Saint Joseph Hospital-Elgin

77 N Airlite Street, Elgin, IL 60123 · Acute care hospital · Emergency room

These are Saint Joseph Hospital-Elgin'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.

230 of the services we track have a posted price here; 155 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	$1,211.94	$3,275.50	$248.97 – $500.00
Emergency room visit, level 1 (minor) CPT 99281	$141.62	$382.75	$23.74 – $40.54
Emergency room visit, level 2 CPT 99282	$314.96	$851.25	$46.32 – $849.00
Emergency room visit, level 3 (moderate) CPT 99283	$529.47	$1,431.00	$69.41 – $1,061.00
Emergency room visit, level 4 CPT 99284	$757.95	$2,048.50	$131.75 – $1,591.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,152.46	$3,114.75	$194.56 – $500.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$129.50	$350.00	$49.75 – $83.67

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$131.07	$354.25	$55.91 – $96.73
New patient office visit, about 30 minutes CPT 99203	$165.39	$447.00	$84.90 – $147.94
New patient office visit, about 45 minutes CPT 99204	$228.20	$616.75	$143.69 – $252.48
New patient office visit, about 60 minutes CPT 99205	$277.69	$750.50	$187.18 – $325.03
Office consultation, about 40 minutes CPT 99243	not posted		$106.12 – $186.34
Office consultation, about 60 minutes CPT 99244	not posted		$170.57 – $295.87
Office visit, established patient, about 10 to 19 minutes CPT 99212	$131.07	$354.25	$28.20 – $48.37
Office visit, established patient, about 20 to 29 minutes CPT 99213	$165.39	$447.00	$56.44 – $98.14
Office visit, established patient, about 30 to 39 minutes CPT 99214	$213.21	$576.25	$87.04 – $151.50
Office visit, established patient, about 40 to 54 minutes CPT 99215	$264.46	$714.75	$123.07 – $213.37
Office visit, established patient, brief (often a nurse) CPT 99211	$92.87	$251.00	$10.21 – $17.78
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$94.62 – $190.61
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$116.11 – $230.43

