Bethesda Hospital East
2815 S Seacrest Blvd, Boynton Beach, FL 33435 · Acute care hospital · Emergency room
These are Bethesda Hospital East's own posted figures from its standard-charges file dated March 30, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
198 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 | $4,053.40 | $6,236.00 | $862.60 – $6,236.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $510.25 | $785.00 | $88.06 – $785.00 |
| Emergency room visit, level 2 CPT 99282 | $698.75 | $1,075.00 | $160.34 – $1,075.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,179.10 | $1,814.00 | $285.06 – $1,814.00 |
| Emergency room visit, level 4 CPT 99284 | $1,588.60 | $2,444.00 | $435.74 – $2,444.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,892.80 | $2,912.00 | $621.90 – $2,912.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $575.90 | $886.00 | $120.46 – $886.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $529.10 | $814.00 | $186.41 – $814.00 |
| New patient office visit, about 30 minutes CPT 99203 | $547.30 | $842.00 | $192.82 – $842.00 |
| New patient office visit, about 45 minutes CPT 99204 | $746.85 | $1,149.00 | $263.12 – $1,149.00 |
| New patient office visit, about 60 minutes CPT 99205 | $770.90 | $1,186.00 | $271.59 – $1,186.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $440.05 | $677.00 | $155.03 – $677.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $546.65 | $841.00 | $192.59 – $841.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $759.85 | $1,169.00 | $267.70 – $1,169.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $770.90 | $1,186.00 | $271.59 – $1,186.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $439.40 | $676.00 | $154.80 – $676.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Abdominal X-ray, 1 view CPT 74018 | $575.90 | $886.00 | $35.25 – $886.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $599.30 | $922.00 | $35.25 – $922.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $546.00 | $840.00 | $47.84 – $840.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $716.30 | $1,102.00 | $69.11 – $1,102.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $573.30 | $882.00 | $69.11 – $882.00 |
| Chest X-ray, 1 view CPT 71045 | $418.60 | $644.00 | $35.25 – $644.00 |
| Chest X-ray, 2 views CPT 71046 | $497.25 | $765.00 | $35.25 – $765.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $4,726.15 | $7,271.00 | $183.17 – $7,271.00 |
| CT angiogram of the head CPT 70496 | $2,639.65 | $4,061.00 | $183.17 – $4,061.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $5,964.40 | $9,176.00 | $203.32 – $9,176.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $6,971.90 | $10,726.00 | $203.32 – $10,726.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $5,537.35 | $8,519.00 | $203.32 – $8,519.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $3,194.75 | $4,915.00 | $67.49 – $4,915.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,599.05 | $5,537.00 | $183.17 – $5,537.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,913.95 | $4,483.00 | $67.49 – $4,483.00 |
| CT scan of the head, without contrast CPT 70450 | $3,054.35 | $4,699.00 | $109.17 – $4,699.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,395.60 | $5,224.00 | $67.49 – $5,224.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $3,380.65 | $5,201.00 | $183.17 – $5,201.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,984.15 | $4,591.00 | $67.49 – $4,591.00 |
| Foot X-ray, 3 or more views CPT 73630 | $600.60 | $924.00 | $35.25 – $924.00 |
| Hand X-ray, 3 or more views CPT 73130 | $580.45 | $893.00 | $35.25 – $893.00 |
| Knee X-ray, 3 views CPT 73562 | $562.90 | $866.00 | $35.25 – $866.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,136.20 | $1,748.00 | $104.70 – $1,748.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $856.05 | $1,317.00 | $69.11 – $1,317.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $691.60 | $1,064.00 | $35.25 – $1,064.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $5,364.45 | $8,253.00 | $255.55 – $8,253.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,013.75 | $6,175.00 | $255.55 – $6,175.00 |
| MRI of the brain, without and with contrast CPT 70553 | $4,919.85 | $7,569.00 | $255.55 – $7,569.00 |
| MRI of the brain, without contrast CPT 70551 | $3,469.05 | $5,337.00 | $151.97 – $5,337.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,591.90 | $5,526.00 | $151.97 – $5,526.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,775.20 | $5,808.00 | $151.97 – $5,808.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,775.20 | $5,808.00 | $151.97 – $5,808.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $3,811.60 | $5,864.00 | $151.97 – $5,864.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,604.25 | $5,545.00 | $255.55 – $5,545.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,305.25 | $5,085.00 | $151.97 – $5,085.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $663.00 | $1,020.00 | $35.25 – $1,020.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,264.25 | $1,945.00 | $104.70 – $1,945.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $818.35 | $1,259.00 | $63.37 – $1,259.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $748.15 | $1,151.00 | $63.37 – $1,151.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $644.80 | $992.00 | $35.25 – $992.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,086.80 | $1,672.00 | $63.37 – $1,672.00 |
