HCA-Healthone Dba Swedish Medical Center

501 E Hampden Ave, Englewood, CO 80113 · Acute care hospital · Emergency room

These are HCA-Healthone Dba Swedish Medical Center'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; 133 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	$23,950.67	$23,950.67	$3,640.50 – $21,555.60
Emergency room visit, level 1 (minor) CPT 99281	$1,573.03	$1,573.03	$239.10 – $1,415.73
Emergency room visit, level 2 CPT 99282	$2,959.00	$2,959.00	$449.77 – $2,663.10
Emergency room visit, level 3 (moderate) CPT 99283	$6,720.81	$6,720.81	$1,021.56 – $6,048.73
Emergency room visit, level 4 CPT 99284	$11,261.92	$11,261.92	$1,711.81 – $10,135.73
Emergency room visit, level 5 (most severe) CPT 99285	$20,200.61	$20,200.61	$3,070.49 – $18,180.55
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$533.00 – $5,061.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$918.21	$918.21	$139.57 – $826.39
New patient office visit, about 30 minutes CPT 99203	$1,697.53	$1,697.53	$258.02 – $1,527.78
New patient office visit, about 45 minutes CPT 99204	$2,768.36	$2,768.36	$420.79 – $2,491.52
New patient office visit, about 60 minutes CPT 99205	$4,512.40	$4,512.40	$685.88 – $4,061.16
Office visit, established patient, about 10 to 19 minutes CPT 99212	$864.68	$864.68	$131.43 – $778.21
Office visit, established patient, about 20 to 29 minutes CPT 99213	$1,667.89	$1,667.89	$253.52 – $1,501.10
Office visit, established patient, about 30 to 39 minutes CPT 99214	$2,768.36	$2,768.36	$420.79 – $2,491.52
Office visit, established patient, about 40 to 54 minutes CPT 99215	$2,903.52	$2,903.52	$441.34 – $2,613.17
Office visit, established patient, brief (often a nurse) CPT 99211	$729.73	$729.73	$110.92 – $656.76

