McLaren Oakland

50 N Perry St., Pontiac, MI 48342 · Acute care hospital · Emergency room

These are McLaren Oakland'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.

221 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	$1,156.00	$2,312.00	$180.00 – $1,785.56
Emergency room visit, level 1 (minor) CPT 99281	$123.00	$246.00	$48.16 – $450.00
Emergency room visit, level 2 CPT 99282	$148.50	$297.00	$86.62 – $450.00
Emergency room visit, level 3 (moderate) CPT 99283	$311.00	$622.00	$151.46 – $482.86
Emergency room visit, level 4 CPT 99284	$477.50	$955.00	$180.00 – $741.37
Emergency room visit, level 5 (most severe) CPT 99285	$759.00	$1,518.00	$180.00 – $1,172.35
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$9,815.52	$19,631.03	$108.69 – $310.06

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$82.00	$164.00	$108.46 – $200.00
New patient office visit, about 30 minutes CPT 99203	$89.00	$178.00	$70.13 – $225.00
New patient office visit, about 45 minutes CPT 99204	$134.00	$268.00	$84.99 – $179.33
New patient office visit, about 60 minutes CPT 99205	$169.50	$339.00	$115.66 – $226.59
Office consultation, about 40 minutes CPT 99243	$136.30	$272.50	$56.02 – $140.07
Office consultation, about 60 minutes CPT 99244	$190.50	$381.00	$84.99 – $212.51
Office visit, established patient, about 10 to 19 minutes CPT 99212	$82.00	$164.00	$80.01 – $118.28
Office visit, established patient, about 20 to 29 minutes CPT 99213	$89.00	$178.00	$70.13 – $137.47
Office visit, established patient, about 30 to 39 minutes CPT 99214	$96.50	$193.00	$76.04 – $149.05
Office visit, established patient, about 40 to 54 minutes CPT 99215	$103.50	$207.00	$86.28 – $149.29
Office visit, established patient, brief (often a nurse) CPT 99211	$75.50	$151.00	$44.53 – $92.28
Preventive checkup, new patient, age 18 to 39 CPT 99385	$218.00	$436.00	$69.00 – $151.52
Preventive checkup, new patient, age 40 to 64 CPT 99386	$232.00	$464.00	$84.51 – $174.44