| Transvaginal ultrasound CPT 76830 | $880.10 | $1,354.00 | $69.11 – $1,354.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,479.40 | $2,276.00 | $104.70 – $2,276.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $718.25 | $1,105.00 | $69.11 – $1,105.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $640.25 | $985.00 | $35.25 – $985.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,119.95 | $1,723.00 | $35.25 – $1,723.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $438.75 | $675.00 | $4.74 – $675.00 |
| Blood culture CPT 87040 | $698.10 | $1,074.00 | $5.16 – $1,074.00 |
| Blood draw (venipuncture) CPT 36415 | $7.15 | $11.00 | $1.62 – $12.61 |
| BNP test (heart failure) CPT 83880 | $317.20 | $488.00 | $14.68 – $488.00 |
| C-reactive protein (CRP) test CPT 86140 | $38.35 | $59.00 | $5.18 – $59.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $53.30 | $82.00 | $16.48 – $82.00 |
| Complete blood count (CBC) with differential CPT 85025 | $252.85 | $389.00 | $3.12 – $389.00 |
| Complete blood count (CBC), automated CPT 85027 | $160.55 | $247.00 | $3.12 – $247.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $765.70 | $1,178.00 | $4.74 – $1,178.00 |
| COVID-19 PCR test CPT 87635 | $128.70 | $198.00 | $30.43 – $198.00 |
| D-dimer test (blood clots) CPT 85379 | $414.70 | $638.00 | $2.31 – $638.00 |
| Drug screen, instrument chemistry CPT 80307 | $369.20 | $568.00 | $36.33 – $568.00 |
| Ferritin (iron stores) test CPT 82728 | $339.95 | $523.00 | $6.32 – $523.00 |
| Free T4 (thyroid) test CPT 84439 | $142.35 | $219.00 | $6.93 – $219.00 |
| Glucose (blood sugar) test CPT 82947 | $54.60 | $84.00 | $2.85 – $84.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $53.30 | $82.00 | $16.48 – $82.00 |
| Hemoglobin A1c test CPT 83036 | $309.40 | $476.00 | $2.85 – $476.00 |
| Hepatitis C antibody test CPT 86803 | $332.15 | $511.00 | $5.89 – $511.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $245.05 | $377.00 | $5.16 – $377.00 |
| Iron test CPT 83540 | $429.00 | $660.00 | $2.85 – $660.00 |
| Kidney function panel CPT 80069 | $546.65 | $841.00 | $4.74 – $841.00 |
| Lipase test (pancreas) CPT 83690 | $91.65 | $141.00 | $2.85 – $141.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $163.80 | $252.00 | $4.74 – $252.00 |
| Liver function panel CPT 80076 | $383.50 | $590.00 | $4.74 – $590.00 |
| Magnesium test CPT 83735 | $176.80 | $272.00 | $2.85 – $272.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $16.25 | $25.00 | $2.31 – $25.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $191.75 | $295.00 | $6.93 – $295.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $130.65 | $201.00 | $2.31 – $201.00 |
| PSA (prostate specific antigen), free CPT 84154 | $332.15 | $511.00 | $6.32 – $511.00 |
| PSA (prostate specific antigen), total CPT 84153 | $210.60 | $324.00 | $6.32 – $324.00 |
| Sed rate (ESR) test CPT 85652 | $116.35 | $179.00 | $2.70 – $179.00 |
| TB skin test CPT 86580 | $48.10 | $74.00 | $5.89 – $74.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $165.75 | $255.00 | $6.93 – $255.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $560.30 | $862.00 | $20.65 – $862.00 |
| Troponin test (heart damage) CPT 84484 | $347.75 | $535.00 | $6.32 – $535.00 |
| Urinalysis, automated, with microscope CPT 81001 | $163.15 | $251.00 | $1.54 – $251.00 |
| Urinalysis, automated, without microscope CPT 81003 | $57.20 | $88.00 | $1.54 – $88.00 |
| Urine pregnancy test CPT 81025 | $125.45 | $193.00 | $1.54 – $193.00 |
| Vitamin B12 test CPT 82607 | $163.15 | $251.00 | $6.93 – $251.00 |
| Vitamin D test CPT 82306 | $88.40 | $136.00 | $14.68 – $136.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,163.85 | $3,329.00 | $104.70 – $3,329.00 |
| ECG tracing only (no interpretation) CPT 93005 | $408.85 | $629.00 | $16.49 – $629.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $4,108.65 | $6,321.00 | $297.58 – $6,321.00 |
| Left heart catheterization CPT 93452 | $13,518.05 | $20,797.00 | $1,324.00 – $20,797.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $24,402.95 | $37,543.00 | $1,569.12 – $37,543.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $6,571.50 | $10,110.00 | $576.75 – $10,110.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $2,608.00 – $36,378.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $2,567.80 – $24,284.46 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $7,027.80 | $10,812.00 | $841.09 – $10,812.00 |
| Carpal tunnel release CPT 64721 | not posted | $863.12 – $13,356.17 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $632.96 – $3,794.95 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $632.96 – $3,852.34 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $632.96 – $3,608.20 | |
| Colposcopy with biopsy CPT 57454 | not posted | $318.22 – $3,367.25 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $728.17 – $15,557.67 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $901.76 – $9,639.35 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $632.96 – $3,131.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,305.27 – $25,396.08 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $3,710.59 – $38,806.97 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,503.28 – $18,491.51 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,321.22 – $28,991.13 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $2,321.22 – $23,268.67 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,856.38 – $18,261.49 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,376.39 – $21,263.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $117.45 – $24,286.00 | |
| Prostate biopsy CPT 55700 | $1,929.20 | $2,968.00 | $836.98 – $2,968.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $2,867.65 – $53,644.75 | |
