Valley West Community Hospital
1301 North Main Street, Sandwich, IL 60548 · Critical access hospital · Emergency room
These are Valley West Community Hospital'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.
184 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 | $3,531.50 | $5,045.00 | $958.55 – $5,045.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $399.70 | $571.00 | $108.49 – $571.00 |
| Emergency room visit, level 2 CPT 99282 | $757.40 | $1,082.00 | |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,781.15 | $2,544.50 | $32.20 – $32.20 |
| Emergency room visit, level 4 CPT 99284 | $4,134.37 | $5,906.24 | $44.00 – $44.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $10,081.05 | $14,401.50 | $69.25 – $3,238.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $331.10 | $473.00 | $89.87 – $473.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $215.60 | $308.00 | $58.52 – $308.00 |
| New patient office visit, about 30 minutes CPT 99203 | $380.10 | $543.00 | $103.17 – $543.00 |
| New patient office visit, about 45 minutes CPT 99204 | $438.20 | $626.00 | $118.94 – $626.00 |
| New patient office visit, about 60 minutes CPT 99205 | $640.50 | $915.00 | $173.85 – $915.00 |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $196.00 | $280.00 | $53.20 – $280.00 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $291.20 | $416.00 | $79.04 – $416.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $398.30 | $569.00 | $108.11 – $569.00 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $609.00 | $870.00 | $165.30 – $870.00 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $158.90 | $227.00 | $43.13 – $227.00 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $125.30 | $179.00 | $34.01 – $179.00 |
| Abdominal X-ray, 1 view CPT 74018 | $396.90 | $567.00 | $107.73 – $567.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $541.80 | $774.00 | $147.06 – $774.00 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $637.00 | $910.00 | $172.90 – $910.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $532.00 | $760.00 | $144.40 – $760.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $438.90 | $627.00 | $119.13 – $627.00 |
| Chest X-ray, 1 view CPT 71045 | $537.60 | $768.00 | $145.92 – $768.00 |
| Chest X-ray, 2 views CPT 71046 | $674.10 | $963.00 | $182.97 – $963.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,502.80 | $5,004.00 | $950.76 – $5,004.00 |
| CT angiogram of the head CPT 70496 | $3,656.10 | $5,223.00 | $992.37 – $5,223.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $6,049.40 | $8,642.00 | $1,641.98 – $8,642.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,105.70 | $10,151.00 | $1,928.69 – $10,151.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $4,802.00 | $6,860.00 | $1,303.40 – $6,860.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,576.00 | $3,680.00 | $699.20 – $3,680.00 |
| CT scan of the chest, with contrast CPT 71260 | $3,173.80 | $4,534.00 | $861.46 – $4,534.00 |
| CT scan of the chest, without contrast CPT 71250 | $2,611.00 | $3,730.00 | $708.70 – $3,730.00 |
| CT scan of the head, without contrast CPT 70450 | $2,474.50 | $3,535.00 | $671.65 – $3,535.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,168.20 | $4,526.00 | $859.94 – $4,526.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $2,907.80 | $4,154.00 | $789.26 – $4,154.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,606.10 | $3,723.00 | $707.37 – $3,723.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $513.80 | $734.00 | $139.46 – $734.00 |
| Diagnostic mammogram, one breast CPT 77065 | $464.80 | $664.00 | $126.16 – $664.00 |
| Foot X-ray, 3 or more views CPT 73630 | $594.30 | $849.00 | $161.31 – $849.00 |
| Hand X-ray, 3 or more views CPT 73130 | $547.40 | $782.00 | $148.58 – $782.00 |
| Knee X-ray, 3 views CPT 73562 | $598.50 | $855.00 | $162.45 – $855.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,626.40 | $3,752.00 | $712.88 – $3,752.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,673.00 | $2,390.00 | $454.10 – $2,390.00 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $651.70 | $931.00 | $176.89 – $931.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $4,099.20 | $5,856.00 | $1,112.64 – $5,856.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,385.50 | $6,265.00 | $1,190.35 – $6,265.00 |
