Tufts Medical Center
800 Washington Street, Boston, MA 02111 · Acute care hospital · Emergency room
These are Tufts Medical Center'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.
208 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 | $1,534.40 | $2,192.00 | $575.62 – $3,819.78 |
| Emergency room visit, level 1 (minor) CPT 99281 | $339.50 | $485.00 | $127.36 – $1,007.44 |
| Emergency room visit, level 2 CPT 99282 | $507.50 | $725.00 | $190.39 – $1,210.76 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $910.00 | $1,300.00 | $341.38 – $1,542.68 |
| Emergency room visit, level 4 CPT 99284 | $1,260.00 | $1,800.00 | $431.00 – $1,972.25 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,641.50 | $2,345.00 | $431.00 – $2,498.66 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $359.80 | $514.00 | $134.98 – $614.99 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $99.40 | $142.00 | $8.99 – $142.00 |
| Abdominal X-ray, 1 view CPT 74018 | $282.80 | $404.00 | $106.09 – $437.52 |
| Ankle X-ray, 3 or more views CPT 73610 | $233.10 | $333.00 | $47.29 – $672.80 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $361.90 | $517.00 | $135.76 – $559.77 |
| Breast ultrasound, one breast, complete CPT 76641 | $283.50 | $405.00 | $106.35 – $559.77 |
| Breast ultrasound, one breast, limited CPT 76642 | $281.40 | $402.00 | $31.15 – $673.17 |
| Chest X-ray, 1 view CPT 71045 | $282.80 | $404.00 | $53.05 – $437.52 |
| Chest X-ray, 2 views CPT 71046 | $224.00 | $320.00 | $84.03 – $437.52 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,130.50 | $1,615.00 | $100.87 – $1,615.00 |
| CT angiogram of the head CPT 70496 | $1,130.50 | $1,615.00 | $100.87 – $1,615.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,510.60 | $2,158.00 | $192.94 – $2,158.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $1,510.60 | $2,158.00 | $192.94 – $2,158.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $936.60 | $1,338.00 | $115.28 – $1,338.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $490.00 | $700.00 | $56.26 – $700.00 |
| CT scan of the chest, with contrast CPT 71260 | $1,025.50 | $1,465.00 | $100.87 – $1,465.00 |
| CT scan of the chest, without contrast CPT 71250 | $490.00 | $700.00 | $56.26 – $700.00 |
| CT scan of the head, without contrast CPT 70450 | $490.00 | $700.00 | $56.26 – $700.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $490.00 | $700.00 | $56.26 – $700.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,025.50 | $1,465.00 | $201.74 – $1,465.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $490.00 | $700.00 | $56.26 – $700.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $508.20 | $726.00 | $95.32 – $726.00 |
| Diagnostic mammogram, one breast CPT 77065 | $399.70 | $571.00 | $74.97 – $571.00 |
| Foot X-ray, 3 or more views CPT 73630 | $233.10 | $333.00 | $87.45 – $656.29 |
| Hand X-ray, 3 or more views CPT 73130 | $233.10 | $333.00 | $43.72 – $672.80 |
| Knee X-ray, 3 views CPT 73562 | $233.10 | $333.00 | $87.45 – $656.29 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,073.80 | $1,534.00 | $402.83 – $2,301.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $613.90 | $877.00 | $230.30 – $1,315.50 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $361.90 | $517.00 | $135.76 – $559.77 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,667.40 | $2,382.00 | $385.88 – $2,382.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,908.90 | $2,727.00 | $385.88 – $2,727.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,908.90 | $2,727.00 | $385.88 – $2,727.00 |
| MRI of the brain, without contrast CPT 70551 | $1,141.70 | $1,631.00 | $115.28 – $1,631.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,141.70 | $1,631.00 | $115.28 – $2,446.50 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,141.70 | $1,631.00 | $230.56 – $1,631.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,141.70 | $1,631.00 | $115.28 – $1,631.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,141.70 | $1,631.00 | $115.28 – $1,631.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,759.80 | $2,514.00 | $385.88 – $2,514.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,141.70 | $1,631.00 | $230.56 – $2,446.50 |
| Neck X-ray, 2 or 3 views CPT 72040 | $282.80 | $404.00 | $106.09 – $437.52 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $452.90 | $647.00 | $112.51 – $647.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $484.40 | $692.00 | $112.51 – $692.00 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $466.90 | $667.00 | $112.51 – $667.00 |