| Removal of a breast lump, open surgery CPT 19120 | $5,543.85 | $8,529.00 | $841.09 – $8,529.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $3,338.00 – $19,820.93 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $632.96 – $3,560.78 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $632.96 – $3,601.50 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $1,680.10 – $9,666.70 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,267.00 – $16,249.99 | |
| Total hip replacement CPT 27130 | not posted | $3,651.00 – $38,181.42 | |
| Total knee replacement CPT 27447 | not posted | $3,651.00 – $38,274.39 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $636.96 – $3,826.17 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $636.96 – $3,540.27 | |
| Vasectomy CPT 55250 | not posted | $1,824.21 – $15,118.71 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $666.90 | $1,026.00 | $125.24 – $1,026.00 |
| IUD insertion CPT 58300 | not posted | $138.41 – $8,324.17 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $1,112.00 – $41,853.28 | |
| C-section, without complications MS-DRG 788 | not posted | $1,896.00 – $53,205.11 | |
| Chest pain MS-DRG 313 | not posted | $1,112.00 – $41,653.25 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $1,112.00 – $77,022.28 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $1,112.00 – $51,026.33 | |
| Fainting (syncope) MS-DRG 312 | not posted | $1,112.00 – $75,235.30 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $1,112.00 – $71,112.08 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $1,112.00 – $67,966.48 | |
| Heart failure, without complications MS-DRG 293 | not posted | $1,112.00 – $45,656.00 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $1,112.00 – $123,964.89 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $1,112.00 – $38,225.35 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $1,112.00 – $47,729.87 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $1,112.00 – $49,085.13 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $1,112.00 – $124,102.00 | |
| Normal newborn care MS-DRG 795 | not posted | $1,043.00 – $5,256.04 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $1,112.00 – $46,849.43 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $1,112.00 – $65,269.60 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $1,112.00 – $89,073.31 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $1,112.00 – $69,753.00 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $1,112.00 – $52,370.75 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $1,112.00 – $106,932.14 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $1,112.00 – $56,598.39 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $1,112.00 – $53,938.40 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $1,112.00 – $50,581.80 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $1,112.00 – $97,401.70 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $1,112.00 – $88,841.87 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $1,794.00 – $35,612.57 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $1,112.00 – $106,160.50 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $2,145.65 | $3,301.00 | $157.17 – $3,301.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $4,373.85 | $6,729.00 | $483.72 – $6,729.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,463.85 | $5,329.00 | $483.72 – $5,329.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,198.30 | $3,382.00 | $483.72 – $3,382.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $410.15 | $631.00 | $50.58 – $631.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $544.70 | $838.00 | $97.15 – $838.00 |
| Sleep study with CPAP titration CPT 95811 | $4,386.85 | $6,749.00 | $486.26 – $6,749.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,228.25 | $6,505.00 | $486.26 – $6,505.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $170.95 | $263.00 | $36.79 – $304.40 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $188.50 | $290.00 | $22.42 – $290.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $261.30 | $402.00 | $98.73 – $402.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $391.30 | $602.00 | $98.73 – $602.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $161.20 | $248.00 | $22.42 – $248.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $161.20 | $248.00 | $22.42 – $248.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $225.55 | $347.00 | $32.74 – $347.00 |
| IV hydration, each additional hour CPT 96361 | $174.85 | $269.00 | $48.90 – $357.60 |
| IV hydration, first hour CPT 96360 | $318.50 | $490.00 | $98.49 – $490.00 |
| IV push injection of a drug, first CPT 96374 | $318.50 | $490.00 | $32.74 – $490.00 |
| IV push injection, each additional drug CPT 96375 | $155.35 | $239.00 | $32.74 – $239.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $237.90 | $366.00 | $2.17 – $366.00 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $5.85 | $9.00 | ? – $9.00 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $132.60 | $204.00 | $1.89 – $204.00 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $31.85 | $49.00 | ? – $49.00 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $198.25 | $305.00 | ? – $305.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $87.10 | $134.00 | $5.27 – $134.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $3.25 | $5.00 | ? – $5.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $165.75 | $255.00 | ? – $255.00 |
| Saline IV solution, 1000 ml HCPCS J7030 | $215.80 | $332.00 | $8.84 – $332.00 |
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.