Carolinas Medical Center/Behav Health

1000 Blythe Blvd, Charlotte, NC 28203 · Acute care hospital · Emergency room

These are Carolinas Medical Center/Behav Health's own posted figures from its standard-charges file dated December 4, 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	$1,050.54 – $5,617.85
Emergency room visit, level 1 (minor) CPT 99281	$178.33	$356.65	$66.69 – $356.65
Emergency room visit, level 2 CPT 99282	$328.58	$657.15	$122.89 – $657.15
Emergency room visit, level 3 (moderate) CPT 99283	$1,519.05	$3,038.10	$568.12 – $3,038.10
Emergency room visit, level 4 CPT 99284	$1,590.63	$3,181.25	$594.89 – $3,181.25
Emergency room visit, level 5 (most severe) CPT 99285	$1,682.03	$3,364.05	$629.08 – $3,364.05
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$374.23	$748.45	$139.96 – $748.45

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted		$40.14 – $163.53
New patient office visit, about 30 minutes CPT 99203	not posted		$75.73 – $243.20
New patient office visit, about 45 minutes CPT 99204	not posted		$101.72 – $344.94
New patient office visit, about 60 minutes CPT 99205	not posted		$132.38 – $439.45
Office consultation, about 40 minutes CPT 99243	not posted		$78.66 – $321.97
Office consultation, about 60 minutes CPT 99244	not posted		$124.91 – $435.67
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted		$20.51 – $96.40
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted		$40.13 – $132.14
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted		$62.08 – $207.51
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted		$88.14 – $302.91
Office visit, established patient, brief (often a nurse) CPT 99211	not posted		$8.13 – $19.53
Preventive checkup, new patient, age 18 to 39 CPT 99385	$143.25	$286.50	$54.44 – $286.50
Preventive checkup, new patient, age 40 to 64 CPT 99386	$188.15	$376.30	$116.60 – $338.67

