Tri-City Medical Center
4002 Vista Way, Oceanside, CA 92056 · Acute care hospital · Emergency room
These are Tri-City Medical Center's own posted figures from its standard-charges file dated May 29, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
200 of the services we track have a posted price here; 144 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 | $4,657.50 | $7,762.50 | $196.99 – $6,124.61 |
| Emergency room visit, level 1 (minor) CPT 99281 | $465.75 | $776.25 | $24.59 – $3,004.00 |
| Emergency room visit, level 2 CPT 99282 | $776.25 | $1,293.75 | $31.10 – $3,004.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,428.30 | $2,380.50 | $72.25 – $3,004.00 |
| Emergency room visit, level 4 CPT 99284 | $2,484.00 | $4,140.00 | $87.20 – $3,266.46 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $3,570.75 | $5,951.25 | $175.09 – $4,695.54 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $347.14 | $578.57 | $70.69 – $3,004.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $154.63 | $257.72 | $34.64 – $180.40 |
| New patient office visit, about 30 minutes CPT 99203 | $214.25 | $357.08 | $71.42 – $249.96 |
| New patient office visit, about 45 minutes CPT 99204 | $247.78 | $412.97 | $69.59 – $289.08 |
| New patient office visit, about 60 minutes CPT 99205 | $260.20 | $433.67 | $86.73 – $303.57 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $154.63 | $257.72 | $11.52 – $203.34 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $214.25 | $357.08 | $24.24 – $281.74 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $247.78 | $412.97 | $37.88 – $325.83 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $260.20 | $433.67 | $57.77 – $342.17 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $130.41 | $217.35 | $12.12 – $171.49 |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | $270.14 | $450.23 | $90.05 – $355.23 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $83.21 | $138.69 | $27.74 – $113.23 |
| Abdominal X-ray, 1 view CPT 74018 | $258.34 | $430.56 | $24.85 – $339.71 |
| Ankle X-ray, 3 or more views CPT 73610 | $707.94 | $1,179.90 | $25.39 – $930.94 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $530.96 | $884.93 | $34.61 – $698.21 |
| Breast ultrasound, one breast, complete CPT 76641 | $287.53 | $479.21 | $95.84 – $378.10 |
| Breast ultrasound, one breast, limited CPT 76642 | $287.53 | $479.21 | $79.24 – $378.10 |
| Chest X-ray, 1 view CPT 71045 | $307.40 | $512.33 | $17.83 – $404.23 |
| Chest X-ray, 2 views CPT 71046 | $387.50 | $645.84 | $27.74 – $509.57 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,695.76 | $4,492.94 | $273.62 – $3,544.93 |
| CT angiogram of the head CPT 70496 | $3,281.36 | $5,468.94 | $268.68 – $4,314.99 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $4,184.30 | $6,973.83 | $284.62 – $5,502.35 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $4,579.25 | $7,632.09 | $322.43 – $6,021.72 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,752.27 | $4,587.12 | $172.20 – $3,619.24 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,065.02 | $1,775.03 | $132.49 – $2,303.00 |
| CT scan of the chest, with contrast CPT 71260 | $2,046.82 | $3,411.36 | $162.55 – $2,691.56 |
| CT scan of the chest, without contrast CPT 71250 | $1,860.52 | $3,100.86 | $128.59 – $2,446.58 |
| CT scan of the head, without contrast CPT 70450 | $2,061.72 | $3,436.20 | $102.28 – $2,711.16 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,686.64 | $2,811.06 | $126.24 – $2,303.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,046.82 | $3,411.36 | $206.49 – $2,691.56 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,061.72 | $3,436.20 | $124.58 – $2,711.16 |
| Diagnostic mammogram, both breasts CPT 77066 | $268.27 | $447.12 | $89.42 – $352.78 |
| Diagnostic mammogram, one breast CPT 77065 | $268.27 | $447.12 | $89.42 – $352.78 |
| Foot X-ray, 3 or more views CPT 73630 | $677.51 | $1,129.19 | $24.46 – $890.93 |
| Hand X-ray, 3 or more views CPT 73130 | $677.51 | $1,129.19 | $25.39 – $890.93 |
| Knee X-ray, 3 views CPT 73562 | $797.99 | $1,329.98 | $23.61 – $1,049.35 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $663.85 | $1,106.42 | $169.92 – $872.97 |
