Posted Price

University of Illinois Hospital and Clinics

1740 West Taylor St. Suite 1400, Chicago, IL 60612 · Acute care hospital · Emergency room

These are University of Illinois Hospital and Clinics's own posted figures from its standard-charges file dated April 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

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Emergency room

ServiceCash priceGross chargeInsurer rates (min – max)
Critical care, first 30 to 74 minutes CPT 99291$850.20$2,834.00$991.90 – $2,408.90
Emergency room visit, level 1 (minor) CPT 99281$90.00$300.00$105.00 – $2,385.00
Emergency room visit, level 2 CPT 99282$256.20$854.00$298.90 – $2,385.00
Emergency room visit, level 3 (moderate) CPT 99283$329.10$1,097.00$383.95 – $2,385.00
Emergency room visit, level 4 CPT 99284$638.40$2,128.00$744.80 – $2,385.00
Emergency room visit, level 5 (most severe) CPT 99285$1,036.50$3,455.00$1,209.25 – $2,936.75
Simple wound repair (stitches), 2.5 cm or less CPT 12001$143.70$479.00$142.26 – $2,385.00

Office visits

ServiceCash priceGross chargeInsurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202$86.10$287.00$32.21 – $287.00
New patient office visit, about 30 minutes CPT 99203$145.50$485.00$54.43 – $485.00
New patient office visit, about 45 minutes CPT 99204$236.40$788.00$86.40 – $788.00
New patient office visit, about 60 minutes CPT 99205$320.70$1,069.00$97.20 – $1,069.00
Office consultation, about 40 minutes CPT 99243$140.40$468.00$51.30 – $468.00
Office consultation, about 60 minutes CPT 99244$220.80$736.00$71.40 – $736.00
Office visit, established patient, about 10 to 19 minutes CPT 99212$83.40$278.00$83.00 – $236.30
Office visit, established patient, about 20 to 29 minutes CPT 99213$116.10$387.00$44.67 – $387.00
Office visit, established patient, about 30 to 39 minutes CPT 99214$171.30$571.00$54.43 – $571.00
Office visit, established patient, about 40 to 54 minutes CPT 99215$252.30$841.00$86.40 – $841.00
Office visit, established patient, brief (often a nurse) CPT 99211$68.70$229.00$75.57 – $194.65
Preventive checkup, new patient, age 18 to 39 CPT 99385$130.50$435.00$83.00 – $369.75
Preventive checkup, new patient, age 40 to 64 CPT 99386$134.70$449.00$66.40 – $449.00

