60 | $9,374.40 | $180.21 – $7,499.52 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,250.00 | $9,000.00 | $201.57 – $7,200.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,362.50 | $9,450.00 | $207.00 – $7,560.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,456.80 | $5,827.20 | $95.94 – $4,661.76 |
| CT scan of the abdomen, without contrast CPT 74150 | $317.66 | $1,270.66 | $75.86 – $1,016.53 |
| CT scan of the chest, with contrast CPT 71260 | $2,133.65 | $8,534.59 | $104.98 – $6,827.67 |
| CT scan of the chest, without contrast CPT 71250 | $524.73 | $2,098.94 | $77.42 – $1,679.15 |
| CT scan of the head, without contrast CPT 70450 | $864.40 | $3,457.62 | $62.46 – $2,766.10 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,725.00 | $6,900.00 | $78.35 – $5,520.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $730.05 | $2,920.22 | $160.44 – $2,336.18 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,832.54 | $7,330.18 | $82.40 – $5,864.14 |
| Diagnostic mammogram, both breasts CPT 77066 | $224.45 | $897.82 | $71.83 – $718.26 |
| Diagnostic mammogram, one breast CPT 77065 | $168.00 | $671.99 | $53.76 – $537.59 |
| Foot X-ray, 3 or more views CPT 73630 | $340.22 | $1,360.87 | $30.94 – $1,088.70 |
| Hand X-ray, 3 or more views CPT 73130 | $409.54 | $1,638.18 | $34.94 – $1,310.54 |
| Knee X-ray, 3 views CPT 73562 | $340.04 | $1,360.17 | $39.33 – $1,088.14 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $275.62 | $1,102.50 | $88.20 – $882.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $539.64 | $2,158.55 | $114.21 – $1,726.84 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $322.70 | $1,290.82 | $35.33 – $1,032.66 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,160.19 | $4,640.78 | $217.60 – $3,712.62 |
| MRI of the abdomen, without and with contrast CPT 74183 | $860.11 | $3,440.45 | $218.23 – $2,752.36 |
| MRI of the brain, without and with contrast CPT 70553 | $1,475.74 | $5,902.98 | $197.04 – $4,722.38 |
| MRI of the brain, without contrast CPT 70551 | $913.03 | $3,652.13 | $118.68 – $2,921.70 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,657.11 | $6,628.43 | $131.77 – $5,302.74 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $753.25 | $3,013.00 | $114.64 – $2,410.40 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,026.21 | $4,104.86 | $113.70 – $3,283.89 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,257.12 | $5,028.48 | $114.01 – $4,022.78 |
| MRI of the pelvis, without and with contrast CPT 72197 | $946.08 | $3,784.32 | $216.67 – $3,027.46 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $867.21 | $3,468.86 | $132.09 – $2,775.09 |
| Neck X-ray, 2 or 3 views CPT 72040 | $243.65 | $974.59 | $34.94 – $779.67 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $577.81 | $2,311.24 | $86.87 – $1,848.99 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $227.26 | $909.04 | $72.72 – $727.23 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $735.44 | $2,941.78 | $84.07 – $2,353.42 |
| Screening mammogram, both breasts CPT 77067 | $180.87 | $723.47 | $57.88 – $578.78 |
| Shoulder X-ray, 2 or more views CPT 73030 | $364.61 | $1,458.43 | $31.74 – $1,166.74 |
| Transvaginal pregnancy ultrasound CPT 76817 | $558.59 | $2,234.35 | $68.49 – $1,787.48 |
| Transvaginal ultrasound CPT 76830 | $403.95 | $1,615.79 | $101.43 – $1,292.63 |
| Ultrasound of the abdomen, complete CPT 76700 | $342.36 | $1,369.44 | $91.44 – $1,095.55 |
| Ultrasound of the neck or thyroid CPT 76536 | $522.34 | $2,089.35 | $98.05 – $1,671.48 |
| Wrist X-ray, 3 or more views CPT 73110 | $363.53 | $1,454.13 | $40.53 – $1,163.30 |
| X-ray of the lower back, 4 or more views CPT 72110 | $292.03 | $1,168.13 | $48.52 – $934.50 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $61.00 | $244.00 | $8.46 – $195.20 |
