Piedmont Cartersville Medical Center
960 Joe Frank Harris Parkway, Cartersville, GA 30120 · Acute care hospital · Emergency room
These are Piedmont Cartersville Medical Center's own posted figures from its standard-charges file dated July 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
190 of the services we track have a posted price here. 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 | $1,827.90 | $6,093.00 | $694.48 – $5,483.70 |
| Emergency room visit, level 1 (minor) CPT 99281 | $299.97 | $999.90 | $279.70 – $999.90 |
| Emergency room visit, level 2 CPT 99282 | $464.97 | $1,549.90 | $279.70 – $1,549.90 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $629.97 | $2,099.90 | $279.70 – $2,099.90 |
| Emergency room visit, level 4 CPT 99284 | $828.63 | $2,762.10 | $279.70 – $2,736.80 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,160.61 | $3,868.70 | $279.70 – $3,481.83 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $287.70 | $959.00 | $112.97 – $959.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $136.50 | $455.00 | ? – $455.00 |
| New patient office visit, about 30 minutes CPT 99203 | $156.90 | $523.00 | |
| New patient office visit, about 45 minutes CPT 99204 | $199.50 | $665.00 | ? – $665.00 |
| New patient office visit, about 60 minutes CPT 99205 | $967.50 | $3,225.00 | $3.23 – $2,902.50 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $125.70 | $419.00 | ? – $419.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $154.83 | $516.10 | ? – $516.10 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $172.80 | $576.00 | ? – $576.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $941.40 | $3,138.00 | $3.14 – $2,824.20 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $100.50 | $335.00 | ? – $335.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $37.62 | $125.40 | $14.77 – $125.40 |
| Abdominal X-ray, 1 view CPT 74018 | $241.38 | $804.60 | $34.01 – $724.14 |
| Ankle X-ray, 3 or more views CPT 73610 | $318.60 | $1,062.00 | $44.44 – $955.80 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $385.44 | $1,284.80 | $46.53 – $1,156.32 |
| Breast ultrasound, one breast, complete CPT 76641 | $580.39 | $1,934.63 | $107.09 – $1,741.17 |
| Breast ultrasound, one breast, limited CPT 76642 | $415.41 | $1,384.69 | $83.07 – $1,246.22 |
| Chest X-ray, 1 view CPT 71045 | $123.84 | $412.80 | $27.21 – $371.52 |
| Chest X-ray, 2 views CPT 71046 | $154.80 | $516.00 | $36.60 – $464.40 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $2,870.64 | $9,568.80 | $405.00 – $8,611.92 |
| CT angiogram of the head CPT 70496 | $2,835.00 | $9,450.00 | $405.00 – $8,505.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,442.96 | $8,143.20 | |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,930.04 | $9,766.80 | $405.00 – $8,790.12 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $2,076.84 | $6,922.80 | |
| CT scan of the abdomen, without contrast CPT 74150 | $1,907.55 | $6,358.50 | $261.88 – $5,722.65 |
| CT scan of the chest, with contrast CPT 71260 | $2,065.77 | $6,885.90 | $405.00 – $6,197.31 |
| CT scan of the chest, without contrast CPT 71250 | $1,845.45 | $6,151.50 | $261.88 – $5,536.35 |
| CT scan of the head, without contrast CPT 70450 | $1,680.48 | $5,601.60 | $261.88 – $5,041.44 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,620.54 | $5,401.80 | $261.88 – $4,861.62 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,202.12 | $7,340.40 | $405.00 – $6,606.36 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,219.94 | $7,399.80 | |
| Diagnostic mammogram, both breasts CPT 77066 | $318.46 | $1,061.55 | $125.05 – $955.40 |
| Diagnostic mammogram, one breast CPT 77065 | $267.84 | $892.80 | $105.17 – $803.52 |
| Foot X-ray, 3 or more views CPT 73630 | $306.72 | $1,022.40 | $41.31 – $920.16 |
| Hand X-ray, 3 or more views CPT 73130 | $302.94 | $1,009.80 | $45.49 – $908.82 |
| Knee X-ray, 3 views CPT 73562 | $311.31 | $1,037.70 | $50.18 – $933.93 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $690.92 | $2,303.08 | $271.30 – $2,072.77 |
| Leg or arm vein ultrasound, one side CPT 93971 | $553.01 | $1,843.38 | $184.95 – $1,659.04 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $400.41 | $1,334.70 | $46.01 – $1,201.23 |