Imaging

ServiceCash priceGross chargeInsurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063$93.60$312.00$42.09 – $312.00
Abdominal X-ray, 1 view CPT 74018$117.30$391.00$129.03 – $332.35
Ankle X-ray, 3 or more views CPT 73610$182.70$609.00$130.59 – $517.65
Bone density scan (DEXA), hips and spine CPT 77080$276.30$921.00$183.36 – $782.85
Breast ultrasound, one breast, complete CPT 76641$203.40$678.00$223.74 – $576.30
Breast ultrasound, one breast, limited CPT 76642$157.80$526.00$173.58 – $447.10
Chest X-ray, 1 view CPT 71045$93.30$311.00$102.63 – $264.35
Chest X-ray, 2 views CPT 71046$109.20$364.00$120.12 – $309.40
CT angiogram of the chest (checks for lung clots) CPT 71275$1,505.70$5,019.00$863.71 – $4,266.15
CT angiogram of the head CPT 70496$1,254.30$4,181.00$863.71 – $3,553.85
CT scan of the abdomen and pelvis, with contrast CPT 74177$2,650.20$8,834.00$706.90 – $7,508.90
CT scan of the abdomen and pelvis, without and with contrast CPT 74178$3,072.00$10,240.00$706.90 – $8,704.00
CT scan of the abdomen and pelvis, without contrast CPT 74176$2,162.70$7,209.00$706.90 – $6,127.65
CT scan of the abdomen, without contrast CPT 74150$1,087.80$3,626.00$248.16 – $3,082.10
CT scan of the chest, with contrast CPT 71260$1,391.10$4,637.00$706.90 – $3,941.45
CT scan of the chest, without contrast CPT 71250$1,223.40$4,078.00$248.16 – $3,466.30
CT scan of the head, without contrast CPT 70450$1,026.60$3,422.00$706.90 – $2,908.70
CT scan of the neck (cervical spine), without contrast CPT 72125$904.20$3,014.00$248.16 – $2,561.90
CT scan of the pelvis, with contrast CPT 72193$1,302.60$4,342.00$706.90 – $3,690.70
CT scan of the sinuses or face, without contrast CPT 70486$1,185.30$3,951.00$248.16 – $3,358.35
Diagnostic mammogram, both breasts CPT 77066$372.90$1,243.00$111.05 – $1,056.55
Diagnostic mammogram, one breast CPT 77065$290.70$969.00$111.05 – $823.65
Foot X-ray, 3 or more views CPT 73630$192.30$641.00$130.59 – $544.85
Hand X-ray, 3 or more views CPT 73130$182.70$609.00$130.59 – $517.65
Knee X-ray, 3 views CPT 73562$201.90$673.00$130.59 – $572.05
Leg or arm vein ultrasound, both sides CPT 93970$398.10$1,327.00$391.61 – $2,385.00
Leg or arm vein ultrasound, one side CPT 93971$482.40$1,608.00$254.17 – $2,385.00
Lower back X-ray, 2 or 3 views CPT 72100$222.00$740.00$130.59 – $629.00
MRI of both breasts, without and with contrast CPT 77049$2,398.20$7,994.00$946.71 – $6,794.90
MRI of the abdomen, without and with contrast CPT 74183$2,445.00$8,150.00$946.71 – $6,927.50
MRI of the brain, without and with contrast CPT 70553$2,444.40$8,148.00$946.71 – $6,925.80
MRI of the brain, without contrast CPT 70551$1,782.00$5,940.00$561.11 – $5,049.00
MRI of the knee or other leg joint, without contrast CPT 73721$1,781.70$5,939.00$561.11 – $5,048.15
MRI of the lower back (lumbar spine), without contrast CPT 72148$1,801.20$6,004.00$561.11 – $5,103.40
MRI of the mid back (thoracic spine), without contrast CPT 72146$1,693.20$5,644.00$561.11 – $4,797.40
MRI of the neck (cervical spine), without contrast CPT 72141$1,801.20$6,004.00$561.11 – $5,103.40
MRI of the pelvis, without and with contrast CPT 72197$2,455.80$8,186.00$946.71 – $6,958.10
MRI of the shoulder or other arm joint, without contrast CPT 73221$1,775.40$5,918.00$561.11 – $5,030.30
Neck X-ray, 2 or 3 views CPT 72040$195.90$653.00$130.59 – $555.05
Pelvic ultrasound, complete (not pregnancy) CPT 76856$413.70$1,379.00$345.00 – $1,172.15
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805$399.30$1,331.00$234.13 – $1,131.35
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801$208.80$696.00$76.12 – $696.00
Screening mammogram, both breasts CPT 77067$275.40$918.00$111.05 – $780.30
Shoulder X-ray, 2 or more views CPT 73030$191.70$639.00$130.59 – $543.15
Transvaginal pregnancy ultrasound CPT 76817$165.90$553.00$71.90 – $553.00
Transvaginal ultrasound CPT 76830$295.80$986.00$254.17 – $838.10
Ultrasound of the abdomen, complete CPT 76700$510.00$1,700.00$345.00 – $1,445.00
Ultrasound of the neck or thyroid CPT 76536$388.20$1,294.00$254.17 – $1,099.90
Wrist X-ray, 3 or more views CPT 73110$201.90$673.00$130.59 – $572.05
X-ray of the lower back, 4 or more views CPT 72110$287.40$958.00$130.59 – $814.30

