HCA Healthone Mountain Ridge
9191 Grant St., Thornton, CO 80229 · Acute care hospital · Emergency room
These are HCA Healthone Mountain Ridge'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; 137 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 | $28,656.85 | $28,656.85 | $350.00 – $25,791.17 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,683.45 | $1,683.45 | $255.88 – $1,515.11 |
| Emergency room visit, level 2 CPT 99282 | $4,093.03 | $4,093.03 | $350.00 – $3,683.73 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $9,296.65 | $9,296.65 | $350.00 – $8,366.99 |
| Emergency room visit, level 4 CPT 99284 | $15,578.15 | $15,578.15 | $350.00 – $14,020.33 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $18,625.95 | $18,625.95 | $350.00 – $16,763.35 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $308.07 – $321.04 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $679.91 | $679.91 | $103.35 – $611.92 |
| New patient office visit, about 30 minutes CPT 99203 | $815.91 | $815.91 | $124.02 – $734.32 |
| New patient office visit, about 45 minutes CPT 99204 | $979.09 | $979.09 | $148.82 – $881.18 |
| New patient office visit, about 60 minutes CPT 99205 | $1,174.90 | $1,174.90 | $178.58 – $1,057.41 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $679.91 | $679.91 | $103.35 – $611.92 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $815.91 | $815.91 | $124.02 – $734.32 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $979.09 | $979.09 | $148.82 – $881.18 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $1,174.90 | $1,174.90 | $178.58 – $1,057.41 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $566.60 | $566.60 | $86.12 – $509.94 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $187.83 | $187.83 | $28.55 – $350.00 |
| Abdominal X-ray, 1 view CPT 74018 | $1,987.15 | $1,987.15 | $302.05 – $1,788.43 |
| Ankle X-ray, 3 or more views CPT 73610 | $4,180.90 | $4,180.90 | $350.00 – $3,762.81 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $3,707.84 | $3,707.84 | $73.03 – $158.17 |
| Breast ultrasound, one breast, complete CPT 76641 | $11,275.27 | $11,275.27 | $350.00 – $10,147.74 |
| Breast ultrasound, one breast, limited CPT 76642 | $8,119.99 | $8,119.99 | $350.00 – $7,307.99 |
| Chest X-ray, 1 view CPT 71045 | $1,269.31 | $1,269.31 | $192.94 – $1,142.38 |
| Chest X-ray, 2 views CPT 71046 | $2,160.09 | $2,160.09 | $328.33 – $1,944.08 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $23,770.46 | $23,770.46 | $350.00 – $21,393.41 |
| CT angiogram of the head CPT 70496 | $15,741.42 | $15,741.42 | $350.00 – $14,167.28 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $28,047.00 | $28,047.00 | $350.00 – $25,242.30 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $31,908.43 | $31,908.43 | $350.00 – $28,717.59 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $22,123.84 | $22,123.84 | $350.00 – $19,911.46 |
| CT scan of the abdomen, without contrast CPT 74150 | $11,959.33 | $11,959.33 | $350.00 – $10,763.40 |
| CT scan of the chest, with contrast CPT 71260 | $12,741.56 | $12,741.56 | $350.00 – $11,467.40 |
| CT scan of the chest, without contrast CPT 71250 | $11,106.66 | $11,106.66 | $350.00 – $9,995.99 |
| CT scan of the head, without contrast CPT 70450 | $15,923.05 | $15,923.05 | $350.00 – $14,330.75 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $13,028.87 | $13,028.87 | $350.00 – $11,725.98 |
| CT scan of the pelvis, with contrast CPT 72193 | $12,975.13 | $12,975.13 | $350.00 – $11,677.62 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $7,442.53 | $7,442.53 | $350.00 – $6,698.28 |
| Diagnostic mammogram, both breasts CPT 77066 | $5,055.13 | $5,055.13 | $350.00 – $4,549.62 |
| Diagnostic mammogram, one breast CPT 77065 | $3,320.55 | $3,320.55 | $350.00 – $2,988.49 |
| Foot X-ray, 3 or more views CPT 73630 | $4,714.84 | $4,714.84 | $350.00 – $4,243.36 |
| Hand X-ray, 3 or more views CPT 73130 | $5,000.13 | $5,000.13 | $350.00 – $4,500.12 |
| Knee X-ray, 3 views CPT 73562 | $5,313.66 | $5,313.66 | $350.00 – $4,782.29 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $8,205.32 | $8,205.32 | $350.00 – $7,384.79 |
