Presence Saint Joseph Hospital - Chicago
2900 North Lake Shore Drive, Chicago, IL 60657 · Acute care hospital · Emergency room
These are Presence Saint Joseph Hospital - Chicago's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
204 of the services we track have a posted price here; 160 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 | $1,964.49 | $5,953.00 | $518.10 – $766.16 |
| Emergency room visit, level 1 (minor) CPT 99281 | $156.09 | $473.00 | $44.55 – $65.88 |
| Emergency room visit, level 2 CPT 99282 | $304.59 | $923.00 | $85.80 – $126.88 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $455.73 | $1,381.00 | $136.95 – $202.52 |
| Emergency room visit, level 4 CPT 99284 | $857.34 | $2,598.00 | $252.45 – $373.32 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,327.59 | $4,023.00 | $376.20 – $556.32 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $116.82 | $354.00 | $166.38 – $166.38 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $61.38 | $186.00 | $23.58 – $109.74 |
| Abdominal X-ray, 1 view CPT 74018 | $181.50 | $550.00 | $24.26 – $324.50 |
| Ankle X-ray, 3 or more views CPT 73610 | $263.01 | $797.00 | $31.62 – $470.23 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $434.61 | $1,317.00 | $33.09 – $777.03 |
| Breast ultrasound, one breast, complete CPT 76641 | $354.09 | $1,073.00 | $75.75 – $633.07 |
| Breast ultrasound, one breast, limited CPT 76642 | $321.75 | $975.00 | $58.83 – $575.25 |
| Chest X-ray, 1 view CPT 71045 | $181.50 | $550.00 | $19.48 – $324.50 |
| Chest X-ray, 2 views CPT 71046 | $199.65 | $605.00 | $26.10 – $356.95 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $995.28 | $3,016.00 | $178.55 – $1,779.44 |
| CT angiogram of the head CPT 70496 | $693.99 | $2,103.00 | $178.55 – $1,460.25 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,107.05 | $6,385.00 | $250.43 – $3,767.15 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,318.58 | $7,026.00 | $283.16 – $4,145.34 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,288.32 | $3,904.00 | $118.04 – $2,303.36 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,213.74 | $3,678.00 | $93.40 – $2,170.02 |
| CT scan of the chest, with contrast CPT 71260 | $813.12 | $2,464.00 | $129.44 – $1,453.76 |
| CT scan of the chest, without contrast CPT 71250 | $602.25 | $1,825.00 | $94.88 – $1,076.75 |
| CT scan of the head, without contrast CPT 70450 | $1,345.08 | $4,076.00 | $76.49 – $2,404.84 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $591.69 | $1,793.00 | $95.98 – $1,057.87 |
| CT scan of the pelvis, with contrast CPT 72193 | $725.01 | $2,197.00 | $178.55 – $1,296.23 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $693.99 | $2,103.00 | $101.13 – $1,240.77 |
| Diagnostic mammogram, both breasts CPT 77066 | $289.41 | $877.00 | $110.02 – $568.52 |
| Diagnostic mammogram, one breast CPT 77065 | $213.51 | $647.00 | $85.79 – $458.72 |
| Foot X-ray, 3 or more views CPT 73630 | $291.06 | $882.00 | $29.41 – $520.38 |
| Hand X-ray, 3 or more views CPT 73130 | $270.60 | $820.00 | $32.35 – $483.80 |
| Knee X-ray, 3 views CPT 73562 | $264.00 | $800.00 | $35.66 – $472.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $697.29 | $2,113.00 | $171.72 – $1,246.67 |
| Leg or arm vein ultrasound, one side CPT 93971 | $634.92 | $1,924.00 | $109.21 – $1,135.16 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $142.23 | $431.00 | $32.72 – $272.68 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,760.55 | $5,335.00 | $271.02 – $3,147.65 |
| MRI of the abdomen, without and with contrast CPT 74183 | $2,031.15 | $6,155.00 | $271.39 – $3,631.45 |
| MRI of the brain, without and with contrast CPT 70553 | $1,404.15 | $4,255.00 | $244.17 – $3,035.36 |
| MRI of the brain, without contrast CPT 70551 | $940.83 | $2,851.00 | $146.72 – $1,912.96 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,965.81 | $5,957.00 | $160.33 – $3,514.63 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,181.40 | $3,580.00 | $140.84 – $2,112.20 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $949.41 | $2,877.00 | $140.10 – $1,805.60 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,029.93 | $3,121.00 | $140.47 – $1,841.39 |
