Atrium Health Lincoln

433 McAlister Rd, Lincolnton, NC 28092 · Acute care hospital · Emergency room

These are Atrium Health Lincoln's own posted figures from its standard-charges file dated December 1, 2025. 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; 155 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	$2,808.93	$5,617.85	$633.69 – $5,336.96
Emergency room visit, level 1 (minor) CPT 99281	$178.33	$356.65	$40.23 – $1,557.00
Emergency room visit, level 2 CPT 99282	$328.58	$657.15	$74.13 – $1,557.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,519.05	$3,038.10	$264.96 – $2,886.20
Emergency room visit, level 4 CPT 99284	$1,590.63	$3,181.25	$358.85 – $3,022.19
Emergency room visit, level 5 (most severe) CPT 99285	$1,682.03	$3,364.05	$379.46 – $3,195.85
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$374.23	$748.45	$84.43 – $711.03

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted		$43.57 – $149.18
New patient office visit, about 30 minutes CPT 99203	not posted		$74.98 – $312.80
New patient office visit, about 45 minutes CPT 99204	not posted		$123.71 – $445.66
New patient office visit, about 60 minutes CPT 99205	not posted		$165.62 – $567.60
Office consultation, about 40 minutes CPT 99243	not posted		$106.63 – $130.67
Office consultation, about 60 minutes CPT 99244	not posted		$152.14 – $186.45
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted		$24.98 – $115.61
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted		$50.41 – $186.29
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted		$77.28 – $269.47
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted		$109.21 – $395.83
Office visit, established patient, brief (often a nurse) CPT 99211	not posted		$8.13 – $46.95
Preventive checkup, new patient, age 18 to 39 CPT 99385	$143.25	$286.50	$32.32 – $272.18
Preventive checkup, new patient, age 40 to 64 CPT 99386	$188.15	$376.30	$115.45 – $338.67