| Leg or arm vein ultrasound, one side CPT 93971 | $7,285.92 | $7,285.92 | $350.00 – $6,557.33 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $3,009.01 | $3,009.01 | $350.00 – $2,708.11 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $480.47 – $635.92 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $19,785.48 | $19,785.48 | $350.00 – $17,806.93 |
| MRI of the brain, without and with contrast CPT 70553 | $16,620.44 | $16,620.44 | $350.00 – $14,958.40 |
| MRI of the brain, without contrast CPT 70551 | $13,725.78 | $13,725.78 | $350.00 – $12,353.20 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $29,646.07 | $29,646.07 | $350.00 – $26,681.46 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $13,602.48 | $13,602.48 | $350.00 – $12,242.23 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $12,675.66 | $12,675.66 | $350.00 – $11,408.09 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $13,602.48 | $13,602.48 | $350.00 – $12,242.23 |
| MRI of the pelvis, without and with contrast CPT 72197 | $13,727.82 | $13,727.82 | $350.00 – $12,355.04 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $13,772.89 | $13,772.89 | $350.00 – $12,395.60 |
| Neck X-ray, 2 or 3 views CPT 72040 | $3,184.74 | $3,184.74 | $350.00 – $2,866.27 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $5,618.18 | $5,618.18 | $350.00 – $5,056.36 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $5,618.18 | $5,618.18 | $350.00 – $5,056.36 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $5,618.18 | $5,618.18 | $350.00 – $5,056.36 |
| Screening mammogram, both breasts CPT 77067 | $2,147.65 | $2,147.65 | $326.44 – $1,932.88 |
| Shoulder X-ray, 2 or more views CPT 73030 | $5,154.22 | $5,154.22 | $350.00 – $4,638.80 |
| Transvaginal pregnancy ultrasound CPT 76817 | $5,315.32 | $5,315.32 | $350.00 – $4,783.79 |
| Transvaginal ultrasound CPT 76830 | $2,981.87 | $2,981.87 | $350.00 – $2,683.68 |
| Ultrasound of the abdomen, complete CPT 76700 | $5,631.97 | $5,631.97 | $350.00 – $5,068.77 |
| Ultrasound of the neck or thyroid CPT 76536 | $4,306.13 | $4,306.13 | $350.00 – $3,875.52 |
| Wrist X-ray, 3 or more views CPT 73110 | $4,275.55 | $4,275.55 | $350.00 – $3,847.99 |
| X-ray of the lower back, 4 or more views CPT 72110 | $3,790.28 | $3,790.28 | $350.00 – $3,411.25 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,432.00 | $1,432.00 | $217.66 – $1,288.80 |
| Blood culture CPT 87040 | $1,001.28 | $1,001.28 | $152.19 – $901.15 |
| Blood draw (venipuncture) CPT 36415 | $202.81 | $202.81 | $4.07 – $9.81 |
| BNP test (heart failure) CPT 83880 | $979.48 | $979.48 | $148.88 – $881.53 |
| C-reactive protein (CRP) test CPT 86140 | $1,181.11 | $1,181.11 | $179.53 – $1,063.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $3,106.83 | $3,106.83 | $350.00 – $2,796.15 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $7.77 – $36.91 | |
| Complete blood count (CBC), automated CPT 85027 | $888.97 | $888.97 | $135.12 – $800.07 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,308.36 | $2,308.36 | $350.00 – $2,077.52 |
| COVID-19 PCR test CPT 87635 | $162.30 | $162.30 | $24.67 – $350.00 |
| D-dimer test (blood clots) CPT 85379 | $1,360.96 | $1,360.96 | $206.87 – $1,224.86 |
| Drug screen, instrument chemistry CPT 80307 | $4,294.98 | $4,294.98 | $350.00 – $3,865.48 |
| Ferritin (iron stores) test CPT 82728 | $530.40 | $530.40 | $13.63 – $64.74 |
| Free T4 (thyroid) test CPT 84439 | $785.82 | $785.82 | $119.44 – $707.24 |
| General health panel (blood tests) CPT 80050 | $4,051.12 | $4,051.12 | $45.36 – $215.46 |
| Glucose (blood sugar) test CPT 82947 | $630.02 | $630.02 | $95.76 – $567.02 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $344.75 | $344.75 | $52.40 – $350.00 |
| Hemoglobin A1c test CPT 83036 | $848.89 | $848.89 | $4.61 – $10.20 |
| Hepatitis C antibody test CPT 86803 | $873.97 | $873.97 | $132.84 – $786.57 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | $24.08 – $114.38 | |
| Iron test CPT 83540 | $2,306.07 | $2,306.07 | $6.47 – $30.73 |
| Kidney function panel CPT 80069 | $1,871.83 | $1,871.83 | $23.84 – $24.84 |
| Lipase test (pancreas) CPT 83690 | $898.91 | $898.91 | $136.63 – $809.02 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $1,233.81 | $1,233.81 | $13.39 – $63.60 |
| Liver function panel CPT 80076 | $1,144.64 | $1,144.64 | $173.99 – $1,030.18 |
