HCA Healthone Presbyterian St. Lukes
1719 E 19th Ave, Denver, CO 80218 · Acute care hospital · Emergency room
These are HCA Healthone Presbyterian St. Lukes'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; 131 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 | $30,653.50 | $30,653.50 | $8,889.51 – $8,889.51 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,316.75 | $1,316.75 | $632.04 – $632.04 |
| Emergency room visit, level 2 CPT 99282 | $3,573.75 | $3,573.75 | $543.21 – $3,216.38 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $8,139.75 | $8,139.75 | $3,907.08 – $3,907.08 |
| Emergency room visit, level 4 CPT 99284 | $13,639.00 | $13,639.00 | $6,546.72 – $6,546.72 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $14,090.00 | $14,090.00 | $4,086.10 – $4,086.10 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $639.00 – $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 | $1,229.75 | $1,229.75 | $590.28 – $590.28 |
| New patient office visit, about 30 minutes CPT 99203 | $1,529.75 | $1,529.75 | $443.63 – $443.63 |
| New patient office visit, about 45 minutes CPT 99204 | $1,838.25 | $1,838.25 | $279.41 – $1,654.42 |
| New patient office visit, about 60 minutes CPT 99205 | $1,988.00 | $1,988.00 | $1,272.32 – $1,272.32 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $1,151.50 | $1,151.50 | $333.94 – $333.94 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $1,376.50 | $1,376.50 | $660.72 – $660.72 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,529.75 | $1,529.75 | $443.63 – $443.63 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $1,802.00 | $1,802.00 | $522.58 – $522.58 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $774.50 | $774.50 | $224.60 – $224.60 |
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 | $240.00 | $240.00 | $21.02 – $43.80 |
| Ankle X-ray, 3 or more views CPT 73610 | $2,047.50 | $2,047.50 | $982.80 – $982.80 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $75.90 – $158.17 | |
| Breast ultrasound, one breast, complete CPT 76641 | $2,703.75 | $2,703.75 | $784.09 – $784.09 |
| Breast ultrasound, one breast, limited CPT 76642 | $2,703.75 | $2,703.75 | $410.97 – $2,433.38 |
| Chest X-ray, 1 view CPT 71045 | $954.75 | $954.75 | $42.91 – $89.43 |
| Chest X-ray, 2 views CPT 71046 | $1,018.00 | $1,018.00 | $24.28 – $50.59 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $15,334.25 | $15,334.25 | $4,446.93 – $4,446.93 |
| CT angiogram of the head CPT 70496 | $12,849.50 | $12,849.50 | $1,953.12 – $11,564.55 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $13,024.50 | $13,024.50 | $591.76 – $1,835.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $13,024.50 | $13,024.50 | $6,251.76 – $6,251.76 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $8,262.00 | $8,262.00 | $5,287.68 – $5,287.68 |
| CT scan of the abdomen, without contrast CPT 74150 | $4,686.25 | $4,686.25 | $185.25 – $245.18 |
| CT scan of the chest, with contrast CPT 71260 | $8,021.50 | $8,021.50 | $282.72 – $1,835.00 |
| CT scan of the chest, without contrast CPT 71250 | $4,686.25 | $4,686.25 | $185.25 – $245.18 |
| CT scan of the head, without contrast CPT 70450 | $6,248.25 | $6,248.25 | $169.18 – $1,835.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $4,686.25 | $4,686.25 | $1,359.01 – $1,359.01 |
| CT scan of the pelvis, with contrast CPT 72193 | $8,021.50 | $8,021.50 | $303.54 – $401.74 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $4,686.25 | $4,686.25 | $169.18 – $1,835.00 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $391.68 – $816.27 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $91.18 – $190.02 | |
| Foot X-ray, 3 or more views CPT 73630 | $2,176.00 | $2,176.00 | $330.75 – $1,958.40 |
| Hand X-ray, 3 or more views CPT 73130 | $1,973.75 | $1,973.75 | $1,263.20 – $1,263.20 |
| Knee X-ray, 3 views CPT 73562 | $2,043.25 | $2,043.25 | $310.57 – $1,838.92 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $5,867.00 | $5,867.00 | $3,754.88 – $3,754.88 |