Lab tests

ServiceCash priceGross chargeInsurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048$74.70$249.00$17.03 – $211.65
Blood culture CPT 87040$96.00$320.00$19.87 – $272.00
Blood draw (venipuncture) CPT 36415$18.90$63.00$6.35 – $53.55
BNP test (heart failure) CPT 83880$120.00$400.00$53.11 – $340.00
C-reactive protein (CRP) test CPT 86140$69.60$232.00$21.71 – $197.20
Chlamydia test (DNA/NAAT) CPT 87491$166.50$555.00$76.00 – $471.75
Complete blood count (CBC) with differential CPT 85025$87.30$291.00$11.19 – $247.35
Complete blood count (CBC), automated CPT 85027$62.40$208.00$11.19 – $176.80
Comprehensive metabolic panel (blood test) CPT 80053$165.60$552.00$17.03 – $469.20
COVID-19 PCR test CPT 87635$138.90$463.00$76.00 – $393.55
D-dimer test (blood clots) CPT 85379$72.00$240.00$8.35 – $204.00
Drug screen, instrument chemistry CPT 80307$76.80$256.00$76.00 – $217.60
Ferritin (iron stores) test CPT 82728$139.80$466.00$22.54 – $396.10
Free T4 (thyroid) test CPT 84439$119.10$397.00$24.88 – $337.45
General health panel (blood tests) CPT 80050$200.70$669.00$17.03 – $568.65
Glucose (blood sugar) test CPT 82947$33.30$111.00$10.19 – $94.35
Gonorrhea test (DNA/NAAT) CPT 87591$166.50$555.00$76.00 – $471.75
Hemoglobin A1c test CPT 83036$53.10$177.00$10.19 – $150.45
Hepatitis C antibody test CPT 86803$131.10$437.00$21.71 – $371.45
HIV-1/HIV-2 antigen and antibody test CPT 87389$100.80$336.00$19.87 – $285.60
Iron test CPT 83540$90.00$300.00$10.19 – $255.00
Kidney function panel CPT 80069$125.10$417.00$17.03 – $354.45
Lipase test (pancreas) CPT 83690$41.40$138.00$10.19 – $117.30
Lipid panel, cholesterol and triglycerides CPT 80061$131.10$437.00$17.03 – $371.45
Liver function panel CPT 80076$84.60$282.00$17.03 – $239.70
Magnesium test CPT 83735$63.00$210.00$10.19 – $178.50
Obstetric blood test panel CPT 80055$76.80$256.00$3.50 – $256.00
Partial thromboplastin time (PTT), clotting test CPT 85730$44.40$148.00$8.35 – $125.80
Pregnancy blood test (hCG), quantitative CPT 84702$38.40$128.00$24.88 – $108.80
Prothrombin time (PT/INR), clotting test CPT 85610$36.60$122.00$8.35 – $103.70
PSA (prostate specific antigen), free CPT 84154$61.20$204.00$22.54 – $173.40
PSA (prostate specific antigen), total CPT 84153$139.50$465.00$22.54 – $395.25
Rapid strep test CPT 87880$59.40$198.00$19.87 – $168.30
Sed rate (ESR) test CPT 85652$44.40$148.00$11.19 – $125.80
TB skin test CPT 86580$38.70$129.00$21.71 – $109.65
Thyroid stimulating hormone (TSH) CPT 84443$136.50$455.00$24.88 – $386.75
Tissue exam by a pathologist (biopsy specimen) CPT 88305$256.20$854.00$74.98 – $725.90
Troponin test (heart damage) CPT 84484$78.30$261.00$22.54 – $221.85
Urinalysis, automated, with microscope CPT 81001$50.70$169.00$5.68 – $143.65
Urinalysis, automated, without microscope CPT 81003$36.90$123.00$5.68 – $104.55
Urinalysis, manual, with microscope CPT 81000$20.40$68.00$5.68 – $76.00
Urinalysis, manual, without microscope CPT 81002$20.40$68.00$5.68 – $76.00
Urine culture, colony count CPT 87086$67.20$224.00$19.87 – $190.40
Urine pregnancy test CPT 81025$95.10$317.00$5.68 – $269.45
Vitamin B12 test CPT 82607$143.10$477.00$24.88 – $405.45
Vitamin D test CPT 82306$70.50$235.00$53.11 – $199.75

