Sharp Chula Vista Medical Center
751 Medical Center Court, Chula Vista, CA 91911 · Acute care hospital · Emergency room
These are Sharp Chula Vista Medical Center's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
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Emergency room
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Critical care, first 30 to 74 minutes CPT 99291 | $22,189.50 | $29,586.00 | $1.15 – $28,994.28 |
| Emergency room visit, level 1 (minor) CPT 99281 | $749.25 | $999.00 | ? – $769.23 |
| Emergency room visit, level 2 CPT 99282 | $1,353.75 | $1,805.00 | $1.15 – $1,480.10 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,187.75 | $2,917.00 | ? – $2,858.66 |
| Emergency room visit, level 4 CPT 99284 | $7,800.00 | $10,400.00 | ? – $8,528.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $11,400.00 | $15,200.00 | $4,514.40 – $14,896.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $1,375.50 | $1,834.00 | $1.15 – $1,283.80 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $276.00 | $368.00 | ? – $22,634.00 |
| New patient office visit, about 30 minutes CPT 99203 | $353.25 | $471.00 | ? – $423.90 |
| New patient office visit, about 45 minutes CPT 99204 | $476.25 | $635.00 | ? – $571.50 |
| New patient office visit, about 60 minutes CPT 99205 | $612.75 | $817.00 | $1.10 – $2,921.37 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $258.00 | $344.00 | ? – $275.20 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $311.25 | $415.00 | ? – $373.50 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $370.50 | $494.00 | ? – $405.08 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $556.50 | $742.00 | ? – $593.60 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $556.50 | $742.00 | ? – $667.80 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $216.75 | $289.00 | $1.15 – $387.64 |
| Abdominal X-ray, 1 view CPT 74018 | $345.75 | $461.00 | ? – $345.75 |
| Ankle X-ray, 3 or more views CPT 73610 | $539.25 | $719.00 | ? – $647.10 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $646.50 | $862.00 | ? – $844.76 |
| Breast ultrasound, one breast, complete CPT 76641 | $747.75 | $997.00 | ? – $817.54 |
| Breast ultrasound, one breast, limited CPT 76642 | $528.75 | $705.00 | ? – $971.92 |
| Chest X-ray, 1 view CPT 71045 | $456.75 | $609.00 | ? – $596.82 |
| Chest X-ray, 2 views CPT 71046 | $532.50 | $710.00 | $1.15 – $639.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,747.75 | $4,997.00 | $1.15 – $3,747.75 |
| CT angiogram of the head CPT 70496 | $3,613.50 | $4,818.00 | ? – $4,721.64 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,993.50 | $6,658.00 | ? – $5,326.40 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,337.00 | $7,116.00 | $1.15 – $5,692.80 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,480.00 | $4,640.00 | $696.00 – $3,480.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,908.75 | $2,545.00 | ? – $2,494.10 |
| CT scan of the chest, with contrast CPT 71260 | $3,081.00 | $4,108.00 | $1.15 – $3,081.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,138.25 | $2,851.00 | $1.10 – $2,337.82 |
| CT scan of the head, without contrast CPT 70450 | $2,785.50 | $3,714.00 | ? – $3,342.60 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,171.00 | $4,228.00 | ? – $4,143.44 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,442.00 | $3,256.00 | $205.78 – $2,507.12 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,850.00 | $3,800.00 | $1.15 – $3,040.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $525.75 | $701.00 | ? – $686.98 |
| Diagnostic mammogram, one breast CPT 77065 | $420.00 | $560.00 | $166.32 – $448.00 |
| Foot X-ray, 3 or more views CPT 73630 | $529.50 | $706.00 | ? – $578.92 |
| Hand X-ray, 3 or more views CPT 73130 | $508.50 | $678.00 | ? – $474.60 |
| Knee X-ray, 3 views CPT 73562 | $513.00 | $684.00 | ? – $625.89 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,721.75 | $3,629.00 | ? – $3,266.10 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,129.50 | $1,506.00 | ? – $1,355.40 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $576.75 | $769.00 | $1.15 – $753.62 |
| MRI of both breasts, without and with contrast CPT 77049 | $3,663.75 | $4,885.00 | ? – $4,396.50 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,268.25 | $5,691.00 | ? – $4,666.62 |