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$59.21 – $123.40
Abdominal X-ray, 1 view CPT 74018	$1,884.42	$1,884.42	$286.43 – $1,695.98
Ankle X-ray, 3 or more views CPT 73610	$3,942.48	$3,942.48	$599.26 – $3,548.23
Bone density scan (DEXA), hips and spine CPT 77080	$1,306.57	$1,306.57	$198.60 – $1,175.91
Breast ultrasound, one breast, complete CPT 76641	$2,141.76	$2,141.76	$325.55 – $1,927.58
Breast ultrasound, one breast, limited CPT 76642	$2,284.19	$2,284.19	$347.20 – $2,055.77
Chest X-ray, 1 view CPT 71045	$1,740.50	$1,740.50	$264.56 – $1,566.45
Chest X-ray, 2 views CPT 71046	$1,908.57	$1,908.57	$290.10 – $1,717.71
CT angiogram of the chest (checks for lung clots) CPT 71275	$10,245.14	$10,245.14	$1,557.26 – $9,220.63
CT angiogram of the head CPT 70496	$16,908.35	$16,908.35	$2,570.07 – $15,217.51
CT scan of the abdomen and pelvis, with contrast CPT 74177	$15,895.25	$15,895.25	$2,416.08 – $14,305.73
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$15,679.81	$15,679.81	$2,383.33 – $14,111.83
CT scan of the abdomen and pelvis, without contrast CPT 74176	$15,552.24	$15,552.24	$2,363.94 – $13,997.02
CT scan of the abdomen, without contrast CPT 74150	$6,872.37	$6,872.37	$1,044.60 – $6,185.13
CT scan of the chest, with contrast CPT 71260	$8,271.22	$8,271.22	$1,257.23 – $7,444.10
CT scan of the chest, without contrast CPT 71250	$7,424.27	$7,424.27	$1,128.49 – $6,681.84
CT scan of the head, without contrast CPT 70450	$7,399.99	$7,399.99	$1,124.80 – $6,659.99
CT scan of the neck (cervical spine), without contrast CPT 72125	$9,989.42	$9,989.42	$1,518.39 – $8,990.48
CT scan of the pelvis, with contrast CPT 72193	$8,023.59	$8,023.59	$1,219.59 – $7,221.23
CT scan of the sinuses or face, without contrast CPT 70486	$8,891.42	$8,891.42	$1,351.50 – $8,002.28
Diagnostic mammogram, both breasts CPT 77066	not posted		$391.68 – $816.27
Diagnostic mammogram, one breast CPT 77065	not posted		$217.98 – $454.29
Foot X-ray, 3 or more views CPT 73630	$3,871.24	$3,871.24	$588.43 – $3,484.12
Hand X-ray, 3 or more views CPT 73130	$3,691.82	$3,691.82	$561.16 – $3,322.64
Knee X-ray, 3 views CPT 73562	$4,332.79	$4,332.79	$658.58 – $3,899.51
Leg or arm vein ultrasound, both sides CPT 93970	$4,428.73	$4,428.73	$673.17 – $3,985.86
Leg or arm vein ultrasound, one side CPT 93971	$3,448.91	$3,448.91	$524.23 – $3,104.02
Lower back X-ray, 2 or 3 views CPT 72100	$2,874.66	$2,874.66	$436.95 – $2,587.19
MRI of both breasts, without and with contrast CPT 77049	not posted		$591.41 – $1,232.51
MRI of the abdomen, without and with contrast CPT 74183	$23,936.53	$23,936.53	$3,638.35 – $21,542.88
MRI of the brain, without and with contrast CPT 70553	$17,586.26	$17,586.26	$2,673.11 – $15,827.63
MRI of the brain, without contrast CPT 70551	$15,941.34	$15,941.34	$2,423.08 – $14,347.21
MRI of the knee or other leg joint, without contrast CPT 73721	$29,562.28	$29,562.28	$4,493.47 – $26,606.05
MRI of the lower back (lumbar spine), without contrast CPT 72148	$17,197.07	$17,197.07	$2,613.95 – $15,477.36
MRI of the mid back (thoracic spine), without contrast CPT 72146	$17,739.96	$17,739.96	$2,696.47 – $15,965.96
MRI of the neck (cervical spine), without contrast CPT 72141	$16,929.71	$16,929.71	$2,573.32 – $15,236.74
MRI of the pelvis, without and with contrast CPT 72197	$20,921.37	$20,921.37	$3,180.05 – $18,829.23
MRI of the shoulder or other arm joint, without contrast CPT 73221	$29,562.28	$29,562.28	$4,493.47 – $26,606.05
Neck X-ray, 2 or 3 views CPT 72040	$2,594.93	$2,594.93	$394.43 – $2,335.44
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$2,173.90	$2,173.90	$330.43 – $1,956.51
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,888.19	$2,888.19	$439.00 – $2,599.37
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$2,847.56	$2,847.56	$432.83 – $2,562.80
Screening mammogram, both breasts CPT 77067	not posted		$230.69 – $480.77
Shoulder X-ray, 2 or more views CPT 73030	$4,096.31	$4,096.31	$622.64 – $3,686.68
Transvaginal pregnancy ultrasound CPT 76817	$1,523.98	$1,523.98	$231.64 – $1,371.58
Transvaginal ultrasound CPT 76830	$2,337.55	$2,337.55	$355.31 – $2,103.80
Ultrasound of the abdomen, complete CPT 76700	$4,064.17	$4,064.17	$617.75 – $3,657.75
Ultrasound of the neck or thyroid CPT 76536	$3,267.53	$3,267.53	$496.66 – $2,940.78
Wrist X-ray, 3 or more views CPT 73110	$3,878.41	$3,878.41	$589.52 – $3,490.57
X-ray of the lower back, 4 or more views CPT 72110	$3,656.62	$3,656.62	$555.81 – $3,290.96

