Huron Valley-Sinai Hospital
One William Carls Drive, Commerce Township, MI 48382 · Acute care hospital · Emergency room
These are Huron Valley-Sinai Hospital's own posted figures from its standard-charges file dated May 20, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
233 of the services we track have a posted price here; 132 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 | $6,156.00 | $8,208.00 | ? – $3,281.80 |
| Emergency room visit, level 1 (minor) CPT 99281 | $509.25 | $679.00 | ? – $488.00 |
| Emergency room visit, level 2 CPT 99282 | $1,025.25 | $1,367.00 | ? – $488.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $1,615.50 | $2,154.00 | ? – $875.00 |
| Emergency room visit, level 4 CPT 99284 | $3,042.75 | $4,057.00 | ? – $1,356.30 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $4,401.75 | $5,869.00 | ? – $1,957.16 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | ? – $1,137.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $144.75 | $193.00 | ? – $42.05 |
| Abdominal X-ray, 1 view CPT 74018 | $801.75 | $1,069.00 | ? – $99.38 |
| Ankle X-ray, 3 or more views CPT 73610 | $465.75 | $621.00 | ? – $91.76 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $447.75 | $597.00 | ? – $144.26 |
| Breast ultrasound, one breast, complete CPT 76641 | $418.50 | $558.00 | ? – $146.66 |
| Breast ultrasound, one breast, limited CPT 76642 | $418.50 | $558.00 | ? – $146.66 |
| Chest X-ray, 1 view CPT 71045 | $271.50 | $362.00 | ? – $99.38 |
| Chest X-ray, 2 views CPT 71046 | $496.50 | $662.00 | ? – $99.38 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $3,867.00 | $5,156.00 | ? – $467.14 |
| CT angiogram of the head CPT 70496 | $3,958.50 | $5,278.00 | ? – $467.14 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $5,482.50 | $7,310.00 | ? – $624.21 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $5,098.50 | $6,798.00 | ? – $624.21 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $3,969.00 | $5,292.00 | ? – $386.86 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,091.75 | $2,789.00 | ? – $202.35 |
| CT scan of the chest, with contrast CPT 71260 | $3,360.75 | $4,481.00 | ? – $398.40 |
| CT scan of the chest, without contrast CPT 71250 | $2,472.75 | $3,297.00 | ? – $202.35 |
| CT scan of the head, without contrast CPT 70450 | $2,674.50 | $3,566.00 | ? – $202.35 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,346.00 | $3,128.00 | ? – $202.35 |
| CT scan of the pelvis, with contrast CPT 72193 | $3,322.50 | $4,430.00 | ? – $398.40 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,965.75 | $2,621.00 | ? – $202.35 |
| Diagnostic mammogram, both breasts CPT 77066 | $1,059.75 | $1,413.00 | ? – $195.66 |
| Diagnostic mammogram, one breast CPT 77065 | $798.75 | $1,065.00 | ? – $153.60 |
| Foot X-ray, 3 or more views CPT 73630 | $465.75 | $621.00 | ? – $91.76 |
| Hand X-ray, 3 or more views CPT 73130 | $489.00 | $652.00 | ? – $91.76 |
| Knee X-ray, 3 views CPT 73562 | $459.75 | $613.00 | ? – $91.76 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,494.75 | $1,993.00 | ? – $733.17 |
| Leg or arm vein ultrasound, one side CPT 93971 | $729.00 | $972.00 | ? – $468.46 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $584.25 | $779.00 | ? – $108.97 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | ? – $468.80 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $5,316.75 | $7,089.00 | ? – $788.67 |
| MRI of the brain, without and with contrast CPT 70553 | $6,863.25 | $9,151.00 | ? – $788.67 |
| MRI of the brain, without contrast CPT 70551 | $4,741.50 | $6,322.00 | ? – $471.65 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $6,225.75 | $8,301.00 | ? – $471.65 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $4,890.75 | $6,521.00 | ? – $471.65 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $4,890.75 | $6,521.00 | ? – $471.65 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $6,934.50 | $9,246.00 | ? – $471.65 |
| MRI of the pelvis, without and with contrast CPT 72197 | $8,889.00 | $11,852.00 | ? – $788.67 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $5,997.00 | $7,996.00 | ? – $471.65 |
| Neck X-ray, 2 or 3 views CPT 72040 | $391.50 | $522.00 | ? – $91.76 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,409.25 | $1,879.00 | ? – $215.31 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,551.75 | $2,069.00 | ? – $215.31 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $1,442.25 | $1,923.00 | ? – $215.31 |
