Clara Maass Medical Center

One Clara Maass Drive, Belleville, NJ 07109 · Acute care hospital · Emergency room

These are Clara Maass Medical Center's own posted figures from its standard-charges file dated March 4, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

228 of the services we track have a posted price here; 191 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	$1,096.33	$5,512.00	$702.22 – $5,261.75
Emergency room visit, level 1 (minor) CPT 99281	$181.99	$915.00	$98.79 – $2,072.00
Emergency room visit, level 2 CPT 99282	$313.26	$1,575.00	$140.00 – $2,154.00
Emergency room visit, level 3 (moderate) CPT 99283	$482.92	$2,428.00	$309.32 – $2,317.76
Emergency room visit, level 4 CPT 99284	$551.94	$2,775.00	$353.53 – $2,649.01
Emergency room visit, level 5 (most severe) CPT 99285	$769.94	$3,871.00	$493.16 – $3,695.25
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$3,986.00		$390.13 – $3,266.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$77.76	$391.00	$42.02 – $373.24
New patient office visit, about 30 minutes CPT 99203	$114.96	$578.00	$64.24 – $551.75
New patient office visit, about 45 minutes CPT 99204	$138.63	$697.00	$88.79 – $665.35
New patient office visit, about 60 minutes CPT 99205	$160.91	$809.00	$103.06 – $772.27
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $64.70
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $91.10
Office visit, established patient, about 10 to 19 minutes CPT 99212	$92.48	$465.00	$49.06 – $443.88
Office visit, established patient, about 20 to 29 minutes CPT 99213	$102.03	$513.00	$65.35 – $489.70
Office visit, established patient, about 30 to 39 minutes CPT 99214	$112.17	$564.00	$71.85 – $538.39
Office visit, established patient, about 40 to 54 minutes CPT 99215	$132.26	$665.00	$84.72 – $634.80
Office visit, established patient, brief (often a nurse) CPT 99211	$60.66	$305.00	$16.00 – $291.15