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$40.18	$80.35	$9.06 – $76.33
Abdominal X-ray, 1 view CPT 74018	$224.43	$448.85	$50.63 – $426.41
Ankle X-ray, 3 or more views CPT 73610	$274.50	$549.00	$61.93 – $521.55
Bone density scan (DEXA), hips and spine CPT 77080	$413.48	$826.95	$93.28 – $785.60
Breast ultrasound, one breast, complete CPT 76641	$519.75	$1,039.50	$101.76 – $987.53
Breast ultrasound, one breast, limited CPT 76642	$346.53	$693.05	$78.18 – $658.40
Chest X-ray, 1 view CPT 71045	$186.83	$373.65	$42.15 – $354.97
Chest X-ray, 2 views CPT 71046	$232.30	$464.60	$52.41 – $441.37
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,094.23	$4,188.45	$170.35 – $3,979.03
CT angiogram of the head CPT 70496	$2,094.23	$4,188.45	$170.35 – $3,979.03
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,217.18	$6,434.35	$341.74 – $6,112.63
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,810.23	$7,620.45	$341.74 – $7,239.43
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,874.83	$5,749.65	$231.30 – $5,462.17
CT scan of the abdomen, without contrast CPT 74150	$1,363.35	$2,726.70	$101.76 – $2,590.37
CT scan of the chest, with contrast CPT 71260	$1,608.98	$3,217.95	$170.35 – $3,057.05
CT scan of the chest, without contrast CPT 71250	$1,350.03	$2,700.05	$101.76 – $2,565.05
CT scan of the head, without contrast CPT 70450	$1,268.90	$2,537.80	$101.76 – $2,410.91
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,513.95	$3,027.90	$101.76 – $2,876.51
CT scan of the pelvis, with contrast CPT 72193	$1,608.98	$3,217.95	$170.35 – $3,057.05
CT scan of the sinuses or face, without contrast CPT 70486	$1,145.38	$2,290.75	$101.76 – $2,176.21
Diagnostic mammogram, both breasts CPT 77066	$442.60	$885.20	$99.85 – $840.94
Diagnostic mammogram, one breast CPT 77065	$221.33	$442.65	$49.93 – $420.52
Foot X-ray, 3 or more views CPT 73630	$262.03	$524.05	$59.11 – $497.85
Hand X-ray, 3 or more views CPT 73130	$266.50	$533.00	$60.12 – $506.35
Knee X-ray, 3 views CPT 73562	$227.45	$454.90	$51.31 – $432.16
Leg or arm vein ultrasound, both sides CPT 93970	$1,155.88	$2,311.75	$231.30 – $2,196.16
Leg or arm vein ultrasound, one side CPT 93971	$872.75	$1,745.50	$101.76 – $1,658.23
Lower back X-ray, 2 or 3 views CPT 72100	$278.40	$556.80	$62.81 – $528.96
MRI of both breasts, without and with contrast CPT 77049	not posted		$315.96 – $394.95
MRI of the abdomen, without and with contrast CPT 74183	$2,518.40	$5,036.80	$341.74 – $4,784.96
MRI of the brain, without and with contrast CPT 70553	$2,659.03	$5,318.05	$341.74 – $5,052.15
MRI of the brain, without contrast CPT 70551	$1,765.28	$3,530.55	$231.30 – $3,354.02
MRI of the knee or other leg joint, without contrast CPT 73721	$1,922.30	$3,844.60	$231.30 – $3,652.37
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,013.08	$4,026.15	$231.30 – $3,824.84
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,013.08	$4,026.15	$231.30 – $3,824.84
MRI of the neck (cervical spine), without contrast CPT 72141	$1,947.58	$3,895.15	$231.30 – $3,700.39
MRI of the pelvis, without and with contrast CPT 72197	$2,648.58	$5,297.15	$341.74 – $5,032.29
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,938.28	$3,876.55	$231.30 – $3,682.72
Neck X-ray, 2 or 3 views CPT 72040	$299.28	$598.55	$67.52 – $568.62
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$643.80	$1,287.60	$101.76 – $1,223.22
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$479.30	$958.60	$101.76 – $910.67
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$326.73	$653.45	$73.71 – $620.78
Screening mammogram, both breasts CPT 77067	$319.93	$639.85	$72.18 – $607.86
Shoulder X-ray, 2 or more views CPT 73030	$279.28	$558.55	$63.00 – $530.62
Transvaginal pregnancy ultrasound CPT 76817	$385.58	$771.15	$86.99 – $732.59
Transvaginal ultrasound CPT 76830	$491.58	$983.15	$101.76 – $933.99
Ultrasound of the abdomen, complete CPT 76700	$665.35	$1,330.70	$101.76 – $1,264.17
Ultrasound of the neck or thyroid CPT 76536	$544.80	$1,089.60	$101.76 – $1,035.12
Wrist X-ray, 3 or more views CPT 73110	$229.33	$458.65	$51.74 – $435.72
X-ray of the lower back, 4 or more views CPT 72110	$430.23	$860.45	$97.06 – $817.43