| MRI of the pelvis, without and with contrast CPT 72197 | $2,629.11 | $7,967.00 | $269.92 – $4,700.53 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,087.25 | $6,325.00 | $160.70 – $3,731.75 |
| Neck X-ray, 2 or 3 views CPT 72040 | $291.06 | $882.00 | $32.35 – $520.38 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $679.80 | $2,060.00 | $81.27 – $1,215.40 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $573.21 | $1,737.00 | $98.91 – $1,024.83 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $475.20 | $1,440.00 | $78.69 – $849.60 |
| Screening mammogram, both breasts CPT 77067 | $237.60 | $720.00 | $90.70 – $490.44 |
| Shoulder X-ray, 2 or more views CPT 73030 | $304.26 | $922.00 | $29.04 – $543.98 |
| Transvaginal pregnancy ultrasound CPT 76817 | $471.57 | $1,429.00 | $63.61 – $843.11 |
| Transvaginal ultrasound CPT 76830 | $471.57 | $1,429.00 | $96.70 – $843.11 |
| Ultrasound of the abdomen, complete CPT 76700 | $965.58 | $2,926.00 | $87.51 – $1,726.34 |
| Ultrasound of the neck or thyroid CPT 76536 | $571.56 | $1,732.00 | $93.04 – $1,021.88 |
| Wrist X-ray, 3 or more views CPT 73110 | $273.24 | $828.00 | $36.77 – $488.52 |
| X-ray of the lower back, 4 or more views CPT 72110 | $408.54 | $1,238.00 | $44.12 – $730.42 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $139.26 | $422.00 | $8.46 – $35.42 |
| Blood culture CPT 87040 | $143.88 | $436.00 | $10.32 – $43.59 |
| Blood draw (venipuncture) CPT 36415 | $23.43 | $71.00 | $3.00 – $33.37 |
| BNP test (heart failure) CPT 83880 | $67.98 | $206.00 | $39.26 – $163.45 |
| C-reactive protein (CRP) test CPT 86140 | $33.00 | $100.00 | $5.18 – $21.79 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $52.47 | $159.00 | $35.09 – $145.75 |
| Complete blood count (CBC) with differential CPT 85025 | $100.32 | $304.00 | $7.77 – $32.69 |
| Complete blood count (CBC), automated CPT 85027 | $17.49 | $53.00 | $6.47 – $27.24 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $196.68 | $596.00 | $10.56 – $43.59 |
| COVID-19 PCR test CPT 87635 | $67.65 | $205.00 | $51.31 – $78.50 |
| D-dimer test (blood clots) CPT 85379 | $97.02 | $294.00 | $10.18 – $42.23 |
| Drug screen, instrument chemistry CPT 80307 | $85.14 | $258.00 | $62.14 – $90.10 |
| Ferritin (iron stores) test CPT 82728 | $43.56 | $132.00 | $13.63 – $57.21 |
| Free T4 (thyroid) test CPT 84439 | $34.98 | $106.00 | $9.02 – $38.14 |
| General health panel (blood tests) CPT 80050 | $247.50 | $750.00 | $44.50 – $170.80 |
| Glucose (blood sugar) test CPT 82947 | $15.84 | $48.00 | $3.93 – $16.35 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $46.53 | $141.00 | $35.09 – $100.04 |
| Hemoglobin A1c test CPT 83036 | $38.94 | $118.00 | $9.71 – $40.86 |
| Hepatitis C antibody test CPT 86803 | $38.28 | $116.00 | $14.27 – $59.93 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $30.03 | $91.00 | $24.08 – $54.35 |
| Iron test CPT 83540 | $26.07 | $79.00 | $6.47 – $27.24 |
| Kidney function panel CPT 80069 | $47.52 | $144.00 | $8.68 – $36.78 |
| Lipase test (pancreas) CPT 83690 | $32.67 | $99.00 | $6.89 – $28.60 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $57.75 | $175.00 | $13.39 – $55.85 |
| Liver function panel CPT 80076 | $67.98 | $206.00 | $8.17 – $34.05 |
| Magnesium test CPT 83735 | $61.71 | $187.00 | $6.70 – $27.24 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $77.45 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $30.03 | $91.00 | $6.01 – $24.52 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $185.79 | $563.00 | $15.05 – $62.66 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $20.46 | $62.00 | $4.29 – $17.71 |
| PSA (prostate specific antigen), free CPT 84154 | $52.47 | $159.00 | $18.39 – $76.28 |
| PSA (prostate specific antigen), total CPT 84153 | $52.47 | $159.00 | $18.39 – $76.28 |
| Rapid strep test CPT 87880 | not posted | $16.53 – $26.78 | |
| Sed rate (ESR) test CPT 85652 | $18.48 | $56.00 | $2.70 – $10.90 |