| Magnesium test CPT 83735 | $832.82 | $832.82 | $126.59 – $749.54 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $227.10 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $734.34 | $734.34 | $111.62 – $660.91 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,040.23 | $1,040.23 | $158.11 – $936.21 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $546.46 | $546.46 | $83.06 – $491.81 |
| PSA (prostate specific antigen), free CPT 84154 | $1,033.31 | $1,033.31 | $8.72 – $19.31 |
| PSA (prostate specific antigen), total CPT 84153 | $963.42 | $963.42 | $8.72 – $19.31 |
| Rapid strep test CPT 87880 | $212.04 | $212.04 | $32.23 – $350.00 |
| Sed rate (ESR) test CPT 85652 | $509.86 | $509.86 | $77.50 – $458.87 |
| TB skin test CPT 86580 | $173.51 | $173.51 | $24.67 – $117.18 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $780.14 | $780.14 | $118.58 – $702.13 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $2,004.78 | $2,004.78 | $16.72 – $86.89 |
| Troponin test (heart damage) CPT 84484 | $1,425.07 | $1,425.07 | $216.61 – $1,282.56 |
| Urinalysis, automated, with microscope CPT 81001 | $644.95 | $644.95 | $98.03 – $580.46 |
| Urinalysis, automated, without microscope CPT 81003 | $541.98 | $541.98 | $82.38 – $487.78 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $4.02 – $19.09 | |
| Urinalysis, manual, without microscope CPT 81002 | $535.51 | $535.51 | $81.40 – $481.96 |
| Urine culture, colony count CPT 87086 | $483.07 | $483.07 | $73.43 – $434.76 |
| Urine pregnancy test CPT 81025 | $1,040.23 | $1,040.23 | $158.11 – $936.21 |
| Vitamin B12 test CPT 82607 | $1,000.04 | $1,000.04 | $15.08 – $71.63 |
| Vitamin D test CPT 82306 | $1,388.42 | $1,388.42 | $29.60 – $140.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $5,977.83 | $5,977.83 | $350.00 – $5,380.05 |
| ECG tracing only (no interpretation) CPT 93005 | $2,810.45 | $2,810.45 | $350.00 – $2,529.40 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $14,543.45 | $14,543.45 | $350.00 – $13,089.10 |
| Left heart catheterization CPT 93452 | not posted | $12,859.00 – $29,717.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $12,859.00 – $29,717.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $30,914.62 | $30,914.62 | $1,033.43 – $2,938.37 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $1,376.00 – $16,686.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $8,878.60 – $9,252.44 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $2,494.78 – $2,599.82 | |
| Carpal tunnel release CPT 64721 | not posted | $4,186.00 – $6,405.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $944.00 – $8,538.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,815.84 – $1,892.30 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $1,406.36 – $1,465.58 | |
| Colposcopy with biopsy CPT 57454 | not posted | $493.64 – $514.42 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $810.00 – $5,061.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $2,346.68 – $2,445.49 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,406.36 – $1,465.58 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $6,253.00 – $13,180.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $6,253.00 – $30,858.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $8,340.00 – $20,468.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,376.00 – $8,538.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,104.00 – $13,938.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $5,323.59 – $5,547.74 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $5,364.36 – $5,590.22 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $4,980.71 – $5,190.42 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,815.84 – $1,892.30 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $4,186.00 – $6,405.00 | |
| Prostate biopsy CPT 55700 | not posted | $3,486.00 – $8,538.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,187.00 – $20,468.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,376.00 – $10,063.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $11,008.37 – $11,471.88 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,406.36 – $1,465.58 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $944.00 – $6,405.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $4,954.20 – $5,162.80 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,376.00 – $8,007.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $6,253.00 – $32,782.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,376.00 – $10,277.00 | |