| Blood culture CPT 87040 | $184.55 | $738.19 | $10.32 – $590.55 |
| Blood draw (venipuncture) CPT 36415 | $5.04 | $20.16 | $1.61 – $23.35 |
| BNP test (heart failure) CPT 83880 | $42.19 | $168.77 | $13.50 – $135.02 |
| C-reactive protein (CRP) test CPT 86140 | $8.21 | $32.83 | $2.63 – $26.26 |
| Complete blood count (CBC) with differential CPT 85025 | $27.50 | $110.00 | $7.77 – $88.00 |
| Complete blood count (CBC), automated CPT 85027 | $37.91 | $151.63 | $6.47 – $121.30 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $98.00 | $391.99 | $10.56 – $313.59 |
| COVID-19 PCR test CPT 87635 | $55.15 | $220.62 | $17.65 – $176.50 |
| D-dimer test (blood clots) CPT 85379 | $97.20 | $388.80 | $10.18 – $311.04 |
| Drug screen, instrument chemistry CPT 80307 | $277.34 | $1,109.38 | $62.14 – $887.50 |
| General health panel (blood tests) CPT 80050 | $113.61 | $454.46 | $36.36 – $363.57 |
| Glucose (blood sugar) test CPT 82947 | $5.76 | $23.04 | $1.84 – $18.43 |
| Hemoglobin A1c test CPT 83036 | $12.96 | $51.84 | $4.15 – $41.47 |
| Kidney function panel CPT 80069 | $22.00 | $88.00 | $7.04 – $70.40 |
| Lipase test (pancreas) CPT 83690 | $86.40 | $345.60 | $6.89 – $276.48 |
| Liver function panel CPT 80076 | $71.21 | $284.84 | $8.17 – $227.87 |
| Magnesium test CPT 83735 | $16.41 | $65.66 | $5.25 – $52.53 |
| Obstetric blood test panel CPT 80055 | $87.02 | $348.08 | $27.85 – $278.46 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $33.75 | $135.00 | $6.01 – $108.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $208.22 | $832.90 | $15.05 – $666.32 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $25.75 | $103.00 | $4.29 – $82.40 |
| PSA (prostate specific antigen), free CPT 84154 | $1.82 | $7.30 | ? – $45.98 |
| PSA (prostate specific antigen), total CPT 84153 | $31.50 | $126.00 | $10.08 – $100.80 |
| Rapid strep test CPT 87880 | $27.65 | $110.60 | $8.85 – $88.48 |
| Sed rate (ESR) test CPT 85652 | $9.36 | $37.44 | $2.70 – $29.95 |
| TB skin test CPT 86580 | $43.39 | $173.56 | $12.96 – $138.85 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $33.58 | $134.32 | $10.75 – $107.46 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $63.65 | $254.59 | $20.37 – $203.67 |
| Troponin test (heart damage) CPT 84484 | $44.35 | $177.41 | $12.47 – $141.93 |
| Urinalysis, automated, with microscope CPT 81001 | $35.36 | $141.43 | $3.17 – $113.14 |
| Urinalysis, automated, without microscope CPT 81003 | $21.19 | $84.77 | $2.25 – $67.82 |
| Urinalysis, manual, without microscope CPT 81002 | $5.27 | $21.09 | $1.69 – $16.87 |
| Urine pregnancy test CPT 81025 | $25.92 | $103.68 | $8.29 – $82.94 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $176.40 | $705.60 | $56.45 – $767.21 |
| ECG tracing only (no interpretation) CPT 93005 | $103.60 | $414.41 | $8.17 – $331.53 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $460.51 | $1,842.06 | $147.36 – $2,520.63 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $842.53 | $3,370.12 | $269.61 – $4,162.84 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $4,833.36 | $19,333.44 | $926.66 – $23,331.76 |
| Appendix removal, laparoscopic CPT 44970 | $13,922.35 | $55,689.42 | $588.44 – $44,551.54 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,461.69 | $5,846.75 | $132.02 – $5,310.58 |
| Carpal tunnel release CPT 64721 | $1,063.91 | $4,255.65 | $340.45 – $6,278.83 |
| Colonoscopy with biopsy CPT 45380 | $971.85 | $3,887.40 | $184.11 – $3,847.70 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $846.33 | $3,385.34 | $231.38 – $3,847.70 |
| Colonoscopy, diagnostic CPT 45378 | $749.49 | $2,997.98 | $170.35 – $2,990.20 |
