Karmanos Cancer Center
4100 John R, Detroit, MI 48201 · Acute care hospital
These are Karmanos Cancer Center's own posted figures from its standard-charges file dated December 31, 2025. They are not a quote. Source: the hospital's file · its price transparency page.
185 of the services we track have a posted price here; 183 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 | $409.50 | $819.00 | $302.21 – $1,605.32 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $126.50 | $253.00 | $93.36 – $386.69 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $166.90 | $333.80 | $108.69 – $250.35 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 60 minutes CPT 99205 | $269.00 | $538.00 | $198.52 – $403.50 |
| Office consultation, about 40 minutes CPT 99243 | $356.00 | $712.00 | $262.73 – $534.00 |
| Office consultation, about 60 minutes CPT 99244 | $147.95 | $295.90 | $109.19 – $221.92 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $187.50 | $375.00 | $138.38 – $281.25 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $47.45 | $94.90 | $28.39 – $187.00 |
| Abdominal X-ray, 1 view CPT 74018 | $94.05 | $188.10 | $48.16 – $141.08 |
| Ankle X-ray, 3 or more views CPT 73610 | $96.55 | $193.10 | $48.16 – $144.83 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $334.05 | $668.10 | $58.17 – $501.08 |
| Breast ultrasound, one breast, complete CPT 76641 | $318.00 | $636.00 | $58.17 – $477.00 |
| Breast ultrasound, one breast, limited CPT 76642 | $299.00 | $598.00 | $48.16 – $448.50 |
| Chest X-ray, 1 view CPT 71045 | $68.75 | $137.50 | $48.16 – $103.13 |
| Chest X-ray, 2 views CPT 71046 | $157.90 | $315.80 | $48.16 – $236.85 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,941.75 | $3,883.50 | $97.38 – $2,912.63 |
| CT angiogram of the head CPT 70496 | $1,697.35 | $3,394.70 | $97.38 – $2,546.02 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,371.65 | $2,743.30 | $195.35 – $2,057.48 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,364.35 | $4,728.70 | $195.35 – $3,546.52 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,229.55 | $2,459.10 | $132.22 – $1,844.32 |
| CT scan of the abdomen, without contrast CPT 74150 | $1,016.15 | $2,032.30 | $58.17 – $1,524.23 |
| CT scan of the chest, with contrast CPT 71260 | $1,371.65 | $2,743.30 | $97.38 – $2,057.48 |
| CT scan of the chest, without contrast CPT 71250 | $1,051.20 | $2,102.40 | $58.17 – $1,576.80 |
| CT scan of the head, without contrast CPT 70450 | $888.30 | $1,776.60 | $58.17 – $1,332.45 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $888.30 | $1,776.60 | $58.17 – $1,332.45 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,371.65 | $2,743.30 | $97.38 – $2,057.48 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $1,016.15 | $2,032.30 | $58.17 – $1,524.23 |
| Diagnostic mammogram, both breasts CPT 77066 | $347.25 | $694.50 | $256.27 – $520.88 |
| Diagnostic mammogram, one breast CPT 77065 | $300.00 | $600.00 | $221.40 – $450.00 |
| Foot X-ray, 3 or more views CPT 73630 | $124.05 | $248.10 | $48.16 – $186.08 |
| Hand X-ray, 3 or more views CPT 73130 | $189.35 | $378.70 | $48.16 – $284.03 |
| Knee X-ray, 3 views CPT 73562 | $119.60 | $239.20 | $48.16 – $179.40 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $684.20 | $1,368.40 | $132.22 – $1,026.30 |
| Leg or arm vein ultrasound, one side CPT 93971 | $581.75 | $1,163.50 | $58.17 – $872.63 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $157.45 | $314.90 | $58.17 – $236.17 |
| MRI of the abdomen, without and with contrast CPT 74183 | $3,394.55 | $6,789.10 | $195.35 – $5,091.83 |
| MRI of the brain, without and with contrast CPT 70553 | $3,634.90 | $7,269.80 | $195.35 – $5,452.35 |
| MRI of the brain, without contrast CPT 70551 | $2,008.30 | $4,016.60 | $132.22 – $3,012.45 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $1,381.95 | $2,763.90 | $132.22 – $2,072.93 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $2,269.65 | $4,539.30 | $132.22 – $3,404.48 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,593.50 | $3,187.00 | $132.22 – $2,390.25 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $1,752.80 | $3,505.60 | $132.22 – $2,629.20 |
