The Medical Center of Aurora & South Hospital

1501 S Potomac St., Aurora, CO 80012 · Acute care hospital · Emergency room

These are The Medical Center of Aurora & South Hospital'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; 140 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	$31,755.38	$31,755.38	$4,826.82 – $28,579.84
Emergency room visit, level 1 (minor) CPT 99281	$1,463.22	$1,463.22	$222.41 – $1,316.90
Emergency room visit, level 2 CPT 99282	$3,557.60	$3,557.60	$540.76 – $3,201.84
Emergency room visit, level 3 (moderate) CPT 99283	$8,080.45	$8,080.45	$1,228.23 – $7,272.40
Emergency room visit, level 4 CPT 99284	$13,540.21	$13,540.21	$2,058.11 – $12,186.19
Emergency room visit, level 5 (most severe) CPT 99285	$27,095.68	$27,095.68	$4,118.54 – $24,386.11
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	$639.94	$639.94	$97.27 – $575.95
New patient office visit, about 30 minutes CPT 99203	$88.42	$88.42	$13.44 – $79.58
New patient office visit, about 45 minutes CPT 99204	$143.49	$143.49	$21.81 – $129.14
New patient office visit, about 60 minutes CPT 99205	$194.82	$194.82	$29.61 – $175.34
Office visit, established patient, about 10 to 19 minutes CPT 99212	$38.44	$38.44	$5.84 – $34.60
Office visit, established patient, about 20 to 29 minutes CPT 99213	$70.99	$70.99	$10.79 – $63.89
Office visit, established patient, about 30 to 39 minutes CPT 99214	$104.38	$104.38	$15.87 – $93.94
Office visit, established patient, about 40 to 54 minutes CPT 99215	$159.30	$159.30	$24.21 – $143.37
Office visit, established patient, brief (often a nurse) CPT 99211	$9.49	$9.49	$1.44 – $8.54