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$40.18	$80.35	$15.27 – $80.35
Abdominal X-ray, 1 view CPT 74018	$224.43	$448.85	$85.28 – $448.85
Ankle X-ray, 3 or more views CPT 73610	$274.50	$549.00	$104.31 – $549.00
Bone density scan (DEXA), hips and spine CPT 77080	$413.48	$826.95	$157.12 – $826.95
Breast ultrasound, one breast, complete CPT 76641	$519.75	$1,039.50	$197.51 – $1,039.50
Breast ultrasound, one breast, limited CPT 76642	$346.53	$693.05	$131.68 – $693.05
Chest X-ray, 1 view CPT 71045	$186.83	$373.65	$70.99 – $373.65
Chest X-ray, 2 views CPT 71046	$232.30	$464.60	$88.27 – $464.60
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,094.23	$4,188.45	$795.81 – $4,188.45
CT angiogram of the head CPT 70496	$2,094.23	$4,188.45	$795.81 – $4,188.45
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,217.18	$6,434.35	$1,222.53 – $6,434.35
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,810.23	$7,620.45	$1,447.89 – $7,620.45
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,874.83	$5,749.65	$1,092.43 – $5,749.65
CT scan of the abdomen, without contrast CPT 74150	$1,363.35	$2,726.70	$518.07 – $2,726.70
CT scan of the chest, with contrast CPT 71260	$1,608.98	$3,217.95	$611.41 – $3,217.95
CT scan of the chest, without contrast CPT 71250	$1,350.03	$2,700.05	$513.01 – $2,700.05
CT scan of the head, without contrast CPT 70450	$1,268.90	$2,537.80	$482.18 – $2,537.80
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,513.95	$3,027.90	$575.30 – $3,027.90
CT scan of the pelvis, with contrast CPT 72193	$1,608.98	$3,217.95	$611.41 – $3,217.95
CT scan of the sinuses or face, without contrast CPT 70486	$1,145.38	$2,290.75	$435.24 – $2,290.75
Diagnostic mammogram, both breasts CPT 77066	$442.60	$885.20	$168.19 – $885.20
Diagnostic mammogram, one breast CPT 77065	$221.33	$442.65	$84.10 – $442.65
Foot X-ray, 3 or more views CPT 73630	$262.03	$524.05	$99.57 – $524.05
Hand X-ray, 3 or more views CPT 73130	$266.50	$533.00	$101.27 – $533.00
Knee X-ray, 3 views CPT 73562	$227.45	$454.90	$86.43 – $454.90
Leg or arm vein ultrasound, both sides CPT 93970	$1,155.88	$2,311.75	$439.23 – $2,311.75
Leg or arm vein ultrasound, one side CPT 93971	$872.75	$1,745.50	$331.65 – $1,745.50
Lower back X-ray, 2 or 3 views CPT 72100	$278.40	$556.80	$105.79 – $556.80
MRI of both breasts, without and with contrast CPT 77049	not posted		$315.96 – $335.80
MRI of the abdomen, without and with contrast CPT 74183	$2,518.40	$5,036.80	$956.99 – $5,036.80
MRI of the brain, without and with contrast CPT 70553	$2,659.03	$5,318.05	$1,010.43 – $5,318.05
MRI of the brain, without contrast CPT 70551	$1,765.28	$3,530.55	$670.80 – $3,530.55
MRI of the knee or other leg joint, without contrast CPT 73721	$1,922.30	$3,844.60	$730.47 – $3,844.60
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,013.08	$4,026.15	$764.97 – $4,026.15
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,013.08	$4,026.15	$764.97 – $4,026.15
MRI of the neck (cervical spine), without contrast CPT 72141	$1,947.58	$3,895.15	$740.08 – $3,895.15
MRI of the pelvis, without and with contrast CPT 72197	$2,648.58	$5,297.15	$1,006.46 – $5,297.15
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,938.28	$3,876.55	$736.54 – $3,876.55
Neck X-ray, 2 or 3 views CPT 72040	$299.28	$598.55	$113.72 – $598.55
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$643.80	$1,287.60	$244.64 – $1,287.60
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$479.30	$958.60	$182.13 – $958.60
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$326.73	$653.45	$124.16 – $653.45
Screening mammogram, both breasts CPT 77067	$319.93	$639.85	$121.57 – $639.85
Shoulder X-ray, 2 or more views CPT 73030	$279.28	$558.55	$106.12 – $558.55
Transvaginal pregnancy ultrasound CPT 76817	$385.58	$771.15	$146.52 – $771.15
Transvaginal ultrasound CPT 76830	$491.58	$983.15	$186.80 – $983.15
Ultrasound of the abdomen, complete CPT 76700	$665.35	$1,330.70	$252.83 – $1,330.70
Ultrasound of the neck or thyroid CPT 76536	$544.80	$1,089.60	$207.02 – $1,089.60
Wrist X-ray, 3 or more views CPT 73110	$229.33	$458.65	$87.14 – $458.65
X-ray of the lower back, 4 or more views CPT 72110	$430.23	$860.45	$163.49 – $860.45