| Leg or arm vein ultrasound, one side CPT 93971 | $362.66 | $604.44 | $85.41 – $476.90 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $441.53 | $735.89 | $30.59 – $580.62 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,643.17 | $2,738.61 | $341.22 – $2,478.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,408.86 | $4,014.77 | $336.86 – $3,167.65 |
| MRI of the brain, without and with contrast CPT 70553 | $2,408.86 | $4,014.77 | $314.17 – $3,167.65 |
| MRI of the brain, without contrast CPT 70551 | $2,169.16 | $3,615.26 | $192.06 – $2,852.44 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,169.16 | $3,615.26 | $198.89 – $2,852.44 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,169.16 | $3,615.26 | $187.86 – $2,852.44 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $2,169.16 | $3,615.26 | $187.20 – $2,852.44 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $2,169.16 | $3,615.26 | $187.51 – $2,852.44 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,408.86 | $4,014.77 | $336.24 – $3,167.65 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,153.82 | $1,923.03 | $199.23 – $2,478.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $418.55 | $697.59 | $26.24 – $550.40 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $486.86 | $811.44 | $68.33 – $640.23 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $459.54 | $765.90 | $129.22 – $604.30 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $517.91 | $863.19 | $111.92 – $681.06 |
| Screening mammogram, both breasts CPT 77067 | $222.32 | $370.53 | $74.11 – $292.35 |
| Shoulder X-ray, 2 or more views CPT 73030 | $797.99 | $1,329.98 | $26.12 – $1,049.35 |
| Transvaginal pregnancy ultrasound CPT 76817 | $568.84 | $948.06 | $88.10 – $748.02 |
| Transvaginal ultrasound CPT 76830 | $674.41 | $1,124.01 | $68.33 – $886.84 |
| Ultrasound of the abdomen, complete CPT 76700 | $408.62 | $681.03 | $84.03 – $537.33 |
| Ultrasound of the neck or thyroid CPT 76536 | $360.80 | $601.34 | $60.34 – $474.46 |
| Wrist X-ray, 3 or more views CPT 73110 | $797.99 | $1,329.98 | $25.39 – $1,049.35 |
| X-ray of the lower back, 4 or more views CPT 72110 | $687.45 | $1,145.75 | $44.29 – $904.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $238.46 | $397.44 | $7.34 – $313.58 |
| Blood culture CPT 87040 | $265.17 | $441.95 | $9.03 – $348.70 |
| Blood draw (venipuncture) CPT 36415 | $17.39 | $28.98 | $2.70 – $22.87 |
| BNP test (heart failure) CPT 83880 | $280.07 | $466.79 | $30.45 – $368.30 |
| C-reactive protein (CRP) test CPT 86140 | $117.99 | $196.65 | $4.53 – $155.16 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $29.19 | $48.65 | $9.73 – $81.62 |
| Complete blood count (CBC) with differential CPT 85025 | $115.51 | $192.51 | $6.80 – $151.89 |
| Complete blood count (CBC), automated CPT 85027 | $92.53 | $154.22 | $5.66 – $121.68 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $238.46 | $397.44 | $9.24 – $313.58 |
| COVID-19 PCR test CPT 87635 | $72.66 | $121.10 | $44.90 – $95.55 |
| D-dimer test (blood clots) CPT 85379 | $178.85 | $298.08 | $8.91 – $235.19 |
| Drug screen, instrument chemistry CPT 80307 | $168.91 | $281.52 | $43.94 – $222.12 |
| Ferritin (iron stores) test CPT 82728 | $168.29 | $280.49 | $11.93 – $221.31 |
| Free T4 (thyroid) test CPT 84439 | $114.26 | $190.44 | $7.89 – $150.26 |
| Glucose (blood sugar) test CPT 82947 | $106.81 | $178.02 | $3.33 – $140.46 |
| Hemoglobin A1c test CPT 83036 | $98.12 | $163.53 | $8.50 – $129.03 |
| Hepatitis C antibody test CPT 86803 | $134.14 | $223.56 | $12.49 – $176.39 |
| Iron test CPT 83540 | $106.81 | $178.02 | $5.66 – $140.46 |
| Kidney function panel CPT 80069 | $238.46 | $397.44 | $7.59 – $313.58 |
| Lipase test (pancreas) CPT 83690 | $122.34 | $203.90 | $6.03 – $160.88 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $186.92 | $311.54 | $11.66 – $245.81 |
| Liver function panel CPT 80076 | $238.46 | $397.44 | $6.44 – $313.58 |
| Magnesium test CPT 83735 | $108.05 | $180.09 | $5.86 – $142.09 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $126.68 | $211.14 | $5.26 – $166.59 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $259.58 | $432.63 | $13.17 – $341.35 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $99.36 | $165.60 | $3.52 – $130.66 |