| Screening mammogram, both breasts CPT 77067 | $561.75 | $749.00 | ? – $161.78 |
| Shoulder X-ray, 2 or more views CPT 73030 | $575.25 | $767.00 | ? – $91.76 |
| Transvaginal pregnancy ultrasound CPT 76817 | $1,181.25 | $1,575.00 | ? – $215.31 |
| Transvaginal ultrasound CPT 76830 | $1,124.25 | $1,499.00 | ? – $215.31 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,632.00 | $2,176.00 | ? – $215.31 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,409.25 | $1,879.00 | ? – $215.31 |
| Wrist X-ray, 3 or more views CPT 73110 | $478.50 | $638.00 | ? – $91.76 |
| X-ray of the lower back, 4 or more views CPT 72110 | $808.50 | $1,078.00 | ? – $145.42 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $510.75 | $681.00 | ? – $11.54 |
| Blood culture CPT 87040 | $205.50 | $274.00 | ? – $14.09 |
| Blood draw (venipuncture) CPT 36415 | $36.00 | $48.00 | ? – $5.55 |
| BNP test (heart failure) CPT 83880 | $342.75 | $457.00 | ? – $46.31 |
| C-reactive protein (CRP) test CPT 86140 | $139.50 | $186.00 | ? – $7.06 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $312.00 | $416.00 | ? – $47.87 |
| Complete blood count (CBC) with differential CPT 85025 | $193.50 | $258.00 | ? – $10.61 |
| Complete blood count (CBC), automated CPT 85027 | $69.75 | $93.00 | ? – $8.83 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $669.00 | $892.00 | ? – $16.66 |
| COVID-19 PCR test CPT 87635 | $193.50 | $258.00 | ? – $76.76 |
| D-dimer test (blood clots) CPT 85379 | $178.50 | $238.00 | ? – $13.89 |
| Drug screen, instrument chemistry CPT 80307 | $629.25 | $839.00 | ? – $79.81 |
| Ferritin (iron stores) test CPT 82728 | $526.50 | $702.00 | ? – $18.59 |
| Free T4 (thyroid) test CPT 84439 | $343.50 | $458.00 | ? – $12.30 |
| General health panel (blood tests) CPT 80050 | not posted | ? – $45.36 | |
| Glucose (blood sugar) test CPT 82947 | $28.50 | $38.00 | $3.93 – $16.13 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $319.50 | $426.00 | ? – $47.87 |
| Hemoglobin A1c test CPT 83036 | $215.25 | $287.00 | ? – $13.24 |
| Hepatitis C antibody test CPT 86803 | $107.25 | $143.00 | ? – $19.47 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $273.75 | $365.00 | ? – $32.86 |
| Iron test CPT 83540 | $117.00 | $156.00 | ? – $8.83 |
| Kidney function panel CPT 80069 | $327.75 | $437.00 | ? – $11.89 |
| Lipase test (pancreas) CPT 83690 | $128.25 | $171.00 | ? – $9.40 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $592.50 | $790.00 | ? – $18.27 |
| Liver function panel CPT 80076 | $120.75 | $161.00 | ? – $11.14 |
| Magnesium test CPT 83735 | $105.00 | $140.00 | ? – $9.14 |
| Obstetric blood test panel CPT 80055 | not posted | ? – $62.33 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $140.25 | $187.00 | ? – $8.19 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $312.00 | $416.00 | ? – $20.54 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $71.25 | $95.00 | ? – $5.37 |
| PSA (prostate specific antigen), free CPT 84154 | $192.00 | $256.00 | ? – $25.09 |
| PSA (prostate specific antigen), total CPT 84153 | $137.25 | $183.00 | ? – $25.09 |
| Rapid strep test CPT 87880 | $158.25 | $211.00 | ? – $16.53 |
| Sed rate (ESR) test CPT 85652 | $32.25 | $43.00 | ? – $3.69 |
| TB skin test CPT 86580 | $18.75 | $25.00 | ? – $24.67 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $426.75 | $569.00 | ? – $22.93 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $555.00 | $740.00 | ? – $54.86 |
| Troponin test (heart damage) CPT 84484 | $339.75 | $453.00 | ? – $13.42 |
| Urinalysis, automated, with microscope CPT 81001 | $128.25 | $171.00 | ? – $4.32 |
| Urinalysis, automated, without microscope CPT 81003 | $82.50 | $110.00 | ? – $3.06 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | ? – $4.32 | |
| Urinalysis, manual, without microscope CPT 81002 | $7.50 | $10.00 | ? – $3.49 |
| Urine culture, colony count CPT 87086 | $257.25 | $343.00 | ? – $11.01 |
| Urine pregnancy test CPT 81025 | $168.75 | $225.00 | ? – $8.63 |
| Vitamin B12 test CPT 82607 | $210.00 | $280.00 | ? – $20.56 |
| Vitamin D test CPT 82306 | $148.50 | $198.00 | ? – $40.40 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $925.50 | $1,234.00 | ? – $721.93 |