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$177.03	$354.05	$67.27 – $354.05
Blood culture CPT 87040	$150.05	$300.10	$57.02 – $300.10
Blood draw (venipuncture) CPT 36415	$4.55	$9.09	$1.73 – $9.09
BNP test (heart failure) CPT 83880	$133.30	$266.60	$50.65 – $266.60
C-reactive protein (CRP) test CPT 86140	$131.10	$262.20	$49.82 – $262.20
Chlamydia test (DNA/NAAT) CPT 87491	$119.10	$238.20	$44.57 – $214.38
Complete blood count (CBC) with differential CPT 85025	$135.48	$270.95	$51.48 – $270.95
Complete blood count (CBC), automated CPT 85027	$66.43	$132.85	$25.24 – $132.85
Comprehensive metabolic panel (blood test) CPT 80053	$244.73	$489.45	$93.00 – $489.45
COVID-19 PCR test CPT 87635	$85.03	$170.05	$32.31 – $153.05
D-dimer test (blood clots) CPT 85379	$144.50	$289.00	$54.91 – $289.00
Drug screen, instrument chemistry CPT 80307	$330.53	$661.05	$125.60 – $661.05
Ferritin (iron stores) test CPT 82728	$156.70	$313.40	$59.55 – $313.40
Free T4 (thyroid) test CPT 84439	$150.93	$301.85	$57.35 – $301.85
General health panel (blood tests) CPT 80050	not posted		$11.27 – $88.78
Glucose (blood sugar) test CPT 82947	$38.33	$76.65	$14.56 – $76.65
Gonorrhea test (DNA/NAAT) CPT 87591	$112.83	$225.65	$42.87 – $203.09
Hemoglobin A1c test CPT 83036	$136.70	$273.40	$51.95 – $273.40
Hepatitis C antibody test CPT 86803	$174.58	$349.15	$25.94 – $314.24
HIV-1/HIV-2 antigen and antibody test CPT 87389	$172.08	$344.15	$43.05 – $309.74
Iron test CPT 83540	$85.93	$171.85	$32.65 – $171.85
Kidney function panel CPT 80069	$113.35	$226.70	$43.07 – $226.70
Lipase test (pancreas) CPT 83690	$140.63	$281.25	$53.44 – $281.25
Lipid panel, cholesterol and triglycerides CPT 80061	$187.73	$375.45	$71.34 – $375.45
Liver function panel CPT 80076	$198.50	$397.00	$75.43 – $397.00
Magnesium test CPT 83735	$73.00	$146.00	$27.74 – $146.00
Obstetric blood test panel CPT 80055	not posted		$28.09 – $28.09
Partial thromboplastin time (PTT), clotting test CPT 85730	$69.85	$139.70	$26.54 – $139.70
Pregnancy blood test (hCG), quantitative CPT 84702	$152.65	$305.30	$58.01 – $305.30
Prothrombin time (PT/INR), clotting test CPT 85610	$67.70	$135.40	$25.73 – $135.40
PSA (prostate specific antigen), free CPT 84154	$99.20	$198.40	$37.70 – $198.40
PSA (prostate specific antigen), total CPT 84153	$103.85	$207.70	$39.46 – $207.70
Rapid strep test CPT 87880	$105.48	$210.95	$40.08 – $210.95
Sed rate (ESR) test CPT 85652	$89.38	$178.75	$33.96 – $178.75
TB skin test CPT 86580	$1,003.85	$2,007.70	$381.46 – $2,007.70
Thyroid stimulating hormone (TSH) CPT 84443	$186.98	$373.95	$29.61 – $336.56
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$346.30	$692.60	$131.59 – $692.60
Troponin test (heart damage) CPT 84484	$204.18	$408.35	$77.59 – $408.35
Urinalysis, automated, with microscope CPT 81001	$40.35	$80.70	$15.33 – $80.70
Urinalysis, automated, without microscope CPT 81003	$52.38	$104.75	$19.90 – $104.75
Urinalysis, manual, with microscope CPT 81000	$40.35	$80.70	$15.33 – $80.70
Urinalysis, manual, without microscope CPT 81002	$37.18	$74.35	$14.13 – $74.35
Urine culture, colony count CPT 87086	$119.23	$238.45	$45.31 – $238.45
Urine pregnancy test CPT 81025	$71.60	$143.20	$27.21 – $143.20
Vitamin B12 test CPT 82607	$158.85	$317.70	$60.36 – $317.70
Vitamin D test CPT 82306	$224.53	$449.05	$85.32 – $449.05