| PSA (prostate specific antigen), total CPT 84153 | $190.65 | $317.75 | $16.09 – $250.70 |
| Rapid strep test CPT 87880 | $149.66 | $249.44 | $7.06 – $196.81 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $24.84 | $41.40 | $14.70 – $39.08 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $248.40 | $414.00 | $41.40 – $326.65 |
| Troponin test (heart damage) CPT 84484 | $192.51 | $320.85 | $8.55 – $253.15 |
| Urinalysis, automated, with microscope CPT 81001 | $60.24 | $100.40 | $2.77 – $79.22 |
| Urinalysis, automated, without microscope CPT 81003 | $106.81 | $178.02 | $1.97 – $140.46 |
| Urine culture, colony count CPT 87086 | $121.10 | $201.83 | $5.71 – $159.24 |
| Urine pregnancy test CPT 81025 | $117.99 | $196.65 | $2.83 – $155.16 |
| Vitamin B12 test CPT 82607 | $94.39 | $157.32 | $13.20 – $124.13 |
| Vitamin D test CPT 82306 | $8.08 | $13.46 | $7.86 – $68.87 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $370.12 | $616.86 | $123.37 – $495.97 |
| ECG tracing only (no interpretation) CPT 93005 | $239.09 | $398.48 | $16.56 – $314.40 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,085.32 | $3,475.53 | $242.16 – $2,742.19 |
| Left heart catheterization CPT 93452 | $4,383.02 | $7,305.03 | $770.49 – $9,256.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,383.02 | $7,305.03 | $959.51 – $9,256.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,980.37 | $3,300.62 | $351.60 – $2,691.18 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $681.36 – $15,083.42 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $55.28 – $12,566.78 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,974.16 | $3,290.27 | $620.06 – $6,640.00 |
| Carpal tunnel release CPT 64721 | not posted | $63.92 – $6,640.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $333.53 – $6,640.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $404.22 – $6,640.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $298.18 – $6,640.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $87.00 – $6,640.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $87.62 – $6,640.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $55.28 – $6,640.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $470.78 – $12,566.78 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $150.97 – $22,096.13 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $177.07 – $6,728.98 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $267.36 – $12,566.78 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $347.45 – $7,442.54 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $25,098.96 | $41,831.60 | $676.84 – $29,282.12 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $556.51 – $6,801.48 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $49.63 – $6,640.00 | |
| Prostate biopsy CPT 55700 | $1,969.19 | $3,281.99 | $492.30 – $6,640.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $962.62 – $22,096.13 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $212.83 – $8,138.96 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $498.98 – $15,083.42 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $376.02 – $6,891.81 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $426.04 – $6,640.00 | |
| Total hip replacement CPT 27130 | not posted | $1,504.09 – $26,687.63 | |
| Total knee replacement CPT 27447 | not posted | $1,504.09 – $26,687.63 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $236.52 – $6,640.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $226.36 – $6,640.00 | |
| Vasectomy CPT 55250 | not posted | $263.22 – $6,640.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $319.82 | $533.03 | $34.93 – $420.56 |
| IUD insertion CPT 58300 | not posted | $169.90 – $6,640.00 |
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 | $7,964.17 – $15,473.25 | |
| C-section, without complications MS-DRG 788 | not posted | $7,153.00 – $16,687.86 | |
| Chest pain MS-DRG 313 | not posted | $6,624.98 – $12,871.38 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,814.20 – $19,067.59 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,983.35 – $11,624.80 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,872.04 – $15,294.25 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,769.50 – $17,037.88 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $11,262.79 – $21,881.99 | |