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$68.25	$136.50	$56.89 – $138.88
Abdominal X-ray, 1 view CPT 74018	$106.85	$213.70	$48.16 – $163.16
Ankle X-ray, 3 or more views CPT 73610	$106.85	$213.70	$48.16 – $163.16
Bone density scan (DEXA), hips and spine CPT 77080	$207.05	$414.10	$58.17 – $319.81
Breast ultrasound, one breast, complete CPT 76641	$188.30	$376.60	$58.17 – $389.62
Breast ultrasound, one breast, limited CPT 76642	$41.10	$82.10	$78.52 – $135.28
Chest X-ray, 1 view CPT 71045	$106.85	$213.70	$48.16 – $163.16
Chest X-ray, 2 views CPT 71046	$114.45	$228.90	$48.16 – $176.78
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,161.15	$2,322.30	$97.38 – $1,674.84
CT angiogram of the head CPT 70496	$1,434.50	$2,869.00	$97.38 – $2,069.12
CT scan of the abdomen and pelvis, with contrast CPT 74177	$1,347.95	$2,695.90	$195.35 – $2,082.04
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$1,347.95	$2,695.90	$195.35 – $1,944.28
CT scan of the abdomen and pelvis, without contrast CPT 74176	$1,078.30	$2,156.60	$132.22 – $1,665.54
CT scan of the abdomen, without contrast CPT 74150	$981.15	$1,962.30	$58.17 – $478.30
CT scan of the chest, with contrast CPT 71260	$1,022.65	$2,045.30	$97.38 – $1,475.07
CT scan of the chest, without contrast CPT 71250	$981.15	$1,962.30	$58.17 – $1,199.16
CT scan of the head, without contrast CPT 70450	$983.50	$1,967.00	$58.17 – $1,519.11
CT scan of the neck (cervical spine), without contrast CPT 72125	$981.15	$1,962.30	$58.17 – $1,515.48
CT scan of the pelvis, with contrast CPT 72193	$1,022.65	$2,045.30	$97.38 – $1,475.07
CT scan of the sinuses or face, without contrast CPT 70486	$981.15	$1,962.30	$58.17 – $1,199.16
Diagnostic mammogram, both breasts CPT 77066	$325.65	$651.30	$398.01 – $646.11
Diagnostic mammogram, one breast CPT 77065	$263.50	$527.00	$507.24 – $507.24
Foot X-ray, 3 or more views CPT 73630	$106.85	$213.70	$48.16 – $165.04
Hand X-ray, 3 or more views CPT 73130	$106.85	$213.70	$48.16 – $167.81
Knee X-ray, 3 views CPT 73562	$106.85	$213.70	$48.16 – $183.24
Leg or arm vein ultrasound, both sides CPT 93970	$348.10	$696.20	$132.22 – $608.55
Leg or arm vein ultrasound, one side CPT 93971	$253.40	$506.80	$58.17 – $391.40
Lower back X-ray, 2 or 3 views CPT 72100	$106.85	$213.70	$58.17 – $167.81
MRI of both breasts, without and with contrast CPT 77049	$2,075.40	$4,150.80	$1,379.03 – $2,993.56
MRI of the abdomen, without and with contrast CPT 74183	$2,774.10	$5,548.20	$195.35 – $4,001.36
MRI of the brain, without and with contrast CPT 70553	$2,774.10	$5,548.20	$195.35 – $4,284.87
MRI of the brain, without contrast CPT 70551	$1,493.95	$2,987.90	$132.22 – $2,307.56
MRI of the knee or other leg joint, without contrast CPT 73721	$1,420.25	$2,840.50	$132.22 – $825.48
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,526.40	$3,052.80	$132.22 – $2,357.68
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,459.40	$2,918.80	$132.22 – $2,105.04
MRI of the neck (cervical spine), without contrast CPT 72141	$1,459.40	$2,918.80	$132.22 – $2,105.04
MRI of the pelvis, without and with contrast CPT 72197	$2,753.05	$5,506.10	$195.35 – $3,971.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,420.25	$2,840.50	$132.22 – $827.43
Neck X-ray, 2 or 3 views CPT 72040	$106.85	$213.70	$48.16 – $167.81
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$250.65	$501.30	$58.17 – $418.51
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$260.15	$520.30	$58.17 – $503.40
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$246.50	$493.00	$58.17 – $403.09
Screening mammogram, both breasts CPT 77067	$286.00	$572.00	$238.41 – $534.25
Shoulder X-ray, 2 or more views CPT 73030	$106.85	$213.70	$48.16 – $163.16
Transvaginal pregnancy ultrasound CPT 76817	$181.05	$362.10	$58.17 – $325.95
Transvaginal ultrasound CPT 76830	$243.85	$487.70	$58.17 – $491.81
Ultrasound of the abdomen, complete CPT 76700	$270.35	$540.70	$58.17 – $447.45
Ultrasound of the neck or thyroid CPT 76536	$231.20	$462.40	$58.17 – $478.30
Wrist X-ray, 3 or more views CPT 73110	$106.85	$213.70	$48.16 – $190.95
X-ray of the lower back, 4 or more views CPT 72110	$183.70	$367.40	$58.17 – $283.74