| Leg or arm vein ultrasound, one side CPT 93971 | $2,313.00 | $2,313.00 | $1,110.24 – $1,110.24 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,052.00 | $1,052.00 | $169.18 – $446.96 |
| 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 | $21,902.75 | $21,902.75 | $625.80 – $828.27 |
| MRI of the brain, without and with contrast CPT 70553 | $21,903.75 | $21,903.75 | $625.80 – $828.27 |
| MRI of the brain, without contrast CPT 70551 | $13,494.25 | $13,494.25 | $391.22 – $517.79 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $19,626.00 | $19,626.00 | $2,983.15 – $17,663.40 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $13,494.25 | $13,494.25 | $391.22 – $517.79 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $13,494.25 | $13,494.25 | $377.05 – $2,447.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $13,494.25 | $13,494.25 | $377.05 – $2,447.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $17,521.75 | $17,521.75 | $625.80 – $828.27 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $13,494.25 | $13,494.25 | $2,051.13 – $12,144.83 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,344.25 | $1,344.25 | $99.34 – $207.03 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $2,776.50 | $2,776.50 | $805.18 – $805.18 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $3,163.25 | $3,163.25 | $917.34 – $917.34 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,302.25 | $1,302.25 | $377.65 – $377.65 |
| Screening mammogram, both breasts CPT 77067 | not posted | $315.54 – $657.60 | |
| Shoulder X-ray, 2 or more views CPT 73030 | $2,248.00 | $2,248.00 | $651.92 – $651.92 |
| Transvaginal pregnancy ultrasound CPT 76817 | $5,010.25 | $5,010.25 | $3,206.56 – $3,206.56 |
| Transvaginal ultrasound CPT 76830 | $2,159.75 | $2,159.75 | $1,036.68 – $1,036.68 |
| Ultrasound of the abdomen, complete CPT 76700 | $3,840.50 | $3,840.50 | $169.18 – $446.96 |
| Ultrasound of the neck or thyroid CPT 76536 | $3,331.25 | $3,331.25 | $1,599.00 – $1,599.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,037.25 | $1,037.25 | $300.80 – $300.80 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,119.75 | $1,119.75 | $133.61 – $278.45 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,813.00 | $1,813.00 | $8.46 – $40.19 |
| Blood culture CPT 87040 | $1,207.00 | $1,207.00 | $772.48 – $772.48 |
| Blood draw (venipuncture) CPT 36415 | $151.25 | $151.25 | $43.86 – $43.86 |
| BNP test (heart failure) CPT 83880 | $1,331.50 | $1,331.50 | $107.79 – $112.33 |
| C-reactive protein (CRP) test CPT 86140 | $1,308.50 | $1,308.50 | $3.30 – $5.44 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $764.25 | $764.25 | $35.09 – $166.68 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $7.77 – $36.91 | |
| Complete blood count (CBC), automated CPT 85027 | $662.00 | $662.00 | $423.68 – $423.68 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,117.00 | $2,117.00 | $6.72 – $11.09 |
| COVID-19 PCR test CPT 87635 | $158.25 | $158.25 | $45.89 – $45.89 |
| D-dimer test (blood clots) CPT 85379 | $1,808.75 | $1,808.75 | $6.49 – $10.69 |
| Drug screen, instrument chemistry CPT 80307 | $1,328.75 | $1,328.75 | $39.58 – $65.25 |
| Ferritin (iron stores) test CPT 82728 | $20.50 | $20.50 | $13.63 – $64.74 |
| Free T4 (thyroid) test CPT 84439 | $1,308.50 | $1,308.50 | $5.74 – $9.47 |
| General health panel (blood tests) CPT 80050 | $4,840.00 | $4,840.00 | $45.36 – $215.46 |
| Glucose (blood sugar) test CPT 82947 | $277.00 | $277.00 | $10.79 – $11.25 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $764.25 | $764.25 | $35.09 – $166.68 |
| Hemoglobin A1c test CPT 83036 | $27.00 | $27.00 | $26.66 – $27.78 |
| Hepatitis C antibody test CPT 86803 | $1,770.00 | $1,770.00 | $39.18 – $40.83 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $1,140.25 | $1,140.25 | $24.08 – $114.38 |
| Iron test CPT 83540 | $1,293.75 | $1,293.75 | $196.65 – $1,164.38 |
| Kidney function panel CPT 80069 | $2,588.00 | $2,588.00 | $5.53 – $9.11 |
| Lipase test (pancreas) CPT 83690 | $875.50 | $875.50 | $133.08 – $787.95 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $15.00 | $15.00 | $8.53 – $14.06 |