| MRI of both breasts, without and with contrast CPT 77049 | $2,154.57 | $7,181.90 | $683.00 – $6,463.71 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,776.68 | $9,255.60 | |
| MRI of the brain, without and with contrast CPT 70553 | $2,567.16 | $8,557.20 | $683.00 – $7,701.48 |
| MRI of the brain, without contrast CPT 70551 | $1,911.87 | $6,372.90 | $583.68 – $5,735.61 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,928.07 | $6,426.90 | |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,918.89 | $6,396.30 | $583.68 – $5,756.67 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,885.68 | $6,285.60 | $583.68 – $5,657.04 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,747.71 | $5,825.70 | $583.68 – $5,243.13 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,856.87 | $9,522.90 | $683.00 – $8,570.61 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,061.18 | $6,870.60 | $583.68 – $6,183.54 |
| Neck X-ray, 2 or 3 views CPT 72040 | $376.92 | $1,256.40 | $45.49 – $1,130.76 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $655.02 | $2,183.40 | $114.92 – $1,965.06 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $663.12 | $2,210.40 | $139.53 – $1,989.36 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $588.33 | $1,961.10 | $111.26 – $1,764.99 |
| Screening mammogram, both breasts CPT 77067 | $280.98 | $936.60 | $110.33 – $842.94 |
| Shoulder X-ray, 2 or more views CPT 73030 | $288.63 | $962.10 | $40.79 – $865.89 |
| Transvaginal pregnancy ultrasound CPT 76817 | $540.54 | $1,801.80 | $89.87 – $1,621.62 |
| Transvaginal ultrasound CPT 76830 | $587.52 | $1,958.40 | $136.39 – $1,762.56 |
| Ultrasound of the abdomen, complete CPT 76700 | $714.69 | $2,382.30 | $123.34 – $2,144.07 |
| Ultrasound of the neck or thyroid CPT 76536 | $649.08 | $2,163.60 | $131.63 – $1,947.24 |
| Wrist X-ray, 3 or more views CPT 73110 | $303.21 | $1,010.70 | $51.75 – $909.63 |
| X-ray of the lower back, 4 or more views CPT 72110 | $596.70 | $1,989.00 | $62.20 – $1,790.10 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $131.38 | $437.95 | ? – $394.16 |
| Blood culture CPT 87040 | $150.76 | $502.55 | ? – $452.30 |
| Blood draw (venipuncture) CPT 36415 | $13.39 | $44.65 | ? – $40.19 |
| BNP test (heart failure) CPT 83880 | $121.05 | $403.50 | ? – $363.15 |
| C-reactive protein (CRP) test CPT 86140 | $87.78 | $292.60 | ? – $263.34 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $87.77 | $292.56 | ? – $263.30 |
| Complete blood count (CBC) with differential CPT 85025 | $61.81 | $206.03 | $5.06 – $185.43 |
| Complete blood count (CBC), automated CPT 85027 | $56.43 | $188.10 | $4.21 – $169.29 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $146.77 | $489.25 | ? – $440.33 |
| COVID-19 PCR test CPT 87635 | $75.70 | $252.33 | ? – $227.10 |
| D-dimer test (blood clots) CPT 85379 | $96.61 | $322.05 | ? – $289.85 |
| Drug screen, instrument chemistry CPT 80307 | $142.45 | $474.83 | ? – $427.35 |
| Ferritin (iron stores) test CPT 82728 | $67.35 | $224.50 | ? – $202.05 |
| Free T4 (thyroid) test CPT 84439 | $60.06 | $200.20 | ? – $180.18 |
| General health panel (blood tests) CPT 80050 | $249.30 | $831.00 | ? – $747.90 |
| Glucose (blood sugar) test CPT 82947 | $39.04 | $130.15 | $2.56 – $117.14 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $82.29 | $274.30 | ? – $246.87 |
| Hemoglobin A1c test CPT 83036 | $53.85 | $179.50 | ? – $161.55 |
| Hepatitis C antibody test CPT 86803 | $120.55 | $401.85 | ? – $361.67 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $118.84 | $396.15 | ? – $356.54 |
| Iron test CPT 83540 | $50.70 | $169.00 | ? – $152.10 |
| Kidney function panel CPT 80069 | $86.92 | $289.75 | ? – $260.78 |
| Lipase test (pancreas) CPT 83690 | $76.83 | $256.11 | ? – $230.50 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $98.32 | $327.75 | ? – $294.98 |
| Liver function panel CPT 80076 | $106.30 | $354.35 | ? – $318.92 |
| Magnesium test CPT 83735 | $45.00 | $150.00 | ? – $135.00 |
| Obstetric blood test panel CPT 80055 | $124.20 | $414.00 | ? – $372.60 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $57.60 | $192.00 | $3.91 – $172.80 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $106.19 | $353.98 | ? – $318.58 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $39.06 | $130.20 | $2.79 – $117.18 |