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$177.03	$354.05	$8.63 – $336.35
Blood culture CPT 87040	$150.05	$300.10	$10.53 – $285.10
Blood draw (venipuncture) CPT 36415	$4.55	$9.09	$1.03 – $11.36
BNP test (heart failure) CPT 83880	$133.30	$266.60	$30.07 – $253.27
C-reactive protein (CRP) test CPT 86140	$131.10	$262.20	$5.28 – $249.09
Chlamydia test (DNA/NAAT) CPT 87491	$119.10	$238.20	$27.13 – $226.29
Complete blood count (CBC) with differential CPT 85025	$135.48	$270.95	$7.93 – $257.40
Complete blood count (CBC), automated CPT 85027	$66.43	$132.85	$6.60 – $126.21
Comprehensive metabolic panel (blood test) CPT 80053	$244.73	$489.45	$10.77 – $464.98
COVID-19 PCR test CPT 87635	$85.03	$170.05	$19.37 – $161.55
D-dimer test (blood clots) CPT 85379	$144.50	$289.00	$10.38 – $274.55
Drug screen, instrument chemistry CPT 80307	$231.65	$463.30	$52.26 – $440.14
Ferritin (iron stores) test CPT 82728	$156.70	$313.40	$13.90 – $297.73
Free T4 (thyroid) test CPT 84439	$150.93	$301.85	$9.20 – $286.76
General health panel (blood tests) CPT 80050	not posted		$11.16 – $88.78
Glucose (blood sugar) test CPT 82947	$38.33	$76.65	$4.01 – $72.82
Gonorrhea test (DNA/NAAT) CPT 87591	$112.83	$225.65	$25.70 – $214.37
Hemoglobin A1c test CPT 83036	$136.70	$273.40	$9.90 – $259.73
Hepatitis C antibody test CPT 86803	$174.58	$349.15	$14.56 – $331.69
HIV-1/HIV-2 antigen and antibody test CPT 87389	$172.08	$344.15	$24.56 – $326.94
Iron test CPT 83540	$85.93	$171.85	$6.60 – $163.26
Kidney function panel CPT 80069	$113.35	$226.70	$8.85 – $215.37
Lipase test (pancreas) CPT 83690	$140.63	$281.25	$7.03 – $267.19
Lipid panel, cholesterol and triglycerides CPT 80061	$187.73	$375.45	$13.66 – $356.68
Liver function panel CPT 80076	$198.50	$397.00	$8.33 – $377.15
Magnesium test CPT 83735	$73.00	$146.00	$6.83 – $138.70
Obstetric blood test panel CPT 80055	not posted		$48.77 – $59.76
Partial thromboplastin time (PTT), clotting test CPT 85730	$69.85	$139.70	$6.13 – $132.72
Pregnancy blood test (hCG), quantitative CPT 84702	$152.65	$305.30	$15.35 – $290.04
Prothrombin time (PT/INR), clotting test CPT 85610	$67.70	$135.40	$4.38 – $128.63
PSA (prostate specific antigen), free CPT 84154	$99.20	$198.40	$18.76 – $188.48
PSA (prostate specific antigen), total CPT 84153	$103.85	$207.70	$18.76 – $197.32
Rapid strep test CPT 87880	$105.48	$210.95	$16.86 – $200.40
Sed rate (ESR) test CPT 85652	$89.38	$178.75	$2.75 – $169.81
TB skin test CPT 86580	$1,003.85	$2,007.70	$23.43 – $1,907.32
Thyroid stimulating hormone (TSH) CPT 84443	$186.98	$373.95	$17.14 – $355.25
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$346.30	$692.60	$51.13 – $657.97
Troponin test (heart damage) CPT 84484	$204.18	$408.35	$12.72 – $387.93
Urinalysis, automated, with microscope CPT 81001	$40.35	$80.70	$3.23 – $76.67
Urinalysis, automated, without microscope CPT 81003	$52.38	$104.75	$2.30 – $99.51
Urinalysis, manual, with microscope CPT 81000	$40.35	$80.70	$4.10 – $76.67
Urinalysis, manual, without microscope CPT 81002	$37.18	$74.35	$3.55 – $70.63
Urine culture, colony count CPT 87086	$119.23	$238.45	$8.23 – $226.53
Urine pregnancy test CPT 81025	$71.60	$143.20	$8.78 – $136.04
Vitamin B12 test CPT 82607	$158.85	$317.70	$15.38 – $301.82
Vitamin D test CPT 82306	$224.53	$449.05	$30.19 – $426.60

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,145.63	$2,291.25	$231.30 – $2,176.69
ECG tracing only (no interpretation) CPT 93005	$290.78	$581.55	$56.84 – $552.47
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,780.05	$3,560.10	$401.58 – $3,382.10
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$13.12 – $92.53
Holter monitor, up to 48 hours CPT 93224	not posted		$63.88 – $93.50
Left heart catheterization CPT 93452	$11,777.43	$23,554.85	$2,656.99 – $22,377.11
Left heart catheterization with coronary angiogram CPT 93458	$14,653.28	$29,306.55	$3,077.79 – $27,841.22
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,341.83	$6,683.65	$753.92 – $6,349.47
Treadmill stress test, complete CPT 93015	not posted		$67.05 – $261.21

