Brigham and Women's Hospital
75 Francis Street, Boston, MA 02115 · Acute care hospital · Emergency room
These are Brigham and Women's Hospital's own posted figures from its standard-charges file dated March 27, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
198 of the services we track have a posted price here; 197 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 | $3,483.75 | $4,645.00 | $950.62 – $3,692.78 |
| Emergency room visit, level 1 (minor) CPT 99281 | $585.75 | $781.00 | $431.89 – $620.90 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,409.25 | $1,879.00 | $312.38 – $1,493.81 |
| Emergency room visit, level 4 CPT 99284 | $1,872.75 | $2,497.00 | $480.40 – $1,985.12 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $2,768.25 | $3,691.00 | $592.29 – $2,934.35 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $522.75 | $697.00 | $216.07 – $554.12 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $162.75 | $217.00 | $27.32 – $206.15 |
| Abdominal X-ray, 1 view CPT 74018 | $290.25 | $387.00 | $99.34 – $307.67 |
| Ankle X-ray, 3 or more views CPT 73610 | $442.50 | $590.00 | $99.34 – $469.05 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $495.00 | $660.00 | $119.97 – $524.70 |
| Breast ultrasound, one breast, complete CPT 76641 | $357.00 | $476.00 | $119.97 – $436.40 |
| Breast ultrasound, one breast, limited CPT 76642 | $273.00 | $364.00 | $99.34 – $289.38 |
| Chest X-ray, 1 view CPT 71045 | $280.50 | $374.00 | $99.34 – $297.33 |
| Chest X-ray, 2 views CPT 71046 | $354.00 | $472.00 | $99.34 – $375.24 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,125.25 | $4,167.00 | $200.84 – $3,208.59 |
| CT angiogram of the head CPT 70496 | $3,700.50 | $4,934.00 | $200.84 – $3,799.18 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $2,130.00 | $2,840.00 | $402.91 – $2,186.80 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,698.50 | $3,598.00 | $402.91 – $2,770.46 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,323.75 | $1,765.00 | $272.70 – $1,359.05 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,644.75 | $2,193.00 | $119.97 – $1,688.61 |
| CT scan of the chest, with contrast CPT 71260 | $2,118.75 | $2,825.00 | $200.84 – $2,175.25 |
| CT scan of the chest, without contrast CPT 71250 | $1,740.75 | $2,321.00 | $119.97 – $1,787.17 |
| CT scan of the head, without contrast CPT 70450 | $1,371.00 | $1,828.00 | $119.97 – $1,407.56 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $1,719.00 | $2,292.00 | $119.97 – $1,764.84 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,983.75 | $2,645.00 | $200.84 – $2,036.65 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,795.50 | $2,394.00 | $119.97 – $1,843.38 |
| Diagnostic mammogram, both breasts CPT 77066 | $596.25 | $795.00 | $126.92 – $755.25 |
| Diagnostic mammogram, one breast CPT 77065 | $485.25 | $647.00 | $99.60 – $614.65 |
| Foot X-ray, 3 or more views CPT 73630 | $365.25 | $487.00 | $99.34 – $387.17 |
| Hand X-ray, 3 or more views CPT 73130 | $365.25 | $487.00 | $99.34 – $387.17 |
| Knee X-ray, 3 views CPT 73562 | $404.25 | $539.00 | $99.34 – $428.51 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,936.50 | $2,582.00 | $272.70 – $2,052.69 |
| Leg or arm vein ultrasound, one side CPT 93971 | $1,256.25 | $1,675.00 | $119.97 – $1,331.63 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $450.75 | $601.00 | $119.97 – $477.80 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,761.00 | $2,348.00 | $271.02 – $2,230.60 |
| MRI of the abdomen, without and with contrast CPT 74183 | $4,888.50 | $6,518.00 | $402.91 – $5,018.86 |
| MRI of the brain, without and with contrast CPT 70553 | $4,860.75 | $6,481.00 | $402.91 – $4,990.37 |
| MRI of the brain, without contrast CPT 70551 | $3,858.00 | $5,144.00 | $272.70 – $3,960.88 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $2,499.00 | $3,332.00 | $272.70 – $2,565.64 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $3,281.25 | $4,375.00 | $272.70 – $3,368.75 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $3,329.25 | $4,439.00 | $272.70 – $3,418.03 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $3,309.75 | $4,413.00 | $272.70 – $3,398.01 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,878.75 | $6,505.00 | $402.91 – $5,008.85 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $2,696.25 | $3,595.00 | $272.70 – $2,768.15 |