| PSA (prostate specific antigen), free CPT 84154 | $61.56 | $205.20 | ? – $184.68 |
| PSA (prostate specific antigen), total CPT 84153 | $100.89 | $336.30 | ? – $302.67 |
| Rapid strep test CPT 87880 | $75.90 | $253.00 | $10.77 – $227.70 |
| Sed rate (ESR) test CPT 85652 | $33.06 | $110.20 | $1.76 – $99.18 |
| TB skin test CPT 86580 | $49.20 | $164.00 | $6.61 – $147.60 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $73.03 | $243.43 | ? – $219.09 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $2,436.18 | $8,120.60 | ? – $7,308.54 |
| Troponin test (heart damage) CPT 84484 | $125.67 | $418.89 | ? – $377.00 |
| Urinalysis, automated, with microscope CPT 81001 | $63.27 | $210.90 | $2.06 – $189.81 |
| Urinalysis, automated, without microscope CPT 81003 | $36.19 | $120.65 | ? – $108.59 |
| Urinalysis, manual, with microscope CPT 81000 | $38.70 | $129.00 | $2.62 – $116.10 |
| Urinalysis, manual, without microscope CPT 81002 | $38.70 | $129.00 | ? – $116.10 |
| Urine culture, colony count CPT 87086 | $85.78 | $285.95 | ? – $257.36 |
| Urine pregnancy test CPT 81025 | $115.14 | $383.80 | $5.61 – $345.42 |
| Vitamin B12 test CPT 82607 | $81.12 | $270.40 | ? – $243.36 |
| Vitamin D test CPT 82306 | $78.75 | $262.50 | ? – $236.25 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $884.07 | $2,946.90 | $288.40 – $2,652.21 |
| ECG tracing only (no interpretation) CPT 93005 | $190.08 | $633.60 | $74.64 – $570.24 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,552.98 | $5,176.60 | $609.80 – $4,658.94 |
| Left heart catheterization CPT 93452 | $5,253.60 | $17,512.00 | $2,062.91 – $15,760.80 |
| Left heart catheterization with coronary angiogram CPT 93458 | $7,356.19 | $24,520.65 | $2,888.53 – $22,068.59 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,457.43 | $14,858.10 | $562.27 – $13,372.29 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $2,189.40 | $7,298.00 | $859.70 – $7,298.00 |
| Colonoscopy with biopsy CPT 45380 | $1,391.58 | $4,638.60 | $546.43 – $4,638.60 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,529.20 | $5,097.33 | $600.47 – $4,819.75 |
| Colposcopy with biopsy CPT 57454 | $567.90 | $1,893.00 | $223.00 – $1,893.00 |
| Cystoscopy (bladder scope) CPT 52000 | $1,667.70 | $5,559.00 | $654.85 – $5,559.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,203.93 | $4,013.10 | $472.74 – $4,013.10 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $12,206.97 | $40,689.90 | $4,195.50 – $36,620.91 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,411.50 | $4,705.00 | $554.25 – $4,705.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,525.29 | $5,084.30 | $598.93 – $4,575.87 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,525.29 | $5,084.30 | $598.93 – $4,617.00 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,389.27 | $4,630.91 | $545.52 – $4,630.91 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,542.28 | $5,140.94 | $605.60 – $4,937.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $585.00 | $1,950.00 | |
| IUD insertion CPT 58300 | $358.50 | $1,195.00 | $140.77 – $1,195.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,504.65 | $31,682.16 | $8,563.53 – $20,971.80 |
| C-section, without complications MS-DRG 788 | $12,692.26 | $42,307.54 | $9,121.35 – $9,396.72 |
| Chest pain MS-DRG 313 | $14,680.60 | $48,935.32 | $7,388.67 – $20,061.59 |
| COPD flare-up, with major complications MS-DRG 190 | $13,812.12 | $46,040.39 | $10,214.20 – $30,864.20 |
| COPD flare-up, without complications MS-DRG 192 | $8,727.31 | $29,091.05 | $6,796.16 – $17,888.25 |
| Fainting (syncope) MS-DRG 312 | $14,690.79 | $48,969.29 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $14,768.44 | $49,228.12 | $9,282.08 – $27,325.56 |
| Heart failure, with major complications MS-DRG 291 | $13,792.41 | $45,974.69 | $11,506.71 – $35,770.93 |
| Heart failure, without complications MS-DRG 293 | $7,747.13 | $25,823.78 | $6,238.35 – $15,770.64 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $149,162.41 | $497,208.04 | $73,885.80 – $272,581.29 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $49,941.42 | $166,471.41 | $16,241.48 – $53,745.56 |
| Irregular heartbeat, without complications MS-DRG 310 | $8,619.31 | $28,731.04 | |