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$14.01 – $125.06
Abdominal X-ray, 1 view CPT 74018	$101.63	$511.00	$26.76 – $487.80
Ankle X-ray, 3 or more views CPT 73610	not posted	$1,588.00
Bone density scan (DEXA), hips and spine CPT 77080	$217.19	$1,092.00	$83.81 – $1,042.42
Breast ultrasound, one breast, complete CPT 76641	not posted	$2,928.00
Breast ultrasound, one breast, limited CPT 76642	not posted	$1,762.00
Chest X-ray, 1 view CPT 71045	$84.73	$426.00	$18.99 – $406.65
Chest X-ray, 2 views CPT 71046	$98.05	$493.00	$30.85 – $470.61
CT angiogram of the chest (checks for lung clots) CPT 71275	$801.16	$4,028.00	$199.72 – $3,845.12
CT angiogram of the head CPT 70496	$518.73	$2,608.00	$199.72 – $2,489.59
CT scan of the abdomen and pelvis, with contrast CPT 74177	$717.03	$3,605.00	$221.00 – $3,441.33
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$904.79	$4,549.00	$221.00 – $4,342.47
CT scan of the abdomen and pelvis, without contrast CPT 74176	$604.65	$3,040.00	$155.96 – $2,901.98
CT scan of the abdomen, without contrast CPT 74150	$376.91	$1,895.00	$119.31 – $1,808.96
CT scan of the chest, with contrast CPT 71260	$847.51	$4,261.00	$199.72 – $4,067.55
CT scan of the chest, without contrast CPT 71250	$667.90	$3,358.00	$119.31 – $3,205.54
CT scan of the head, without contrast CPT 70450	$414.70	$2,085.00	$119.31 – $1,990.34
CT scan of the neck (cervical spine), without contrast CPT 72125	$751.64	$3,779.00	$119.31 – $3,607.43
CT scan of the pelvis, with contrast CPT 72193	$509.78	$2,563.00	$199.72 – $2,446.63
CT scan of the sinuses or face, without contrast CPT 70486	$649.40	$3,265.00	$119.31 – $3,116.76
Diagnostic mammogram, both breasts CPT 77066	not posted		$110.70 – $583.18
Diagnostic mammogram, one breast CPT 77065	not posted		$86.88 – $454.85
Foot X-ray, 3 or more views CPT 73630	not posted	$1,648.00
Hand X-ray, 3 or more views CPT 73130	not posted	$1,732.00
Knee X-ray, 3 views CPT 73562	not posted	$1,528.00
Leg or arm vein ultrasound, both sides CPT 93970	$460.25	$2,314.00	$271.19 – $2,452.00
Leg or arm vein ultrasound, one side CPT 93971	$319.03	$1,604.00	$119.31 – $2,452.00
Lower back X-ray, 2 or 3 views CPT 72100	$106.01	$533.00	$36.08 – $508.80
MRI of both breasts, without and with contrast CPT 77049	not posted		$296.36 – $1,310.18
MRI of the abdomen, without and with contrast CPT 74183	$877.74	$4,413.00	$326.00 – $4,212.64
MRI of the brain, without and with contrast CPT 70553	$1,002.05	$5,038.00	$326.00 – $4,809.27
MRI of the brain, without contrast CPT 70551	$652.19	$3,279.00	$271.19 – $3,130.13
MRI of the knee or other leg joint, without contrast CPT 73721	not posted	$2,458.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$567.66	$2,854.00	$271.19 – $2,724.42
MRI of the mid back (thoracic spine), without contrast CPT 72146	$595.90	$2,996.00	$271.19 – $2,859.98
MRI of the neck (cervical spine), without contrast CPT 72141	$548.16	$2,756.00	$271.19 – $2,630.87
MRI of the pelvis, without and with contrast CPT 72197	$1,044.82	$5,253.00	$326.00 – $5,014.51
MRI of the shoulder or other arm joint, without contrast CPT 73221	not posted	$5,654.00
Neck X-ray, 2 or 3 views CPT 72040	$140.82	$708.00	$29.11 – $675.85
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$240.27	$1,208.00	$108.24 – $1,153.15
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$185.17	$931.00	$105.94 – $888.73
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$147.78	$743.00	$90.20 – $709.26
Screening mammogram, both breasts CPT 77067	not posted		$84.08 – $480.91
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,656.00
Transvaginal pregnancy ultrasound CPT 76817	$168.86	$849.00	$108.16 – $810.45
Transvaginal ultrasound CPT 76830	$212.62	$1,069.00	$119.31 – $1,020.46
Ultrasound of the abdomen, complete CPT 76700	$216.99	$1,091.00	$108.24 – $1,041.46
Ultrasound of the neck or thyroid CPT 76536	$270.50	$1,360.00	$67.14 – $1,298.25
Wrist X-ray, 3 or more views CPT 73110	not posted	$1,610.00
X-ray of the lower back, 4 or more views CPT 72110	$156.73	$788.00	$45.10 – $752.22

