HCA Healthone Rose
4567 E 9th Ave, Denver, CO 80220 · Acute care hospital · Emergency room
These are HCA Healthone Rose'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; 139 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 | $27,282.00 | $27,282.00 | $4,146.86 – $24,553.80 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,187.00 | $1,187.00 | $180.42 – $1,068.30 |
| Emergency room visit, level 2 CPT 99282 | $3,030.00 | $3,030.00 | $460.56 – $2,727.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $6,555.00 | $6,555.00 | $996.36 – $5,899.50 |
| Emergency room visit, level 4 CPT 99284 | $12,082.00 | $12,082.00 | $1,836.46 – $10,873.80 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $24,651.00 | $24,651.00 | $3,746.95 – $22,185.90 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $2,044.00 – $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 | $643.18 | $643.18 | $97.76 – $578.86 |
| New patient office visit, about 30 minutes CPT 99203 | $686.05 | $686.05 | $104.28 – $617.44 |
| New patient office visit, about 45 minutes CPT 99204 | $726.00 | $726.00 | $110.35 – $653.40 |
| New patient office visit, about 60 minutes CPT 99205 | $766.00 | $766.00 | $116.43 – $689.40 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $257.27 | $257.27 | $39.11 – $231.54 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $300.16 | $300.16 | $45.62 – $270.14 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $343.02 | $343.02 | $52.14 – $308.72 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $386.00 | $386.00 | $58.67 – $347.40 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $213.00 | $213.00 | $32.38 – $191.70 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $170.00 | $170.00 | $25.84 – $153.00 |
| Abdominal X-ray, 1 view CPT 74018 | $1,563.00 | $1,563.00 | $237.58 – $1,406.70 |
| Ankle X-ray, 3 or more views CPT 73610 | $3,616.00 | $3,616.00 | $549.63 – $3,254.40 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $3,583.00 | $3,583.00 | $101.43 – $245.18 |
| Breast ultrasound, one breast, complete CPT 76641 | $1,620.00 | $1,620.00 | $246.24 – $1,458.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $1,533.00 | $1,533.00 | $233.02 – $1,379.70 |
| Chest X-ray, 1 view CPT 71045 | $816.00 | $816.00 | $124.03 – $734.40 |
| Chest X-ray, 2 views CPT 71046 | $1,023.00 | $1,023.00 | $155.50 – $920.70 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $6,293.00 | $6,293.00 | $956.54 – $5,663.70 |
| CT angiogram of the head CPT 70496 | $21,047.00 | $21,047.00 | $3,199.14 – $18,942.30 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $22,183.00 | $22,183.00 | $3,371.82 – $19,964.70 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $22,184.00 | $22,184.00 | $3,371.97 – $19,965.60 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $22,183.00 | $22,183.00 | $3,371.82 – $19,964.70 |
| CT scan of the abdomen, without contrast CPT 74150 | $11,693.00 | $11,693.00 | $1,777.34 – $10,523.70 |
| CT scan of the chest, with contrast CPT 71260 | $13,157.00 | $13,157.00 | $1,999.86 – $11,841.30 |
| CT scan of the chest, without contrast CPT 71250 | $12,491.00 | $12,491.00 | $1,898.63 – $11,241.90 |
| CT scan of the head, without contrast CPT 70450 | $10,353.00 | $10,353.00 | $1,573.66 – $9,317.70 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $13,186.00 | $13,186.00 | $2,004.27 – $11,867.40 |
| CT scan of the pelvis, with contrast CPT 72193 | $12,204.00 | $12,204.00 | $1,855.01 – $10,983.60 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $8,692.00 | $8,692.00 | $1,321.18 – $7,822.80 |
| Diagnostic mammogram, both breasts CPT 77066 | $2,652.00 | $2,652.00 | $403.10 – $2,386.80 |
| Diagnostic mammogram, one breast CPT 77065 | $1,768.00 | $1,768.00 | $268.74 – $1,591.20 |
| Foot X-ray, 3 or more views CPT 73630 | $3,513.00 | $3,513.00 | $533.98 – $3,161.70 |
| Hand X-ray, 3 or more views CPT 73130 | $3,269.00 | $3,269.00 | $496.89 – $2,942.10 |