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$69.79	$69.79	$10.61 – $62.81
Abdominal X-ray, 1 view CPT 74018	$1,887.48	$1,887.48	$286.90 – $1,698.73
Ankle X-ray, 3 or more views CPT 73610	$5,345.02	$5,345.02	$812.44 – $4,810.52
Bone density scan (DEXA), hips and spine CPT 77080	$1,767.17	$1,767.17	$268.61 – $1,590.45
Breast ultrasound, one breast, complete CPT 76641	$7,494.01	$7,494.01	$1,139.09 – $6,744.61
Breast ultrasound, one breast, limited CPT 76642	$5,748.80	$5,748.80	$873.82 – $5,173.92
Chest X-ray, 1 view CPT 71045	$1,424.88	$1,424.88	$216.58 – $1,282.39
Chest X-ray, 2 views CPT 71046	$2,208.35	$2,208.35	$335.67 – $1,987.52
CT angiogram of the chest (checks for lung clots) CPT 71275	$14,035.65	$14,035.65	$2,133.42 – $12,632.08
CT angiogram of the head CPT 70496	$11,417.73	$11,417.73	$1,735.49 – $10,275.96
CT scan of the abdomen and pelvis, with contrast CPT 74177	$18,116.64	$18,116.64	$2,753.73 – $16,304.98
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$20,903.83	$20,903.83	$3,177.38 – $18,813.45
CT scan of the abdomen and pelvis, without contrast CPT 74176	$13,935.90	$13,935.90	$2,118.26 – $12,542.31
CT scan of the abdomen, without contrast CPT 74150	$10,591.26	$10,591.26	$1,609.87 – $9,532.13
CT scan of the chest, with contrast CPT 71260	$14,772.03	$14,772.03	$2,245.35 – $13,294.83
CT scan of the chest, without contrast CPT 71250	$10,591.26	$10,591.26	$1,609.87 – $9,532.13
CT scan of the head, without contrast CPT 70450	$10,591.26	$10,591.26	$1,609.87 – $9,532.13
CT scan of the neck (cervical spine), without contrast CPT 72125	$10,591.26	$10,591.26	$1,609.87 – $9,532.13
CT scan of the pelvis, with contrast CPT 72193	$14,772.03	$14,772.03	$2,245.35 – $13,294.83
CT scan of the sinuses or face, without contrast CPT 70486	$5,295.64	$5,295.64	$804.94 – $4,766.08
Diagnostic mammogram, both breasts CPT 77066	$1,748.27	$1,748.27	$265.74 – $1,573.44
Diagnostic mammogram, one breast CPT 77065	$1,452.52	$1,452.52	$220.78 – $1,307.27
Foot X-ray, 3 or more views CPT 73630	$4,158.52	$4,158.52	$632.10 – $3,742.67
Hand X-ray, 3 or more views CPT 73130	$3,859.64	$3,859.64	$586.67 – $3,473.68
Knee X-ray, 3 views CPT 73562	$4,498.31	$4,498.31	$683.74 – $4,048.48
Leg or arm vein ultrasound, both sides CPT 93970	$8,279.92	$8,279.92	$1,258.55 – $7,451.93
Leg or arm vein ultrasound, one side CPT 93971	$4,140.54	$4,140.54	$629.36 – $3,726.49
Lower back X-ray, 2 or 3 views CPT 72100	$3,847.87	$3,847.87	$584.88 – $3,463.08
MRI of both breasts, without and with contrast CPT 77049	not posted		$836.65 – $1,765.86
MRI of the abdomen, without and with contrast CPT 74183	$12,574.59	$12,574.59	$1,911.34 – $11,317.13
MRI of the brain, without and with contrast CPT 70553	$12,574.59	$12,574.59	$1,911.34 – $11,317.13
MRI of the brain, without contrast CPT 70551	$10,215.12	$10,215.12	$1,552.70 – $9,193.61
MRI of the knee or other leg joint, without contrast CPT 73721	$19,875.05	$19,875.05	$3,021.01 – $17,887.54
MRI of the lower back (lumbar spine), without contrast CPT 72148	$10,108.98	$10,108.98	$1,536.56 – $9,098.08
MRI of the mid back (thoracic spine), without contrast CPT 72146	$10,108.98	$10,108.98	$1,536.56 – $9,098.08
MRI of the neck (cervical spine), without contrast CPT 72141	$10,108.98	$10,108.98	$1,536.56 – $9,098.08
MRI of the pelvis, without and with contrast CPT 72197	$12,572.99	$12,572.99	$1,911.09 – $11,315.69
MRI of the shoulder or other arm joint, without contrast CPT 73221	$19,676.31	$19,676.31	$2,990.80 – $17,708.68
Neck X-ray, 2 or 3 views CPT 72040	$2,528.31	$2,528.31	$384.30 – $2,275.48
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$5,085.53	$5,085.53	$773.00 – $4,576.98
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,617.83	$2,617.83	$397.91 – $2,356.05
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,466.40	$1,466.40	$222.89 – $1,319.76
Screening mammogram, both breasts CPT 77067	$1,311.78	$1,311.78	$199.39 – $1,180.60
Shoulder X-ray, 2 or more views CPT 73030	$4,993.41	$4,993.41	$759.00 – $4,494.07
Transvaginal pregnancy ultrasound CPT 76817	$932.47	$932.47	$141.74 – $839.22
Transvaginal ultrasound CPT 76830	$1,745.24	$1,745.24	$265.28 – $1,570.72
Ultrasound of the abdomen, complete CPT 76700	$4,157.62	$4,157.62	$631.96 – $3,741.86
Ultrasound of the neck or thyroid CPT 76536	$3,325.68	$3,325.68	$505.50 – $2,993.11
Wrist X-ray, 3 or more views CPT 73110	$4,477.24	$4,477.24	$680.54 – $4,029.52
X-ray of the lower back, 4 or more views CPT 72110	$6,395.88	$6,395.88	$972.17 – $5,756.29

