West Suburban Medical Center

3 Erie Court, Oak Park, IL 60302 · Acute care hospital

These are West Suburban Medical Center's own posted figures from its standard-charges file dated March 17, 2025. They are not a quote. Source: the hospital's file · its price transparency page.

231 of the services we track have a posted price here; 142 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	$1,278.39	$3,759.98	$263.14 – $4,620.00
Emergency room visit, level 1 (minor) CPT 99281	$182.77	$537.55	$28.32 – $967.00
Emergency room visit, level 2 CPT 99282	$351.20	$1,032.95	$56.17 – $1,278.00
Emergency room visit, level 3 (moderate) CPT 99283	$521.45	$1,533.67	$85.36 – $1,821.00
Emergency room visit, level 4 CPT 99284	$723.14	$2,126.88	$162.93 – $2,760.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,206.53	$3,548.63	$242.30 – $3,360.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$150.78	$443.46	$65.59 – $288.25

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$92.48	$272.00	$40.36 – $176.80
New patient office visit, about 30 minutes CPT 99203	$139.74	$411.00	$60.99 – $267.15
New patient office visit, about 45 minutes CPT 99204	$176.46	$519.00	$77.02 – $337.35
New patient office visit, about 60 minutes CPT 99205	$232.56	$684.00	$101.51 – $444.60
Office consultation, about 40 minutes CPT 99243	not posted		$85.26 – $85.26
Office consultation, about 60 minutes CPT 99244	not posted		$143.10 – $143.10
Office visit, established patient, about 10 to 19 minutes CPT 99212	$59.16	$174.00	$25.82 – $113.10
Office visit, established patient, about 20 to 29 minutes CPT 99213	$103.02	$303.00	$44.97 – $196.95
Office visit, established patient, about 30 to 39 minutes CPT 99214	$132.60	$390.00	$57.88 – $253.50
Office visit, established patient, about 40 to 54 minutes CPT 99215	$149.60	$440.00	$65.30 – $286.00
Office visit, established patient, brief (often a nurse) CPT 99211	$51.34	$151.00	$10.58 – $137.02
Preventive checkup, new patient, age 18 to 39 CPT 99385	$127.16	$374.00	$55.50 – $243.10
Preventive checkup, new patient, age 40 to 64 CPT 99386	$130.56	$384.00	$56.99 – $249.60