| MRI of the pelvis, without and with contrast CPT 72197 | $3,294.50 | $6,589.00 | $195.35 – $4,941.75 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,507.45 | $3,014.90 | $132.22 – $2,261.18 |
| Neck X-ray, 2 or 3 views CPT 72040 | $162.55 | $325.10 | $48.16 – $243.83 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $797.60 | $1,595.20 | $58.17 – $1,196.40 |
| Screening mammogram, both breasts CPT 77067 | $283.95 | $567.90 | $169.92 – $425.92 |
| Shoulder X-ray, 2 or more views CPT 73030 | $155.60 | $311.20 | $48.16 – $233.40 |
| Transvaginal ultrasound CPT 76830 | $733.00 | $1,466.00 | $58.17 – $1,099.50 |
| Ultrasound of the abdomen, complete CPT 76700 | $579.65 | $1,159.30 | $58.17 – $869.47 |
| Ultrasound of the neck or thyroid CPT 76536 | $400.75 | $801.50 | $58.17 – $601.13 |
| Wrist X-ray, 3 or more views CPT 73110 | $92.40 | $184.80 | $48.16 – $138.60 |
| X-ray of the lower back, 4 or more views CPT 72110 | $274.50 | $549.00 | $58.17 – $411.75 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $144.35 | $288.70 | $4.63 – $216.52 |
| Blood culture CPT 87040 | $87.80 | $175.60 | $5.65 – $131.70 |
| Blood draw (venipuncture) CPT 36415 | $18.15 | $36.30 | $4.97 – $27.22 |
| BNP test (heart failure) CPT 83880 | $26.25 | $52.50 | $19.37 – $65.77 |
| C-reactive protein (CRP) test CPT 86140 | $46.90 | $93.80 | $2.83 – $70.35 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $99.57 | $199.14 | $19.19 – $149.36 |
| Complete blood count (CBC) with differential CPT 85025 | $25.40 | $50.80 | $4.25 – $38.10 |
| Complete blood count (CBC), automated CPT 85027 | $17.70 | $35.40 | $3.54 – $26.55 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $155.25 | $310.50 | $5.78 – $232.88 |
| COVID-19 PCR test CPT 87635 | $206.00 | $412.00 | $28.07 – $309.00 |
| D-dimer test (blood clots) CPT 85379 | $55.10 | $110.20 | $5.57 – $82.65 |
| Drug screen, instrument chemistry CPT 80307 | $349.35 | $698.70 | $33.99 – $524.03 |
| Ferritin (iron stores) test CPT 82728 | $56.55 | $113.10 | $7.46 – $84.82 |
| Free T4 (thyroid) test CPT 84439 | $103.95 | $207.90 | $4.93 – $155.93 |
| Glucose (blood sugar) test CPT 82947 | $42.35 | $84.70 | $2.15 – $63.53 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $102.34 | $204.68 | $19.19 – $153.51 |
| Hemoglobin A1c test CPT 83036 | $23.25 | $46.50 | $5.31 – $34.88 |
| Hepatitis C antibody test CPT 86803 | $68.45 | $136.90 | $7.81 – $102.68 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $24.85 | $49.70 | $13.17 – $40.34 |
| Iron test CPT 83540 | $52.00 | $104.00 | $3.54 – $78.00 |
| Kidney function panel CPT 80069 | $185.45 | $370.90 | $4.75 – $278.17 |
| Lipase test (pancreas) CPT 83690 | $38.50 | $77.00 | $3.77 – $57.75 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $127.45 | $254.90 | $7.32 – $191.18 |
| Liver function panel CPT 80076 | $40.65 | $81.30 | $4.47 – $60.97 |
| Magnesium test CPT 83735 | $38.95 | $77.90 | $3.66 – $58.43 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $45.30 | $90.60 | $3.29 – $67.95 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $94.90 | $189.80 | $8.23 – $142.35 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $41.15 | $82.30 | $2.35 – $61.72 |
| PSA (prostate specific antigen), free CPT 84154 | $55.85 | $111.70 | $10.06 – $83.78 |
| PSA (prostate specific antigen), total CPT 84153 | $55.85 | $111.70 | $10.06 – $83.78 |
| Rapid strep test CPT 87880 | $15.35 | $30.70 | $9.04 – $27.69 |
| Sed rate (ESR) test CPT 85652 | $10.15 | $20.30 | $1.48 – $15.23 |
| TB skin test CPT 86580 | $14.80 | $29.60 | $10.92 – $26.78 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $125.15 | $250.30 | $9.19 – $187.73 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $161.00 | $322.00 | $29.23 – $241.50 |
| Troponin test (heart damage) CPT 84484 | $118.60 | $237.20 | $6.82 – $177.90 |
| Urinalysis, automated, with microscope CPT 81001 | $10.85 | $21.70 | $1.73 – $16.28 |
| Urinalysis, automated, without microscope CPT 81003 | $11.30 | $22.60 | $1.23 – $16.95 |
| Urinalysis, manual, with microscope CPT 81000 | $17.15 | $34.30 | $2.20 – $25.72 |
| Urinalysis, manual, without microscope CPT 81002 | $6.75 | $13.50 | $1.90 – $10.13 |
| Urine culture, colony count CPT 87086 | $47.95 | $95.90 | $4.41 – $71.93 |