| MRI of the brain, without and with contrast CPT 70553 | $4,562.25 | $6,083.00 | ? – $5,961.34 |
| MRI of the brain, without contrast CPT 70551 | $3,036.00 | $4,048.00 | $1.15 – $3,643.20 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,246.75 | $4,329.00 | ? – $3,896.10 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,111.75 | $4,149.00 | $1.15 – $3,402.18 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,201.75 | $4,269.00 | ? – $3,842.10 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,149.75 | $5,533.00 | ? – $4,979.70 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,268.25 | $5,691.00 | ? – $5,577.18 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,465.25 | $3,287.00 | $1.95 – $2,695.34 |
| Neck X-ray, 2 or 3 views CPT 72040 | $576.00 | $768.00 | ? – $691.20 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,311.75 | $1,749.00 | $519.45 – $1,714.02 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,068.75 | $1,425.00 | ? – $1,396.50 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,194.00 | $1,592.00 | ? – $1,273.60 |
| Screening mammogram, both breasts CPT 77067 | $435.00 | $580.00 | $1.15 – $446.60 |
| Shoulder X-ray, 2 or more views CPT 73030 | $564.75 | $753.00 | ? – $677.70 |
| Transvaginal pregnancy ultrasound CPT 76817 | $841.50 | $1,122.00 | $1.15 – $1,009.80 |
| Transvaginal ultrasound CPT 76830 | $883.50 | $1,178.00 | ? – $1,060.20 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,399.50 | $1,866.00 | ? – $1,679.40 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,015.50 | $1,354.00 | ? – $1,110.28 |
| Wrist X-ray, 3 or more views CPT 73110 | $575.25 | $767.00 | ? – $690.30 |
| X-ray of the lower back, 4 or more views CPT 72110 | $863.25 | $1,151.00 | $172.65 – $920.80 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $264.00 | $352.00 | ? – $344.96 |
| Blood culture CPT 87040 | $316.50 | $422.00 | $24.91 – $346.04 |
| Blood draw (venipuncture) CPT 36415 | $21.75 | $29.00 | ? – $23.20 |
| BNP test (heart failure) CPT 83880 | $213.00 | $284.00 | ? – $6,765.19 |
| C-reactive protein (CRP) test CPT 86140 | $78.00 | $104.00 | ? – $217.73 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $321.00 | $428.00 | ? – $453.77 |
| Complete blood count (CBC) with differential CPT 85025 | $147.75 | $197.00 | ? – $177.30 |
| Complete blood count (CBC), automated CPT 85027 | $119.25 | $159.00 | ? – $625.89 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $339.00 | $452.00 | ? – $442.96 |
| COVID-19 PCR test CPT 87635 | $227.25 | $303.00 | ? – $233.31 |
| D-dimer test (blood clots) CPT 85379 | $156.75 | $209.00 | $29.26 – $167.20 |
| Drug screen, instrument chemistry CPT 80307 | $396.00 | $528.00 | ? – $475.20 |
| Ferritin (iron stores) test CPT 82728 | $108.75 | $145.00 | ? – $116.00 |
| Free T4 (thyroid) test CPT 84439 | $90.75 | $121.00 | ? – $4,366.00 |
| Glucose (blood sugar) test CPT 82947 | $52.50 | $70.00 | ? – $68.60 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $171.00 | $228.00 | $1.10 – $223.44 |
| Hemoglobin A1c test CPT 83036 | $65.25 | $87.00 | ? – $119.86 |
| Hepatitis C antibody test CPT 86803 | $96.00 | $128.00 | ? – $104.96 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $146.25 | $195.00 | ? – $11,053.97 |
| Iron test CPT 83540 | $58.50 | $78.00 | ? – $2,607.77 |
| Kidney function panel CPT 80069 | $135.00 | $180.00 | ? – $3,706.57 |
| Lipase test (pancreas) CPT 83690 | $156.75 | $209.00 | ? – $177.65 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $145.50 | $194.00 | $7.52 – $6,545.74 |
| Liver function panel CPT 80076 | $195.00 | $260.00 | $1.10 – $2,481.19 |
| Magnesium test CPT 83735 | $139.50 | $186.00 | ? – $148.80 |
| Obstetric blood test panel CPT 80055 | $229.50 | $306.00 | $1.15 – $299.88 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $96.75 | $129.00 | ? – $126.42 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $273.75 | $365.00 | $1.15 – $292.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $95.25 | $127.00 | ? – $124.46 |
| PSA (prostate specific antigen), free CPT 84154 | $4.88 | $6.50 | ? – $5.33 |
| PSA (prostate specific antigen), total CPT 84153 | $110.25 | $147.00 | ? – $1,220.49 |