| TB skin test CPT 86580 | $16.83 | $51.00 | $11.76 – $43.55 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $60.39 | $183.00 | $16.80 – $69.47 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $534.27 | $1,619.00 | $39.71 – $231.80 |
| Troponin test (heart damage) CPT 84484 | $135.96 | $412.00 | $12.47 – $51.76 |
| Urinalysis, automated, with microscope CPT 81001 | not posted | $3.17 – $5.14 | |
| Urinalysis, automated, without microscope CPT 81003 | $19.14 | $58.00 | $2.25 – $9.53 |
| Urinalysis, manual, with microscope CPT 81000 | $7.26 | $22.00 | $4.02 – $16.35 |
| Urinalysis, manual, without microscope CPT 81002 | $2.97 | $9.00 | $3.48 – $7.32 |
| Urine culture, colony count CPT 87086 | $29.37 | $89.00 | $8.07 – $34.05 |
| Urine pregnancy test CPT 81025 | $89.43 | $271.00 | $8.61 – $35.42 |
| Vitamin B12 test CPT 82607 | $52.14 | $158.00 | $15.08 – $62.66 |
| Vitamin D test CPT 82306 | $62.37 | $189.00 | $29.60 – $122.59 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $307.23 | $931.00 | $169.51 – $793.00 |
| ECG tracing only (no interpretation) CPT 93005 | $197.34 | $598.00 | $31.35 – $352.82 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,579.38 | $4,786.00 | $689.70 – $2,823.74 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $54.45 – $80.52 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $313.50 – $463.60 | |
| Left heart catheterization CPT 93452 | $3,498.66 | $10,602.00 | $2,756.52 – $8,631.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $8,580.33 | $26,001.00 | $6,760.26 – $9,360.36 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,861.10 | $8,670.00 | $398.59 – $5,115.30 |
| Treadmill stress test, complete CPT 93015 | not posted | $257.40 – $380.64 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $1,799.49 | $5,453.00 | $2,562.91 – $2,562.91 |
| Colonoscopy, diagnostic CPT 45378 | not posted | $950.38 – $1,539.62 | |
| Colposcopy with biopsy CPT 57454 | $165.33 | $501.00 | $235.47 – $235.47 |
| Cystoscopy (bladder scope) CPT 52000 | $259.05 | $785.00 | $368.95 – $368.95 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $454.74 | $1,378.00 | $647.66 – $647.66 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $6,129.90 – $20,787.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | $122.43 | $371.00 | $174.37 – $174.37 |
| Prostate biopsy CPT 55700 | $1,086.03 | $3,291.00 | $1,546.77 – $1,546.77 |
| Removal of a breast lump, open surgery CPT 19120 | $1,747.02 | $5,294.00 | $2,488.18 – $2,488.18 |
| Screening colonoscopy, high risk HCPCS G0105 | $793.65 | $2,405.00 | $867.90 – $1,283.44 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $4,580.00 – $16,113.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,308.78 | $3,966.00 | $1,864.02 – $1,864.02 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $977.33 – $1,583.27 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $374.22 | $1,134.00 | $226.80 – $532.98 |
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 | $7,341.80 – $11,893.72 | |
| C-section, without complications MS-DRG 788 | not posted | $7,973.85 – $12,917.64 | |
| Chest pain MS-DRG 313 | not posted | $5,987.87 – $9,700.35 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,212.18 – $14,923.73 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,339.19 – $8,649.49 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,248.65 – $11,742.81 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,155.98 – $13,212.69 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,676.71 – $17,296.27 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,707.13 – $7,625.55 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $81,358.56 – $131,800.87 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $16,041.68 – $25,987.52 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,707.96 – $7,626.90 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,283.58 – $11,799.40 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,732.20 – $10,906.16 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $20,303.05 – $32,890.94 | |