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,658.34	$1,658.34	$8.46 – $40.19
Blood culture CPT 87040	$1,812.01	$1,812.01	$5.50 – $10.84
Blood draw (venipuncture) CPT 36415	$126.52	$126.52	$19.23 – $113.87
BNP test (heart failure) CPT 83880	$1,694.59	$1,694.59	$20.93 – $41.22
C-reactive protein (CRP) test CPT 86140	$1,106.06	$1,106.06	$2.76 – $5.44
Chlamydia test (DNA/NAAT) CPT 87491	$1,899.28	$1,899.28	$288.69 – $1,709.35
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $36.91
Complete blood count (CBC), automated CPT 85027	$961.72	$961.72	$3.45 – $6.79
Comprehensive metabolic panel (blood test) CPT 80053	$2,033.74	$2,033.74	$28.99 – $30.21
COVID-19 PCR test CPT 87635	$126.50	$126.50	$19.23 – $113.85
D-dimer test (blood clots) CPT 85379	$1,658.34	$1,658.34	$10.18 – $48.35
Drug screen, instrument chemistry CPT 80307	$3,651.38	$3,651.38	$33.12 – $65.25
Ferritin (iron stores) test CPT 82728	$984.21	$984.21	$7.27 – $14.31
Free T4 (thyroid) test CPT 84439	$1,094.46	$1,094.46	$4.81 – $9.47
General health panel (blood tests) CPT 80050	$4,742.16	$4,742.16	$45.36 – $215.46
Glucose (blood sugar) test CPT 82947	$410.27	$410.27	$2.09 – $4.13
Gonorrhea test (DNA/NAAT) CPT 87591	$1,723.51	$1,723.51	$261.97 – $1,551.16
Hemoglobin A1c test CPT 83036	$1,194.52	$1,194.52	$5.17 – $10.20
Hepatitis C antibody test CPT 86803	$907.50	$907.50	$39.18 – $40.83
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,638.58	$1,638.58	$24.08 – $114.38
Iron test CPT 83540	$1,591.72	$1,591.72	$241.94 – $1,432.55
Kidney function panel CPT 80069	$2,122.22	$2,122.22	$23.84 – $24.84
Lipase test (pancreas) CPT 83690	$1,314.76	$1,314.76	$6.89 – $32.73
Lipid panel, cholesterol and triglycerides CPT 80061	$2,220.78	$2,220.78	$7.13 – $14.06
Liver function panel CPT 80076	$1,713.38	$1,713.38	$4.35 – $8.58
Magnesium test CPT 83735	$1,039.38	$1,039.38	$157.99 – $935.44
Obstetric blood test panel CPT 80055	not posted		$47.81 – $227.10
Partial thromboplastin time (PTT), clotting test CPT 85730	$618.93	$618.93	$3.21 – $6.31
Pregnancy blood test (hCG), quantitative CPT 84702	$2,143.92	$2,143.92	$325.88 – $1,929.53
Prothrombin time (PT/INR), clotting test CPT 85610	$365.31	$365.31	$55.53 – $328.78
PSA (prostate specific antigen), free CPT 84154	$1,448.11	$1,448.11	$18.39 – $87.35
PSA (prostate specific antigen), total CPT 84153	$1,448.11	$1,448.11	$18.39 – $87.35
Rapid strep test CPT 87880	$907.50	$907.50	$8.81 – $17.36
Sed rate (ESR) test CPT 85652	not posted		$2.70 – $12.83
TB skin test CPT 86580	$532.64	$532.64	$5.42 – $47.75
Thyroid stimulating hormone (TSH) CPT 84443	$1,746.70	$1,746.70	$8.95 – $17.64
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$3,945.71	$3,945.71	$18.79 – $86.89
Troponin test (heart damage) CPT 84484	$1,713.38	$1,713.38	$6.65 – $13.09
Urinalysis, automated, with microscope CPT 81001	$1,127.81	$1,127.81	$3.17 – $15.06
Urinalysis, automated, without microscope CPT 81003	$962.57	$962.57	$146.31 – $866.31
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $19.09
Urinalysis, manual, without microscope CPT 81002	$355.15	$355.15	$53.98 – $319.63
Urine culture, colony count CPT 87086	$1,194.52	$1,194.52	$4.30 – $8.47
Urine pregnancy test CPT 81025	$719.00	$719.00	$8.61 – $40.90
Vitamin B12 test CPT 82607	$1,210.07	$1,210.07	$8.04 – $15.83
Vitamin D test CPT 82306	$1,713.38	$1,713.38	$29.60 – $140.60

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$5,406.07	$5,406.07	$821.72 – $4,865.46
ECG tracing only (no interpretation) CPT 93005	$1,269.50	$1,269.50	$192.96 – $1,142.55
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$7,410.36	$7,410.36	$1,126.37 – $6,669.32
Left heart catheterization CPT 93452	not posted		$5,331.00 – $29,717.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$5,331.00 – $29,717.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$4,581.63	$4,581.63	$696.41 – $4,123.47