| MRI of the brain, without and with contrast CPT 70553 | $5,385.10 | $7,693.00 | $1,461.67 – $7,693.00 |
| MRI of the brain, without contrast CPT 70551 | $3,887.10 | $5,553.00 | $1,055.07 – $5,553.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $3,835.30 | $5,479.00 | $1,041.01 – $5,479.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,837.40 | $5,482.00 | $1,041.58 – $5,482.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,809.40 | $5,442.00 | $1,033.98 – $5,442.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,171.30 | $5,959.00 | $1,132.21 – $5,959.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,765.60 | $6,808.00 | $1,293.52 – $6,808.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $3,591.70 | $5,131.00 | $974.89 – $5,131.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $665.70 | $951.00 | $180.69 – $951.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,509.90 | $2,157.00 | $409.83 – $2,157.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,206.10 | $1,723.00 | $327.37 – $1,723.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $940.80 | $1,344.00 | $255.36 – $1,344.00 |
| Screening mammogram, both breasts CPT 77067 | $523.60 | $748.00 | $142.12 – $748.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $623.00 | $890.00 | $169.10 – $890.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $749.00 | $1,070.00 | $203.30 – $1,070.00 |
| Transvaginal ultrasound CPT 76830 | $1,079.40 | $1,542.00 | $292.98 – $1,542.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,772.40 | $2,532.00 | $481.08 – $2,532.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,343.30 | $1,919.00 | $364.61 – $1,919.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $492.80 | $704.00 | $133.76 – $704.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $909.30 | $1,299.00 | $246.81 – $1,299.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $219.80 | $314.00 | $59.66 – $314.00 |
| Blood culture CPT 87040 | $739.90 | $1,057.00 | $200.83 – $1,057.00 |
| Blood draw (venipuncture) CPT 36415 | $675.50 | $965.00 | $3.00 – $46.46 |
| BNP test (heart failure) CPT 83880 | $259.70 | $371.00 | $70.49 – $371.00 |
| C-reactive protein (CRP) test CPT 86140 | $105.00 | $150.00 | $28.50 – $150.00 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $151.90 | $217.00 | $41.23 – $217.00 |
| Complete blood count (CBC) with differential CPT 85025 | $126.70 | $181.00 | $34.39 – $181.00 |
| Complete blood count (CBC), automated CPT 85027 | $91.70 | $131.00 | $24.89 – $131.00 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $306.60 | $438.00 | $83.22 – $438.00 |
| COVID-19 PCR test CPT 87635 | $125.30 | $179.00 | $34.01 – $179.00 |
| D-dimer test (blood clots) CPT 85379 | $168.70 | $241.00 | $45.79 – $241.00 |
| Drug screen, instrument chemistry CPT 80307 | $288.40 | $412.00 | $78.28 – $412.00 |
| Ferritin (iron stores) test CPT 82728 | $144.20 | $206.00 | $39.14 – $206.00 |
| Free T4 (thyroid) test CPT 84439 | $121.10 | $173.00 | $32.87 – $173.00 |
| Glucose (blood sugar) test CPT 82947 | $78.40 | $112.00 | $21.28 – $112.00 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $151.20 | $216.00 | $41.04 – $216.00 |
| Hemoglobin A1c test CPT 83036 | $116.90 | $167.00 | $31.73 – $167.00 |
| Hepatitis C antibody test CPT 86803 | $177.80 | $254.00 | $48.26 – $254.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $172.90 | $247.00 | $46.93 – $247.00 |
| Iron test CPT 83540 | $79.10 | $113.00 | $21.47 – $113.00 |
| Kidney function panel CPT 80069 | $148.40 | $212.00 | $40.28 – $212.00 |
| Lipase test (pancreas) CPT 83690 | $95.90 | $137.00 | $26.03 – $137.00 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $184.10 | $263.00 | $49.97 – $263.00 |
| Liver function panel CPT 80076 | $165.90 | $237.00 | $45.03 – $237.00 |