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$935.30	$935.30	$142.17 – $841.77
Blood culture CPT 87040	$1,273.67	$1,273.67	$193.60 – $1,146.30
Blood draw (venipuncture) CPT 36415	$120.72	$120.72	$18.35 – $108.65
BNP test (heart failure) CPT 83880	$690.25	$690.25	$104.92 – $621.23
C-reactive protein (CRP) test CPT 86140	$514.29	$514.29	$78.17 – $462.86
Chlamydia test (DNA/NAAT) CPT 87491	$526.04	$526.04	$79.96 – $473.44
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $36.91
Complete blood count (CBC), automated CPT 85027	$367.85	$367.85	$55.91 – $331.06
Comprehensive metabolic panel (blood test) CPT 80053	$1,142.73	$1,142.73	$173.69 – $1,028.46
COVID-19 PCR test CPT 87635	$165.83	$165.83	$25.21 – $149.25
D-dimer test (blood clots) CPT 85379	$1,345.19	$1,345.19	$204.47 – $1,210.67
Drug screen, instrument chemistry CPT 80307	$495.28	$495.28	$75.28 – $445.75
Ferritin (iron stores) test CPT 82728	$986.73	$986.73	$13.63 – $64.74
Free T4 (thyroid) test CPT 84439	$626.36	$626.36	$95.21 – $563.72
General health panel (blood tests) CPT 80050	not posted		$45.36 – $215.46
Glucose (blood sugar) test CPT 82947	$454.59	$454.59	$69.10 – $409.13
Gonorrhea test (DNA/NAAT) CPT 87591	$2,009.19	$2,009.19	$305.40 – $1,808.27
Hemoglobin A1c test CPT 83036	$819.21	$819.21	$9.71 – $46.12
Hepatitis C antibody test CPT 86803	$424.20	$424.20	$64.48 – $381.78
HIV-1/HIV-2 antigen and antibody test CPT 87389	not posted		$24.08 – $114.38
Iron test CPT 83540	$3,220.11	$3,220.11	$489.46 – $2,898.10
Kidney function panel CPT 80069	$1,674.69	$1,674.69	$8.68 – $41.23
Lipase test (pancreas) CPT 83690	$743.62	$743.62	$113.03 – $669.26
Lipid panel, cholesterol and triglycerides CPT 80061	$579.61	$579.61	$36.77 – $38.31
Liver function panel CPT 80076	$676.68	$676.68	$102.86 – $609.01
Magnesium test CPT 83735	$855.44	$855.44	$130.03 – $769.90
Obstetric blood test panel CPT 80055	not posted		$47.81 – $227.10
Partial thromboplastin time (PTT), clotting test CPT 85730	$442.17	$442.17	$67.21 – $397.95
Pregnancy blood test (hCG), quantitative CPT 84702	$884.03	$884.03	$134.37 – $795.63
Prothrombin time (PT/INR), clotting test CPT 85610	$388.50	$388.50	$59.05 – $349.65
PSA (prostate specific antigen), free CPT 84154	$1,082.74	$1,082.74	$10.75 – $19.31
PSA (prostate specific antigen), total CPT 84153	$585.81	$585.81	$10.75 – $19.31
Rapid strep test CPT 87880	$194.82	$194.82	$29.61 – $175.34
Sed rate (ESR) test CPT 85652	$383.32	$383.32	$58.26 – $344.99
TB skin test CPT 86580	$206.57	$206.57	$5.95 – $47.75
Thyroid stimulating hormone (TSH) CPT 84443	$991.85	$991.85	$150.76 – $892.66
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,004.92	$1,004.92	$20.62 – $86.89
Troponin test (heart damage) CPT 84484	$1,111.30	$1,111.30	$168.92 – $1,000.17
Urinalysis, automated, with microscope CPT 81001	$514.29	$514.29	$78.17 – $462.86
Urinalysis, automated, without microscope CPT 81003	$328.88	$328.88	$49.99 – $295.99
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $19.09
Urinalysis, manual, without microscope CPT 81002	$114.71	$114.71	$3.48 – $16.53
Urine culture, colony count CPT 87086	$653.56	$653.56	$99.34 – $588.20
Urine pregnancy test CPT 81025	$292.20	$292.20	$44.41 – $262.98
Vitamin B12 test CPT 82607	$1,053.88	$1,053.88	$8.82 – $15.83
Vitamin D test CPT 82306	$2,011.52	$2,011.52	$29.60 – $140.60