| Screening mammogram, both breasts CPT 77067 | $407.40 | $582.00 | $70.87 – $582.00 |
| Shoulder X-ray, 2 or more views CPT 73030 | $233.10 | $333.00 | $43.72 – $656.29 |
| Transvaginal pregnancy ultrasound CPT 76817 | $428.40 | $612.00 | $112.51 – $612.00 |
| Transvaginal ultrasound CPT 76830 | $400.40 | $572.00 | $112.51 – $572.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $641.90 | $917.00 | $112.51 – $917.00 |
| Ultrasound of the neck or thyroid CPT 76536 | $448.00 | $640.00 | $112.51 – $640.00 |
| Wrist X-ray, 3 or more views CPT 73110 | $233.10 | $333.00 | $43.72 – $656.29 |
| X-ray of the lower back, 4 or more views CPT 72110 | $431.20 | $616.00 | $161.76 – $616.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $21.70 | $31.00 | $8.14 – $36.72 |
| Blood culture CPT 87040 | $25.20 | $36.00 | $9.45 – $44.78 |
| Blood draw (venipuncture) CPT 36415 | $18.20 | $26.00 | $6.83 – $26.00 |
| BNP test (heart failure) CPT 83880 | $109.90 | $157.00 | $41.23 – $170.35 |
| C-reactive protein (CRP) test CPT 86140 | $12.60 | $18.00 | $4.73 – $22.47 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $81.90 | $117.00 | $30.72 – $152.28 |
| Complete blood count (CBC) with differential CPT 85025 | $18.90 | $27.00 | $7.09 – $33.73 |
| Complete blood count (CBC), automated CPT 85027 | $16.10 | $23.00 | $6.04 – $28.06 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $27.30 | $39.00 | $10.24 – $45.83 |
| COVID-19 PCR test CPT 87635 | $84.00 | $120.00 | $34.08 – $222.65 |
| D-dimer test (blood clots) CPT 85379 | $23.80 | $34.00 | $8.93 – $44.19 |
| Drug screen, instrument chemistry CPT 80307 | $165.20 | $236.00 | $61.97 – $255.77 |
| Ferritin (iron stores) test CPT 82728 | $31.50 | $45.00 | $11.82 – $59.15 |
| Free T4 (thyroid) test CPT 84439 | $22.40 | $32.00 | $8.40 – $39.15 |
| General health panel (blood tests) CPT 80050 | $144.90 | $207.00 | $54.36 – $282.64 |
| Glucose (blood sugar) test CPT 82947 | $10.50 | $15.00 | $3.94 – $17.06 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $81.90 | $117.00 | $30.72 – $152.28 |
| Hemoglobin A1c test CPT 83036 | $25.20 | $36.00 | $9.45 – $42.14 |
| Hepatitis C antibody test CPT 86803 | $37.10 | $53.00 | $13.92 – $61.92 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $62.30 | $89.00 | $23.37 – $104.48 |
| Iron test CPT 83540 | $16.10 | $23.00 | $6.04 – $28.06 |
| Kidney function panel CPT 80069 | $22.40 | $32.00 | $8.40 – $37.68 |
| Lipase test (pancreas) CPT 83690 | $16.80 | $24.00 | $6.30 – $261.21 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $35.00 | $50.00 | $13.13 – $58.10 |
| Liver function panel CPT 80076 | $20.30 | $29.00 | $7.62 – $35.46 |
| Magnesium test CPT 83735 | $16.80 | $24.00 | $6.30 – $29.07 |
| Obstetric blood test panel CPT 80055 | $117.60 | $168.00 | $44.12 – $207.48 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $14.70 | $21.00 | $5.51 – $26.09 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $37.10 | $53.00 | $13.92 – $65.32 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $10.50 | $15.00 | $3.94 – $18.61 |
| PSA (prostate specific antigen), free CPT 84154 | $45.50 | $65.00 | $17.07 – $79.82 |
| PSA (prostate specific antigen), total CPT 84153 | $45.50 | $65.00 | $17.07 – $79.82 |
| Rapid strep test CPT 87880 | $46.20 | $66.00 | $17.33 – $71.75 |
| Sed rate (ESR) test CPT 85652 | $6.30 | $9.00 | $2.36 – $11.72 |
| TB skin test CPT 86580 | $63.70 | $91.00 | $10.62 – $98.76 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $43.40 | $62.00 | $16.28 – $72.89 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $134.40 | $192.00 | $50.42 – $262.93 |
| Troponin test (heart damage) CPT 84484 | $35.00 | $50.00 | $13.13 – $54.11 |
| Urinalysis, automated, with microscope CPT 81001 | $7.70 | $11.00 | $2.89 – $13.74 |
| Urinalysis, automated, without microscope CPT 81003 | $5.60 | $8.00 | $2.10 – $94.58 |
| Urinalysis, manual, with microscope CPT 81000 | $9.10 | $13.00 | $3.41 – $17.43 |
| Urinalysis, manual, without microscope CPT 81002 | $23.10 | $33.00 | $7.41 – $33.00 |
| Urine culture, colony count CPT 87086 | $19.60 | $28.00 | $7.35 – $35.04 |
| Urine pregnancy test CPT 81025 | $18.90 | $27.00 | $7.09 – $37.35 |
| Vitamin B12 test CPT 82607 | $42.00 | $60.00 | $15.76 – $65.45 |
