North Memorial Health Hospital
3300 Oakdale North, Robbinsdale, MN 55422 · Acute care hospital · Emergency room
These are North Memorial Health Hospital's own posted figures from its standard-charges file dated September 25, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
201 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 | $1,432.91 | $2,719.00 | $691.43 – $2,175.20 |
| Emergency room visit, level 1 (minor) CPT 99281 | $127.53 | $242.00 | $64.98 – $393.00 |
| Emergency room visit, level 2 CPT 99282 | $205.53 | $390.00 | $127.43 – $670.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $338.33 | $642.00 | $222.32 – $874.00 |
| Emergency room visit, level 4 CPT 99284 | $558.09 | $1,059.00 | $345.11 – $1,076.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $740.96 | $1,406.00 | $500.49 – $1,512.65 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $202.89 | $385.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $51.12 | $97.00 | $19.80 – $207.45 |
| Abdominal X-ray, 1 view CPT 74018 | $140.71 | $267.00 | $66.51 – $892.00 |
| Ankle X-ray, 3 or more views CPT 73610 | $154.94 | $294.00 | $66.51 – $892.00 |
| Breast ultrasound, one breast, complete CPT 76641 | $244.00 | $463.00 | $85.67 – $370.40 |
| Breast ultrasound, one breast, limited CPT 76642 | $181.29 | $344.00 | $66.51 – $275.20 |
| Chest X-ray, 1 view CPT 71045 | $148.61 | $282.00 | $66.51 – $892.00 |
| Chest X-ray, 2 views CPT 71046 | $142.82 | $271.00 | $66.51 – $892.00 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $727.26 | $1,380.00 | $134.49 – $1,432.00 |
| CT angiogram of the head CPT 70496 | $668.76 | $1,269.00 | $134.49 – $1,432.00 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $706.71 | $1,341.00 | $281.50 – $1,432.00 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $649.26 | $1,232.00 | $281.50 – $1,432.00 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $488.53 | $927.00 | $179.36 – $1,432.00 |
| CT scan of the abdomen, without contrast CPT 74150 | $483.26 | $917.00 | $80.48 – $1,432.00 |
| CT scan of the chest, with contrast CPT 71260 | $598.14 | $1,135.00 | $134.49 – $1,432.00 |
| CT scan of the chest, without contrast CPT 71250 | $488.53 | $927.00 | $80.48 – $1,432.00 |
| CT scan of the head, without contrast CPT 70450 | $549.13 | $1,042.00 | $80.48 – $1,432.00 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $555.98 | $1,055.00 | $80.48 – $1,432.00 |
| CT scan of the pelvis, with contrast CPT 72193 | $680.88 | $1,292.00 | $134.49 – $1,432.00 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $564.94 | $1,072.00 | $80.48 – $1,432.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $307.77 | $584.00 | $90.44 – $632.99 |
| Diagnostic mammogram, one breast CPT 77065 | $248.74 | $472.00 | $74.66 – $500.85 |
| Foot X-ray, 3 or more views CPT 73630 | $154.41 | $293.00 | $66.51 – $892.00 |
| Hand X-ray, 3 or more views CPT 73130 | $152.30 | $289.00 | $66.51 – $892.00 |
| Knee X-ray, 3 views CPT 73562 | $210.80 | $400.00 | $66.51 – $892.00 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $434.77 | $825.00 | $179.36 – $660.00 |
| Leg or arm vein ultrasound, one side CPT 93971 | $244.53 | $464.00 | $80.48 – $371.20 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $190.77 | $362.00 | $80.48 – $892.00 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,040.82 | $1,975.00 | $281.50 – $2,340.00 |
| MRI of the brain, without and with contrast CPT 70553 | $1,040.82 | $1,975.00 | $281.50 – $2,340.00 |
| MRI of the brain, without contrast CPT 70551 | $727.26 | $1,380.00 | $179.36 – $2,340.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $806.31 | $1,530.00 | $179.36 – $2,340.00 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $741.49 | $1,407.00 | $179.36 – $2,340.00 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $741.49 | $1,407.00 | $179.36 – $2,340.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $827.92 | $1,571.00 | $179.36 – $2,340.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,030.28 | $1,955.00 | $281.50 – $2,340.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $741.49 | $1,407.00 | $179.36 – $2,340.00 |
| Neck X-ray, 2 or 3 views CPT 72040 | $190.77 | $362.00 | $66.51 – $892.00 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $235.04 | $446.00 | $80.48 – $356.80 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $320.42 | $608.00 | $80.48 – $486.40 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $287.74 | $546.00 | $80.48 – $436.80 |