| Neck X-ray, 2 or 3 views CPT 72040 | $426.75 | $569.00 | $99.34 – $452.36 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $673.50 | $898.00 | $119.97 – $713.91 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $759.00 | $1,012.00 | $119.97 – $804.54 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $659.25 | $879.00 | $119.97 – $698.81 |
| Screening mammogram, both breasts CPT 77067 | $505.50 | $674.00 | $105.01 – $640.30 |
| Shoulder X-ray, 2 or more views CPT 73030 | $339.00 | $452.00 | $99.34 – $359.34 |
| Transvaginal pregnancy ultrasound CPT 76817 | $528.00 | $704.00 | $119.97 – $559.68 |
| Transvaginal ultrasound CPT 76830 | $663.00 | $884.00 | $119.97 – $702.78 |
| Ultrasound of the abdomen, complete CPT 76700 | $740.25 | $987.00 | $119.97 – $784.67 |
| Ultrasound of the neck or thyroid CPT 76536 | $621.00 | $828.00 | $119.97 – $658.26 |
| Wrist X-ray, 3 or more views CPT 73110 | $408.00 | $544.00 | $99.34 – $432.48 |
| X-ray of the lower back, 4 or more views CPT 72110 | $626.25 | $835.00 | $119.97 – $663.83 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $110.25 | $147.00 | $8.29 – $139.65 |
| Blood culture CPT 87040 | $138.00 | $184.00 | $10.11 – $174.80 |
| Blood draw (venipuncture) CPT 36415 | $12.00 | $16.00 | $4.96 – $15.20 |
| BNP test (heart failure) CPT 83880 | $355.50 | $474.00 | $35.01 – $450.30 |
| C-reactive protein (CRP) test CPT 86140 | $66.00 | $88.00 | $5.08 – $83.60 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $228.00 | $304.00 | $26.86 – $288.80 |
| Complete blood count (CBC) with differential CPT 85025 | $93.75 | $125.00 | $7.61 – $118.75 |
| Complete blood count (CBC), automated CPT 85027 | $72.00 | $96.00 | $6.34 – $91.20 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $133.50 | $178.00 | $10.35 – $169.10 |
| COVID-19 PCR test CPT 87635 | $160.00 | $160.00 | $49.60 – $152.00 |
| D-dimer test (blood clots) CPT 85379 | $134.25 | $179.00 | $9.98 – $170.05 |
| Drug screen, instrument chemistry CPT 80307 | $468.75 | $625.00 | $60.90 – $593.75 |
| Ferritin (iron stores) test CPT 82728 | $132.75 | $177.00 | $13.36 – $168.15 |
| Free T4 (thyroid) test CPT 84439 | $113.25 | $151.00 | $8.84 – $143.45 |
| General health panel (blood tests) CPT 80050 | $194.25 | $259.00 | $16.94 – $246.05 |
| Glucose (blood sugar) test CPT 82947 | $52.50 | $70.00 | $3.85 – $66.50 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $228.00 | $304.00 | $26.86 – $288.80 |
| Hemoglobin A1c test CPT 83036 | $122.25 | $163.00 | $9.52 – $154.85 |
| Hepatitis C antibody test CPT 86803 | $150.00 | $200.00 | $11.99 – $190.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $204.00 | $272.00 | $23.19 – $258.40 |
| Iron test CPT 83540 | $61.50 | $82.00 | $6.34 – $77.90 |
| Kidney function panel CPT 80069 | $126.00 | $168.00 | $8.51 – $159.60 |
| Lipase test (pancreas) CPT 83690 | $86.25 | $115.00 | $6.75 – $109.25 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $124.50 | $166.00 | $13.12 – $157.70 |
| Liver function panel CPT 80076 | $107.25 | $143.00 | $8.01 – $135.85 |
| Magnesium test CPT 83735 | $80.25 | $107.00 | $6.57 – $101.65 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $78.75 | $105.00 | $5.89 – $99.75 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $186.75 | $249.00 | $14.75 – $236.55 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $52.50 | $70.00 | $4.06 – $66.50 |
| PSA (prostate specific antigen), free CPT 84154 | $160.50 | $214.00 | $18.02 – $203.30 |
| PSA (prostate specific antigen), total CPT 84153 | $159.75 | $213.00 | $18.02 – $202.35 |
| Rapid strep test CPT 87880 | $103.50 | $138.00 | $11.81 – $131.10 |
| Sed rate (ESR) test CPT 85652 | $33.00 | $44.00 | $2.65 – $41.80 |
| TB skin test CPT 86580 | $60.00 | $80.00 | $24.80 – $64.32 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $150.00 | $200.00 | $16.46 – $190.00 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $375.75 | $501.00 | $60.28 – $398.30 |
| Troponin test (heart damage) CPT 84484 | $126.75 | $169.00 | $10.14 – $160.55 |
| Urinalysis, automated, with microscope CPT 81001 | $36.75 | $49.00 | $3.11 – $46.55 |
| Urinalysis, automated, without microscope CPT 81003 | $27.75 | $37.00 | $2.21 – $35.15 |