| Liver function panel CPT 80076 | $2,329.00 | $2,329.00 | $5.20 – $8.58 |
| Magnesium test CPT 83735 | $1,003.50 | $1,003.50 | $291.01 – $291.01 |
| Obstetric blood test panel CPT 80055 | $1,857.00 | $1,857.00 | $47.81 – $227.10 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $662.00 | $662.00 | $6.01 – $28.55 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $2,155.00 | $2,155.00 | $1,034.40 – $1,034.40 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $662.00 | $662.00 | $4.29 – $20.38 |
| PSA (prostate specific antigen), free CPT 84154 | $1,269.25 | $1,269.25 | $11.71 – $19.31 |
| PSA (prostate specific antigen), total CPT 84153 | $1,000.50 | $1,000.50 | $18.39 – $87.35 |
| Rapid strep test CPT 87880 | not posted | $16.53 – $78.52 | |
| Sed rate (ESR) test CPT 85652 | $1,062.75 | $1,062.75 | $1.72 – $2.84 |
| TB skin test CPT 86580 | $184.00 | $184.00 | $24.67 – $117.18 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,308.50 | $1,308.50 | $10.70 – $17.64 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $4,312.50 | $4,312.50 | $49.76 – $236.36 |
| Troponin test (heart damage) CPT 84484 | $1,948.25 | $1,948.25 | $7.95 – $13.09 |
| Urinalysis, automated, with microscope CPT 81001 | $1,119.00 | $1,119.00 | $3.17 – $15.06 |
| Urinalysis, automated, without microscope CPT 81003 | $393.00 | $393.00 | $113.97 – $113.97 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $4.02 – $19.09 | |
| Urinalysis, manual, without microscope CPT 81002 | $354.25 | $354.25 | $102.73 – $102.73 |
| Urine culture, colony count CPT 87086 | $277.00 | $277.00 | $42.10 – $249.30 |
| Urine pregnancy test CPT 81025 | $662.00 | $662.00 | $5.49 – $9.04 |
| Vitamin B12 test CPT 82607 | $1,308.50 | $1,308.50 | $15.08 – $71.63 |
| Vitamin D test CPT 82306 | $66.00 | $66.00 | $29.60 – $140.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,424.25 | $2,424.25 | $377.05 – $976.50 |
| ECG tracing only (no interpretation) CPT 93005 | $861.25 | $861.25 | $130.91 – $775.13 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $5,914.25 | $5,914.25 | $848.89 – $884.63 |
| Left heart catheterization CPT 93452 | not posted | $5,224.00 – $29,717.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $5,224.00 – $29,717.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $13,094.00 | $13,094.00 | $893.31 – $1,861.69 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $2,397.00 – $16,686.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $3,680.00 – $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 | $1,534.00 – $8,538.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $1,534.00 – $8,538.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,815.84 – $1,892.30 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $4,186.00 – $6,405.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $493.64 – $514.42 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $1,205.00 – $5,061.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $2,397.00 – $8,538.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,406.36 – $1,465.58 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $5,917.00 – $13,180.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,917.00 – $32,069.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $4,764.00 – $20,468.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $4,810.71 – $5,013.27 | |
| 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 | $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 | $1,534.00 – $8,538.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $304.80 – $317.63 | |
| Prostate biopsy CPT 55700 | not posted | $3,605.00 – $8,538.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $15,839.53 – $16,506.46 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $5,865.34 – $6,112.30 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $11,008.37 – $11,471.88 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,534.00 – $6,405.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $1,534.00 – $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 | $1,726.00 – $8,007.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $5,917.00 – $32,782.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $2,397.00 – $10,277.00 | |