| Colposcopy with biopsy CPT 57454 | $247.20 | $988.81 | $79.10 – $979.83 |
| Cystoscopy (bladder scope) CPT 52000 | $2,104.72 | $8,418.90 | $72.46 – $6,735.12 |
| Ear tubes, under general anesthesia CPT 69436 | $2,208.68 | $8,834.73 | $155.99 – $7,067.78 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $530.41 | $2,121.65 | $57.15 – $2,990.20 |
| Gallbladder removal, laparoscopic CPT 47562 | $12,438.63 | $49,754.53 | $640.87 – $39,803.62 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $14,140.44 | $56,561.77 | $845.10 – $45,249.42 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $7,081.48 | $28,325.92 | $206.18 – $22,660.74 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $4,104.36 | $16,417.44 | $437.35 – $19,438.90 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $3,909.17 | $15,636.67 | $519.79 – $19,520.47 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $8,235.84 | $32,943.36 | $271.74 – $26,354.69 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $2,963.99 | $11,855.97 | $548.23 – $10,520.85 |
| Lower colon endoscopy with ultrasound CPT 45391 | $922.99 | $3,691.96 | $234.68 – $3,847.70 |
| Nasal endoscopy, diagnostic CPT 31231 | $228.70 | $914.82 | $56.09 – $731.86 |
| Removal of a breast lump, open surgery CPT 19120 | $5,989.53 | $23,958.14 | $424.09 – $19,166.51 |
| Rotator cuff repair, arthroscopic CPT 29827 | $3,296.03 | $13,184.14 | $1,016.76 – $23,331.76 |
| Septoplasty (nasal septum repair) CPT 30520 | $1,284.19 | $5,136.77 | $410.94 – $10,660.59 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $4,313.25 | $17,253.00 | $147.65 – $13,802.40 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $2,896.87 | $11,587.48 | $927.00 – $9,269.98 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $649.35 | $2,597.40 | $128.99 – $2,916.34 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $725.40 | $2,901.60 | $115.67 – $2,916.34 |
| Vasectomy CPT 55250 | $2,784.11 | $11,136.44 | $233.44 – $8,909.15 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $154.35 | $617.40 | $24.95 – $650.06 |
| IUD insertion CPT 58300 | $991.40 | $3,965.59 | $317.25 – $3,172.47 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $11,038.36 | $44,153.43 | ? – $32,669.78 |
| C-section, without complications MS-DRG 788 | $10,651.53 | $42,606.11 | ? – $35,482.31 |
| Chest pain MS-DRG 313 | $8,268.94 | $33,075.75 | ? – $26,645.04 |
| COPD flare-up, with major complications MS-DRG 190 | $10,042.45 | $40,169.80 | $1.11 – $40,992.65 |
| COPD flare-up, without complications MS-DRG 192 | $7,115.34 | $28,461.38 | ? – $23,758.49 |
| Fainting (syncope) MS-DRG 312 | $10,025.47 | $40,101.89 | ? – $32,255.30 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $13,280.71 | $53,122.86 | ? – $36,292.76 |
| Heart failure, with major complications MS-DRG 291 | $13,068.37 | $52,273.48 | $1.28 – $47,509.59 |
| Heart failure, without complications MS-DRG 293 | $6,140.99 | $24,563.95 | ? – $20,945.96 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $174,138.98 | $696,555.91 | $9.78 – $185,119.92 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $43,402.43 | $173,609.71 | $1.93 – $52,946.38 |
| Irregular heartbeat, without complications MS-DRG 310 | $9,624.06 | $38,496.26 | ? – $18,943.97 |
| Kidney failure, with complications MS-DRG 683 | $10,441.45 | $41,765.80 | ? – $32,410.73 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $8,601.61 | $34,406.45 | ? – $29,957.17 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $70,566.46 | $282,265.86 | $2.44 – $67,011.24 |
| Normal newborn care MS-DRG 795 | $2,181.44 | $8,725.76 | ? – $3,163.01 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $9,190.61 | $36,762.44 | ? – $28,798.85 |