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$5,908.22	$5,908.22	$898.05 – $5,317.40
ECG tracing only (no interpretation) CPT 93005	$1,340.20	$1,340.20	$203.71 – $1,206.18
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,540.22	$9,540.22	$848.89 – $884.63
Left heart catheterization CPT 93452	not posted		$6,182.00 – $29,717.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$6,182.00 – $29,717.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$19,939.02	$19,939.02	$3,030.73 – $17,945.12

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$1,700.00 – $16,686.00
Appendix removal, laparoscopic CPT 44970	not posted	$2,601.00 – $13,938.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$2,494.78 – $2,599.82
Carpal tunnel release CPT 64721	not posted	$1,167.00 – $8,538.00
Colonoscopy with biopsy CPT 45380	not posted	$1,815.84 – $1,892.30
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$1,815.84 – $1,892.30
Colonoscopy, diagnostic CPT 45378	not posted	$1,167.00 – $6,405.00
Colposcopy with biopsy CPT 57454	not posted	$493.64 – $514.42
Cystoscopy (bladder scope) CPT 52000	not posted	$1,001.00 – $5,061.00
Ear tubes, under general anesthesia CPT 69436	not posted	$1,700.00 – $8,538.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$1,001.00 – $5,061.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$5,999.00 – $13,180.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$5,999.00 – $30,858.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$15,839.53 – $16,506.46
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,700.00 – $11,850.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$8,878.60 – $9,252.44
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$2,601.00 – $10,063.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$4,034.00 – $22,227.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$14,300.00 – $14,300.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$1,167.00 – $8,538.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$304.80 – $317.63
Prostate biopsy CPT 55700	not posted	$3,134.16 – $3,266.13
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$1,467.00 – $20,468.00
Removal of a breast lump, open surgery CPT 19120	not posted	$14,300.00 – $14,300.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$7,881.00 – $12,057.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,406.36 – $1,465.58
Screening colonoscopy, high risk HCPCS G0105	not posted	$1,406.36 – $1,465.58
Septoplasty (nasal septum repair) CPT 30520	not posted	$2,601.00 – $9,190.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,475.00 – $8,007.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$5,999.00 – $32,782.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$1,700.00 – $10,277.00
Total hip replacement CPT 27130	not posted	$6,018.00 – $44,089.00
Total knee replacement CPT 27447	not posted	$6,018.00 – $44,089.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$1,394.86 – $1,453.59
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$3,286.00 – $5,061.00
Vasectomy CPT 55250	not posted	$1,167.00 – $8,538.00

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		$4,265.00 – $10,063.00
Fetal non-stress test CPT 59025	$2,637.16	$2,637.16	$400.85 – $2,373.44
IUD insertion CPT 58300	not posted		$533.00 – $5,061.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$4,265.00 – $10,063.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$4,265.00 – $10,063.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$1,680.00 – $4,678.00
C-section, without complications MS-DRG 788	not posted	$1,680.00 – $1,680.00
Chest pain MS-DRG 313	not posted	$1,680.00 – $4,678.00
COPD flare-up, with major complications MS-DRG 190	not posted	$1,680.00 – $2,090.00
COPD flare-up, without complications MS-DRG 192	not posted	$1,680.00 – $2,090.00
Fainting (syncope) MS-DRG 312	not posted	$1,680.00 – $4,678.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$1,680.00 – $4,678.00
Heart failure, with major complications MS-DRG 291	not posted	$1,680.00 – $4,678.00
Heart failure, without complications MS-DRG 293	not posted	$1,680.00 – $4,678.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$1,680.00 – $1,680.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$2,037.00 – $2,037.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$1,680.00 – $4,678.00
Kidney failure, with complications MS-DRG 683	not posted	$1,680.00 – $4,678.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,680.00 – $4,678.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$1,680.00 – $1,680.00
Normal newborn care MS-DRG 795	not posted	$1,680.00 – $1,680.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$1,680.00 – $1,680.00
Pneumonia, with complications MS-DRG 194	not posted	$1,680.00 – $2,090.00
Pneumonia, with major complications MS-DRG 193	not posted	$1,680.00 – $1,680.00
Pneumonia, without complications MS-DRG 195	not posted	$1,680.00 – $2,090.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$2,330.00 – $3,679.00
Sepsis, with major complications MS-DRG 871	not posted	$1,680.00 – $4,678.00
Sepsis, without major complications MS-DRG 872	not posted	$1,680.00 – $4,678.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$1,680.00 – $2,090.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$43,352.67 – $78,000.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$1,680.00 – $4,678.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,680.00 – $2,090.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$1,680.00 – $5,339.00
Vaginal delivery, without complications MS-DRG 807	not posted	$1,680.00 – $1,680.00
Weight loss surgery, without complications MS-DRG 621	not posted	$21,070.00 – $21,070.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$455.75 – $474.94
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$1,681.00 – $5,061.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$1,001.00 – $5,061.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$1,402.55 – $1,461.61