| Vitamin D test CPT 82306 | $72.80 | $104.00 | $27.31 – $128.46 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $750.40 | $1,072.00 | $281.51 – $1,160.13 |
| ECG tracing only (no interpretation) CPT 93005 | $184.10 | $263.00 | $69.06 – $284.89 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,795.50 | $2,565.00 | $673.57 – $2,565.00 |
| Left heart catheterization CPT 93452 | $6,566.00 | $9,380.00 | $2,463.19 – $9,380.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $6,566.00 | $9,380.00 | $2,463.19 – $9,380.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $3,797.50 | $5,425.00 | $702.94 – $6,949.09 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $872.20 | $1,246.00 | $327.20 – $5,830.74 |
| Carpal tunnel release CPT 64721 | $4,914.70 | $7,021.00 | $1,843.71 – $7,021.00 |
| Colonoscopy with biopsy CPT 45380 | $1,743.00 | $2,490.00 | $326.94 – $2,490.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,743.00 | $2,490.00 | $326.94 – $3,076.54 |
| Colonoscopy, diagnostic CPT 45378 | $1,810.90 | $2,587.00 | $339.67 – $2,587.00 |
| Colposcopy with biopsy CPT 57454 | $1,163.40 | $1,662.00 | $312.19 – $1,662.00 |
| Cystoscopy (bladder scope) CPT 52000 | $3,147.90 | $4,497.00 | $642.96 – $4,497.00 |
| Ear tubes, under general anesthesia CPT 69436 | $5,617.50 | $8,025.00 | $1,462.72 – $12,037.50 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,675.80 | $2,394.00 | $314.33 – $2,394.00 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $4,774.70 | $6,821.00 | $1,248.19 – $6,821.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $8,641.50 | $12,345.00 | $3,241.80 – $18,517.50 |
| Lower colon endoscopy with ultrasound CPT 45391 | $1,775.20 | $2,536.00 | $665.95 – $2,536.00 |
| Nasal endoscopy, diagnostic CPT 31231 | $558.60 | $798.00 | $187.51 – $798.00 |
| Prostate biopsy CPT 55700 | $2,893.80 | $4,134.00 | $1,085.59 – $4,134.00 |
| Removal of a breast lump, open surgery CPT 19120 | $5,617.50 | $8,025.00 | $2,107.37 – $12,037.50 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,480.50 | $2,115.00 | $277.70 – $10,711.57 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,480.50 | $2,115.00 | $277.70 – $2,338.95 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,402.10 | $2,003.00 | $262.99 – $2,391.27 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,400.70 | $2,001.00 | $262.73 – $2,391.27 |
| Vasectomy CPT 55250 | $4,986.80 | $7,124.00 | $1,870.76 – $10,686.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $568.40 | $812.00 | $213.23 – $878.86 |
| IUD insertion CPT 58300 | $893.20 | $1,276.00 | $41.57 – $1,276.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $18,711.37 | $26,730.53 | ? – $26,730.53 |
| C-section, without complications MS-DRG 788 | $28,859.40 | $41,227.71 | $4,284.00 – $23,975.00 |
| Chest pain MS-DRG 313 | $71,590.93 | $102,272.75 | $13,318.98 – $69,125.29 |
| COPD flare-up, with major complications MS-DRG 190 | $41,719.16 | $59,598.80 | $5,011.83 – $28,028.04 |
| COPD flare-up, without complications MS-DRG 192 | $90,913.66 | $129,876.66 | $7,723.62 – $74,113.42 |
| Fainting (syncope) MS-DRG 312 | $32,504.17 | $46,434.53 | $80,229.54 – $110,607.18 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $22,491.18 | $32,130.25 | $4,284.00 – $22,644.39 |
| Heart failure, with major complications MS-DRG 291 | $44,052.92 | $62,932.74 | $4,284.00 – $62,932.74 |
| Heart failure, without complications MS-DRG 293 | $7,917.61 | $11,310.87 | $4,284.00 – $13,500.68 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $207,266.73 | $296,095.33 | $5,508.00 – $216,721.36 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $129,225.75 | $184,608.22 | $6,958.20 – $50,767.04 |
| Irregular heartbeat, without complications MS-DRG 310 | $629,760.93 | $899,658.47 | $10,754.96 – $85,983.93 |
| Kidney failure, with complications MS-DRG 683 | $19,191.98 | $27,417.11 | $4,284.00 – $27,417.11 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $98,364.50 | $140,520.72 | $32,480.88 – $148,110.58 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $28,842.80 | $41,204.00 | $4,284.00 – $54,849.06 |
| Normal newborn care MS-DRG 795 | $4,594.73 | $6,563.90 | $2,251.10 – $12,343.48 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $11,896.31 | $16,994.73 | $4,284.00 – $18,179.44 |
| Pneumonia, with complications MS-DRG 194 | $108,513.07 | $155,018.67 | $5,279.59 – $70,560.72 |
| Pneumonia, with major complications MS-DRG 193 | $70,652.16 | $100,931.65 | $11,892.98 – $52,600.52 |