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $156.55
Blood culture CPT 87040	$11.35	$247.00	$4.85 – $235.78
Blood draw (venipuncture) CPT 36415	$9.71	$55.00	$1.65 – $52.50
BNP test (heart failure) CPT 83880	$43.19	$465.00	$18.45 – $443.88
C-reactive protein (CRP) test CPT 86140	$5.70	$136.00	$2.43 – $129.82
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$189.00	$16.49 – $180.41
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $139.37
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $97.36
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $313.10
COVID-19 PCR test CPT 87635	$56.44	$129.00	$17.99 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20	$121.00	$4.78 – $115.50
Drug screen, instrument chemistry CPT 80307	$68.35	$251.00	$29.21 – $253.69
Ferritin (iron stores) test CPT 82728	$14.99	$246.00	$6.41 – $234.83
Free T4 (thyroid) test CPT 84439	$9.92	$179.00	$4.24 – $170.87
General health panel (blood tests) CPT 80050	$123.91	$623.00	$19.11 – $594.71
Glucose (blood sugar) test CPT 82947	$4.32	$64.00	$1.85 – $61.09
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$175.00	$16.49 – $167.05
Hemoglobin A1c test CPT 83036	$10.68	$200.00	$4.56 – $190.92
Hepatitis C antibody test CPT 86803	$15.70	$188.00	$6.71 – $179.46
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$130.00	$11.32 – $124.09
Iron test CPT 83540	$7.12	$113.00	$3.04 – $107.86
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $200.46
Lipase test (pancreas) CPT 83690	$7.58	$148.00	$3.24 – $141.28
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $235.78
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $171.82
Magnesium test CPT 83735	$7.37	$121.00	$3.15 – $115.50
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $328.38
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $117.41
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$269.00	$7.07 – $256.78
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $88.77
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $188.05
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $304.51
Rapid strep test CPT 87880	$18.18	$110.00	$7.77 – $105.00
Sed rate (ESR) test CPT 85652	$2.97	$56.00	$1.27 – $53.45
TB skin test CPT 86580	not posted		$6.33 – $54.69
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $262.51
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$162.89	$819.00	$23.57 – $781.81
Troponin test (heart damage) CPT 84484	$13.72	$235.00	$5.86 – $224.33
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $106.91
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $73.50
Urinalysis, manual, with microscope CPT 81000	$4.42	$84.00	$1.89 – $80.18
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $41.04
Urine culture, colony count CPT 87086	$8.88	$169.00	$3.79 – $161.32
Urine pregnancy test CPT 81025	$9.47	$94.00	$4.05 – $89.73
Vitamin B12 test CPT 82607	$16.59	$210.00	$7.09 – $200.46
Vitamin D test CPT 82306	$32.56	$255.00	$13.91 – $243.42

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$435.59	$2,190.00	$271.19 – $2,452.00
ECG tracing only (no interpretation) CPT 93005	$71.40	$359.00	$45.73 – $342.70
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$918.12	$4,616.00	$310.35 – $4,406.43
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$144.32 – $144.32
Holter monitor, up to 48 hours CPT 93224	not posted		$401.80 – $401.80
Left heart catheterization CPT 93452	$2,806.87	$14,112.00	$1,797.86 – $22,690.00
Left heart catheterization with coronary angiogram CPT 93458	$4,259.44	$21,415.00	$2,728.27 – $22,690.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,533.71	$7,711.00	$275.52 – $7,360.92
Treadmill stress test, complete CPT 93015	not posted		$562.52 – $562.52