| Urine culture, colony count CPT 87086 | $78.00 | $104.00 | $7.91 – $98.80 |
| Urine pregnancy test CPT 81025 | $78.75 | $105.00 | $6.52 – $99.75 |
| Vitamin B12 test CPT 82607 | $135.75 | $181.00 | $14.78 – $171.95 |
| Vitamin D test CPT 82306 | $267.00 | $356.00 | $29.01 – $338.20 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,908.75 | $2,545.00 | $272.70 – $2,023.28 |
| ECG tracing only (no interpretation) CPT 93005 | $250.50 | $334.00 | $67.01 – $265.53 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,394.75 | $3,193.00 | $618.58 – $2,538.44 |
| Left heart catheterization with coronary angiogram CPT 93458 | $23,358.75 | $31,145.00 | $3,628.70 – $24,760.28 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $4,008.75 | $5,345.00 | $1,472.82 – $4,249.28 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $16,995.75 | $22,661.00 | $5,129.63 – $18,518.57 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,770.50 | $3,694.00 | $1,145.14 – $2,936.73 |
| Carpal tunnel release CPT 64721 | $3,613.50 | $4,818.00 | $1,493.58 – $3,830.31 |
| Colonoscopy with biopsy CPT 45380 | $1,965.75 | $2,621.00 | $812.51 – $2,083.70 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,963.50 | $2,618.00 | $811.58 – $2,081.31 |
| Colonoscopy, diagnostic CPT 45378 | $2,912.25 | $3,883.00 | $1,028.57 – $3,086.99 |
| Colposcopy with biopsy CPT 57454 | $711.75 | $949.00 | $294.19 – $754.46 |
| Cystoscopy (bladder scope) CPT 52000 | $1,434.75 | $1,913.00 | $593.03 – $1,520.84 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,239.00 | $1,652.00 | $512.12 – $1,459.48 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $6,532.50 | $8,710.00 | $2,700.10 – $6,924.45 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $6,070.50 | $8,094.00 | $2,509.14 – $9,274.80 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $2,077.50 | $2,770.00 | $858.70 – $5,610.09 |
| Prostate biopsy CPT 55700 | $2,829.75 | $3,773.00 | $1,169.63 – $3,040.60 |
| Removal of a breast lump, open surgery CPT 19120 | $5,259.00 | $7,012.00 | $2,173.72 – $6,087.35 |
| Rotator cuff repair, arthroscopic CPT 29827 | $5,536.50 | $7,382.00 | $2,288.42 – $11,356.28 |
| Screening colonoscopy, average risk HCPCS G0121 | $2,896.50 | $3,862.00 | $1,028.57 – $3,070.29 |
| Screening colonoscopy, high risk HCPCS G0105 | $2,897.25 | $3,863.00 | $1,028.57 – $3,071.09 |
| Total hip replacement CPT 27130 | $36,621.75 | $48,829.00 | $14,516.11 – $38,819.06 |
| Total knee replacement CPT 27447 | $4,590.00 | $6,120.00 | $1,897.20 – $20,454.19 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,769.00 | $3,692.00 | $1,057.74 – $2,935.14 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,815.75 | $2,421.00 | $750.51 – $1,924.70 |
| Vasectomy CPT 55250 | $4,533.75 | $6,045.00 | $1,873.95 – $4,805.78 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $511.50 | $682.00 | $211.42 – $647.90 |
| IUD insertion CPT 58300 | $272.25 | $363.00 | $112.53 – $344.85 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $33,240.97 | $44,321.29 | $8,264.17 – $13,828.18 |
| C-section, without complications MS-DRG 788 | $33,457.21 | $44,609.61 | $8,943.61 – $15,018.64 |
| Chest pain MS-DRG 313 | $26,065.90 | $34,754.54 | $6,808.80 – $11,278.08 |
| COPD flare-up, with major complications MS-DRG 190 | $43,335.46 | $57,780.61 | $10,274.70 – $17,351.01 |
| COPD flare-up, without complications MS-DRG 192 | $20,604.15 | $27,472.20 | $6,111.51 – $9,766.90 |
| Fainting (syncope) MS-DRG 312 | $35,317.03 | $47,089.38 | $8,164.05 – $13,148.79 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $34,785.49 | $46,380.65 | $9,139.38 – $15,361.68 |
| Heart failure, with major complications MS-DRG 291 | $56,293.89 | $75,058.52 | $11,848.97 – $19,690.74 |
| Heart failure, without complications MS-DRG 293 | $31,390.87 | $41,854.50 | $5,432.10 – $8,280.43 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $333,158.68 | $444,211.57 | $87,827.19 – $153,237.78 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $63,826.09 | $85,101.46 | $17,615.97 – $30,214.29 |
| Irregular heartbeat, without complications MS-DRG 310 | $18,961.43 | $25,281.91 | $5,432.97 – $8,443.41 |