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$120.55	$241.10	$4.63 – $186.20
Blood culture CPT 87040	$29.10	$58.20	$5.65 – $28.03
Blood draw (venipuncture) CPT 36415	$17.30	$34.60	$4.97 – $26.72
BNP test (heart failure) CPT 83880	$110.25	$220.50	$21.48 – $159.02
C-reactive protein (CRP) test CPT 86140	$31.55	$63.10	$2.83 – $48.73
Chlamydia test (DNA/NAAT) CPT 87491	$90.10	$180.20	$19.19 – $139.17
Complete blood count (CBC) with differential CPT 85025	$43.00	$86.00	$4.25 – $66.42
Complete blood count (CBC), automated CPT 85027	$20.50	$41.00	$3.54 – $45.00
Comprehensive metabolic panel (blood test) CPT 80053	$213.75	$427.50	$5.78 – $330.16
COVID-19 PCR test CPT 87635	$122.55	$245.10	$28.07 – $253.49
D-dimer test (blood clots) CPT 85379	$44.05	$88.10	$5.57 – $63.54
Drug screen, instrument chemistry CPT 80307	$89.65	$179.30	$30.00 – $168.79
Ferritin (iron stores) test CPT 82728	$78.40	$156.80	$7.46 – $121.10
Free T4 (thyroid) test CPT 84439	$78.65	$157.30	$4.93 – $121.48
Glucose (blood sugar) test CPT 82947	$25.20	$50.40	$2.15 – $38.92
Gonorrhea test (DNA/NAAT) CPT 87591	$90.10	$180.20	$19.19 – $129.96
Hemoglobin A1c test CPT 83036	$47.20	$94.40	$5.31 – $72.91
Hepatitis C antibody test CPT 86803	$33.90	$67.80	$7.81 – $52.36
HIV-1/HIV-2 antigen and antibody test CPT 87389	$31.60	$63.20	$13.17 – $65.40
Iron test CPT 83540	$34.65	$69.30	$3.54 – $53.52
Kidney function panel CPT 80069	$150.90	$301.80	$4.75 – $217.66
Lipase test (pancreas) CPT 83690	$21.05	$42.10	$3.77 – $32.51
Lipid panel, cholesterol and triglycerides CPT 80061	$50.95	$101.90	$7.32 – $78.70
Liver function panel CPT 80076	$105.25	$210.50	$4.47 – $162.57
Magnesium test CPT 83735	$16.35	$32.70	$3.66 – $18.22
Obstetric blood test panel CPT 80055	$92.90	$185.80	$26.15 – $156.73
Partial thromboplastin time (PTT), clotting test CPT 85730	$34.65	$69.30	$3.29 – $53.52
Pregnancy blood test (hCG), quantitative CPT 84702	$78.65	$157.30	$8.23 – $121.48
Prothrombin time (PT/INR), clotting test CPT 85610	$29.25	$58.50	$2.35 – $45.18
PSA (prostate specific antigen), free CPT 84154	$58.90	$117.80	$10.06 – $84.96
PSA (prostate specific antigen), total CPT 84153	$90.75	$181.50	$10.06 – $130.90
Rapid strep test CPT 87880	$37.55	$75.10	$9.04 – $54.16
Sed rate (ESR) test CPT 85652	$9.40	$18.80	$1.48 – $14.52
TB skin test CPT 86580	$6.50	$13.00	$8.70 – $43.42
Thyroid stimulating hormone (TSH) CPT 84443	$83.10	$166.20	$9.19 – $128.36
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$479.30	$958.60	$29.23 – $181.17
Troponin test (heart damage) CPT 84484	$54.85	$109.70	$6.82 – $84.72
Urinalysis, automated, with microscope CPT 81001	$37.75	$75.50	$1.73 – $58.31
Urinalysis, automated, without microscope CPT 81003	$12.45	$24.90	$1.23 – $25.00
Urinalysis, manual, with microscope CPT 81000	$6.70	$13.40	$2.20 – $25.00
Urinalysis, manual, without microscope CPT 81002	$7.65	$15.30	$1.90 – $25.00
Urine culture, colony count CPT 87086	$19.25	$38.50	$4.41 – $29.73
Urine pregnancy test CPT 81025	$19.55	$39.10	$4.71 – $30.20
Vitamin B12 test CPT 82607	$35.55	$71.10	$8.25 – $54.91
Vitamin D test CPT 82306	$125.95	$251.90	$16.19 – $194.54

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$419.70	$839.40	$132.22 – $605.38
ECG tracing only (no interpretation) CPT 93005	$49.50	$99.00	$18.90 – $92.69
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,028.75	$2,057.50	$299.92 – $855.59
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$17.10	$34.20	$14.67 – $31.16
Left heart catheterization CPT 93452	$3,915.10	$7,830.20	$1,759.38 – $5,019.04
Left heart catheterization with coronary angiogram CPT 93458	$3,847.65	$7,695.30	$1,759.38 – $5,019.04
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,183.95	$2,367.90	$714.10 – $2,037.13