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$34.97	$94.50	$25.50 – $92.06
Abdominal X-ray, 1 view CPT 74018	$116.83	$315.75	$21.25 – $32.33
Ankle X-ray, 3 or more views CPT 73610	$269.73	$729.00	$10.66 – $70.21
Bone density scan (DEXA), hips and spine CPT 77080	$109.34	$295.50	$12.46 – $87.75
Breast ultrasound, one breast, complete CPT 76641	$695.23	$1,879.00	$72.22 – $185.72
Breast ultrasound, one breast, limited CPT 76642	$695.23	$1,879.00	$55.33 – $153.06
Chest X-ray, 1 view CPT 71045	$86.03	$232.50	$17.06 – $18.98
Chest X-ray, 2 views CPT 71046	$118.40	$320.00	$23.34 – $34.44
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,499.24	$4,052.00	$121.36 – $719.03
CT angiogram of the head CPT 70496	$1,328.95	$3,591.75	$110.71 – $886.37
CT scan of the abdomen and pelvis, with contrast CPT 74177	$1,187.61	$3,209.75	$222.39 – $615.63
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$1,216.01	$3,286.50	$255.45 – $719.70
CT scan of the abdomen and pelvis, without contrast CPT 74176	$920.93	$2,489.00	$114.61 – $413.60
CT scan of the abdomen, without contrast CPT 74150	$954.97	$2,581.00	$74.80 – $319.04
CT scan of the chest, with contrast CPT 71260	$1,108.34	$2,995.50	$77.94 – $467.33
CT scan of the chest, without contrast CPT 71250	$952.66	$2,574.75	$73.00 – $374.15
CT scan of the head, without contrast CPT 70450	$891.79	$2,410.25	$53.78 – $294.56
CT scan of the neck (cervical spine), without contrast CPT 72125	$826.21	$2,233.00	$73.00 – $382.98
CT scan of the pelvis, with contrast CPT 72193	$971.25	$2,625.00	$73.00 – $486.38
CT scan of the sinuses or face, without contrast CPT 70486	$756.00	$2,043.25	$71.66 – $406.79
Diagnostic mammogram, both breasts CPT 77066	$208.87	$564.50	$121.80 – $304.29
Diagnostic mammogram, one breast CPT 77065	$161.69	$437.00	$95.22 – $239.64
Foot X-ray, 3 or more views CPT 73630	$273.99	$740.50	$10.66 – $65.51
Hand X-ray, 3 or more views CPT 73130	$262.70	$710.00	$10.66 – $67.85
Knee X-ray, 3 views CPT 73562	$243.65	$658.50	$11.52 – $78.78
Leg or arm vein ultrasound, both sides CPT 93970	$407.46	$1,101.25	$42.81 – $737.84
Leg or arm vein ultrasound, one side CPT 93971	$385.36	$1,041.50	$28.36 – $697.80
Lower back X-ray, 2 or 3 views CPT 72100	$148.46	$401.25	$13.80 – $74.89
MRI of both breasts, without and with contrast CPT 77049	not posted		$282.54 – $1,591.00
MRI of the abdomen, without and with contrast CPT 74183	$1,188.35	$3,211.75	$141.98 – $1,027.19
MRI of the brain, without and with contrast CPT 70553	$1,278.91	$3,456.50	$148.26 – $1,000.65
MRI of the brain, without contrast CPT 70551	$870.98	$2,354.00	$92.97 – $1,591.00
MRI of the knee or other leg joint, without contrast CPT 73721	$1,953.60	$5,280.00	$84.59 – $1,591.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$924.82	$2,499.50	$92.97 – $1,591.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$976.62	$2,639.50	$100.59 – $1,591.00
MRI of the neck (cervical spine), without contrast CPT 72141	$963.02	$2,602.75	$100.19 – $1,591.00
MRI of the pelvis, without and with contrast CPT 72197	$1,192.60	$3,223.25	$141.98 – $1,023.78
MRI of the shoulder or other arm joint, without contrast CPT 73221	$2,051.28	$5,544.00	$84.59 – $1,591.00
Neck X-ray, 2 or 3 views CPT 72040	$148.46	$401.25	$13.80 – $74.10
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$485.35	$1,311.75	$43.20 – $223.80
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$566.29	$1,530.50	$61.14 – $306.56
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$488.77	$1,321.00	$61.54 – $263.64
Screening mammogram, both breasts CPT 77067	$140.60	$380.00	$100.61 – $245.27
Shoulder X-ray, 2 or more views CPT 73030	$263.81	$713.00	$11.52 – $64.74
Transvaginal pregnancy ultrasound CPT 76817	$272.04	$735.25	$46.01 – $212.16
Transvaginal ultrasound CPT 76830	$378.88	$1,024.00	$42.80 – $136.73
Ultrasound of the abdomen, complete CPT 76700	$526.79	$1,423.75	$50.71 – $252.38
Ultrasound of the neck or thyroid CPT 76536	$408.02	$1,102.75	$34.42 – $219.05
Wrist X-ray, 3 or more views CPT 73110	$263.81	$713.00	$10.66 – $78.78
X-ray of the lower back, 4 or more views CPT 72110	$227.00	$613.50	$19.21 – $102.19