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$47.77	$140.51	$20.74 – $91.33
Abdominal X-ray, 1 view CPT 74018	$105.59	$310.55	$26.46 – $201.86
Ankle X-ray, 3 or more views CPT 73610	$180.89	$532.03	$32.99 – $345.82
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$54.74 – $135.74
Breast ultrasound, one breast, complete CPT 76641	$330.48	$972.00	$103.18 – $631.80
Breast ultrasound, one breast, limited CPT 76642	$244.99	$720.57	$78.77 – $468.37
Chest X-ray, 1 view CPT 71045	$105.59	$310.55	$15.59 – $201.86
Chest X-ray, 2 views CPT 71046	$105.59	$310.55	$28.22 – $201.86
CT angiogram of the chest (checks for lung clots) CPT 71275	$717.08	$2,109.06	$180.00 – $1,370.89
CT angiogram of the head CPT 70496	$717.08	$2,109.06	$180.00 – $1,370.89
CT scan of the abdomen and pelvis, with contrast CPT 74177	$2,932.53	$8,625.09	$240.00 – $5,606.31
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,909.02	$11,497.12	$240.00 – $7,473.13
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,173.08	$6,391.40	$205.27 – $4,154.41
CT scan of the abdomen, without contrast CPT 74150	$1,166.12	$3,429.75	$107.53 – $2,229.34
CT scan of the chest, with contrast CPT 71260	$1,224.50	$3,601.48	$180.00 – $2,340.96
CT scan of the chest, without contrast CPT 71250	$897.66	$2,640.18	$107.53 – $1,716.12
CT scan of the head, without contrast CPT 70450	$1,173.11	$3,450.31	$104.99 – $2,242.70
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,350.74	$3,972.75	$107.53 – $2,582.29
CT scan of the pelvis, with contrast CPT 72193	$1,097.76	$3,228.72	$180.00 – $2,098.67
CT scan of the sinuses or face, without contrast CPT 70486	$1,173.11	$3,450.31	$107.53 – $2,242.70
Diagnostic mammogram, both breasts CPT 77066	$425.79	$1,252.31	$97.03 – $814.00
Diagnostic mammogram, one breast CPT 77065	$340.11	$1,000.31	$76.30 – $650.20
Foot X-ray, 3 or more views CPT 73630	$180.89	$532.03	$30.45 – $345.82
Hand X-ray, 3 or more views CPT 73130	$254.26	$747.81	$33.27 – $486.08
Knee X-ray, 3 views CPT 73562	$328.51	$966.20	$47.89 – $628.03
Leg or arm vein ultrasound, both sides CPT 93970	$626.72	$1,843.28	$244.41 – $1,198.13
Leg or arm vein ultrasound, one side CPT 93971	$247.48	$727.89	$107.53 – $473.13
Lower back X-ray, 2 or 3 views CPT 72100	$252.48	$742.59	$34.28 – $482.68
MRI of both breasts, without and with contrast CPT 77049	$1,062.13	$3,123.92	$323.20 – $2,030.55
MRI of the abdomen, without and with contrast CPT 74183	$2,195.02	$6,455.93	$361.11 – $4,196.35
MRI of the brain, without and with contrast CPT 70553	$1,885.66	$5,546.06	$361.11 – $3,604.94
MRI of the brain, without contrast CPT 70551	$1,778.61	$5,231.21	$244.41 – $3,400.29
MRI of the knee or other leg joint, without contrast CPT 73721	$1,552.84	$4,567.19	$244.41 – $2,968.67
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,597.73	$4,699.22	$244.41 – $3,054.49
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,548.85	$4,555.45	$244.41 – $2,961.04
MRI of the neck (cervical spine), without contrast CPT 72141	$1,621.20	$4,768.23	$244.41 – $3,099.35
MRI of the pelvis, without and with contrast CPT 72197	$1,779.38	$5,233.48	$361.11 – $3,401.76
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,676.08	$4,929.64	$244.41 – $3,204.27
Neck X-ray, 2 or 3 views CPT 72040	$309.99	$911.74	$31.75 – $592.63
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$830.81	$2,443.56	$107.53 – $1,588.31
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$403.68	$1,187.30	$107.53 – $771.75
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$636.20	$1,871.17	$107.53 – $1,216.26
Screening mammogram, both breasts CPT 77067	$377.11	$1,109.14	$80.06 – $720.94
Shoulder X-ray, 2 or more views CPT 73030	$315.72	$928.60	$36.38 – $603.59