| Pneumonia, with complications MS-DRG 194 | $8,859.70 | $35,595.82 | |
| Pneumonia, with major complications MS-DRG 193 | $11,896.87 | $47,587.49 | $1.31 – $48,642.00 |
| Pneumonia, without complications MS-DRG 195 | $7,969.23 | $31,876.91 | ? – $23,258.90 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $12,623.96 | $50,495.84 | $1.40 – $51,691.38 |
| Sepsis, with major complications MS-DRG 871 | $17,036.20 | $68,144.79 | $1.94 – $71,886.10 |
| Sepsis, without major complications MS-DRG 872 | $10,292.14 | $41,168.58 | $1.02 – $37,869.26 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $6,971.62 | $27,886.50 | ? – $32,229.40 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $9,394.82 | $37,579.27 | ? – $28,850.66 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $17,107.66 | $68,430.63 | $1.01 – $37,388.17 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $35,129.41 | $140,517.65 | $1.24 – $45,914.58 |
| Vaginal delivery, without complications MS-DRG 807 | $3,476.50 | $13,906.02 | ? – $10,206.00 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $955.69 | $3,822.78 | $40.43 – $3,440.50 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,138.64 | $4,554.55 | $105.07 – $3,643.64 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $517.93 | $2,071.74 | $93.19 – $2,269.70 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $320.10 | $1,280.41 | $77.03 – $2,843.95 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $1,943.50 | $7,774.02 | $501.72 – $7,420.62 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $251.55 | $1,006.20 | $80.50 – $1,768.47 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $73.41 | $293.66 | $23.49 – $413.74 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $103.30 | $413.22 | $33.06 – $694.28 |
| Sleep study with CPAP titration CPT 95811 | $578.37 | $2,313.49 | $185.08 – $2,761.21 |
| Sleep study, overnight in a sleep lab CPT 95810 | $578.37 | $2,313.49 | $185.08 – $2,761.21 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $142.70 | $570.82 | $25.35 – $694.28 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $62.78 | $251.14 | $20.09 – $200.91 |
| Physical therapy evaluation, low complexity CPT 97161 | $54.72 | $218.88 | $17.51 – $270.73 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $62.06 | $248.26 | $19.86 – $270.73 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $51.18 | $204.71 | $16.38 – $163.77 |
| Therapeutic activities, 15 minutes CPT 97530 | $26.21 | $104.83 | $8.39 – $98.23 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $186.74 | $746.98 | $17.21 – $597.58 |
| IV hydration, each additional hour CPT 96361 | $98.86 | $395.46 | $14.86 – $316.37 |
| IV hydration, first hour CPT 96360 | $494.32 | $1,977.30 | $38.79 – $1,581.84 |
| IV push injection of a drug, first CPT 96374 | $453.13 | $1,812.53 | $43.71 – $1,450.02 |
| IV push injection, each additional drug CPT 96375 | $425.67 | $1,702.68 | $18.00 – $1,362.14 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $40.27 | $161.10 | ? – $128.88 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $7.50 | $30.00 | ? – $24.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $109.20 | $436.80 | $29.70 – $349.44 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $11.41 | $45.66 | ? – $36.53 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $66.22 | $264.90 | $21.19 – $211.92 |
| Morphine injection, up to 10 mg HCPCS J2270 | $52.12 | $208.50 | $16.68 – $1,138.50 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $7.50 | $30.00 | ? – $24.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $21.60 | $86.40 | $6.91 – $69.12 |
| Saline IV solution, 1000 ml HCPCS J7030 | $5.00 | $20.00 | $1.60 – $16.00 |
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.