| Rapid strep test CPT 87880 | $132.00 | $176.00 | $11.12 – $2,033.48 |
| Sed rate (ESR) test CPT 85652 | $56.25 | $75.00 | ? – $67.50 |
| TB skin test CPT 86580 | $43.50 | $58.00 | ? – $47.56 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $155.25 | $207.00 | $1.15 – $186.30 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $258.75 | $345.00 | $1.30 – $386.50 |
| Troponin test (heart damage) CPT 84484 | $179.25 | $239.00 | ? – $195.98 |
| Urinalysis, automated, with microscope CPT 81001 | $83.25 | $111.00 | $1.15 – $306.22 |
| Urinalysis, automated, without microscope CPT 81003 | $64.50 | $86.00 | ? – $77.40 |
| Urinalysis, manual, without microscope CPT 81002 | $21.75 | $29.00 | ? – $23.20 |
| Urine culture, colony count CPT 87086 | $195.00 | $260.00 | ? – $254.80 |
| Urine pregnancy test CPT 81025 | $18.00 | $24.00 | ? – $21.60 |
| Vitamin B12 test CPT 82607 | $92.25 | $123.00 | $1.15 – $519.94 |
| Vitamin D test CPT 82306 | $100.50 | $134.00 | ? – $131.32 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,240.50 | $1,654.00 | ? – $1,620.92 |
| ECG tracing only (no interpretation) CPT 93005 | $628.50 | $838.00 | ? – $14,409.33 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $4,514.25 | $6,019.00 | ? – $5,417.10 |
| Left heart catheterization CPT 93452 | $14,673.75 | $19,565.00 | ? – $19,173.70 |
| Left heart catheterization with coronary angiogram CPT 93458 | $16,572.75 | $22,097.00 | $1.30 – $21,655.06 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,029.00 | $5,372.00 | ? – $4,297.60 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $5,093.25 | $6,791.00 | ? – $5,432.80 |
| Carpal tunnel release CPT 64721 | $6,837.00 | $9,116.00 | $1,367.40 – $6,837.00 |
| Colonoscopy with biopsy CPT 45380 | $2,756.25 | $3,675.00 | ? – $3,601.50 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $3,486.75 | $4,649.00 | ? – $3,719.20 |
| Colonoscopy, diagnostic CPT 45378 | $2,537.25 | $3,383.00 | ? – $2,706.40 |
| Colposcopy with biopsy CPT 57454 | $1,179.75 | $1,573.00 | ? – $1,258.40 |
| Cystoscopy (bladder scope) CPT 52000 | $1,588.50 | $2,118.00 | ? – $1,736.76 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $2,064.75 | $2,753.00 | ? – $18,827.00 |
| Lower colon endoscopy with ultrasound CPT 45391 | $3,533.25 | $4,711.00 | $143.21 – $3,768.80 |
| Prostate biopsy CPT 55700 | $3,221.25 | $4,295.00 | $1.15 – $3,436.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $3,014.25 | $4,019.00 | ? – $3,938.62 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,668.50 | $3,558.00 | ? – $2,846.40 |
| Vasectomy CPT 55250 | $5,369.25 | $7,159.00 | ? – $5,369.25 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $1,168.50 | $1,558.00 | ? – $1,526.84 |
| IUD insertion CPT 58300 | $1,063.50 | $1,418.00 | ? – $1,389.64 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $41,766.91 | $55,689.22 | $16,539.70 – $44,551.38 |
| C-section, without complications MS-DRG 788 | $54,576.73 | $72,768.98 | $10,187.66 – $59,670.56 |
| Chest pain MS-DRG 313 | $33,357.02 | $44,476.03 | $6,226.64 – $43,586.51 |
| COPD flare-up, with major complications MS-DRG 190 | $66,194.55 | $88,259.40 | $12,356.32 – $79,433.46 |
| COPD flare-up, without complications MS-DRG 192 | $38,115.54 | $50,820.72 | $15,093.75 – $40,656.58 |
| Fainting (syncope) MS-DRG 312 | $45,577.02 | $60,769.36 | $9,115.40 – $48,615.49 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $54,179.58 | $72,239.44 | $22,033.03 – $59,236.34 |
| Heart failure, with major complications MS-DRG 291 | $66,935.24 | $89,246.99 | $24,989.16 – $71,397.59 |
| Heart failure, without complications MS-DRG 293 | $31,592.25 | $42,123.00 | $2,662.17 – $37,910.70 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $572,704.59 | $763,606.13 | $114,540.92 – $687,245.51 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $108,334.18 | $144,445.58 | $42,900.34 – $118,445.37 |
| Irregular heartbeat, without complications MS-DRG 310 | $33,223.63 | $44,298.18 | $13,156.56 – $43,412.22 |
| Kidney failure, with complications MS-DRG 683 | $46,220.32 | $61,627.09 | $3,894.83 – $49,301.67 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $39,163.64 | $52,218.19 | $261.06 – $42,818.92 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $128,175.93 | $170,901.23 | $47,852.35 – $167,483.21 |