Transvaginal pregnancy ultrasound CPT 76817	$424.63	$1,248.91	$107.53 – $811.79
Transvaginal ultrasound CPT 76830	$401.03	$1,179.49	$107.53 – $766.67
Ultrasound of the abdomen, complete CPT 76700	$493.49	$1,451.45	$107.53 – $943.44
Ultrasound of the neck or thyroid CPT 76536	$540.90	$1,590.88	$107.53 – $1,034.07
Wrist X-ray, 3 or more views CPT 73110	$292.40	$860.00	$37.81 – $559.00
X-ray of the lower back, 4 or more views CPT 72110	$379.23	$1,115.38	$60.05 – $725.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$128.24	$377.18	$8.21 – $245.17
Blood culture CPT 87040	$179.13	$526.86	$8.28 – $342.46
Blood draw (venipuncture) CPT 36415	$16.47	$48.45	$7.17 – $31.49
BNP test (heart failure) CPT 83880	$162.18	$476.99	$36.87 – $310.04
C-reactive protein (CRP) test CPT 86140	$86.33	$253.90	$4.15 – $165.04
Chlamydia test (DNA/NAAT) CPT 87491	$81.26	$239.00	$28.16 – $155.35
Complete blood count (CBC) with differential CPT 85025	$103.33	$303.91	$7.54 – $197.54
Complete blood count (CBC), automated CPT 85027	$67.90	$199.72	$6.28 – $129.82
Comprehensive metabolic panel (blood test) CPT 80053	$176.34	$518.65	$10.24 – $337.12
COVID-19 PCR test CPT 87635	$69.70	$205.00	$30.32 – $133.25
D-dimer test (blood clots) CPT 85379	$153.18	$450.52	$8.16 – $292.84
Drug screen, instrument chemistry CPT 80307	$184.11	$541.51	$351.98 – $351.98
Ferritin (iron stores) test CPT 82728	$153.69	$452.02	$10.94 – $293.81
Free T4 (thyroid) test CPT 84439	$125.24	$368.36	$7.23 – $239.43
General health panel (blood tests) CPT 80050	$168.30	$495.00	$35.00 – $321.75
Glucose (blood sugar) test CPT 82947	$50.89	$149.68	$3.81 – $97.29
Gonorrhea test (DNA/NAAT) CPT 87591	$86.83	$255.39	$28.16 – $166.00
Hemoglobin A1c test CPT 83036	$109.28	$321.41	$9.42 – $208.92
Hepatitis C antibody test CPT 86803	$258.97	$761.69	$13.84 – $495.10
HIV-1/HIV-2 antigen and antibody test CPT 87389	$67.51	$198.56	$23.36 – $129.06
Iron test CPT 83540	$101.28	$297.87	$5.19 – $193.62
Kidney function panel CPT 80069	$274.94	$808.64	$8.42 – $525.62
Lipase test (pancreas) CPT 83690	$88.31	$259.74	$5.53 – $168.83
Lipid panel, cholesterol and triglycerides CPT 80061	$144.44	$424.81	$12.99 – $276.13
Liver function panel CPT 80076	$286.43	$842.43	$6.56 – $547.58
Magnesium test CPT 83735	$43.42	$127.70	$6.50 – $83.01
Obstetric blood test panel CPT 80055	not posted		$38.36 – $66.64
Partial thromboplastin time (PTT), clotting test CPT 85730	$66.86	$196.64	$5.83 – $127.82
Pregnancy blood test (hCG), quantitative CPT 84702	$183.23	$538.92	$14.60 – $350.30
Prothrombin time (PT/INR), clotting test CPT 85610	$49.48	$145.52	$4.16 – $94.59
PSA (prostate specific antigen), free CPT 84154	$26.44	$77.76	$11.54 – $50.54
PSA (prostate specific antigen), total CPT 84153	$127.98	$376.40	$14.76 – $244.66
Rapid strep test CPT 87880	$64.37	$189.31	$14.55 – $123.05
Sed rate (ESR) test CPT 85652	$26.98	$79.34	$2.62 – $51.57
TB skin test CPT 86580	not posted		$10.93 – $26.04
Thyroid stimulating hormone (TSH) CPT 84443	$145.05	$426.61	$16.30 – $277.30
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$417.34	$1,227.48	$50.14 – $797.86
Troponin test (heart damage) CPT 84484	$130.73	$384.50	$8.11 – $249.93
Urinalysis, automated, with microscope CPT 81001	$64.09	$188.50	$3.07 – $122.53
Urinalysis, automated, without microscope CPT 81003	$46.90	$137.94	$2.18 – $89.66
Urinalysis, manual, with microscope CPT 81000	not posted		$3.54 – $5.61
Urinalysis, manual, without microscope CPT 81002	not posted		$3.06 – $4.85
Urine culture, colony count CPT 87086	$95.30	$280.29	$7.83 – $182.19
Urine pregnancy test CPT 81025	$153.18	$450.52	$7.58 – $292.84
Vitamin B12 test CPT 82607	$154.19	$453.51	$12.10 – $294.78
Vitamin D test CPT 82306	$149.70	$440.28	$23.76 – $286.18