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,145.63	$2,291.25	$435.34 – $2,291.25
ECG tracing only (no interpretation) CPT 93005	$290.78	$581.55	$110.49 – $581.55
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,780.05	$3,560.10	$676.42 – $3,560.10
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$13.12 – $55.52
Holter monitor, up to 48 hours CPT 93224	not posted		$63.88 – $92.59
Left heart catheterization CPT 93452	$11,777.43	$23,554.85	$4,475.42 – $23,554.85
Left heart catheterization with coronary angiogram CPT 93458	$14,653.28	$29,306.55	$5,568.24 – $29,306.55
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,341.83	$6,683.65	$1,269.89 – $6,683.65
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		$739.59 – $942.68
Appendix removal, laparoscopic CPT 44970	not posted		$428.34 – $1,513.99
Breast biopsy with ultrasound guidance CPT 19083	$1,944.10	$3,888.20	$738.76 – $3,888.20
Carpal tunnel release CPT 64721	$3,503.75	$7,007.50	$1,331.43 – $7,007.50
Colonoscopy with biopsy CPT 45380	not posted		$183.07 – $713.72
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$231.16 – $846.63
Colonoscopy, diagnostic CPT 45378	not posted		$168.31 – $594.48
Colposcopy with biopsy CPT 57454	$929.78	$1,859.55	$353.31 – $1,859.55
Cystoscopy (bladder scope) CPT 52000	$404.00	$808.00	$151.10 – $808.00
Ear tubes, under general anesthesia CPT 69436	$3,006.50	$6,013.00	$1,142.47 – $6,013.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$1,284.13	$2,568.25	$487.97 – $2,568.25
Gallbladder removal, laparoscopic CPT 47562	not posted		$528.57 – $1,823.37
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$1,246.80 – $4,108.48
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$776.31 – $2,323.17
Hysteroscopy with biopsy or polyp removal CPT 58558	$3,044.63	$6,089.25	$1,156.96 – $6,089.25
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$305.68 – $1,050.11
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$371.71 – $503.69
Kidney stone shock-wave lithotripsy CPT 50590	$2,535.35	$5,070.70	$963.43 – $5,070.70
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$470.53 – $528.69
Lower colon endoscopy with ultrasound CPT 45391	not posted		$233.68 – $246.21
Nasal endoscopy, diagnostic CPT 31231	$147.55	$295.10	$56.07 – $295.10
Prostate biopsy CPT 55700	$897.95	$1,795.90	$341.22 – $1,795.90
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	$1,759.97 – $9,263.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$810.42 – $1,033.53
Screening colonoscopy, average risk HCPCS G0121	not posted		$168.53 – $510.98
Screening colonoscopy, high risk HCPCS G0105	not posted		$168.31 – $594.48
Septoplasty (nasal septum repair) CPT 30520	not posted		$436.29 – $644.20
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$156.46 – $494.93
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$998.84 – $3,174.09
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$218.43 – $284.79
Total hip replacement CPT 27130	not posted		$1,083.55 – $1,238.25
Total knee replacement CPT 27447	not posted		$1,159.97 – $1,236.77
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$126.08 – $846.74
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$112.05 – $396.42
Vasectomy CPT 55250	not posted		$187.92 – $580.61

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		$1,765.46 – $4,644.48
Fetal non-stress test CPT 59025	$507.90	$1,015.80	$193.00 – $1,015.80
IUD insertion CPT 58300	$366.65	$733.30	$139.33 – $733.30
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,023.84 – $2,392.27
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,765.46 – $4,102.90

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$12,139.25 – $12,746.21
C-section, without complications MS-DRG 788	not posted	$9,230.10 – $9,230.10
Chest pain MS-DRG 313	not posted	$8,518.22 – $8,518.22
COPD flare-up, with major complications MS-DRG 190	not posted	$11,731.87 – $11,731.87
COPD flare-up, without complications MS-DRG 192	not posted	$7,415.81 – $7,415.81
Fainting (syncope) MS-DRG 312	not posted	$9,007.38 – $9,007.38
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$11,835.60 – $11,835.60
Heart failure, with major complications MS-DRG 291	not posted	$15,181.46 – $15,181.46
Heart failure, without complications MS-DRG 293	not posted	$4,655.73 – $4,655.73
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$118,195.33 – $118,195.33
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$22,285.06 – $22,285.06
Irregular heartbeat, without complications MS-DRG 310	not posted	$6,303.24 – $6,303.24
Kidney failure, with complications MS-DRG 683	not posted	$10,061.99 – $10,061.99
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$7,479.88 – $7,479.88
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$24,440.04 – $24,440.04
Normal newborn care MS-DRG 795	not posted	$2,422.44 – $2,422.44
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,364.65 – $8,364.65
Pneumonia, with complications MS-DRG 194	not posted	$8,824.33 – $8,824.33
Pneumonia, with major complications MS-DRG 193	not posted	$12,946.14 – $12,946.14
Pneumonia, without complications MS-DRG 195	not posted	$5,375.75 – $5,375.75
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$16,621.94 – $17,453.04
Sepsis, with major complications MS-DRG 871	not posted	$21,529.45 – $21,529.45
Sepsis, without major complications MS-DRG 872	not posted	$10,018.26 – $10,018.26
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$8,450.08 – $8,450.08
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$7,853.11 – $7,853.11
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$14,995.36 – $14,995.36
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$10,304.03 – $10,304.03
Vaginal delivery, without complications MS-DRG 807	not posted	$6,860.54 – $6,860.54
Weight loss surgery, without complications MS-DRG 621	not posted	$14,679.07 – $14,679.07