| Pneumonia, without complications MS-DRG 195 | $8,218.70 | $11,741.00 | $4,284.00 – $14,878.74 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $19,780.80 | $28,258.28 | $954.59 – $28,979.41 |
| Sepsis, with major complications MS-DRG 871 | $35,464.93 | $50,664.19 | $5,508.00 – $43,851.03 |
| Sepsis, without major complications MS-DRG 872 | $15,107.68 | $21,582.40 | $4,284.00 – $23,583.65 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $11,564.99 | $16,521.42 | $4,284.00 – $20,223.38 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $12,247.66 | $17,496.66 | $4,284.00 – $18,210.34 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $17,840.03 | $25,485.75 | $5,508.00 – $23,297.02 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $25,582.95 | $36,547.07 | $4,284.00 – $28,377.09 |
| Vaginal delivery, without complications MS-DRG 807 | $17,721.27 | $25,316.10 | $4,284.00 – $16,212.00 |
| Weight loss surgery, without complications MS-DRG 621 | $481,669.44 | $688,099.20 | $10,144.43 – $179,413.40 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $451.50 | $645.00 | $169.38 – $1,165.63 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,538.60 | $2,198.00 | $404.30 – $3,602.40 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,256.50 | $1,795.00 | $471.37 – $3,015.57 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,402.10 | $2,003.00 | $525.99 – $2,010.38 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Eye exam, new patient, comprehensive CPT 92004 | $111.30 | $159.00 | $29.11 – $159.00 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,248.10 | $1,783.00 | $468.22 – $3,015.57 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $485.80 | $694.00 | $91.12 – $723.55 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $590.80 | $844.00 | $221.63 – $844.00 |
| Sleep study with CPAP titration CPT 95811 | $4,081.70 | $5,831.00 | $1,531.22 – $5,831.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $2,999.50 | $4,285.00 | $562.62 – $4,638.40 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $364.00 | $520.00 | $136.55 – $723.55 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $108.50 | $155.00 | $40.70 – $323.95 |
| Physical therapy evaluation, low complexity CPT 97161 | $378.70 | $541.00 | $142.07 – $541.00 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $378.70 | $541.00 | $142.07 – $541.00 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $126.70 | $181.00 | $47.53 – $316.80 |
| Therapeutic activities, 15 minutes CPT 97530 | $192.50 | $275.00 | $72.22 – $275.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $191.10 | $273.00 | $35.12 – $399.22 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $217.00 | $310.00 | $35.12 – $399.22 |
| Group psychotherapy CPT 90853 | $255.50 | $365.00 | $16.50 – $365.00 |
| Psychiatric diagnostic evaluation CPT 90791 | $312.20 | $446.00 | $31.64 – $446.00 |
| Psychotherapy, 30 minutes CPT 90832 | $144.20 | $206.00 | $24.97 – $399.22 |
| Psychotherapy, 45 minutes CPT 90834 | $176.40 | $252.00 | $31.64 – $399.22 |
| Psychotherapy, 60 minutes CPT 90837 | $212.10 | $303.00 | $31.64 – $399.22 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $189.00 | $270.00 | $23.22 – $327.49 |
| IV hydration, each additional hour CPT 96361 | $121.80 | $174.00 | $45.69 – $195.03 |
| IV hydration, first hour CPT 96360 | $543.20 | $776.00 | $203.78 – $1,024.41 |
| IV push injection of a drug, first CPT 96374 | $364.70 | $521.00 | $136.81 – $996.68 |
| IV push injection, each additional drug CPT 96375 | $144.20 | $206.00 | $54.10 – $206.00 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $9.46 | $13.52 | $1.71 – $13.52 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $17.72 | $25.31 | ? – $25.31 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $73.37 | $104.81 | ? – $104.81 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | $14.23 | $20.33 | $1.71 – $20.33 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $4.61 | $6.58 | ? – $6.58 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $40.27 | $57.53 | $15.11 – $57.53 |
| Morphine injection, up to 10 mg HCPCS J2270 | $7.65 | $10.93 | $1.70 – $10.93 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $14.44 | $20.63 | $5.42 – $20.63 |
| Propofol injection, per 10 mg HCPCS J2704 | $24.15 | $34.50 | $1.01 – $34.50 |
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.