Heart

ServiceCash priceGross chargeInsurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880$1,003.80$3,346.00$391.61 – $2,844.10
ECG tracing only (no interpretation) CPT 93005$136.50$455.00$59.78 – $2,385.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306$467.40$1,558.00$514.14 – $2,385.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000$25.80$86.00$11.82 – $86.00
Holter monitor, up to 48 hours CPT 93224$135.90$453.00$56.46 – $453.00
Left heart catheterization CPT 93452$3,722.10$12,407.00$4,094.31 – $10,545.95
Left heart catheterization with coronary angiogram CPT 93458$5,244.30$17,481.00$5,138.00 – $14,858.85
Nuclear stress test (heart perfusion imaging) CPT 78452$1,414.80$4,716.00$1,556.28 – $4,008.60
Treadmill stress test, complete CPT 93015$121.20$404.00$58.70 – $404.00

Surgery

ServiceCash priceGross chargeInsurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888$1,784.70$5,949.00$423.98 – $5,949.00
Appendix removal, laparoscopic CPT 44970$1,128.30$3,761.00$269.87 – $3,761.00
Breast biopsy with ultrasound guidance CPT 19083$1,659.60$5,532.00$1,643.00 – $4,702.20
Carpal tunnel release CPT 64721$785.40$2,618.00$190.27 – $2,618.00
Colonoscopy with biopsy CPT 45380$2,202.00$7,340.00$2,179.98 – $6,239.00
Colonoscopy with polyp removal (snare) CPT 45385$1,582.50$5,275.00$1,566.68 – $5,138.00
Colonoscopy, diagnostic CPT 45378$2,022.30$6,741.00$2,002.08 – $5,729.85
Colposcopy with biopsy CPT 57454$352.20$1,174.00$348.68 – $5,138.00
Cystoscopy (bladder scope) CPT 52000$703.80$2,346.00$696.76 – $3,620.83
Ear tubes, under general anesthesia CPT 69436$278.40$928.00$67.51 – $928.00
Flexible sigmoidoscopy, diagnostic CPT 45330$527.10$1,757.00$521.83 – $5,138.00
Gallbladder removal, laparoscopic CPT 47562$1,240.20$4,134.00$297.08 – $4,134.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644$3,276.00$10,920.00$782.61 – $10,920.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571$1,636.80$5,456.00$391.36 – $5,456.00
Hysteroscopy with biopsy or polyp removal CPT 58558$2,372.70$7,909.00$2,348.97 – $6,722.65
Inguinal (groin) hernia repair, laparoscopic CPT 49650$806.40$2,688.00$194.14 – $2,688.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505$979.50$3,265.00$234.96 – $3,265.00
Kidney stone shock-wave lithotripsy CPT 50590$1,007.10$3,357.00$241.37 – $3,357.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881$989.40$3,298.00$236.69 – $3,298.00
Lower colon endoscopy with ultrasound CPT 45391$1,404.00$4,680.00$1,389.96 – $5,138.00
Nasal endoscopy, diagnostic CPT 31231$179.70$599.00$177.90 – $5,138.00
Prostate biopsy CPT 55700$605.40$2,018.00$599.35 – $3,958.83
Prostate removal, laparoscopic or robotic CPT 55866$2,546.70$8,489.00$503.95 – $8,489.00
Removal of a breast lump, open surgery CPT 19120$1,214.10$4,047.00$1,201.96 – $5,138.00
Rotator cuff repair, arthroscopic CPT 29827$1,953.30$6,511.00$465.56 – $6,511.00
Screening colonoscopy, average risk HCPCS G0121$956.40$3,188.00$946.84 – $5,138.00
Screening colonoscopy, high risk HCPCS G0105$1,721.70$5,739.00$1,704.48 – $5,138.00
Septoplasty (nasal septum repair) CPT 30520$2,294.40$7,648.00$2,271.46 – $6,500.80
Shoulder arthroscopy, bone shaving (decompression) CPT 29826$320.70$1,069.00$150.28 – $1,069.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775$2,109.00$7,030.00$501.13 – $7,030.00
Tonsil and adenoid removal, under age 12 CPT 42820$513.00$1,710.00$124.65 – $1,710.00
Total hip replacement CPT 27130$2,360.40$7,868.00$562.60 – $7,868.00
Total knee replacement CPT 27447$2,356.50$7,855.00$561.81 – $7,855.00
Upper endoscopy (EGD) with biopsy CPT 43239$1,154.40$3,848.00$1,142.86 – $5,138.00
Upper endoscopy (EGD), diagnostic CPT 43235$1,197.00$3,990.00$1,185.03 – $5,138.00
Vasectomy CPT 55250$916.80$3,056.00$907.63 – $5,502.55