| Knee X-ray, 3 views CPT 73562 | $3,578.00 | $3,578.00 | $543.86 – $3,220.20 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $6,761.00 | $6,761.00 | $1,027.67 – $6,084.90 |
| Leg or arm vein ultrasound, one side CPT 93971 | $4,432.00 | $4,432.00 | $673.66 – $3,988.80 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $2,105.00 | $2,105.00 | $319.96 – $1,894.50 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $608.80 – $1,232.51 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $15,943.00 | $15,943.00 | $2,423.34 – $14,348.70 |
| MRI of the brain, without and with contrast CPT 70553 | $18,669.00 | $18,669.00 | $2,837.69 – $16,802.10 |
| MRI of the brain, without contrast CPT 70551 | $12,446.00 | $12,446.00 | $1,891.79 – $11,201.40 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $21,063.00 | $21,063.00 | $3,201.58 – $18,956.70 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $13,485.00 | $13,485.00 | $2,049.72 – $12,136.50 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $11,308.00 | $11,308.00 | $1,718.82 – $10,177.20 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $12,252.00 | $12,252.00 | $1,862.30 – $11,026.80 |
| MRI of the pelvis, without and with contrast CPT 72197 | $14,502.00 | $14,502.00 | $2,204.30 – $13,051.80 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $24,605.00 | $24,605.00 | $3,739.96 – $22,144.50 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,751.00 | $1,751.00 | $266.15 – $1,575.90 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $3,153.00 | $3,153.00 | $479.26 – $2,837.70 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $3,269.00 | $3,269.00 | $496.89 – $2,942.10 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $2,661.00 | $2,661.00 | $404.47 – $2,394.90 |
| Screening mammogram, both breasts CPT 77067 | $1,775.00 | $1,775.00 | $269.80 – $1,597.50 |
| Shoulder X-ray, 2 or more views CPT 73030 | $4,082.00 | $4,082.00 | $620.46 – $3,673.80 |
| Transvaginal pregnancy ultrasound CPT 76817 | $2,343.00 | $2,343.00 | $356.14 – $2,108.70 |
| Transvaginal ultrasound CPT 76830 | $3,109.00 | $3,109.00 | $472.57 – $2,798.10 |
| Ultrasound of the abdomen, complete CPT 76700 | $4,672.00 | $4,672.00 | $710.14 – $4,204.80 |
| Ultrasound of the neck or thyroid CPT 76536 | $3,880.00 | $3,880.00 | $589.76 – $3,492.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $3,269.00 | $3,269.00 | $496.89 – $2,942.10 |
| X-ray of the lower back, 4 or more views CPT 72110 | $3,023.00 | $3,023.00 | $459.50 – $2,720.70 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,857.00 | $1,857.00 | $282.26 – $1,671.30 |
| Blood culture CPT 87040 | $1,436.00 | $1,436.00 | $218.27 – $1,292.40 |
| Blood draw (venipuncture) CPT 36415 | $320.00 | $320.00 | $48.64 – $288.00 |
| BNP test (heart failure) CPT 83880 | $2,420.00 | $2,420.00 | $367.84 – $2,178.00 |
| C-reactive protein (CRP) test CPT 86140 | $123.00 | $123.00 | $2.36 – $5.44 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $570.00 | $570.00 | $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 | $1,002.00 | $1,002.00 | $152.30 – $901.80 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,581.00 | $2,581.00 | $392.31 – $2,322.90 |
| COVID-19 PCR test CPT 87635 | $167.00 | $167.00 | $25.38 – $150.30 |
| D-dimer test (blood clots) CPT 85379 | $1,602.00 | $1,602.00 | $243.50 – $1,441.80 |
| Drug screen, instrument chemistry CPT 80307 | $1,684.00 | $1,684.00 | $255.97 – $1,515.60 |
| Ferritin (iron stores) test CPT 82728 | $1,214.00 | $1,214.00 | $13.63 – $64.74 |
| Free T4 (thyroid) test CPT 84439 | $664.00 | $664.00 | $9.02 – $42.84 |
| General health panel (blood tests) CPT 80050 | not posted | $45.36 – $215.46 | |
| Glucose (blood sugar) test CPT 82947 | $636.00 | $636.00 | $96.67 – $572.40 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $518.00 | $518.00 | $35.09 – $166.68 |
| Hemoglobin A1c test CPT 83036 | $783.00 | $783.00 | $4.42 – $10.20 |
| Hepatitis C antibody test CPT 86803 | $543.00 | $543.00 | $39.18 – $40.83 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $588.00 | $588.00 | $24.08 – $114.38 |