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$3,986.00		$3,266.00 – $21,847.00
Appendix removal, laparoscopic CPT 44970	$3,986.00		$2,887.00 – $11,454.96
Breast biopsy with ultrasound guidance CPT 19083	$3,986.00		$2,261.00 – $4,267.00
Carpal tunnel release CPT 64721	$3,986.00		$1,950.00 – $4,759.00
Colonoscopy with biopsy CPT 45380	$3,986.00		$1,950.00 – $4,267.00
Colonoscopy with polyp removal (snare) CPT 45385	$3,986.00		$1,950.00 – $4,267.00
Colonoscopy, diagnostic CPT 45378	$3,986.00		$1,790.02 – $4,267.00
Colposcopy with biopsy CPT 57454	$3,986.00		$597.24 – $3,266.00
Cystoscopy (bladder scope) CPT 52000	$3,986.00		$1,310.49 – $3,266.00
Ear tubes, under general anesthesia CPT 69436	$3,986.00		$2,261.00 – $4,267.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$3,986.00		$1,479.00 – $3,266.00
Gallbladder removal, laparoscopic CPT 47562	$3,986.00		$3,266.00 – $11,454.96
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$3,986.00		$2,699.00 – $21,847.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$3,986.00		$3,266.00 – $20,440.98
Hysteroscopy with biopsy or polyp removal CPT 58558	$3,986.00		$2,261.00 – $6,242.57
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$3,986.00		$2,887.00 – $11,454.96
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$3,986.00		$2,887.00 – $6,928.81
Kidney stone shock-wave lithotripsy CPT 50590	$3,986.00		$3,266.00 – $9,392.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$3,986.00		$3,266.00 – $21,847.00
Lower colon endoscopy with ultrasound CPT 45391	$3,986.00		$1,950.00 – $4,267.00
Nasal endoscopy, diagnostic CPT 31231	$3,986.00		$381.17 – $3,266.00
Prostate biopsy CPT 55700	$3,986.00	$6,593.00	$68.88 – $6,293.67
Prostate removal, laparoscopic or robotic CPT 55866	$3,986.00		$2,699.00 – $20,440.98
Removal of a breast lump, open surgery CPT 19120	$3,986.00		$2,261.00 – $7,518.26
Rotator cuff repair, arthroscopic CPT 29827	$3,986.00		$3,266.00 – $21,847.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$1,022.87 – $5,153.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$330.26 – $5,153.00
Septoplasty (nasal septum repair) CPT 30520	$3,986.00		$2,887.00 – $6,367.32
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$3,986.00		$2,211.00 – $21,847.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$3,986.00		$2,699.00 – $26,500.00
Tonsil and adenoid removal, under age 12 CPT 42820	$3,986.00		$2,261.00 – $11,614.58
Total hip replacement CPT 27130	$3,986.00		$2,699.00 – $26,500.00
Total knee replacement CPT 27447	$3,986.00		$2,699.00 – $26,500.00
Upper endoscopy (EGD) with biopsy CPT 43239	$3,986.00		$1,840.77 – $4,267.00
Upper endoscopy (EGD), diagnostic CPT 43235	$3,986.00		$1,479.00 – $4,267.00
Vasectomy CPT 55250	$3,986.00		$1,950.00 – $4,759.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$3,986.00	$3,266.00 – $3,266.00
Fetal non-stress test CPT 59025	$3,986.00	$394.98 – $3,266.00
IUD insertion CPT 58300	$3,986.00	$1,479.00 – $3,266.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$3,986.00	$3,266.00 – $3,266.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$3,986.00	$3,266.00 – $3,266.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$2,335.00	$2,450.00 – $21,267.78
C-section, without complications MS-DRG 788	$12,556.00	$1,115.00 – $41,575.00
Chest pain MS-DRG 313	$2,335.00	$4,220.00 – $18,570.34
COPD flare-up, with major complications MS-DRG 190	$2,335.00	$4,682.00 – $28,955.61
COPD flare-up, without complications MS-DRG 192	$2,335.00	$4,682.00 – $17,903.06
Fainting (syncope) MS-DRG 312	$2,335.00	$4,220.00 – $21,936.72
Gastrointestinal bleeding, with complications MS-DRG 378	$2,335.00	$4,682.00 – $25,588.32
Heart failure, with major complications MS-DRG 291	$2,335.00	$4,220.00 – $34,546.29
Heart failure, without complications MS-DRG 293	$2,335.00	$4,220.00 – $16,813.27
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$2,335.00	$4,220.00 – $268,715.99
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$2,335.00	$5,802.00 – $43,634.00
Irregular heartbeat, without complications MS-DRG 310	$2,335.00	$4,220.00 – $14,386.34
Kidney failure, with complications MS-DRG 683	$2,335.00	$4,682.00 – $22,622.94
Kidney or urinary tract infection, without major complications MS-DRG 690	$2,335.00	$4,682.00 – $20,409.85
Neck (cervical) spinal fusion, without complications MS-DRG 473	$2,335.00	$5,802.00 – $65,444.47
Normal newborn care MS-DRG 795	$1,014.00	$793.00 – $793.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$2,335.00	$4,682.00 – $19,673.31
Pneumonia, with complications MS-DRG 194	$2,335.00	$4,682.00 – $22,233.91
Pneumonia, with major complications MS-DRG 193	$2,335.00	$4,682.00 – $33,768.23
Pneumonia, without complications MS-DRG 195	$2,335.00	$4,682.00 – $17,132.73
Psychoses (inpatient psychiatric stay) MS-DRG 885	$2,335.00	$2,334.00 – $31,872.04
Sepsis, with major complications MS-DRG 871	$2,335.00	$4,682.00 – $49,399.79
Sepsis, without major complications MS-DRG 872	$2,335.00	$4,682.00 – $26,320.00
Skin infection (cellulitis), without major complications MS-DRG 603	$2,335.00	$4,682.00 – $22,175.90
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$33,921.00 – $101,320.16
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$2,335.00	$4,682.00 – $19,693.63
Stroke, with complications or clot-busting drug MS-DRG 65	$2,335.00	$2,527.00 – $26,232.41
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$2,335.00	$9,837.00 – $30,179.67
Vaginal delivery, without complications MS-DRG 807	$8,990.00	$1,115.00 – $161,081.00
Weight loss surgery, without complications MS-DRG 621	$2,335.00	$4,226.00 – $40,935.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$3,986.00		$579.57 – $3,266.00
Lower back nerve root injection with imaging guidance CPT 64483	$3,986.00		$1,479.00 – $3,266.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$3,986.00	$4,047.00	$180.99 – $4,294.00
Lower back spinal injection (epidural), without imaging CPT 62322	$3,986.00		$1,479.00 – $3,266.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$3,986.00	$3,266.00 – $8,351.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$70.52 – $287.71
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$3,986.00	$1,077.11 – $3,266.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$175.54 – $349.32