| Kidney failure, with complications MS-DRG 683 | $30,932.21 | $41,242.95 | $8,201.60 – $13,718.53 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $27,731.65 | $36,975.54 | $7,608.90 – $12,680.01 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $82,266.17 | $109,688.23 | $22,196.65 – $35,726.43 |
| Normal newborn care MS-DRG 795 | $6,444.53 | $8,592.71 | $2,158.39 – $3,129.67 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $33,939.71 | $45,252.95 | $7,329.10 – $12,189.72 |
| Pneumonia, with complications MS-DRG 194 | $30,775.31 | $41,033.75 | $7,576.72 – $12,407.82 |
| Pneumonia, with major complications MS-DRG 193 | $47,035.99 | $62,714.66 | $12,122.53 – $20,588.76 |
| Pneumonia, without complications MS-DRG 195 | $23,452.69 | $31,270.25 | $5,990.84 – $9,397.17 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $71,619.97 | $95,493.29 | $12,859.16 – $21,879.48 |
| Sepsis, with major complications MS-DRG 871 | $75,122.44 | $100,163.25 | $17,737.55 – $30,427.32 |
| Sepsis, without major complications MS-DRG 872 | $41,302.31 | $55,069.75 | $9,520.20 – $15,558.82 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $29,382.82 | $39,177.10 | $8,157.79 – $13,641.78 |
| Spinal fusion except neck, without major complications MS-DRG 460 | not posted | $212,594.85 | $13,682.12 – $120,575.59 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $28,674.47 | $38,232.63 | $7,341.60 – $12,211.65 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $45,640.38 | $60,853.84 | $9,403.99 – $15,825.34 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $61,480.49 | $81,973.99 | $11,463.69 – $18,089.58 |
| Vaginal delivery, without complications MS-DRG 807 | $28,348.01 | $37,797.35 | $6,399.36 – $10,560.67 |
| Weight loss surgery, without complications MS-DRG 621 | $46,267.75 | $61,690.34 | $13,856.84 – $23,627.58 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $538.50 | $718.00 | $222.58 – $570.81 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,783.50 | $2,378.00 | $737.18 – $1,890.51 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,783.50 | $2,378.00 | $737.18 – $1,890.51 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $435.00 | $580.00 | $176.52 – $461.10 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $159.00 | $212.00 | $29.66 – $201.40 |
| Physical therapy evaluation, low complexity CPT 97161 | $468.75 | $625.00 | $107.02 – $593.75 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $468.75 | $625.00 | $107.02 – $593.75 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $171.00 | $228.00 | $31.47 – $216.60 |
| Therapeutic activities, 15 minutes CPT 97530 | $183.75 | $245.00 | $38.35 – $232.75 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $339.00 | $452.00 | $140.12 – $429.40 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $325.50 | $434.00 | $134.54 – $412.30 |
| Group psychotherapy CPT 90853 | $103.50 | $138.00 | $42.78 – $109.71 |
| Psychiatric diagnostic evaluation CPT 90791 | $472.50 | $630.00 | $195.30 – $598.50 |
| Psychotherapy, 30 minutes CPT 90832 | $228.00 | $304.00 | $94.24 – $288.80 |
| Psychotherapy, 45 minutes CPT 90834 | $300.75 | $401.00 | $124.31 – $380.95 |
| Psychotherapy, 60 minutes CPT 90837 | $444.75 | $593.00 | $183.83 – $563.35 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $206.25 | $275.00 | $75.72 – $218.63 |
| IV hydration, each additional hour CPT 96361 | $249.00 | $332.00 | $52.05 – $263.94 |
| IV hydration, first hour CPT 96360 | $619.50 | $826.00 | $223.15 – $656.67 |
| IV push injection of a drug, first CPT 96374 | $642.75 | $857.00 | $110.41 – $681.32 |
| IV push injection, each additional drug CPT 96375 | $265.50 | $354.00 | $52.05 – $281.43 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $40.50 | $54.00 | $1.16 – $41.58 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $27.75 | $37.00 | $11.47 – $29.42 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $5.61 | $7.48 | $2.08 – $5.76 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $4.40 | $5.87 | $1.82 – $9.87 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $2.45 | $3.27 | ? – $2.52 |
| Morphine injection, up to 10 mg HCPCS J2270 | $6.63 | $8.84 | $2.74 – $10.59 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $9.75 | $13.00 | ? – $10.01 |
| Saline IV solution, 1000 ml HCPCS J7030 | $3.45 | $4.60 | $1.43 – $6.32 |
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.