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	$235.52 – $1,239.60
Lower back nerve root injection with imaging guidance CPT 64483	$2,207.48	$4,414.95	$838.84 – $4,414.95
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,207.98	$4,415.95	$839.03 – $4,415.95
Lower back spinal injection (epidural), without imaging CPT 62322	$1,177.23	$2,354.45	$447.35 – $2,354.45

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$496.09 – $520.89
Eye exam, new patient, comprehensive CPT 92004	not posted	$74.17 – $91.02
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$203.58 – $296.98

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$220.23	$440.45	$83.69 – $440.45

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$359.00	$718.00	$136.42 – $718.00
Sleep study with CPAP titration CPT 95811	$3,751.48	$7,502.95	$1,425.56 – $7,502.95
Sleep study, overnight in a sleep lab CPT 95810	$3,182.88	$6,365.75	$1,209.49 – $6,365.75

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$235.25	$470.50	$89.40 – $470.50

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$122.25	$244.50	$46.46 – $244.50
Physical therapy evaluation, low complexity CPT 97161	$202.08	$404.15	$76.79 – $404.15
Physical therapy evaluation, moderate complexity CPT 97162	$303.15	$606.30	$115.20 – $606.30
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$95.65	$191.30	$36.35 – $191.30
Therapeutic activities, 15 minutes CPT 97530	$101.38	$202.75	$38.52 – $202.75

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$27.68	$55.35	$10.52 – $55.35
Family psychotherapy, without the patient, 50 minutes CPT 90846	$56.90	$113.80	$21.62 – $113.80
Group psychotherapy CPT 90853	$100.78	$201.55	$38.29 – $201.55
Psychiatric diagnostic evaluation CPT 90791	$175.28	$350.55	$95.58 – $378.20
Psychotherapy, 30 minutes CPT 90832	$81.48	$162.95	$30.96 – $162.95
Psychotherapy, 45 minutes CPT 90834	$113.13	$226.25	$60.29 – $213.90
Psychotherapy, 60 minutes CPT 90837	$109.70	$219.40	$41.69 – $219.40

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	$15.75 – $82.90
IV hydration, each additional hour CPT 96361	$27.15	$54.30	$10.32 – $54.30
IV hydration, first hour CPT 96360	$140.15	$280.30	$53.26 – $280.30
IV push injection of a drug, first CPT 96374	$140.15	$280.30	$53.26 – $280.30
IV push injection, each additional drug CPT 96375	$27.15	$54.30	$10.32 – $54.30

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$35.00	$70.00	$13.30 – $70.00
Dexamethasone injection, per 1 mg HCPCS J1100	$23.35	$46.70	$8.87 – $46.70
Fentanyl injection, per 0.1 mg HCPCS J3010	$143.75	$287.50	$54.63 – $287.50
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$14.33	$28.65	$5.44 – $28.65
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$43.38	$86.75	$16.48 – $86.75
Morphine injection, up to 10 mg HCPCS J2270	$90.50	$181.00	$34.39 – $181.00
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$40.10	$80.20	$15.24 – $80.20
Propofol injection, per 10 mg HCPCS J2704	$42.75	$85.50	$16.25 – $85.50
Saline IV solution, 1000 ml HCPCS J7030	not posted		$8.23 – $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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