| Urine pregnancy test CPT 81025 | $90.05 | $180.10 | $4.71 – $135.08 |
| Vitamin B12 test CPT 82607 | $76.10 | $152.20 | $8.25 – $114.15 |
| Vitamin D test CPT 82306 | $148.40 | $296.80 | $16.19 – $222.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $652.25 | $1,304.50 | $132.22 – $978.38 |
| ECG tracing only (no interpretation) CPT 93005 | $291.80 | $583.60 | $16.66 – $437.70 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $962.80 | $1,925.60 | $299.92 – $1,444.20 |
| Left heart catheterization CPT 93452 | $5,385.40 | $10,770.80 | $1,759.38 – $8,078.10 |
| Left heart catheterization with coronary angiogram CPT 93458 | $5,441.00 | $10,882.00 | $1,759.38 – $8,161.50 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,186.20 | $2,372.40 | $714.10 – $1,779.30 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Breast biopsy with ultrasound guidance CPT 19083 | $923.20 | $1,846.40 | $552.44 – $1,612.49 |
| Colonoscopy with biopsy CPT 45380 | $2,065.30 | $4,130.60 | $644.96 – $3,097.95 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,705.17 | $3,410.33 | $644.96 – $2,557.75 |
| Colonoscopy, diagnostic CPT 45378 | $1,262.36 | $2,524.71 | $498.71 – $1,893.53 |
| Colposcopy with biopsy CPT 57454 | $1,070.95 | $2,141.90 | $166.39 – $1,606.43 |
| Cystoscopy (bladder scope) CPT 52000 | $3,131.32 | $6,262.63 | $365.11 – $4,696.97 |
| Ear tubes, under general anesthesia CPT 69436 | $3,908.53 | $7,817.06 | $810.26 – $5,862.80 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,848.47 | $3,696.94 | $498.71 – $2,772.71 |
| Gallbladder removal, laparoscopic CPT 47562 | $5,719.69 | $11,439.38 | $3,191.39 – $8,579.54 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $6,274.25 | $12,548.50 | $4,630.40 – $10,361.39 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $4,433.62 | $8,867.23 | $1,739.20 – $6,650.42 |
| Lower colon endoscopy with ultrasound CPT 45391 | $715.85 | $1,431.70 | $528.30 – $1,173.44 |
| Nasal endoscopy, diagnostic CPT 31231 | $115.00 | $230.00 | $84.87 – $193.21 |
| Prostate biopsy CPT 55700 | $6,065.12 | $12,130.24 | $1,120.53 – $9,097.68 |
| Removal of a breast lump, open surgery CPT 19120 | $9,626.05 | $19,252.09 | $2,094.62 – $14,439.07 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,144.10 | $2,288.19 | $498.71 – $1,716.14 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,281.37 | $2,562.74 | $498.71 – $1,922.05 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,246.70 | $4,493.40 | $512.85 – $3,370.05 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $2,227.74 | $4,455.48 | $512.85 – $3,341.61 |
| Vasectomy CPT 55250 | $1,390.00 | $2,780.00 | $1,025.82 – $2,085.00 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $416.20 | $832.40 | $110.04 – $624.30 |
| IUD insertion CPT 58300 | $329.10 | $658.20 | $242.88 – $892.32 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $9,695.41 | $19,390.82 | $6,004.86 – $16,482.20 |
| C-section, without complications MS-DRG 788 | $12,667.34 | $25,334.68 | $6,598.90 – $42,603.61 |
| Chest pain MS-DRG 313 | $7,551.88 | $15,103.77 | $4,599.84 – $12,838.20 |
| COPD flare-up, with major complications MS-DRG 190 | $18,870.60 | $37,741.20 | $7,278.29 – $14,475.31 |
| COPD flare-up, without complications MS-DRG 192 | $11,064.25 | $22,128.50 | $4,366.82 – $18,809.22 |
| Fainting (syncope) MS-DRG 312 | $14,213.08 | $28,426.16 | $5,790.39 – $13,561.49 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $14,877.48 | $29,754.96 | $6,749.63 – $25,291.72 |
| Heart failure, with major complications MS-DRG 291 | $25,284.31 | $50,568.62 | $8,696.87 – $17,487.03 |
| Heart failure, without complications MS-DRG 293 | $4,463.75 | $8,927.50 | $3,895.47 – $8,397.38 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $177,272.30 | $354,544.60 | $67,329.80 – $301,362.91 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $45,167.16 | $90,334.32 | $13,275.59 – $76,784.17 |
| Irregular heartbeat, without complications MS-DRG 310 | $8,225.80 | $16,451.61 | $3,866.57 – $13,983.87 |
| Kidney failure, with complications MS-DRG 683 | $11,206.83 | $22,413.66 | $4,498.78 – $53,940.13 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $11,603.85 | $23,207.71 | $3,592.81 – $8,980.72 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $49,183.70 | $98,367.40 | $16,802.16 – $83,612.29 |