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$732.27 – $1,122.24
Appendix removal, laparoscopic CPT 44970	not posted		$424.10 – $2,151.04
Breast biopsy with ultrasound guidance CPT 19083	$1,944.10	$3,888.20	$438.59 – $3,693.79
Carpal tunnel release CPT 64721	$3,503.75	$7,007.50	$790.45 – $6,657.13
Colonoscopy with biopsy CPT 45380	not posted		$183.07 – $939.56
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$231.16 – $1,116.36
Colonoscopy, diagnostic CPT 45378	not posted		$167.15 – $786.15
Colposcopy with biopsy CPT 57454	$929.78	$1,859.55	$209.76 – $1,766.57
Cystoscopy (bladder scope) CPT 52000	$404.00	$808.00	$91.14 – $782.73
Ear tubes, under general anesthesia CPT 69436	$3,006.50	$6,013.00	$678.27 – $5,712.35
Flexible sigmoidoscopy, diagnostic CPT 45330	$1,284.13	$2,568.25	$289.70 – $2,439.84
Gallbladder removal, laparoscopic CPT 47562	not posted		$528.57 – $2,356.36
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$1,246.80 – $6,229.76
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$768.62 – $3,378.28
Hysteroscopy with biopsy or polyp removal CPT 58558	$3,044.63	$6,089.25	$686.87 – $5,784.79
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$302.65 – $1,050.11
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$368.03 – $599.63
Kidney stone shock-wave lithotripsy CPT 50590	$2,535.35	$5,070.70	$571.97 – $4,817.17
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$465.87 – $629.39
Lower colon endoscopy with ultrasound CPT 45391	not posted		$231.37 – $293.11
Nasal endoscopy, diagnostic CPT 31231	$147.55	$295.10	$33.29 – $280.35
Prostate biopsy CPT 55700	$897.95	$1,795.90	$202.58 – $2,402.24
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,101.74 – $4,292.98
Removal of a breast lump, open surgery CPT 19120	$4,631.50	$9,263.00	$1,044.87 – $8,799.85
Rotator cuff repair, arthroscopic CPT 29827	not posted		$802.40 – $1,230.39
Screening colonoscopy, average risk HCPCS G0121	not posted		$168.53 – $510.98
Screening colonoscopy, high risk HCPCS G0105	not posted		$168.31 – $786.15
Septoplasty (nasal septum repair) CPT 30520	not posted		$431.97 – $766.90
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$156.46 – $499.83
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$998.84 – $4,457.95
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$5,660.71 – $6,937.15
Total hip replacement CPT 27130	not posted		$1,072.82 – $1,474.11
Total knee replacement CPT 27447	not posted		$1,148.49 – $1,472.35
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$126.08 – $817.41
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$112.05 – $639.77
Vasectomy CPT 55250	not posted		$186.06 – $722.76

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		$1,747.98 – $5,569.11
Fetal non-stress test CPT 59025	$507.90	$1,015.80	$114.58 – $965.01
IUD insertion CPT 58300	$366.65	$733.30	$82.72 – $696.64
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,003.80 – $4,227.53
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,747.98 – $5,050.56

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$8,648.54 – $8,929.19
C-section, without complications MS-DRG 788	not posted	$8,858.62 – $11,625.81
Chest pain MS-DRG 313	not posted	$7,072.37 – $10,729.15
COPD flare-up, with major complications MS-DRG 190	not posted	$10,897.01 – $14,776.92
COPD flare-up, without complications MS-DRG 192	not posted	$6,454.23 – $9,340.61
Fainting (syncope) MS-DRG 312	not posted	$8,546.75 – $11,345.29
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$9,616.85 – $14,907.58
Heart failure, with major complications MS-DRG 291	not posted	$12,594.56 – $19,121.87
Heart failure, without complications MS-DRG 293	not posted	$5,366.52 – $5,864.14
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$90,528.07 – $148,873.41
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$18,016.83 – $28,069.24
Irregular heartbeat, without complications MS-DRG 310	not posted	$5,635.34 – $7,939.27
Kidney failure, with complications MS-DRG 683	not posted	$8,711.11 – $12,673.62
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$7,905.28 – $9,421.31
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$22,516.57 – $30,783.55
Normal newborn care MS-DRG 795	not posted	$2,792.28 – $3,131.66
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$7,707.32 – $10,535.73
Pneumonia, with complications MS-DRG 194	not posted	$8,067.74 – $11,114.72
Pneumonia, with major complications MS-DRG 193	not posted	$12,715.02 – $16,306.37
Pneumonia, without complications MS-DRG 195	not posted	$6,196.47 – $6,771.05
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$13,573.13 – $14,013.59
Sepsis, with major complications MS-DRG 871	not posted	$18,732.10 – $27,117.50
Sepsis, without major complications MS-DRG 872	not posted	$10,037.95 – $12,618.54
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$8,635.46 – $10,643.33
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$7,697.05 – $9,891.42
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$9,906.29 – $18,887.46
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$11,603.85 – $12,978.48
Vaginal delivery, without complications MS-DRG 807	not posted	$6,361.77 – $8,641.22
Weight loss surgery, without complications MS-DRG 621	not posted	$14,060.57 – $18,489.09