| ECG tracing only (no interpretation) CPT 93005 | $243.00 | $324.00 | ? – $22.77 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $2,073.00 | $2,764.00 | ? – $608.04 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | ? – $30.36 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | ? – $271.13 | |
| Left heart catheterization CPT 93452 | $12,990.00 | $17,320.00 | ? – $15,588.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $13,576.50 | $18,102.00 | ? – $16,291.80 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $5,716.50 | $7,622.00 | ? – $1,845.79 |
| Treadmill stress test, complete CPT 93015 | not posted | ? – $224.59 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | ? – $18,441.62 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | ? – $9,407.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $5,652.00 | $7,536.00 | ? – $6,782.40 |
| Carpal tunnel release CPT 64721 | $8,677.50 | $11,570.00 | ? – $10,413.00 |
| Colonoscopy with biopsy CPT 45380 | not posted | ? – $5,085.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | ? – $5,085.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | ? – $5,085.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | ? – $1,137.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | ? – $3,791.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | ? – $5,085.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | ? – $3,791.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | ? – $13,552.88 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | ? – $9,407.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | ? – $9,407.00 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | ? – $5,812.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | ? – $9,407.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | ? – $10,248.56 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | ? – $9,407.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | ? – $8,594.05 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | ? – $5,085.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | ? – $1,137.00 | |
| Prostate biopsy CPT 55700 | $2,010.75 | $2,681.00 | ? – $5,085.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | ? – $11,318.00 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | ? – $5,812.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | ? – $14,770.59 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | ? – $3,791.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | ? – $3,791.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | ? – $5,812.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | ? – $8,578.41 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | ? – $9,407.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | ? – $7,536.07 | |
| Total hip replacement CPT 27130 | not posted | ? – $11,318.00 | |
| Total knee replacement CPT 27447 | not posted | ? – $11,318.00 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | ? – $5,085.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | ? – $5,085.00 | |
| Vasectomy CPT 55250 | not posted | ? – $5,812.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| C-section delivery, routine care including prenatal and postpartum CPT 59510 | not posted | ? – $3,731.41 | |
| Fetal non-stress test CPT 59025 | $1,047.00 | $1,396.00 | ? – $1,256.40 |
| IUD insertion CPT 58300 | not posted | ? – $1,137.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | ? – $3,523.06 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | ? – $3,328.25 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $9,745.23 – $22,902.48 | |
| C-section, without complications MS-DRG 788 | not posted | $9,969.00 – $24,874.15 | |
| Chest pain MS-DRG 313 | not posted | $7,948.08 – $24,479.11 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $3,113.30 – $28,737.06 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $6,519.44 – $17,488.65 | |
| Fainting (syncope) MS-DRG 312 | not posted | $9,621.59 – $37,994.69 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $10,825.95 – $25,442.30 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $14,171.87 – $33,305.62 | |