| Kidney failure, with complications MS-DRG 683 | $8,526.48 | $28,421.60 | $8,512.16 – $24,402.70 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $10,814.44 | $36,048.14 | $8,025.54 – $22,555.36 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $46,152.22 | $153,840.72 | $20,002.27 – $68,022.72 |
| Normal newborn care MS-DRG 795 | $1,492.04 | $4,973.48 | $3,550.60 – $3,657.48 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $9,965.56 | $33,218.53 | |
| Pneumonia, with complications MS-DRG 194 | $12,096.88 | $40,322.95 | $7,999.12 – $22,455.05 |
| Pneumonia, with major complications MS-DRG 193 | $14,545.80 | $48,485.99 | $11,731.30 – $36,623.55 |
| Pneumonia, without complications MS-DRG 195 | $10,686.50 | $35,621.67 | $6,697.08 – $17,512.10 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $11,733.67 | $39,112.24 | $2,206.71 – $33,182.38 |
| Sepsis, with major complications MS-DRG 871 | $20,873.59 | $69,578.65 | $16,341.29 – $54,124.50 |
| Sepsis, without major complications MS-DRG 872 | $12,638.01 | $42,126.70 | $9,594.74 – $28,512.54 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $9,561.13 | $31,870.44 | $8,476.19 – $8,732.04 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $10,246.33 | $34,154.45 | $7,806.10 – $21,722.24 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $18,286.48 | $60,954.95 | $9,499.33 – $28,150.31 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $21,091.06 | $70,303.55 | $11,190.38 – $34,570.02 |
| Vaginal delivery, without complications MS-DRG 807 | $9,402.19 | $31,340.62 | |
| Weight loss surgery, without complications MS-DRG 621 | $28,819.31 | $96,064.37 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,145.70 | $3,819.00 | $449.88 – $3,819.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,754.40 | $5,848.00 | $688.89 – $5,263.20 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,343.25 | $4,477.50 | $527.45 – $4,029.75 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,660.80 | $5,536.00 | $652.14 – $4,982.40 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Eye exam, new patient, comprehensive CPT 92004 | $268.50 | $895.00 | $105.43 – $895.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $424.20 | $1,414.00 | $1,414.00 – $1,414.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $545.10 | $1,817.00 | $214.04 – $1,817.00 |
| Sleep study with CPAP titration CPT 95811 | $3,075.00 | $10,250.00 | $1,192.00 – $9,225.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,664.30 | $8,881.00 | $1,046.18 – $7,992.90 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $245.43 | $818.10 | $96.37 – $736.29 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $107.70 | $359.00 | $42.29 – $359.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $175.03 | $583.45 | $68.73 – $525.11 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $176.83 | $589.43 | $69.43 – $530.49 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $75.81 | $252.70 | $29.77 – $252.70 |
| Therapeutic activities, 15 minutes CPT 97530 | $71.53 | $238.45 | $28.09 – $238.45 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $129.06 | $430.20 | $50.68 – $430.20 |
| IV hydration, each additional hour CPT 96361 | $114.46 | $381.55 | $44.95 – $381.55 |
| IV hydration, first hour CPT 96360 | $237.90 | $793.00 | $93.42 – $713.70 |
| IV push injection of a drug, first CPT 96374 | $175.95 | $586.50 | $69.09 – $571.00 |
| IV push injection, each additional drug CPT 96375 | $157.22 | $524.06 | $61.73 – $524.06 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $86.71 | $289.02 | $2.00 – $260.12 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $20.38 | $67.95 | $1.05 – $61.16 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $134.51 | $448.37 | $32.05 – $403.53 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $22.29 | $74.29 | $1.40 – $66.86 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $167.92 | $559.73 | $8.22 – $503.76 |
| Morphine injection, up to 10 mg HCPCS J2270 | $244.16 | $813.86 | $122.00 – $813.86 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $5.68 | $18.92 | ? – $17.03 |
| Propofol injection, per 10 mg HCPCS J2704 | $47.19 | $157.30 | $10.49 – $141.57 |
| Saline IV solution, 1000 ml HCPCS J7030 | $30.19 | $100.65 | $2.34 – $90.59 |
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.