| Magnesium test CPT 83735 | $81.20 | $116.00 | $22.04 – $116.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $92.40 | $132.00 | $25.08 – $132.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $265.30 | $379.00 | $72.01 – $379.00 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $91.00 | $130.00 | $24.70 – $130.00 |
| PSA (prostate specific antigen), free CPT 84154 | $124.60 | $178.00 | $33.82 – $178.00 |
| PSA (prostate specific antigen), total CPT 84153 | $284.90 | $407.00 | $77.33 – $407.00 |
| Rapid strep test CPT 87880 | $133.00 | $190.00 | $36.10 – $190.00 |
| Sed rate (ESR) test CPT 85652 | $78.40 | $112.00 | $21.28 – $112.00 |
| TB skin test CPT 86580 | $32.20 | $46.00 | $8.74 – $46.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $162.40 | $232.00 | $44.08 – $232.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $8,478.68 | $12,112.40 | $22.60 – $22.60 |
| Troponin test (heart damage) CPT 84484 | $170.80 | $244.00 | $46.36 – $244.00 |
| Urinalysis, automated, with microscope CPT 81001 | $64.40 | $92.00 | $17.48 – $92.00 |
| Urinalysis, automated, without microscope CPT 81003 | $60.20 | $86.00 | $16.34 – $86.00 |
| Urinalysis, manual, without microscope CPT 81002 | $21.70 | $31.00 | $5.89 – $31.00 |
| Urine culture, colony count CPT 87086 | $130.20 | $186.00 | $35.34 – $186.00 |
| Urine pregnancy test CPT 81025 | $110.60 | $158.00 | $30.02 – $158.00 |
| Vitamin B12 test CPT 82607 | $135.10 | $193.00 | $36.67 – $193.00 |
| Vitamin D test CPT 82306 | $191.10 | $273.00 | $51.87 – $273.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,336.60 | $3,338.00 | $634.22 – $3,338.00 |
| ECG tracing only (no interpretation) CPT 93005 | $216.30 | $309.00 | $58.71 – $309.00 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,950.50 | $4,215.00 | $1,070.61 – $2,921.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,170.20 | $7,386.00 | $1,403.34 – $7,386.00 |
| Treadmill stress test, complete CPT 93015 | $431.20 | $616.00 | $117.04 – $616.00 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $5,994.10 | $8,563.00 | $4,298.63 – $8,563.00 |
| Carpal tunnel release CPT 64721 | $8,775.65 | $12,536.64 | |
| Colonoscopy with biopsy CPT 45380 | $12,261.91 | $17,517.01 | $270.70 – $270.70 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $8,121.99 | $11,602.84 | $342.10 – $342.10 |
| Colonoscopy, diagnostic CPT 45378 | $4,292.57 | $6,132.24 | $270.70 – $270.70 |
| Cystoscopy (bladder scope) CPT 52000 | $7,011.90 | $10,017.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $8,821.94 | $12,602.77 | $141.00 – $141.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $15,822.80 | $22,604.00 | $4,294.76 – $22,604.00 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $9,506.70 | $13,581.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | $4,094.30 | $5,849.00 | $1,111.31 – $5,849.00 |
| Prostate biopsy CPT 55700 | $14,406.62 | $20,580.89 | |
| Rotator cuff repair, arthroscopic CPT 29827 | $66,414.12 | $94,877.31 | |
| Screening colonoscopy, average risk HCPCS G0121 | $2,146.20 | $3,066.00 | $582.54 – $3,066.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,927.40 | $4,182.00 | $794.58 – $4,182.00 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $66,414.12 | $94,877.31 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $10,335.13 | $14,764.47 | $306.40 – $306.40 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $4,852.22 | $6,931.74 | $295.85 – $295.85 |
| Vasectomy CPT 55250 | $9,910.35 | $14,157.64 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $658.00 | $940.00 | $178.60 – $940.00 |
| IUD insertion CPT 58300 | $2,375.80 | $3,394.00 | $1,703.79 – $3,394.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $11,219.77 | $16,028.24 | $18,816.00 – $24,326.44 |
| Chest pain MS-DRG 313 | $2,126.42 | $3,037.74 | $15,408.72 – $15,408.72 |
| COPD flare-up, with major complications MS-DRG 190 | $17,930.32 | $25,614.74 | $23,609.52 – $30,523.78 |
| COPD flare-up, without complications MS-DRG 192 | $11,348.57 | $16,212.24 | $13,683.59 – $17,690.95 |
| Fainting (syncope) MS-DRG 312 | $10,067.40 | $14,382.00 | $18,577.28 – $24,017.81 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $23,584.64 | $33,692.34 | $20,987.96 – $20,987.96 |