| Iron test CPT 83540 | $2,185.00 | $2,185.00 | $332.12 – $1,966.50 |
| Kidney function panel CPT 80069 | $2,072.00 | $2,072.00 | $314.94 – $1,864.80 |
| Lipase test (pancreas) CPT 83690 | $158.00 | $158.00 | $24.02 – $142.20 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $1,017.00 | $1,017.00 | $36.77 – $38.31 |
| Liver function panel CPT 80076 | $2,020.00 | $2,020.00 | $307.04 – $1,818.00 |
| Magnesium test CPT 83735 | $1,068.00 | $1,068.00 | $162.34 – $961.20 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $227.10 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $822.00 | $822.00 | $124.94 – $739.80 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $478.00 | $478.00 | $72.66 – $430.20 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $752.00 | $752.00 | $114.30 – $676.80 |
| PSA (prostate specific antigen), free CPT 84154 | $1,170.00 | $1,170.00 | $18.39 – $87.35 |
| PSA (prostate specific antigen), total CPT 84153 | $1,275.00 | $1,275.00 | $18.39 – $87.35 |
| Rapid strep test CPT 87880 | $153.00 | $153.00 | $23.26 – $137.70 |
| Sed rate (ESR) test CPT 85652 | not posted | $2.70 – $12.83 | |
| TB skin test CPT 86580 | $246.00 | $246.00 | $24.67 – $117.18 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,115.00 | $1,115.00 | $16.80 – $79.80 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $729.00 | $729.00 | $49.76 – $236.36 |
| Troponin test (heart damage) CPT 84484 | $1,728.00 | $1,728.00 | $262.66 – $1,555.20 |
| Urinalysis, automated, with microscope CPT 81001 | $597.00 | $597.00 | $3.17 – $15.06 |
| Urinalysis, automated, without microscope CPT 81003 | $471.00 | $471.00 | $71.59 – $423.90 |
| Urinalysis, manual, with microscope CPT 81000 | $922.00 | $922.00 | $4.02 – $19.09 |
| Urinalysis, manual, without microscope CPT 81002 | $286.00 | $286.00 | $43.47 – $257.40 |
| Urine culture, colony count CPT 87086 | $1,906.00 | $1,906.00 | $8.07 – $38.33 |
| Urine pregnancy test CPT 81025 | $555.00 | $555.00 | $84.36 – $499.50 |
| Vitamin B12 test CPT 82607 | $1,006.00 | $1,006.00 | $15.08 – $71.63 |
| Vitamin D test CPT 82306 | $2,271.00 | $2,271.00 | $13.47 – $31.08 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $6,837.00 | $6,837.00 | $1,039.22 – $6,153.30 |
| ECG tracing only (no interpretation) CPT 93005 | $1,220.00 | $1,220.00 | $185.44 – $1,098.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $9,269.00 | $9,269.00 | $1,408.89 – $8,342.10 |
| Left heart catheterization CPT 93452 | not posted | $7,121.00 – $29,717.00 | |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $7,121.00 – $29,717.00 | |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $27,076.00 | $27,076.00 | $4,115.55 – $24,368.40 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $5,232.00 – $8,007.00 | |
| 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 | $903.00 – $8,538.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $903.00 – $8,538.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $903.00 – $8,538.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $1,406.36 – $1,465.58 | |
| Colposcopy with biopsy CPT 57454 | not posted | $775.00 – $6,405.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $775.00 – $5,061.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $5,232.00 – $8,007.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $1,406.36 – $1,465.58 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $7,881.00 – $12,057.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $17,899.00 – $41,616.00 | |
| 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 | $4,810.71 – $5,013.27 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $14,300.00 – $14,300.00 | |
| 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 | $4,402.00 – $22,227.00 | |
| 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 | $413.00 – $6,405.00 | |
| Prostate biopsy CPT 55700 | not posted | $3,134.16 – $3,266.13 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,136.00 – $20,468.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,316.00 – $10,063.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,064.00 – $16,686.00 | |