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$18,532.32	$37,064.64	$3,907.62 – $11,891.36
Appendix removal, laparoscopic CPT 44970	$12,297.55	$24,595.09	$3,191.39 – $9,104.22
Breast biopsy with ultrasound guidance CPT 19083	$753.40	$1,506.80	$96.49 – $241.27
Carpal tunnel release CPT 64721	$4,419.76	$8,839.52	$1,068.17 – $3,462.69
Colonoscopy with biopsy CPT 45380	$2,480.19	$4,960.37	$644.96 – $1,839.89
Colonoscopy with polyp removal (snare) CPT 45385	$2,377.57	$4,755.14	$644.96 – $1,839.89
Colonoscopy, diagnostic CPT 45378	$3,254.98	$6,509.95	$498.71 – $1,422.68
Colposcopy with biopsy CPT 57454	$5,651.73	$11,303.45	$166.39 – $474.67
Cystoscopy (bladder scope) CPT 52000	$4,148.61	$8,297.21	$365.11 – $1,323.46
Ear tubes, under general anesthesia CPT 69436	$2,231.11	$4,462.21	$810.26 – $3,170.49
Flexible sigmoidoscopy, diagnostic CPT 45330	$2,653.61	$5,307.21	$498.71 – $1,614.13
Gallbladder removal, laparoscopic CPT 47562	$14,645.89	$29,291.78	$3,191.39 – $9,104.22
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$1,866.00	$3,732.00	$583.19 – $1,526.32
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,772.96	$11,545.91	$1,739.20 – $5,590.52
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$13,687.69	$27,375.37	$3,191.39 – $9,657.06
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$7,335.12	$14,670.24	$1,930.40 – $6,608.38
Kidney stone shock-wave lithotripsy CPT 50590	$7,563.26	$15,126.51	$1,886.59 – $5,381.94
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$6,718.23	$13,436.46	$1,774.80 – $5,541.54
Lower colon endoscopy with ultrasound CPT 45391	$313.70	$627.40	$162.09 – $439.20
Nasal endoscopy, diagnostic CPT 31231	$282.60	$565.20	$41.11 – $89.21
Prostate biopsy CPT 55700	$3,961.24	$7,922.47	$1,120.53 – $3,196.59
Prostate removal, laparoscopic or robotic CPT 55866	$3,316.70	$6,633.40	$761.69 – $2,446.44
Removal of a breast lump, open surgery CPT 19120	$628.20	$1,256.40	$271.79 – $679.60
Rotator cuff repair, arthroscopic CPT 29827	$1,968.60	$3,937.20	$691.61 – $1,729.35
Screening colonoscopy, average risk HCPCS G0121	$1,868.58	$3,737.15	$498.71 – $1,422.68
Screening colonoscopy, high risk HCPCS G0105	$1,946.95	$3,893.89	$498.71 – $1,422.68
Septoplasty (nasal septum repair) CPT 30520	$1,538.30	$3,076.50	$430.47 – $1,076.38
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$444.80	$889.50	$109.70 – $247.15
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$1,288.10	$2,576.20	$706.52 – $2,717.09
Tonsil and adenoid removal, under age 12 CPT 42820	$4,743.89	$9,487.78	$3,235.87 – $9,231.08
Total hip replacement CPT 27130	$29,514.36	$59,028.72	$7,038.15 – $31,271.03
Total knee replacement CPT 27447	$28,720.45	$57,440.90	$7,038.15 – $30,494.11
Upper endoscopy (EGD) with biopsy CPT 43239	$2,766.41	$5,532.81	$512.85 – $1,463.01
Upper endoscopy (EGD), diagnostic CPT 43235	$6,925.21	$13,850.42	$512.85 – $1,463.01
Vasectomy CPT 55250	$1,515.50	$3,031.00	$1,120.53 – $3,196.59

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$4,019.60	$8,039.10	$2,309.00 – $3,780.59
Fetal non-stress test CPT 59025	$121.20	$242.30	$18.53 – $46.34
IUD insertion CPT 58300	$466.30	$932.60	$1,312.80 – $1,312.80
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$3,815.60	$7,631.10	$2,140.00 – $3,679.92
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$3,808.80	$7,617.50	$2,043.00 – $3,504.67