| Total hip replacement CPT 27130 | not posted | $4,869.00 – $44,089.00 | |
| Total knee replacement CPT 27447 | not posted | $20,251.81 – $21,104.51 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $944.00 – $6,405.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $3,286.00 – $5,061.00 | |
| Vasectomy CPT 55250 | not posted | $3,134.16 – $3,266.13 |
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 | $4,109.00 – $10,063.00 | |
| Fetal non-stress test CPT 59025 | $3,520.20 | $3,520.20 | $350.00 – $3,168.18 |
| IUD insertion CPT 58300 | not posted | $431.00 – $5,061.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $4,109.00 – $10,063.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $4,109.00 – $10,063.00 |
Hospital stays
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $810.00 – $5,061.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $1,402.55 – $1,461.61 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $810.00 – $5,061.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $810.00 – $5,061.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,697.00 – $12,057.00 | |
| 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 | $944.00 – $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 | not posted | $1,353.00 – $5,579.00 | |
| Sleep study with CPAP titration CPT 95811 | $21,779.84 | $21,779.84 | $1,353.00 – $5,579.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $16,848.98 | $16,848.98 | $1,608.83 – $1,676.57 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $1,136.05 | $1,136.05 | $172.68 – $1,022.45 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $418.27 | $418.27 | $63.58 – $376.44 |
| Physical therapy evaluation, low complexity CPT 97161 | $980.21 | $980.21 | $100.35 – $106.43 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $980.21 | $980.21 | $100.35 – $106.43 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $576.72 | $576.72 | $87.66 – $519.05 |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $31.76 – $33.69 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $747.18 | $747.18 | $245.34 – $255.67 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $245.34 – $255.67 | |
| Group psychotherapy CPT 90853 | $388.87 | $388.87 | $137.16 – $142.94 |
| Psychiatric diagnostic evaluation CPT 90791 | $1,478.20 | $1,478.20 | $224.69 – $1,330.38 |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $245.34 – $255.67 | |
| Psychotherapy, 45 minutes CPT 90834 | $641.98 | $641.98 | $245.34 – $255.67 |
| Psychotherapy, 60 minutes CPT 90837 | $641.98 | $641.98 | $245.34 – $255.67 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $879.74 | $879.74 | $133.72 – $791.77 |
| IV hydration, each additional hour CPT 96361 | $429.90 | $429.90 | $65.34 – $386.91 |
| IV hydration, first hour CPT 96360 | $1,294.60 | $1,294.60 | $196.78 – $1,165.14 |
| IV push injection of a drug, first CPT 96374 | $839.75 | $839.75 | $127.64 – $755.77 |
| IV push injection, each additional drug CPT 96375 | $839.75 | $839.75 | $127.64 – $755.77 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $630.01 | $630.01 | $95.76 – $567.01 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $98.17 | $98.17 | $14.92 – $350.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $144.63 | $144.63 | $21.98 – $350.00 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $5.13 – $5.13 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $174.50 | $174.50 | $26.52 – $350.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $154.29 | $154.29 | $23.45 – $350.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $363.76 | $363.76 | $55.29 – $350.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $678.93 | $678.93 | |
| Propofol injection, per 10 mg HCPCS J2704 | $873.88 | $873.88 | $132.83 – $786.49 |
| Saline IV solution, 1000 ml HCPCS J7030 | $666.02 | $666.02 | $2.80 – $3.28 |
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.