Pregnancy and birth

ServiceCash priceGross chargeInsurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510$4,977.30$16,591.00$1,220.53 – $16,591.00
Fetal non-stress test CPT 59025$254.70$849.00$280.17 – $2,385.00
IUD insertion CPT 58300$256.20$854.00$49.58 – $854.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610$4,716.00$15,720.00$650.00 – $15,720.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400$4,470.30$14,901.00$650.00 – $14,901.00

Hospital stays

ServiceCash priceGross chargeInsurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897$8,245.04$27,483.48$708.00 – $8,938.76
C-section, without complications MS-DRG 788$16,334.11$54,447.04$525.67 – $15,011.08
Chest pain MS-DRG 313$8,356.59$27,855.31$708.00 – $11,881.99
COPD flare-up, with major complications MS-DRG 190$15,196.68$50,655.60$708.00 – $25,310.14
COPD flare-up, without complications MS-DRG 192$8,516.89$28,389.62$708.00 – $14,429.91
Fainting (syncope) MS-DRG 312$11,594.34$38,647.81$708.00 – $13,868.47
Gastrointestinal bleeding, with complications MS-DRG 378$16,783.84$55,946.15$708.00 – $20,069.22
Heart failure, with major complications MS-DRG 291$13,764.47$45,881.58$389.31 – $33,805.80
Heart failure, without complications MS-DRG 293$8,226.17$27,420.58$708.00 – $15,013.38
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216$114,682.69$382,275.65$708.00 – $225,804.69
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470$29,689.19$98,963.96$708.00 – $30,569.48
Irregular heartbeat, without complications MS-DRG 310$9,236.88$30,789.59$708.00 – $11,706.66
Kidney failure, with complications MS-DRG 683$11,297.97$37,659.90$708.00 – $25,406.03
Kidney or urinary tract infection, without major complications MS-DRG 690$11,123.85$37,079.50$708.00 – $13,054.76
Neck (cervical) spinal fusion, without complications MS-DRG 473$26,313.56$87,711.86$708.00 – $34,436.85
Normal newborn care MS-DRG 795$1,671.75$5,572.51$688.00 – $5,065.60
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641$9,414.03$31,380.09$708.00 – $13,424.86
Pneumonia, with complications MS-DRG 194$10,781.54$35,938.48$708.00 – $18,515.38
Pneumonia, with major complications MS-DRG 193$13,760.84$45,869.48$650.82 – $32,479.44
Pneumonia, without complications MS-DRG 195$7,026.87$23,422.90$708.00 – $11,932.95
Psychoses (inpatient psychiatric stay) MS-DRG 885$12,781.39$42,604.64$258.96 – $12,569.27
Sepsis, with major complications MS-DRG 871$26,802.39$89,341.31$318.59 – $40,981.99
Sepsis, without major complications MS-DRG 872$12,974.97$43,249.91$323.81 – $23,726.62
Skin infection (cellulitis), without major complications MS-DRG 603$9,018.08$30,060.26$708.00 – $13,859.29
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392$12,049.64$40,165.46$545.89 – $12,745.04
Stroke, with complications or clot-busting drug MS-DRG 65$19,814.18$66,047.27$705.18 – $28,919.28
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743$14,763.54$49,211.80$708.00 – $18,704.93
Vaginal delivery, without complications MS-DRG 807$10,218.25$34,060.85$136.47 – $11,281.83
Weight loss surgery, without complications MS-DRG 621$15,156.01$50,520.04$308.27 – $36,730.12