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$31.73	$85.75	$8.86 – $85.75
Blood culture CPT 87040	$61.70	$166.75	$10.94 – $166.75
Blood draw (venipuncture) CPT 36415	$8.97	$24.25	$3.40 – $24.25
BNP test (heart failure) CPT 83880	$83.62	$226.00	$35.70 – $226.00
C-reactive protein (CRP) test CPT 86140	$36.17	$97.75	$5.47 – $97.75
Chlamydia test (DNA/NAAT) CPT 87491	$92.04	$248.75	$37.00 – $248.75
Complete blood count (CBC) with differential CPT 85025	$45.33	$122.50	$8.08 – $61.25
Complete blood count (CBC), automated CPT 85027	$29.60	$80.00	$6.78 – $40.00
Comprehensive metabolic panel (blood test) CPT 80053	$40.79	$110.25	$11.20 – $110.25
COVID-19 PCR test CPT 87635	$37.46	$101.25	$51.31 – $101.25
D-dimer test (blood clots) CPT 85379	$58.28	$157.50	$10.68 – $157.50
Drug screen, instrument chemistry CPT 80307	$268.90	$726.75	$90.58 – $726.75
Ferritin (iron stores) test CPT 82728	$44.40	$120.00	$14.33 – $120.00
Free T4 (thyroid) test CPT 84439	$61.33	$165.75	$9.64 – $165.75
General health panel (blood tests) CPT 80050	$161.14	$435.50	$29.19 – $435.50
Glucose (blood sugar) test CPT 82947	$25.35	$68.50	$4.17 – $34.25
Gonorrhea test (DNA/NAAT) CPT 87591	$92.04	$248.75	$37.00 – $248.75
Hemoglobin A1c test CPT 83036	$137.09	$370.50	$10.16 – $370.50
Hepatitis C antibody test CPT 86803	$53.10	$143.50	$15.11 – $143.50
HIV-1/HIV-2 antigen and antibody test CPT 87389	$32.28	$87.25	$37.49 – $87.25
Iron test CPT 83540	$70.67	$191.00	$6.78 – $191.00
Kidney function panel CPT 80069	$26.55	$71.75	$9.12 – $71.75
Lipase test (pancreas) CPT 83690	$44.68	$120.75	$7.30 – $120.75
Lipid panel, cholesterol and triglycerides CPT 80061	$66.42	$179.50	$16.94 – $179.50
Liver function panel CPT 80076	$44.31	$119.75	$8.60 – $119.75
Magnesium test CPT 83735	$51.06	$138.00	$7.04 – $138.00
Obstetric blood test panel CPT 80055	$76.04	$205.50	$42.47 – $205.50
Partial thromboplastin time (PTT), clotting test CPT 85730	$22.11	$59.75	$6.25 – $29.88
Pregnancy blood test (hCG), quantitative CPT 84702	$64.47	$174.25	$15.90 – $174.25
Prothrombin time (PT/INR), clotting test CPT 85610	$29.60	$80.00	$4.17 – $40.00
PSA (prostate specific antigen), free CPT 84154	$100.64	$272.00	$19.28 – $272.00
PSA (prostate specific antigen), total CPT 84153	$76.96	$208.00	$19.28 – $208.00
Rapid strep test CPT 87880	$48.56	$131.25	$12.77 – $65.63
Sed rate (ESR) test CPT 85652	$20.81	$56.25	$2.87 – $28.13
TB skin test CPT 86580	$25.25	$68.25	$5.07 – $34.13
Thyroid stimulating hormone (TSH) CPT 84443	$83.07	$224.50	$17.72 – $224.50
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$68.45	$185.00	$29.83 – $98.49
Troponin test (heart damage) CPT 84484	$119.05	$321.75	$10.42 – $321.75
Urinalysis, automated, with microscope CPT 81001	$33.02	$89.25	$3.39 – $44.63
Urinalysis, automated, without microscope CPT 81003	$21.46	$58.00	$2.35 – $58.00
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $16.08
Urinalysis, manual, without microscope CPT 81002	$18.59	$50.25	$2.61 – $50.25
Urine culture, colony count CPT 87086	$47.82	$129.25	$8.60 – $64.63
Urine pregnancy test CPT 81025	$27.01	$73.00	$6.78 – $36.50
Vitamin B12 test CPT 82607	$49.67	$134.25	$15.90 – $134.25
Vitamin D test CPT 82306	$131.17	$354.50	$31.27 – $354.50

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$347.52	$939.25	$38.08 – $629.30
ECG tracing only (no interpretation) CPT 93005	$68.82	$186.00	$8.63 – $151.63
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$856.37	$2,314.50	$88.03 – $1,550.71
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$18.08 – $151.63
Holter monitor, up to 48 hours CPT 93224	not posted		$95.22 – $296.90
Left heart catheterization CPT 93452	$3,830.24	$10,352.00	$591.02 – $1,588.38
Left heart catheterization with coronary angiogram CPT 93458	$5,032.46	$13,601.25	$715.70 – $1,948.92
Nuclear stress test (heart perfusion imaging) CPT 78452	$2,001.05	$5,408.25	$414.64 – $874.80
Treadmill stress test, complete CPT 93015	not posted		$81.23 – $143.54