| Screening mammogram, both breasts CPT 77067 | $243.47 | $462.00 | $38.02 – $512.78 |
| Shoulder X-ray, 2 or more views CPT 73030 | $176.02 | $334.00 | $66.51 – $892.00 |
| Transvaginal pregnancy ultrasound CPT 76817 | $244.53 | $464.00 | $80.48 – $371.20 |
| Transvaginal ultrasound CPT 76830 | $194.99 | $370.00 | $80.48 – $296.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $328.32 | $623.00 | $80.48 – $498.40 |
| Ultrasound of the neck or thyroid CPT 76536 | $259.28 | $492.00 | $80.48 – $393.60 |
| Wrist X-ray, 3 or more views CPT 73110 | $166.53 | $316.00 | $66.51 – $892.00 |
| X-ray of the lower back, 4 or more views CPT 72110 | $221.87 | $421.00 | $80.48 – $892.00 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $24.77 | $47.00 | $6.23 – $50.13 |
| Blood culture CPT 87040 | $37.42 | $71.00 | $7.66 – $56.80 |
| Blood draw (venipuncture) CPT 36415 | $10.01 | $19.00 | $1.42 – $16.36 |
| BNP test (heart failure) CPT 83880 | $95.27 | $180.78 | $13.60 – $153.70 |
| C-reactive protein (CRP) test CPT 86140 | $14.23 | $27.00 | $3.83 – $21.60 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $64.29 | $122.00 | $25.62 – $267.65 |
| Complete blood count (CBC) with differential CPT 85025 | $22.66 | $43.00 | $5.75 – $34.40 |
| Complete blood count (CBC), automated CPT 85027 | $19.50 | $37.00 | $4.31 – $29.60 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $31.09 | $59.00 | $7.66 – $47.81 |
| COVID-19 PCR test CPT 87635 | $105.40 | $200.00 | $37.59 – $160.00 |
| D-dimer test (blood clots) CPT 85379 | $59.03 | $112.02 | $7.42 – $89.62 |
| Drug screen, instrument chemistry CPT 80307 | $120.75 | $229.12 | $32.62 – $242.48 |
| Ferritin (iron stores) test CPT 82728 | $28.46 | $54.00 | $10.05 – $64.41 |
| Free T4 (thyroid) test CPT 84439 | $17.92 | $34.00 | $6.70 – $35.78 |
| Glucose (blood sugar) test CPT 82947 | $12.12 | $23.00 | $2.87 – $18.40 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $46.38 | $88.00 | $25.62 – $137.80 |
| Hemoglobin A1c test CPT 83036 | $17.92 | $34.00 | $7.18 – $38.43 |
| Hepatitis C antibody test CPT 86803 | $27.93 | $53.00 | $10.54 – $55.65 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $36.89 | $70.00 | $17.72 – $94.08 |
| Iron test CPT 83540 | $12.65 | $24.00 | $4.78 – $25.18 |
| Kidney function panel CPT 80069 | $11.59 | $22.00 | $6.47 – $47.63 |
| Lipase test (pancreas) CPT 83690 | $19.50 | $37.00 | $5.03 – $29.60 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $22.13 | $42.00 | $8.68 – $53.00 |
| Liver function panel CPT 80076 | $24.24 | $46.00 | $5.99 – $74.86 |
| Magnesium test CPT 83735 | $16.34 | $31.00 | $4.78 – $26.50 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $34.86 | $66.14 | $4.31 – $52.91 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $31.62 | $60.00 | $7.52 – $58.30 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $24.87 | $47.20 | $3.11 – $37.76 |
| PSA (prostate specific antigen), free CPT 84154 | $17.44 | $33.10 | $3.67 – $71.55 |
| PSA (prostate specific antigen), total CPT 84153 | $26.88 | $51.00 | $13.42 – $71.55 |
| Sed rate (ESR) test CPT 85652 | $7.90 | $15.00 | $1.92 – $12.00 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $38.47 | $73.00 | $12.21 – $66.25 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $305.13 | $579.00 | $39.66 – $463.20 |
| Troponin test (heart damage) CPT 84484 | $13.17 | $25.00 | $7.20 – $49.03 |
| Urinalysis, automated, with microscope CPT 81001 | $14.76 | $28.00 | $2.40 – $22.40 |
| Urinalysis, automated, without microscope CPT 81003 | $7.38 | $14.00 | $1.68 – $11.20 |
| Urinalysis, manual, without microscope CPT 81002 | $3.16 | $6.00 | $2.25 – $13.25 |
| Urine culture, colony count CPT 87086 | $28.98 | $55.00 | $5.99 – $44.00 |
| Urine pregnancy test CPT 81025 | $25.30 | $48.00 | $3.64 – $38.40 |
| Vitamin B12 test CPT 82607 | $26.88 | $51.00 | $11.02 – $59.63 |
| Vitamin D test CPT 82306 | $39.52 | $75.00 | $21.55 – $115.28 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $345.18 | $655.00 | $179.36 – $613.20 |