| Normal newborn care MS-DRG 795 | $2,742.59 | $5,485.18 | $1,125.93 – $5,456.36 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $11,247.94 | $22,495.88 | $5,049.67 – $10,604.21 |
| Pneumonia, with complications MS-DRG 194 | $9,645.51 | $19,291.03 | $4,342.81 – $16,397.38 |
| Pneumonia, with major complications MS-DRG 193 | $16,811.20 | $33,622.40 | $7,935.19 – $14,934.16 |
| Pneumonia, without complications MS-DRG 195 | $8,809.56 | $17,619.12 | $4,325.63 – $14,976.25 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $11,057.50 | $22,115.00 | $4,589.33 – $19,764.71 |
| Sepsis, with major complications MS-DRG 871 | $29,269.45 | $58,538.90 | $13,198.46 – $34,334.81 |
| Sepsis, without major complications MS-DRG 872 | $17,615.32 | $35,230.64 | $5,271.16 – $11,914.67 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $30,973.25 | $61,946.50 | $4,603.94 – $9,830.38 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $10,564.87 | $21,129.75 | $5,365.57 – $18,067.50 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $40,714.00 | $81,428.00 | $7,022.31 – $18,132.54 |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | $20,335.44 | $40,670.88 | $8,539.07 – $34,570.25 |
| Vaginal delivery, without complications MS-DRG 807 | $6,681.68 | $13,363.37 | $2,975.66 – $11,358.86 |
| Weight loss surgery, without complications MS-DRG 621 | $26,023.39 | $52,046.78 | $9,855.75 – $44,239.76 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $250.75 | $501.50 | $161.47 – $376.13 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $394.75 | $789.50 | $291.33 – $981.91 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $423.95 | $847.90 | $312.88 – $695.60 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $80.40 | $160.80 | $55.17 – $155.71 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Sleep study, overnight in a sleep lab CPT 95810 | $691.20 | $1,382.40 | $510.11 – $1,419.99 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $144.60 | $289.20 | $68.08 – $216.90 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $68.85 | $137.70 | $50.81 – $103.27 |
| Physical therapy evaluation, low complexity CPT 97161 | $181.20 | $362.40 | $133.73 – $271.80 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $190.90 | $381.80 | $140.88 – $286.35 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $54.40 | $108.80 | $40.15 – $81.60 |
| Therapeutic activities, 15 minutes CPT 97530 | $68.85 | $137.70 | $50.81 – $103.27 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $124.15 | $248.30 | $35.18 – $186.23 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $124.15 | $248.30 | $42.25 – $186.23 |
| Psychotherapy, 30 minutes CPT 90832 | $56.00 | $112.00 | $41.33 – $159.90 |
| Psychotherapy, 45 minutes CPT 90834 | $74.45 | $148.90 | $54.94 – $159.90 |
| Psychotherapy, 60 minutes CPT 90837 | $94.20 | $188.40 | $69.52 – $159.90 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $159.80 | $319.60 | $33.83 – $239.70 |
| IV hydration, each additional hour CPT 96361 | $125.35 | $250.70 | $25.24 – $188.02 |
| IV hydration, first hour CPT 96360 | $180.75 | $361.50 | $109.16 – $271.13 |
| IV push injection of a drug, first CPT 96374 | $202.55 | $405.10 | $115.25 – $303.83 |
| IV push injection, each additional drug CPT 96375 | $115.40 | $230.80 | $25.24 – $173.10 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $3.55 | $7.11 | $1.33 – $5.33 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $10.18 | $20.36 | ? – $15.27 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $36.11 | $72.21 | $3.42 – $54.16 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $1.39 | ? – $1.04 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $13.88 | $27.77 | ? – $20.83 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $7.71 | $15.41 | ? – $11.56 |
| Morphine injection, up to 10 mg HCPCS J2270 | $50.53 | $101.07 | $7.71 – $75.80 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $1.87 | ? – $1.40 |
| Propofol injection, per 10 mg HCPCS J2704 | $1.71 | $3.43 | ? – $2.57 |
| Saline IV solution, 1000 ml HCPCS J7030 | $94.78 | $189.56 | $6.10 – $142.17 |
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.