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$619.80	$1,239.60	$139.83 – $1,177.62
Lower back nerve root injection with imaging guidance CPT 64483	$2,207.48	$4,414.95	$498.01 – $4,194.20
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,207.98	$4,415.95	$498.12 – $4,195.15
Lower back spinal injection (epidural), without imaging CPT 62322	$1,177.23	$2,354.45	$265.58 – $2,236.73

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$496.09 – $620.11
Eye exam, new patient, comprehensive CPT 92004	not posted	$73.44 – $108.36
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$201.56 – $353.55

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$220.23	$440.45	$49.68 – $418.43

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$359.00	$718.00	$80.99 – $682.10
Sleep study with CPAP titration CPT 95811	$3,751.48	$7,502.95	$846.33 – $7,127.80
Sleep study, overnight in a sleep lab CPT 95810	$3,182.88	$6,365.75	$718.06 – $6,047.46

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$235.25	$470.50	$53.07 – $446.98

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$122.25	$244.50	$26.63 – $232.28
Physical therapy evaluation, low complexity CPT 97161	$202.08	$404.15	$45.59 – $383.94
Physical therapy evaluation, moderate complexity CPT 97162	$303.15	$606.30	$68.39 – $575.99
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$95.65	$191.30	$21.58 – $181.74
Therapeutic activities, 15 minutes CPT 97530	$101.38	$202.75	$22.87 – $192.61

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$27.68	$55.35	$6.24 – $188.41
Family psychotherapy, without the patient, 50 minutes CPT 90846	$56.90	$113.80	$12.84 – $188.41
Group psychotherapy CPT 90853	$100.78	$201.55	$22.73 – $191.47
Psychiatric diagnostic evaluation CPT 90791	$175.28	$350.55	$95.58 – $378.32
Psychotherapy, 30 minutes CPT 90832	$81.48	$162.95	$18.38 – $188.41
Psychotherapy, 45 minutes CPT 90834	$113.13	$226.25	$60.29 – $217.34
Psychotherapy, 60 minutes CPT 90837	$109.70	$219.40	$24.75 – $208.43

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$41.45	$82.90	$9.35 – $83.46
IV hydration, each additional hour CPT 96361	$27.15	$54.30	$6.13 – $54.11
IV hydration, first hour CPT 96360	$140.15	$280.30	$31.62 – $266.29
IV push injection of a drug, first CPT 96374	$140.15	$280.30	$31.62 – $266.29
IV push injection, each additional drug CPT 96375	$27.15	$54.30	$6.13 – $54.11

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$146.88	$293.75	$33.14 – $279.06
Dexamethasone injection, per 1 mg HCPCS J1100	$12.23	$24.45	$2.76 – $23.23
Fentanyl injection, per 0.1 mg HCPCS J3010	$32.75	$65.50	$7.39 – $62.23
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$10.70	$21.40	? – $20.33
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$69.50	$139.00	$15.68 – $132.05
Morphine injection, up to 10 mg HCPCS J2270	$121.60	$243.20	$27.43 – $231.04
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$68.68	$137.35	$15.49 – $130.48
Propofol injection, per 10 mg HCPCS J2704	$41.55	$83.10	$9.37 – $78.95
Saline IV solution, 1000 ml HCPCS J7030	not posted		$3.29 – $9.45

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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