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$3,585.87 – $3,736.85
Eye exam, new patient, comprehensive CPT 92004	not posted	$203.41 – $211.98
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$1,167.00 – $6,405.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$240.36 – $250.48

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$2,045.69	$2,045.69	$1,291.00 – $5,579.00
Sleep study with CPAP titration CPT 95811	$20,197.80	$20,197.80	$1,291.00 – $5,579.00
Sleep study, overnight in a sleep lab CPT 95810	$19,442.50	$19,442.50	$1,291.00 – $5,579.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$697.29	$697.29	$105.99 – $627.56

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$422.92	$422.92	$64.28 – $380.63
Physical therapy evaluation, low complexity CPT 97161	$1,740.45	$1,740.45	$264.55 – $1,566.40
Physical therapy evaluation, moderate complexity CPT 97162	$1,744.83	$1,744.83	$265.21 – $1,570.35
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$521.26	$521.26	$79.23 – $469.13
Therapeutic activities, 15 minutes CPT 97530	$632.50	$632.50	$96.14 – $569.25

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$895.87	$895.87	$245.34 – $255.67
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$245.34 – $255.67
Group psychotherapy CPT 90853	$423.87	$423.87	$137.16 – $142.94
Psychiatric diagnostic evaluation CPT 90791	$4,249.01	$4,249.01	$645.85 – $3,824.11
Psychotherapy, 30 minutes CPT 90832	not posted		$245.34 – $255.67
Psychotherapy, 45 minutes CPT 90834	not posted		$245.34 – $255.67
Psychotherapy, 60 minutes CPT 90837	$769.74	$769.74	$117.00 – $692.77

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$520.54	$520.54	$79.12 – $468.49
IV hydration, each additional hour CPT 96361	$889.04	$889.04	$135.13 – $800.14
IV hydration, first hour CPT 96360	$1,460.05	$1,460.05	$221.93 – $1,314.05
IV push injection of a drug, first CPT 96374	$856.38	$856.38	$130.17 – $770.74
IV push injection, each additional drug CPT 96375	$882.16	$882.16	$134.09 – $793.94

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$1,287.12	$1,287.12	$195.64 – $1,158.41
Dexamethasone injection, per 1 mg HCPCS J1100	$39.95	$39.95	$6.07 – $35.96
Fentanyl injection, per 0.1 mg HCPCS J3010	$301.86	$301.86	$45.88 – $271.67
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$6.31 – $6.31
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$269.92	$269.92	$41.03 – $242.93
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$293.29	$293.29	$44.58 – $263.96
Morphine injection, up to 10 mg HCPCS J2270	$464.22	$464.22	$70.56 – $417.80
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$341.02	$341.02	$51.84 – $306.92
Propofol injection, per 10 mg HCPCS J2704	$1,886.37	$1,886.37	$286.73 – $1,697.73
Saline IV solution, 1000 ml HCPCS J7030	$1,042.57	$1,042.57	$3.61 – $6.57

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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