Hospital stays

Service	Cash price	Gross charge	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$9,197.58	$18,395.16	$3,746.47 – $16,258.09
Chest pain MS-DRG 313	$6,285.66	$12,571.33	$4,999.48 – $18,493.61
COPD flare-up, with major complications MS-DRG 190	$13,369.00	$26,738.00	$7,275.07 – $23,384.00
COPD flare-up, without complications MS-DRG 192	$39,608.50	$79,217.00	$4,033.91 – $15,267.91
Fainting (syncope) MS-DRG 312	$11,910.15	$23,820.30	$5,787.83 – $21,907.77
Gastrointestinal bleeding, with complications MS-DRG 378	$12,873.29	$25,746.58	$6,809.71 – $24,967.01
Heart failure, with major complications MS-DRG 291	$12,634.85	$25,269.71	$8,489.69 – $35,603.83
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$33,052.50	$66,105.00	$13,393.75 – $46,921.90
Irregular heartbeat, without complications MS-DRG 310	$5,785.43	$11,570.86	$3,633.50 – $13,424.20
Kidney failure, with complications MS-DRG 683	$9,815.28	$19,630.56	$5,306.04 – $18,556.43
Kidney or urinary tract infection, without major complications MS-DRG 690	$6,939.89	$13,879.78	$5,065.96 – $15,116.90
Neck (cervical) spinal fusion, without complications MS-DRG 473	$49,470.00	$98,940.00	$16,951.72 – $50,116.20
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$10,038.83	$20,077.66	$5,047.43 – $17,130.46
Pneumonia, with complications MS-DRG 194	$8,538.29	$17,076.58	$5,595.95 – $18,713.16
Pneumonia, with major complications MS-DRG 193	$11,326.88	$22,653.77	$4,886.99 – $24,125.25
Pneumonia, without complications MS-DRG 195	$4,212.00	$8,424.00	$4,364.13 – $12,298.96
Psychoses (inpatient psychiatric stay) MS-DRG 885	$8,295.81	$16,591.63	$4,286.08 – $24,260.42
Sepsis, with major complications MS-DRG 871	$23,163.62	$46,327.24	$6,978.56 – $41,626.34
Sepsis, without major complications MS-DRG 872	$9,628.62	$19,257.25	$5,734.79 – $19,247.43
Skin infection (cellulitis), without major complications MS-DRG 603	$7,844.78	$15,689.56	$4,601.90 – $16,072.82
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$7,694.74	$15,389.49	$5,195.67 – $16,527.41
Stroke, with complications or clot-busting drug MS-DRG 65	$14,600.11	$29,200.22	$7,015.24 – $32,554.53
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$16,644.60	$33,289.20	$8,615.08 – $29,562.15

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$2,490.70	$4,981.40	$161.47 – $528.09
Lower back nerve root injection with imaging guidance CPT 64483	$1,740.55	$3,481.10	$486.99 – $1,444.61
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$7,145.90	$14,291.79	$378.81 – $1,080.64
Lower back spinal injection (epidural), without imaging CPT 62322	$681.75	$1,363.50	$486.99 – $1,389.25

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$1,398.70	$2,797.40	$343.57 – $859.08

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$83.45	$166.90	$62.58 – $244.15

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$817.10	$1,634.20	$85.58 – $244.15
Sleep study with CPAP titration CPT 95811	$1,158.80	$2,317.60	$556.51 – $1,688.54
Sleep study, overnight in a sleep lab CPT 95810	$1,105.95	$2,211.90	$556.51 – $1,610.83

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$145.40	$290.80	$77.23 – $244.15

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$58.90	$117.80	$46.87 – $84.96
Physical therapy evaluation, low complexity CPT 97161	$73.05	$146.10	$57.56 – $146.68
Physical therapy evaluation, moderate complexity CPT 97162	$109.35	$218.70	$86.16 – $157.73
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$27.40	$54.80	$22.29 – $32.10
Therapeutic activities, 15 minutes CPT 97530	$58.90	$117.80	$46.41 – $84.96

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$117.10	$234.10	$68.24 – $133.14
Family psychotherapy, without the patient, 50 minutes CPT 90846	$129.00	$257.90	$96.60 – $161.91
Group psychotherapy CPT 90853	$58.45	$116.90	$21.00 – $144.34
Psychiatric diagnostic evaluation CPT 90791	$150.60	$301.10	$118.15 – $185.64
Psychotherapy, 30 minutes CPT 90832	$100.60	$201.20	$79.27 – $250.72
Psychotherapy, 45 minutes CPT 90834	$100.60	$201.20	$79.27 – $250.72
Psychotherapy, 60 minutes CPT 90837	$110.90	$221.70	$89.59 – $174.72

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$54.40	$108.80	$14.59 – $28.42
IV hydration, each additional hour CPT 96361	$138.30	$276.60	$12.23 – $19.17
IV hydration, first hour CPT 96360	$276.50	$552.90	$30.01 – $64.70
IV push injection of a drug, first CPT 96374	$92.35	$184.70	$72.77 – $328.77
IV push injection, each additional drug CPT 96375	$51.25	$102.50	$25.24 – $79.57

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$21.56	$43.12	? – $25.00
Dexamethasone injection, per 1 mg HCPCS J1100	$11.55	$23.10	? – $16.17
Fentanyl injection, per 0.1 mg HCPCS J3010	$208.25	$416.50	$1.94 – $1.94
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$12.47	$24.94	? – $25.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$24.80	$49.60
Morphine injection, up to 10 mg HCPCS J2270	$142.30	$284.60	$4.36 – $4.36
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$3.02	$6.04	? – $25.00
Propofol injection, per 10 mg HCPCS J2704	$1.32	$2.64
Saline IV solution, 1000 ml HCPCS J7030	$93.70	$187.40	$3.45 – $3.45

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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