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$1,090.38 – $1,828.52
Appendix removal, laparoscopic CPT 44970	not posted		$642.08 – $1,113.57
Breast biopsy with ultrasound guidance CPT 19083	$3,598.62	$9,726.00	$180.42 – $304.07
Carpal tunnel release CPT 64721	not posted		$442.88 – $782.30
Colonoscopy with biopsy CPT 45380	not posted		$229.43 – $487.74
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$291.15 – $579.57
Colonoscopy, diagnostic CPT 45378	not posted		$867.24 – $3,468.96
Colposcopy with biopsy CPT 57454	not posted		$289.35 – $1,157.40
Cystoscopy (bladder scope) CPT 52000	$605.78	$1,637.25	$113.10 – $233.33
Ear tubes, under general anesthesia CPT 69436	not posted		$174.42 – $301.35
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$867.24 – $3,468.96
Gallbladder removal, laparoscopic CPT 47562	not posted		$735.82 – $1,219.01
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$1,893.88 – $3,212.15
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$995.13 – $1,956.41
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$261.86 – $504.06
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$457.03 – $793.17
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$556.37 – $963.92
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$636.60 – $1,045.55
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$593.82 – $1,001.33
Lower colon endoscopy with ultrasound CPT 45391	not posted		$295.07 – $557.13
Nasal endoscopy, diagnostic CPT 31231	$160.21	$433.00	$72.22 – $121.08
Prostate biopsy CPT 55700	$2,412.22	$6,519.50	$148.39 – $257.82
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,630.58 – $3,206.03
Removal of a breast lump, open surgery CPT 19120	not posted		$428.79 – $761.21
Rotator cuff repair, arthroscopic CPT 29827	not posted		$1,167.55 – $1,986.33
Septoplasty (nasal septum repair) CPT 30520	not posted		$642.37 – $1,162.55
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$198.08 – $735.71
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$1,249.74 – $11,048.43
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$319.64 – $548.28
Total hip replacement CPT 27130	not posted		$1,507.65 – $2,667.26
Total knee replacement CPT 27447	not posted		$1,506.93 – $2,847.53
Upper endoscopy (EGD) with biopsy CPT 43239	$948.77	$2,564.25	$158.31 – $323.12
Upper endoscopy (EGD), diagnostic CPT 43235	$948.77	$2,564.25	$139.96 – $273.47
Vasectomy CPT 55250	not posted		$252.89 – $416.31

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		$2,269.84 – $4,968.74
Fetal non-stress test CPT 59025	$76.68	$207.25	$16.93 – $163.73
IUD insertion CPT 58300	not posted		$60.28 – $1,364.25
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,110.97 – $4,108.71
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$2,004.50 – $4,496.82

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$5,475.04 – $12,318.84
C-section, without complications MS-DRG 788	not posted	$5,946.38 – $13,379.35
Chest pain MS-DRG 313	not posted	$4,465.37 – $10,047.08
COPD flare-up, with major complications MS-DRG 190	not posted	$6,869.84 – $15,457.14
COPD flare-up, without complications MS-DRG 192	not posted	$3,981.62 – $8,958.65
Fainting (syncope) MS-DRG 312	not posted	$5,405.58 – $12,162.56
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$6,082.20 – $13,684.95
Heart failure, with major complications MS-DRG 291	not posted	$7,962.00 – $17,914.50
Heart failure, without complications MS-DRG 293	not posted	$3,510.28 – $7,898.13
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$60,671.95 – $136,511.89
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$11,962.84 – $26,916.39
Irregular heartbeat, without complications MS-DRG 310	not posted	$3,510.90 – $7,899.53
Kidney failure, with complications MS-DRG 683	not posted	$5,431.62 – $12,221.15
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$5,020.44 – $11,295.99
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$15,140.70 – $34,066.58
Normal newborn care MS-DRG 795	not posted	$1,239.14 – $2,788.07
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$4,826.32 – $10,859.22
Pneumonia, with complications MS-DRG 194	not posted	$4,998.11 – $11,245.75
Pneumonia, with major complications MS-DRG 193	not posted	$8,151.78 – $18,341.51
Pneumonia, without complications MS-DRG 195	not posted	$3,897.89 – $8,770.25
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$8,662.81 – $19,491.32
Sepsis, with major complications MS-DRG 871	not posted	$12,047.19 – $27,106.18
Sepsis, without major complications MS-DRG 872	not posted	$6,346.40 – $14,279.40
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$5,401.23 – $12,152.77
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$4,835.00 – $10,878.75
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$6,265.78 – $14,098.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$7,694.70 – $17,313.08
Vaginal delivery, without complications MS-DRG 807	not posted	$4,181.32 – $9,407.97
Weight loss surgery, without complications MS-DRG 621	not posted	$9,354.95 – $21,048.64