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$442.10	$1,300.28	$192.96 – $845.18
ECG tracing only (no interpretation) CPT 93005	$134.22	$394.76	$14.78 – $256.59
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,215.53	$3,575.08	$230.52 – $2,323.80
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$32.77 – $32.77
Holter monitor, up to 48 hours CPT 93224	not posted		$154.67 – $154.67
Left heart catheterization CPT 93452	not posted		$3,252.26 – $8,602.00
Left heart catheterization with coronary angiogram CPT 93458	$8,768.38	$25,789.36	$3,252.26 – $16,763.08
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,632.66	$4,801.95	$595.18 – $3,121.27
Treadmill stress test, complete CPT 93015	not posted		$139.65 – $139.65

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$2,067.00 – $7,595.70
Appendix removal, laparoscopic CPT 44970	not posted		$3,970.00 – $7,566.00
Breast biopsy with ultrasound guidance CPT 19083	$1,519.90	$4,470.28	$663.39 – $5,099.00
Carpal tunnel release CPT 64721	not posted		$1,100.00 – $3,874.00
Colonoscopy with biopsy CPT 45380	not posted		$1,100.00 – $2,430.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$1,100.00 – $2,430.00
Colonoscopy, diagnostic CPT 45378	not posted		$921.87 – $2,430.00
Colposcopy with biopsy CPT 57454	not posted		$307.58 – $1,618.00
Cystoscopy (bladder scope) CPT 52000	not posted		$674.91 – $1,719.00
Ear tubes, under general anesthesia CPT 69436	not posted		$1,497.79 – $2,880.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$735.00 – $1,719.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$3,970.00 – $7,566.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$6,904.00 – $13,896.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$5,174.00 – $11,069.92
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$2,833.00 – $7,344.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$3,970.00 – $7,566.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$3,239.00 – $7,344.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$3,487.42 – $7,566.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$2,067.00 – $5,743.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$1,100.00 – $2,430.00
Nasal endoscopy, diagnostic CPT 31231	not posted		$120.00 – $1,100.00
Prostate biopsy CPT 55700	$602.77	$1,772.86	$263.09 – $5,099.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$3,970.00 – $11,069.92
Removal of a breast lump, open surgery CPT 19120	not posted		$2,833.00 – $4,071.55
Rotator cuff repair, arthroscopic CPT 29827	not posted		$2,067.00 – $7,595.70
Screening colonoscopy, average risk HCPCS G0121	not posted		$317.20 – $2,430.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$316.17 – $2,430.00
Septoplasty (nasal septum repair) CPT 30520	not posted		$3,239.00 – $3,874.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$728.00 – $2,833.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$6,904.00 – $13,896.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$2,833.00 – $6,289.93
Total hip replacement CPT 27130	not posted		$5,942.00 – $13,680.88
Total knee replacement CPT 27447	not posted		$5,942.00 – $13,680.88
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$948.01 – $2,430.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$735.00 – $2,256.00
Vasectomy CPT 55250	not posted		$1,100.00 – $3,874.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$287.93	$846.84	$125.25 – $550.45
IUD insertion CPT 58300	not posted		$120.00 – $798.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$1,122.00 – $15,838.14
C-section, without complications MS-DRG 788	not posted	$6,694.78 – $10,498.00
Chest pain MS-DRG 313	not posted	$5,279.16 – $12,807.67
COPD flare-up, with major complications MS-DRG 190	not posted	$8,310.20 – $20,161.22
COPD flare-up, without complications MS-DRG 192	not posted	$4,789.28 – $11,619.18
Fainting (syncope) MS-DRG 312	not posted	$6,447.62 – $15,642.45
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$7,295.66 – $17,699.86
Heart failure, with major complications MS-DRG 291	not posted	$9,655.52 – $23,425.07
Heart failure, without complications MS-DRG 293	not posted	$4,060.38 – $9,850.81
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$71,418.14 – $173,266.20
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$13,952.70 – $33,850.38
Irregular heartbeat, without complications MS-DRG 310	not posted	$4,140.30 – $10,044.70
Kidney failure, with complications MS-DRG 683	not posted	$6,577.86 – $15,958.42
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$5,939.24 – $14,409.08
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$17,518.76 – $42,501.93
Normal newborn care MS-DRG 795	not posted	$1,478.52 – $3,868.44
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$5,782.36 – $14,028.47
Pneumonia, with complications MS-DRG 194	not posted	$6,068.00 – $14,721.46
Pneumonia, with major complications MS-DRG 193	not posted	$9,750.98 – $23,656.67
Pneumonia, without complications MS-DRG 195	not posted	$4,607.98 – $11,179.33
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,122.00 – $25,306.55
Sepsis, with major complications MS-DRG 871	not posted	$14,519.54 – $35,225.58
Sepsis, without major complications MS-DRG 872	not posted	$7,629.40 – $18,509.54
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$6,517.92 – $15,813.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$41,256.00 – $41,256.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$5,774.22 – $14,008.73
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$7,525.06 – $18,256.41
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$8,870.38 – $21,520.26
Vaginal delivery, without complications MS-DRG 807	not posted	$4,716.02 – $7,790.15
Weight loss surgery, without complications MS-DRG 621	not posted	$10,817.32 – $25,301.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$418.44	$1,230.70	$182.02 – $799.96
Lower back nerve root injection with imaging guidance CPT 64483	$1,088.00	$3,200.00	$474.88 – $5,099.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,170.04	$3,441.28	$510.69 – $5,099.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$735.00 – $1,719.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$2,306.15 – $5,667.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$123.60 – $137.02
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$554.72 – $2,430.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$51.09 – $166.36