| Heart failure, with major complications MS-DRG 291 | $17,530.62 | $25,043.74 | $27,362.91 – $35,376.39 |
| Heart failure, without complications MS-DRG 293 | $8,533.00 | $12,190.00 | $12,063.72 – $15,596.70 |
| Irregular heartbeat, without complications MS-DRG 310 | $4,989.25 | $7,127.50 | $12,065.86 – $15,599.45 |
| Kidney failure, with complications MS-DRG 683 | $16,214.10 | $23,163.00 | $18,666.80 – $24,133.54 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $13,307.17 | $19,010.24 | $17,253.68 – $22,306.58 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $9,721.77 | $13,888.24 | $16,654.26 – $16,654.26 |
| Pneumonia, with complications MS-DRG 194 | $17,421.42 | $24,887.74 | $17,176.95 – $22,207.38 |
| Pneumonia, with major complications MS-DRG 193 | $25,511.67 | $36,445.24 | $28,015.12 – $36,219.61 |
| Pneumonia, without complications MS-DRG 195 | $8,981.52 | $12,830.74 | $13,395.85 – $17,318.95 |
| Sepsis, with major complications MS-DRG 871 | $22,048.07 | $31,497.24 | $41,402.45 – $53,527.53 |
| Sepsis, without major complications MS-DRG 872 | $22,124.20 | $31,606.00 | $21,810.62 – $28,198.05 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $17,157.35 | $24,510.50 | $18,562.36 – $23,998.52 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $16,161.07 | $23,087.24 | $16,616.39 – $21,482.66 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $28,580.47 | $40,829.24 | $21,621.43 – $21,621.43 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $479.50 | $685.00 | $343.87 – $685.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $3,148.22 | $4,497.46 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $3,326.39 | $4,751.99 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $2,927.40 | $4,182.00 | $2,099.36 – $4,182.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $256.90 | $367.00 | $69.73 – $367.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study with CPAP titration CPT 95811 | $5,717.60 | $8,168.00 | $1,551.92 – $8,168.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $4,582.20 | $6,546.00 | $1,243.74 – $6,546.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $550.90 | $787.00 | $149.53 – $787.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $214.20 | $306.00 | $58.14 – $306.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $293.30 | $419.00 | $28.91 – $419.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $352.10 | $503.00 | $34.71 – $503.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $165.20 | $236.00 | $44.84 – $236.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $168.70 | $241.00 | $45.79 – $241.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Group psychotherapy CPT 90853 | $84.70 | $121.00 | $22.99 – $121.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $343.00 | $490.00 | $93.10 – $490.00 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $109.20 | $156.00 | $29.64 – $156.00 |
| IV hydration, each additional hour CPT 96361 | $222.60 | $318.00 | $60.42 – $318.00 |
| IV hydration, first hour CPT 96360 | $480.20 | $686.00 | $130.34 – $686.00 |
| IV push injection of a drug, first CPT 96374 | $214.20 | $306.00 | $58.14 – $306.00 |
| IV push injection, each additional drug CPT 96375 | $176.40 | $252.00 | $47.88 – $252.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $308.35 | $440.50 | $30.39 – $440.50 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $67.72 | $96.75 | $6.68 – $96.75 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $422.62 | $603.75 | $41.66 – $603.75 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $390.25 | $557.50 | $38.47 – $557.50 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $36.57 | $52.25 | $3.61 – $52.25 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $245.52 | $350.75 | $24.20 – $350.75 |
| Morphine injection, up to 10 mg HCPCS J2270 | $1,657.25 | $2,367.50 | $163.36 – $2,367.50 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $33.60 | $48.00 | $3.31 – $48.00 |
| Propofol injection, per 10 mg HCPCS J2704 | $426.12 | $608.75 | $42.00 – $608.75 |
| Saline IV solution, 1000 ml HCPCS J7030 | $279.65 | $399.50 | $27.57 – $399.50 |
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.