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$11,008.37 – $11,471.88
Appendix removal, laparoscopic CPT 44970	not posted	$8,878.60 – $9,252.44
Breast biopsy with ultrasound guidance CPT 19083	not posted	$1,545.00 – $8,538.00
Carpal tunnel release CPT 64721	not posted	$3,586.00 – $8,538.00
Colonoscopy with biopsy CPT 45380	not posted	$1,061.00 – $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	$909.00 – $5,061.00
Ear tubes, under general anesthesia CPT 69436	not posted	$1,545.00 – $8,538.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$909.00 – $5,061.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$4,181.00 – $13,938.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$6,409.00 – $30,858.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,666.00 – $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	$3,666.00 – $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	$4,186.00 – $6,405.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$4,186.00 – $6,405.00
Prostate biopsy CPT 55700	not posted	$3,586.00 – $8,538.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$7,881.00 – $12,057.00
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	$1,796.00 – $6,405.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$1,406.36 – $1,465.58
Septoplasty (nasal septum repair) CPT 30520	not posted	$2,363.00 – $9,190.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,545.00 – $8,007.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$6,409.00 – $32,782.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$1,545.00 – $10,277.00
Total hip replacement CPT 27130	not posted	$18,520.00 – $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	$1,061.00 – $6,405.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$909.00 – $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		$4,386.00 – $10,063.00
Fetal non-stress test CPT 59025	$2,526.95	$2,526.95	$384.10 – $2,274.25
IUD insertion CPT 58300	not posted		$484.00 – $5,061.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$4,386.00 – $10,063.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$4,386.00 – $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	$1,149.90 – $1,149.90
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 – $2,941.00
COPD flare-up, with major complications MS-DRG 190	not posted	$1,680.00 – $6,174.00
COPD flare-up, without complications MS-DRG 192	not posted	$1,680.00 – $6,174.00
Fainting (syncope) MS-DRG 312	not posted	$1,680.00 – $2,941.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$1,680.00 – $2,941.00
Heart failure, with major complications MS-DRG 291	not posted	$1,680.00 – $6,174.00
Heart failure, without complications MS-DRG 293	not posted	$1,680.00 – $6,174.00
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	$1,680.00 – $7,514.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$1,680.00 – $6,174.00
Kidney failure, with complications MS-DRG 683	not posted	$1,680.00 – $2,941.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,680.00 – $6,174.00
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 – $6,174.00
Pneumonia, with complications MS-DRG 194	not posted	$1,680.00 – $6,174.00
Pneumonia, with major complications MS-DRG 193	not posted	$1,680.00 – $6,174.00
Pneumonia, without complications MS-DRG 195	not posted	$1,680.00 – $6,174.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,680.00 – $1,680.00
Sepsis, with major complications MS-DRG 871	not posted	$1,680.00 – $6,174.00
Sepsis, without major complications MS-DRG 872	not posted	$1,680.00 – $2,941.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$1,680.00 – $2,941.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$43,765.84 – $78,000.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$1,680.00 – $6,174.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,680.00 – $2,941.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$1,680.00 – $11,539.00
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	$20,081.00 – $30,445.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$3,286.00 – $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	$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	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	$1,061.00 – $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	$3,771.39	$3,771.39	$1,353.00 – $5,579.00
Sleep study with CPAP titration CPT 95811	$22,501.90	$22,501.90	$1,608.83 – $1,676.57
Sleep study, overnight in a sleep lab CPT 95810	$19,161.12	$19,161.12	$1,353.00 – $5,579.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$858.38	$858.38	$130.47 – $772.54

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$382.49	$382.49	$58.14 – $344.24
Physical therapy evaluation, low complexity CPT 97161	$678.69	$678.69	$103.16 – $610.82
Physical therapy evaluation, moderate complexity CPT 97162	$678.69	$678.69	$103.16 – $610.82
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$304.35	$304.35	$46.26 – $273.92
Therapeutic activities, 15 minutes CPT 97530	$240.94	$240.94	$36.62 – $216.85

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$996.77	$996.77	$151.51 – $897.09
Family psychotherapy, without the patient, 50 minutes CPT 90846	$996.77	$996.77	$151.51 – $897.09
Group psychotherapy CPT 90853	$471.60	$471.60	$71.68 – $424.44
Psychiatric diagnostic evaluation CPT 90791	$856.42	$856.42	$130.18 – $770.78
Psychotherapy, 30 minutes CPT 90832	$644.21	$644.21	$97.92 – $579.79
Psychotherapy, 45 minutes CPT 90834	$856.42	$856.42	$130.18 – $770.78
Psychotherapy, 60 minutes CPT 90837	$856.42	$856.42	$130.18 – $770.78

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$441.18	$441.18	$67.06 – $397.06
IV hydration, each additional hour CPT 96361	$441.18	$441.18	$67.06 – $397.06
IV hydration, first hour CPT 96360	$1,305.81	$1,305.81	$198.48 – $1,175.23
IV push injection of a drug, first CPT 96374	$640.40	$640.40	$97.34 – $576.36
IV push injection, each additional drug CPT 96375	$640.40	$640.40	$97.34 – $576.36

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$2,179.99	$2,179.99	$331.36 – $1,961.99
Dexamethasone injection, per 1 mg HCPCS J1100	$282.96	$282.96	$43.01 – $254.66
Fentanyl injection, per 0.1 mg HCPCS J3010	$10.05	$10.05	? – $1.21
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$5.74 – $5.74
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$440.79	$440.79	$67.00 – $396.71
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$740.08	$740.08	$112.49 – $666.07
Morphine injection, up to 10 mg HCPCS J2270	$258.03	$258.03	$39.22 – $232.23
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$951.79	$951.79
Propofol injection, per 10 mg HCPCS J2704	$1,881.52	$1,881.52	$285.99 – $1,693.37
Saline IV solution, 1000 ml HCPCS J7030	not posted		$2.80 – $3.67

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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