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$95.05 – $967.00
Sleep study with CPAP titration CPT 95811	not posted	$830.04 – $1,267.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$788.88 – $1,267.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$176.13	$518.03	$41.99 – $354.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$69.57	$204.61	$19.26 – $161.00
Physical therapy evaluation, low complexity CPT 97161	$211.46	$621.93	$67.89 – $404.25
Physical therapy evaluation, moderate complexity CPT 97162	$211.46	$621.93	$75.44 – $404.25
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$83.57	$245.79	$27.06 – $161.00
Therapeutic activities, 15 minutes CPT 97530	$82.33	$242.15	$32.17 – $161.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$101.32	$298.00	$44.22 – $193.70
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$146.10 – $170.84
Group psychotherapy CPT 90853	$187.00	$550.00	$82.60 – $357.50
Psychiatric diagnostic evaluation CPT 90791	$153.29	$450.85	$66.91 – $293.05
Psychotherapy, 30 minutes CPT 90832	$89.19	$262.32	$38.93 – $170.84
Psychotherapy, 45 minutes CPT 90834	$80.58	$237.00	$35.17 – $170.84
Psychotherapy, 60 minutes CPT 90837	not posted		$162.46 – $181.42

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$96.45	$283.68	$33.68 – $393.00
IV hydration, each additional hour CPT 96361	$121.25	$356.62	$21.47 – $393.00
IV hydration, first hour CPT 96360	$352.41	$1,036.49	$72.21 – $673.72
IV push injection of a drug, first CPT 96374	$147.21	$432.98	$64.25 – $393.00
IV push injection, each additional drug CPT 96375	$104.30	$306.75	$29.75 – $393.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$34.53	$101.56	? – $66.01
Dexamethasone injection, per 1 mg HCPCS J1100	$2.14	$6.30	? – $4.10
Fentanyl injection, per 0.1 mg HCPCS J3010	not posted		? – $1.35
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	$3.39	$9.96	$6.47 – $6.47
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$2.04	$6.00	$1.02 – $3.90
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$1.13	$3.33	? – $2.16
Morphine injection, up to 10 mg HCPCS J2270	not posted		? – $7.26
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$4.64	$13.65	? – $8.87
Saline IV solution, 1000 ml HCPCS J7030	not posted		$2.34 – $3.86

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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