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$382.30	$1,033.25	$51.67 – $85.04
Lower back nerve root injection with imaging guidance CPT 64483	$1,285.20	$3,473.50	$123.80 – $214.97
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$660.73	$1,785.75	$112.63 – $193.97
Lower back spinal injection (epidural), without imaging CPT 62322	$520.31	$1,406.25	$98.47 – $170.07

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$693.12 – $1,215.60
Eye exam, new patient, comprehensive CPT 92004	not posted	$122.58 – $490.32
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$521.84 – $2,087.36

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$148.83 – $595.32

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted		$100.11 – $2,910.00
Sleep study with CPAP titration CPT 95811	$2,339.60	$6,323.25	$225.64 – $4,236.58
Sleep study, overnight in a sleep lab CPT 95810	$2,163.85	$5,848.25	$209.89 – $3,918.33

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$99.16	$268.00	$10.26 – $74.89

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$33.95	$91.75	$31.61 – $61.47
Physical therapy evaluation, low complexity CPT 97161	$74.56	$201.50	$87.76 – $151.10
Physical therapy evaluation, moderate complexity CPT 97162	$74.56	$201.50	$87.76 – $151.10
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$33.02	$89.25	$34.04 – $59.80
Therapeutic activities, 15 minutes CPT 97530	$34.50	$93.25	$35.67 – $63.95

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$210.44	$568.75	$118.79 – $178.91
Family psychotherapy, without the patient, 50 minutes CPT 90846	$210.44	$568.75	$114.35 – $151.02
Group psychotherapy CPT 90853	$210.44	$568.75	$28.36 – $47.63
Psychiatric diagnostic evaluation CPT 90791	$123.95	$335.00	$142.40 – $226.53
Psychotherapy, 30 minutes CPT 90832	$210.44	$568.75	$70.84 – $70.84
Psychotherapy, 45 minutes CPT 90834	$210.44	$568.75	$94.45 – $94.45
Psychotherapy, 60 minutes CPT 90837	$210.44	$568.75	$142.05 – $142.05

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$61.14	$165.25	$26.70 – $52.25
IV hydration, each additional hour CPT 96361	$67.06	$181.25	$15.89 – $27.21
IV hydration, first hour CPT 96360	$144.67	$391.00	$59.41 – $101.36
IV push injection of a drug, first CPT 96374	$84.55	$228.50	$59.10 – $114.66
IV push injection, each additional drug CPT 96375	$75.11	$203.00	$23.12 – $45.24

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$51.80	$140.00	$19.78 – $19.78
Dexamethasone injection, per 1 mg HCPCS J1100	$9.25	$25.00	$4.32 – $4.32
Fentanyl injection, per 0.1 mg HCPCS J3010	$96.11	$259.75	$8.63 – $8.63
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$9.71	$26.25	$8.63 – $8.63
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$22.29	$60.25	$8.63 – $8.63
Morphine injection, up to 10 mg HCPCS J2270	$34.89	$94.30	$19.78 – $19.78
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$9.25	$25.00	$9.27 – $9.27
Saline IV solution, 1000 ml HCPCS J7030	$48.58	$131.31	$19.78 – $19.78

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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