Pain and spine

ServiceCash priceGross chargeInsurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610$346.80$1,156.00$343.33 – $2,385.00
Lower back nerve root injection with imaging guidance CPT 64483$567.60$1,892.00$561.92 – $2,385.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323$605.40$2,018.00$599.35 – $2,385.00
Lower back spinal injection (epidural), without imaging CPT 62322$1,054.50$3,515.00$1,043.96 – $2,987.75

Eye

ServiceCash priceGross chargeInsurer rates (min – max)
Cataract removal with lens implant CPT 66984$1,208.10$4,027.00$219.06 – $4,027.00
Eye exam, new patient, comprehensive CPT 92004$148.20$494.00$62.11 – $494.00
Laser treatment of clouding after cataract surgery (YAG) CPT 66821$561.00$1,870.00$555.39 – $2,385.00

Eye and ear

ServiceCash priceGross chargeInsurer rates (min – max)
Hearing test, comprehensive CPT 92557$117.60$392.00$129.36 – $2,385.00

Sleep

ServiceCash priceGross chargeInsurer rates (min – max)
Home sleep apnea test CPT 95806$238.20$794.00$262.02 – $2,385.00
Sleep study with CPAP titration CPT 95811$1,130.10$3,767.00$1,243.11 – $3,201.95
Sleep study, overnight in a sleep lab CPT 95810$1,059.30$3,531.00$398.94 – $3,531.00

Lungs

ServiceCash priceGross chargeInsurer rates (min – max)
Spirometry (breathing test) CPT 94010$182.70$609.00$133.93 – $2,385.00

Therapy

ServiceCash priceGross chargeInsurer rates (min – max)
Manual therapy, 15 minutes CPT 97140$87.30$291.00$83.83 – $2,385.00
Physical therapy evaluation, low complexity CPT 97161$170.10$567.00$68.12 – $567.00
Physical therapy evaluation, moderate complexity CPT 97162$170.10$567.00$74.18 – $567.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110$88.80$296.00$83.83 – $2,385.00
Therapeutic activities, 15 minutes CPT 97530$77.70$259.00$83.83 – $2,385.00

Mental health

ServiceCash priceGross chargeInsurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847$170.10$567.00$69.80 – $567.00
Family psychotherapy, without the patient, 50 minutes CPT 90846$168.00$560.00$184.80 – $476.00
Group psychotherapy CPT 90853$184.80$616.00$203.28 – $547.75
Psychiatric diagnostic evaluation CPT 90791$261.30$871.00$77.00 – $871.00
Psychotherapy, 30 minutes CPT 90832$114.30$381.00$46.98 – $381.00
Psychotherapy, 45 minutes CPT 90834$152.70$509.00$62.03 – $509.00
Psychotherapy, 60 minutes CPT 90837$225.60$752.00$88.00 – $752.00

Infusions and injections

ServiceCash priceGross chargeInsurer rates (min – max)
Injection under the skin or into a muscle CPT 96372$60.60$202.00$66.66 – $2,385.00
IV hydration, each additional hour CPT 96361$39.30$131.00$43.23 – $2,385.00
IV hydration, first hour CPT 96360$204.00$680.00$224.40 – $2,385.00
IV push injection of a drug, first CPT 96374$167.40$558.00$107.71 – $2,385.00
IV push injection, each additional drug CPT 96375$87.60$292.00$96.36 – $2,385.00

Drugs

ServiceCash priceGross chargeInsurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696$47.98$159.94$52.78 – $135.95
Dexamethasone injection, per 1 mg HCPCS J1100$72.93$243.09$80.22 – $206.63
Fentanyl injection, per 0.1 mg HCPCS J3010$14.97$49.89$16.46 – $42.41
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885$8.14$27.14$8.96 – $23.07
Midazolam (Versed) injection, per 1 mg HCPCS J2250$9.18$30.61$10.10 – $26.02
Morphine injection, up to 10 mg HCPCS J2270$71.40$238.00$78.54 – $202.30
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405$1.83$6.10$2.01 – $5.19
Propofol injection, per 10 mg HCPCS J2704$21.42$71.40$23.56 – $60.69
Saline IV solution, 1000 ml HCPCS J7030$14.03$46.75$2.50 – $46.75

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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