| Heart failure, without complications MS-DRG 293 | not posted | $6,248.07 – $14,683.74 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $107,992.33 – $253,795.18 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $3,222.83 – $50,041.45 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $6,249.18 – $27,907.38 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $9,667.96 – $22,720.88 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $8,936.07 – $40,030.32 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | not posted | $26,378.00 – $63,334.65 | |
| Normal newborn care MS-DRG 795 | not posted | $30.00 – $3,017.74 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $8,590.55 – $20,188.84 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $3,201.84 – $20,907.46 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $6,762.90 – $34,099.48 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $6,938.01 – $16,305.18 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $2,732.00 – $36,237.18 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $21,443.26 – $50,394.28 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $11,296.21 – $26,547.47 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $9,613.87 – $96,915.38 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $8,606.00 – $20,225.16 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $11,152.70 – $26,210.21 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $13,696.09 – $32,187.48 | |
| Vaginal delivery, without complications MS-DRG 807 | not posted | ? – $9,600.16 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $5,028.62 – $39,132.42 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $1,724.25 | $2,299.00 | ? – $2,069.10 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $4,031.25 | $5,375.00 | ? – $4,837.50 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | ? – $1,587.10 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | ? – $1,337.51 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | ? – $5,812.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | ? – $299.59 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | ? – $3,791.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | ? – $75.40 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | ? – $255.07 | |
| Sleep study with CPAP titration CPT 95811 | $12,294.75 | $16,393.00 | ? – $2,034.32 |
| Sleep study, overnight in a sleep lab CPT 95810 | $11,553.00 | $15,404.00 | ? – $1,940.70 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $411.75 | $549.00 | ? – $93.05 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $216.75 | $289.00 | |
| Physical therapy evaluation, low complexity CPT 97161 | $1,250.25 | $1,667.00 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | $137.25 | $183.00 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $222.00 | $296.00 | ? – $37.23 |
| Therapeutic activities, 15 minutes CPT 97530 | $216.00 | $288.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | ? – $134.56 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | ? – $129.13 | |
| Group psychotherapy CPT 90853 | not posted | ? – $36.85 | |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | ? – $217.99 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | ? – $102.89 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | ? – $135.69 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | ? – $201.19 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $330.75 | $441.00 | ? – $46.24 |
| IV hydration, each additional hour CPT 96361 | $294.75 | $393.00 | ? – $57.74 |
| IV hydration, first hour CPT 96360 | $809.25 | $1,079.00 | ? – $149.19 |
| IV push injection of a drug, first CPT 96374 | $471.00 | $628.00 | ? – $168.44 |
| IV push injection, each additional drug CPT 96375 | $172.50 | $230.00 | ? – $70.58 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $34.50 | $46.00 | |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $21.75 | $29.00 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $144.00 | $192.00 | ? – $1.93 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $11.25 | $15.00 | |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $420.00 | $560.00 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $144.75 | $193.00 | ? – $9.10 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $17.25 | $23.00 | |
| Propofol injection, per 10 mg HCPCS J2704 | $7.50 | $10.00 | |
| Saline IV solution, 1000 ml HCPCS J7030 | $110.25 | $147.00 | ? – $4.56 |
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.