| ECG tracing only (no interpretation) CPT 93005 | $98.02 | $186.00 | $44.77 – $153.06 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $783.65 | $1,487.00 | $403.81 – $1,569.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | $4,147.49 | $7,870.00 | $2,385.19 – $8,154.54 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $1,845.55 | $3,502.00 | $662.48 – $3,553.45 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Appendix removal, laparoscopic CPT 44970 | $8,310.46 | $15,769.38 | $3,614.00 – $14,439.36 |
| Breast biopsy with ultrasound guidance CPT 19083 | $1,777.57 | $3,373.00 | $984.00 – $4,057.27 |
| Carpal tunnel release CPT 64721 | $3,001.54 | $5,695.53 | $1,413.28 – $4,831.77 |
| Colonoscopy with biopsy CPT 45380 | $2,014.95 | $3,823.44 | $863.79 – $3,197.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $1,993.80 | $3,783.30 | $863.79 – $3,197.00 |
| Colonoscopy, diagnostic CPT 45378 | $1,574.91 | $2,988.44 | $168.55 – $3,197.00 |
| Colposcopy with biopsy CPT 57454 | $8,630.33 | $16,376.34 | $249.97 – $7,844.61 |
| Cystoscopy (bladder scope) CPT 52000 | $4,656.42 | $8,835.72 | $73.58 – $4,126.00 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,508.80 | $2,863.00 | $611.00 – $4,126.00 |
| Gallbladder removal, laparoscopic CPT 47562 | $8,090.38 | $15,351.77 | $3,614.00 – $14,439.36 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | $15,638.32 | $29,674.24 | $1,115.10 – $8,268.00 |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $10,836.47 | $20,562.57 | $835.32 – $25,760.01 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $5,117.53 | $9,710.69 | $2,288.43 – $10,494.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $10,175.61 | $19,308.55 | $3,614.00 – $14,439.36 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $5,799.29 | $11,004.35 | $2,036.00 – $8,706.98 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $6,274.17 | $11,905.44 | $2,551.79 – $8,724.11 |
| Prostate biopsy CPT 55700 | $4,725.81 | $8,967.38 | $984.00 – $5,097.12 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $15,376.31 | $29,177.05 | $1,100.30 – $25,760.01 |
| Removal of a breast lump, open surgery CPT 19120 | $4,766.49 | $9,044.58 | $2,790.10 – $10,494.00 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,562.11 | $2,964.16 | $611.00 – $4,126.00 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,553.75 | $2,948.30 | $168.55 – $4,126.00 |
| Septoplasty (nasal septum repair) CPT 30520 | $10,444.74 | $19,819.24 | $639.57 – $14,655.06 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | $10,971.37 | $20,818.54 | $704.19 – $8,268.00 |
| Total hip replacement CPT 27130 | $16,924.34 | $32,114.49 | $6,775.00 – $32,935.74 |
| Total knee replacement CPT 27447 | $15,898.83 | $30,168.55 | $6,822.00 – $32,935.74 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $2,510.74 | $4,764.21 | $663.53 – $3,197.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,383.99 | $2,626.16 | $663.53 – $3,197.00 |
| Vasectomy CPT 55250 | $5,433.67 | $10,310.56 | $1,490.90 – $5,097.12 |
Pregnancy and birth
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Fetal non-stress test CPT 59025 | $330.43 | $627.00 | $145.86 – $501.60 |
| IUD insertion CPT 58300 | $6,159.53 | $11,687.92 | $105.64 – $7,844.61 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | $6,652.48 | $10,346.00 | $1,387.89 – $10,440.39 |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | $6,425.50 | $9,993.00 | $1,387.89 – $9,958.82 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | $4,926.15 | $9,347.53 | $6,932.50 – $16,713.28 |
| C-section, without complications MS-DRG 788 | $11,617.92 | $22,045.39 | $4,901.00 – $13,759.86 |
| Chest pain MS-DRG 313 | $6,171.22 | $11,710.10 | $5,702.47 – $112,145.52 |
| COPD flare-up, with major complications MS-DRG 190 | $5,713.28 | $10,841.13 | $2,773.00 – $50,718.19 |
| COPD flare-up, without complications MS-DRG 192 | $2,766.80 | $5,250.10 | $5,063.63 – $71,041.23 |
| Fainting (syncope) MS-DRG 312 | $6,890.97 | $13,075.84 | $6,853.06 – $38,709.89 |
| Gastrointestinal bleeding, with complications MS-DRG 378 | $7,027.98 | $13,335.82 | $2,854.00 – $16,220.28 |
| Heart failure, with major complications MS-DRG 291 | $7,748.22 | $14,702.51 | $10,011.92 – $24,719.44 |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | $84,612.47 | $160,554.98 | $70,830.08 – $173,594.34 |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | $20,575.88 | $39,043.41 | $4,506.19 – $35,720.80 |