| Normal newborn care MS-DRG 795 | $5,878.03 | $7,837.38 | $1,175.61 – $5,878.03 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $40,992.50 | $54,656.66 | $395.66 – $43,725.33 |
| Pneumonia, with complications MS-DRG 194 | $46,172.54 | $61,563.39 | $3,890.81 – $55,407.05 |
| Pneumonia, with major complications MS-DRG 193 | $74,919.19 | $99,892.25 | $13,984.92 – $97,894.40 |
| Pneumonia, without complications MS-DRG 195 | $34,246.82 | $45,662.42 | $2,885.87 – $41,096.18 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $71,786.24 | $95,714.99 | $14,357.25 – $93,800.69 |
| Sepsis, with major complications MS-DRG 871 | $105,639.97 | $140,853.30 | $21,127.99 – $138,036.23 |
| Sepsis, without major complications MS-DRG 872 | $51,754.12 | $69,005.49 | $10,350.82 – $67,625.38 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $39,589.20 | $52,785.60 | $304.79 – $47,507.04 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $37,641.71 | $50,188.95 | $8,783.07 – $49,185.17 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $74,220.53 | $98,960.71 | $13,854.50 – $81,147.78 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $83,589.09 | $111,452.12 | $7,043.77 – $89,161.69 |
| Vaginal delivery, without complications MS-DRG 807 | $24,902.79 | $33,203.72 | $9,297.04 – $32,539.64 |
| Weight loss surgery, without complications MS-DRG 621 | $78,160.01 | $104,213.35 | $5,998.82 – $83,370.68 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,499.25 | $1,999.00 | ? – $1,639.18 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $2,793.75 | $3,725.00 | $10.87 – $3,650.50 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $2,718.00 | $3,624.00 | $1.30 – $3,261.60 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $834.75 | $1,113.00 | ? – $857.01 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $768.00 | $1,024.00 | ? – $989.90 |
| Sleep study with CPAP titration CPT 95811 | $5,976.75 | $7,969.00 | ? – $7,809.62 |
| Sleep study, overnight in a sleep lab CPT 95810 | $5,535.00 | $7,380.00 | ? – $9,303.26 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $539.25 | $719.00 | $1.15 – $647.10 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $166.50 | $222.00 | ? – $177.60 |
| Physical therapy evaluation, low complexity CPT 97161 | $246.75 | $329.00 | ? – $322.42 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $360.00 | $480.00 | $1.10 – $360.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $163.50 | $218.00 | ? – $879.92 |
| Therapeutic activities, 15 minutes CPT 97530 | $171.75 | $229.00 | ? – $183.20 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Group psychotherapy CPT 90853 | $344.25 | $459.00 | $1.15 – $344.25 |
| Psychiatric diagnostic evaluation CPT 90791 | $750.00 | $1,000.00 | ? – $800.00 |
| Psychotherapy, 30 minutes CPT 90832 | $270.00 | $360.00 | $1.15 – $352.80 |
| Psychotherapy, 45 minutes CPT 90834 | $353.25 | $471.00 | $1.15 – $376.80 |
| Psychotherapy, 60 minutes CPT 90837 | $829.50 | $1,106.00 | $1.15 – $1,083.88 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $297.00 | $396.00 | $1.15 – $324.72 |
| IV hydration, each additional hour CPT 96361 | $299.25 | $399.00 | ? – $391.02 |
| IV hydration, first hour CPT 96360 | $825.00 | $1,100.00 | ? – $990.00 |
| IV push injection of a drug, first CPT 96374 | $657.00 | $876.00 | $1.15 – $27,291.27 |
| IV push injection, each additional drug CPT 96375 | $666.00 | $888.00 | ? – $870.24 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $16.48 | $21.97 | ? – $17.58 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $47.49 | $63.32 | $1.30 – $51.92 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $6.95 | $9.27 | ? – $10.50 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $30.26 | $40.34 | ? – $36.31 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $13.05 | $17.40 | $1.10 – $15.66 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $8.28 | $11.05 | ? – $10.83 |
| Morphine injection, up to 10 mg HCPCS J2270 | $16.40 | $21.87 | ? – $257.47 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $6.37 | $8.50 | ? – $119.86 |
| Propofol injection, per 10 mg HCPCS J2704 | $2.52 | $3.36 | ? – $3.02 |
| Saline IV solution, 1000 ml HCPCS J7030 | $1.04 | $1.39 | ? – $1.37 |
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.