| 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 | $4,954.20 – $5,162.80 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,316.00 – $8,007.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $6,788.00 – $32,782.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $1,316.00 – $10,277.00 | |
| Total hip replacement CPT 27130 | not posted | $20,251.81 – $21,104.51 | |
| Total knee replacement CPT 27447 | not posted | $11,305.00 – $28,000.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $1,394.86 – $1,453.59 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $775.00 – $5,268.00 | |
| 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 | $4,402.00 – $10,063.00 | |
| Fetal non-stress test CPT 59025 | $1,031.00 | $1,031.00 | $156.71 – $927.90 |
| IUD insertion CPT 58300 | not posted | $413.00 – $5,061.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $4,402.00 – $10,063.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $4,402.00 – $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 | $775.00 – $5,061.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $1,064.12 – $1,108.93 | |
| 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 | $2,581.00 – $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 | $903.00 – $6,405.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $515.00 | $515.00 | $240.36 – $250.48 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,405.00 | $1,405.00 | $240.36 – $250.48 |
| Sleep study with CPAP titration CPT 95811 | $10,613.00 | $10,613.00 | $1,613.18 – $9,551.70 |
| Sleep study, overnight in a sleep lab CPT 95810 | $9,188.00 | $9,188.00 | $1,510.00 – $5,579.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $1,630.32 | $1,630.32 | $247.81 – $1,467.29 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $272.00 | $272.00 | $41.34 – $244.80 |
| Physical therapy evaluation, low complexity CPT 97161 | $1,085.00 | $1,085.00 | $164.92 – $976.50 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $1,085.00 | $1,085.00 | $164.92 – $976.50 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $272.00 | $272.00 | $41.34 – $244.80 |
| Therapeutic activities, 15 minutes CPT 97530 | $272.00 | $272.00 | $41.34 – $244.80 |
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 | $354.00 | $354.00 | $300.00 – $312.00 |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $245.34 – $255.67 | |
| Psychotherapy, 30 minutes CPT 90832 | $33.00 | $33.00 | $245.34 – $255.67 |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $245.34 – $255.67 | |
| Psychotherapy, 60 minutes CPT 90837 | $642.00 | $642.00 | $97.58 – $577.80 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $717.00 | $717.00 | $108.98 – $645.30 |
| IV hydration, each additional hour CPT 96361 | $887.00 | $887.00 | $134.82 – $798.30 |
| IV hydration, first hour CPT 96360 | $2,420.00 | $2,420.00 | $367.84 – $2,178.00 |
| IV push injection of a drug, first CPT 96374 | $905.00 | $905.00 | $137.56 – $814.50 |
| IV push injection, each additional drug CPT 96375 | $900.00 | $900.00 | $136.80 – $810.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1,094.00 | $1,094.00 | $166.29 – $984.60 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $478.00 | $478.00 | $72.66 – $430.20 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $129.00 | $129.00 | $19.61 – $116.10 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $4.90 – $4.90 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $518.00 | $518.00 | $78.74 – $466.20 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $850.00 | $850.00 | $129.20 – $765.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $344.00 | $344.00 | $52.29 – $309.60 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $711.00 | $711.00 | |
| Propofol injection, per 10 mg HCPCS J2704 | $1,850.00 | $1,850.00 | $281.20 – $1,665.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $713.00 | $713.00 | $2.80 – $3.13 |
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.