| Irregular heartbeat, without complications MS-DRG 310 | $5,159.28 | $9,789.91 | $4,581.02 – $30,794.69 |
| Kidney failure, with complications MS-DRG 683 | $5,355.04 | $10,161.36 | ? – $16,840.21 |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | $5,836.48 | $11,074.91 | $6,352.46 – $108,309.45 |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $24,052.53 | $45,640.48 | $17,754.91 – $44,850.39 |
| Normal newborn care MS-DRG 795 | $1,688.55 | $3,204.08 | $1,677.32 – $3,785.21 |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | $4,993.42 | $9,475.18 | $2,523.00 – $12,855.80 |
| Pneumonia, with complications MS-DRG 194 | $4,914.39 | $9,325.22 | $4,319.38 – $45,683.53 |
| Pneumonia, with major complications MS-DRG 193 | $6,205.64 | $11,775.41 | $8,556.18 – $29,199.35 |
| Pneumonia, without complications MS-DRG 195 | $4,627.09 | $8,780.05 | $5,041.56 – $11,797.05 |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | $7,074.15 | $13,423.44 | $915.42 – $26,704.87 |
| Sepsis, with major complications MS-DRG 871 | $8,997.40 | $17,072.87 | $14,801.55 – $37,171.98 |
| Sepsis, without major complications MS-DRG 872 | $6,942.71 | $13,174.03 | $8,016.78 – $19,532.30 |
| Skin infection (cellulitis), without major complications MS-DRG 603 | $4,553.75 | $8,640.90 | $2,385.00 – $14,491.15 |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | $5,929.50 | $11,251.42 | $6,189.96 – $14,782.78 |
| Stroke, with complications or clot-busting drug MS-DRG 65 | $7,536.66 | $14,301.06 | $3,049.00 – $16,730.30 |
| Vaginal delivery, without complications MS-DRG 807 | $5,948.51 | $11,287.49 | $3,697.00 – $10,404.96 |
| Weight loss surgery, without complications MS-DRG 621 | $13,097.16 | $24,852.30 | $11,155.95 – $27,693.80 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $435.83 | $827.00 | $216.80 – $917.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,252.15 | $2,376.00 | $611.00 – $4,126.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $895.90 | $1,700.00 | $506.19 – $4,126.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $961.25 | $1,824.00 | $600.10 – $2,196.55 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $168.64 | $320.00 | $105.28 – $390.90 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $84.85 | $161.00 | $13.37 – $266.00 |
| Physical therapy evaluation, low complexity CPT 97161 | $145.98 | $277.00 | $76.84 – $267.48 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $155.46 | $295.00 | $76.84 – $267.48 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $75.36 | $143.00 | $24.31 – $266.00 |
| Therapeutic activities, 15 minutes CPT 97530 | $70.09 | $133.00 | $30.82 – $266.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $258.49 | $402.00 | $83.76 – $416.09 |
| Group psychotherapy CPT 90853 | $61.09 | $95.00 | $19.60 – $98.23 |
| Psychiatric diagnostic evaluation CPT 90791 | $392.87 | $611.00 | $116.52 – $604.35 |
| Psychotherapy, 30 minutes CPT 90832 | $172.97 | $269.00 | $56.38 – $279.66 |
| Psychotherapy, 45 minutes CPT 90834 | $229.55 | $357.00 | $74.37 – $369.71 |
| Psychotherapy, 60 minutes CPT 90837 | $336.93 | $524.00 | $110.07 – $545.69 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $94.33 | $179.00 | $54.89 – $175.60 |
| IV hydration, each additional hour CPT 96361 | $84.32 | $160.00 | $36.80 – $128.00 |
| IV hydration, first hour CPT 96360 | $264.55 | $502.00 | $108.65 – $519.82 |
| IV push injection of a drug, first CPT 96374 | $233.99 | $444.00 | $108.65 – $519.82 |
| IV push injection, each additional drug CPT 96375 | $81.16 | $154.00 | $36.80 – $123.20 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $32.62 | $61.90 | $1.06 – $49.52 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $22.83 | $43.33 | ? – $34.66 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $28.97 | $54.98 | ? – $43.98 |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $23.65 | $44.87 | ? – $35.90 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $22.33 | $42.37 | ? – $33.90 |
| Morphine injection, up to 10 mg HCPCS J2270 | $22.63 | $42.95 | ? – $34.36 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $21.55 | $40.89 | ? – $32.71 |
| Propofol injection, per 10 mg HCPCS J2704 | $47.56 | $90.25 | $1.76 – $101.80 |
| Saline IV solution, 1000 ml HCPCS J7030 | $24.71 | $46.88 | ? – $37.50 |
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.