| Normal newborn care MS-DRG 795 | not posted | $1,661.63 – $2,691.84 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,471.89 – $10,484.46 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,702.26 – $10,857.66 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,931.19 – $17,708.53 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,226.91 – $8,467.59 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $11,616.47 – $18,818.68 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $16,154.78 – $26,170.74 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,510.26 – $13,786.62 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,242.83 – $11,733.38 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,483.54 – $10,503.33 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,402.15 – $13,611.48 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $10,318.27 – $16,715.60 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | $5,606.98 – $9,083.31 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $12,544.59 – $20,322.24 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $469.92 | $1,424.00 | $669.28 – $669.28 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $830.28 | $2,516.00 | $1,182.52 – $1,182.52 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $699.27 | $2,119.00 | $995.93 – $995.93 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $443.85 | $1,345.00 | $632.15 – $632.15 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $134.34 – $217.63 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $394.68 | $1,196.00 | $562.12 – $562.12 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $183.15 | $555.00 | $120.45 – $178.12 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $193.38 | $586.00 | $345.74 – $491.70 |
| Sleep study with CPAP titration CPT 95811 | $3,114.87 | $9,439.00 | $1,935.45 – $5,663.40 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,695.44 | $8,168.00 | $1,760.55 – $4,900.80 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $284.79 | $863.00 | $90.75 – $134.20 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $93.39 | $283.00 | $26.52 – $166.97 |
| Physical therapy evaluation, low complexity CPT 97161 | $120.45 | $365.00 | $98.56 – $215.35 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $132.66 | $402.00 | $98.56 – $237.18 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $95.37 | $289.00 | $28.81 – $170.51 |
| Therapeutic activities, 15 minutes CPT 97530 | $81.18 | $246.00 | $36.02 – $145.14 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $94.71 | $287.00 | $195.00 – $252.45 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $86.13 | $261.00 | $194.70 – $194.70 |
| Group psychotherapy CPT 90853 | $128.04 | $388.00 | $69.30 – $267.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $175.56 | $532.00 | $341.55 – $505.08 |
| Psychotherapy, 30 minutes CPT 90832 | $71.61 | $217.00 | $143.55 – $212.28 |
| Psychotherapy, 45 minutes CPT 90834 | $109.56 | $332.00 | $195.00 – $307.44 |
| Psychotherapy, 60 minutes CPT 90837 | $156.09 | $473.00 | $305.25 – $451.40 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $51.48 | $156.00 | $46.20 – $68.32 |
| IV hydration, each additional hour CPT 96361 | $148.17 | $449.00 | $37.95 – $56.12 |
| IV hydration, first hour CPT 96360 | $268.62 | $814.00 | $127.05 – $187.88 |
| IV push injection of a drug, first CPT 96374 | $161.04 | $488.00 | $120.45 – $178.12 |
| IV push injection, each additional drug CPT 96375 | $88.44 | $268.00 | $54.45 – $80.52 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $57.75 | $175.00 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $58.58 | $177.50 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $194.24 | $588.60 | $1.70 – $1.70 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $26.13 | $79.18 | $1.50 – $1.50 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $125.59 | $380.59 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $38.22 | $115.82 | $9.16 – $9.16 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $32.49 | $98.45 | $1.62 – $1.62 |
| Propofol injection, per 10 mg HCPCS J2704 | $123.11 | $373.05 |
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.