| Heart failure, without complications MS-DRG 293 | not posted | $5,358.18 – $10,410.17 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $58,408.00 – $157,712.26 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $16,569.38 – $32,191.93 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $5,359.01 – $10,411.79 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,906.60 – $15,361.39 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $7,361.20 – $14,301.76 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $20,784.37 – $40,381.07 | |
| Normal newborn care MS-DRG 795 | not posted | $1,300.00 – $4,557.60 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $7,103.74 – $13,801.55 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $7,331.60 – $14,244.25 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $11,514.51 – $22,371.05 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,872.30 – $11,409.04 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,235.00 – $23,687.94 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $16,681.25 – $32,409.29 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $9,119.92 – $17,718.69 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,866.28 – $15,283.07 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $7,115.26 – $13,823.92 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $9,012.99 – $17,510.95 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,908.26 – $21,193.19 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $4,400.00 – $10,776.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $13,110.33 – $25,471.51 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $486.25 | $810.41 | $46.25 – $3,004.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,059.43 | $1,765.71 | $144.77 – $6,640.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $809.78 | $1,349.64 | $222.23 – $6,640.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $434.08 | $723.47 | $83.55 – $570.82 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $253.37 | $422.28 | $25.26 – $448.84 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $77.00 | $128.34 | $22.43 – $259.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $188.17 | $313.61 | $47.04 – $259.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $316.71 | $527.85 | $79.18 – $416.47 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $82.60 | $137.66 | $6.43 – $259.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $93.77 | $156.29 | $11.25 – $259.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $266.41 | $444.02 | $88.80 – $368.96 |
| Group psychotherapy CPT 90853 | $126.68 | $211.14 | $24.20 – $627.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $340.93 | $568.22 | $113.64 – $1,300.00 |
| Psychotherapy, 30 minutes CPT 90832 | $172.02 | $286.70 | $57.34 – $627.00 |
| Psychotherapy, 45 minutes CPT 90834 | $229.15 | $381.92 | $76.38 – $627.00 |
| Psychotherapy, 60 minutes CPT 90837 | $229.15 | $381.92 | $51.51 – $627.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $106.19 | $176.99 | $18.94 – $149.67 |
| IV hydration, each additional hour CPT 96361 | $69.55 | $115.92 | $14.75 – $97.33 |
| IV hydration, first hour CPT 96360 | $215.49 | $359.15 | $51.81 – $442.15 |
| IV push injection of a drug, first CPT 96374 | $215.49 | $359.15 | $50.32 – $442.15 |
| IV push injection, each additional drug CPT 96375 | $69.55 | $115.92 | $21.50 – $97.33 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $301.65 | $502.75 | $4.94 – $351.93 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $61.34 | $102.23 | $4.60 – $71.56 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $215.37 | $358.96 | $5.62 – $251.27 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $15.00 | $25.00 | $3.75 – $17.50 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $32.47 | $54.12 | ? – $37.88 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $27.32 | $45.54 | $4.66 – $31.88 |
| Morphine injection, up to 10 mg HCPCS J2270 | $45.54 | $75.90 | $2.20 – $59.89 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $15.00 | $25.00 | $4.60 – $17.50 |
| Propofol injection, per 10 mg HCPCS J2704 | $123.75 | $206.25 | ? – $144.38 |
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.