| Total hip replacement CPT 27130 | not posted | $20,251.81 – $21,104.51 | |
| Total knee replacement CPT 27447 | not posted | $20,251.81 – $21,104.51 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $1,394.86 – $1,453.59 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $1,205.00 – $5,268.00 | |
| Vasectomy CPT 55250 | not posted | $1,534.00 – $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 | $4,289.00 – $10,063.00 | |
| Fetal non-stress test CPT 59025 | $841.00 | $841.00 | $306.62 – $319.53 |
| IUD insertion CPT 58300 | not posted | $1,658.00 – $5,061.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $4,289.00 – $10,063.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $4,289.00 – $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 | $455.75 – $474.94 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $1,658.00 – $5,061.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,264.25 | $3,264.25 | $496.17 – $2,937.82 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $1,402.55 – $1,461.61 |
Eye
| Service | Cash price | Gross charge | 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 | $894.43 – $932.09 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $692.50 | $692.50 | $240.36 – $250.48 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $1,510.00 – $5,579.00 | |
| Sleep study with CPAP titration CPT 95811 | $10,233.00 | $10,233.00 | $1,510.00 – $5,579.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $8,039.75 | $8,039.75 | $1,608.83 – $1,676.57 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $4,647.00 | $4,647.00 | $1,347.63 – $1,347.63 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $261.75 | $261.75 | $125.64 – $125.64 |
| Physical therapy evaluation, low complexity CPT 97161 | $485.25 | $485.25 | $232.92 – $232.92 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $727.25 | $727.25 | $349.08 – $349.08 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $261.75 | $261.75 | $75.91 – $75.91 |
| Therapeutic activities, 15 minutes CPT 97530 | $261.75 | $261.75 | $39.79 – $235.57 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $245.34 – $255.67 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $245.34 – $255.67 | |
| Group psychotherapy CPT 90853 | not posted | $137.16 – $142.94 | |
| Psychiatric diagnostic evaluation CPT 90791 | $3,648.75 | $3,648.75 | $245.34 – $255.67 |
| 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 | not posted | $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 | $915.75 | $915.75 | $265.57 – $265.57 |
| IV hydration, each additional hour CPT 96361 | $985.00 | $985.00 | $472.80 – $472.80 |
| IV hydration, first hour CPT 96360 | $2,531.00 | $2,531.00 | $384.71 – $2,277.90 |
| IV push injection of a drug, first CPT 96374 | $1,034.75 | $1,034.75 | $157.28 – $931.27 |
| IV push injection, each additional drug CPT 96375 | $1,016.50 | $1,016.50 | $294.79 – $294.79 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1,736.50 | $1,736.50 | $503.58 – $503.58 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $201.75 | $201.75 | $58.51 – $58.51 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $1.91 – $1.91 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $10.34 – $10.34 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $616.75 | $616.75 | $178.86 – $178.86 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $476.00 | $476.00 | $138.04 – $138.04 |
| Morphine injection, up to 10 mg HCPCS J2270 | $344.00 | $344.00 | $99.76 – $99.76 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $48.25 | $48.25 | $30.88 – $30.88 |
| Propofol injection, per 10 mg HCPCS J2704 | $299.25 | $299.25 | $45.49 – $269.32 |
| Saline IV solution, 1000 ml HCPCS J7030 | $12.75 | $12.75 | $2.80 – $6.61 |
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.