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$451.30	$2,269.00	$175.54 – $4,313.00
Sleep study with CPAP titration CPT 95811	$1,773.79	$8,918.00	$1,136.15 – $8,513.12
Sleep study, overnight in a sleep lab CPT 95810	$1,548.03	$7,783.00	$991.55 – $7,429.65

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$164.68	$828.00	$105.48 – $790.40

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	not posted	$248.00
Physical therapy evaluation, low complexity CPT 97161	not posted	$517.00
Physical therapy evaluation, moderate complexity CPT 97162	not posted	$565.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	not posted	$230.00
Therapeutic activities, 15 minutes CPT 97530	not posted	$221.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$119.14	$599.00	$77.75 – $571.80
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$113.94 – $358.72
Group psychotherapy CPT 90853	$82.14	$413.00	$30.52 – $394.24
Psychiatric diagnostic evaluation CPT 90791	$181.79	$914.00	$118.63 – $872.50
Psychotherapy, 30 minutes CPT 90832	$91.69	$461.00	$59.83 – $440.07
Psychotherapy, 45 minutes CPT 90834	$103.03	$518.00	$67.23 – $494.48
Psychotherapy, 60 minutes CPT 90837	$112.77	$567.00	$73.59 – $541.25

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$47.93	$241.00	$7.97 – $230.05
IV hydration, each additional hour CPT 96361	$77.17	$388.00	$50.36 – $370.38
IV hydration, first hour CPT 96360	$146.39	$736.00	$95.53 – $702.58
IV push injection of a drug, first CPT 96374	$125.50	$631.00	$25.30 – $602.35
IV push injection, each additional drug CPT 96375	$65.83	$331.00	$11.73 – $331.00

Drugs

Service	Cash price	Insurer rates (min – max)
Fentanyl injection, per 0.1 mg HCPCS J3010	not posted	? – $1.14
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted	$2.70 – $4.87
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	not posted	? – $1.67
Morphine injection, up to 10 mg HCPCS J2270	not posted	$2.26 – $5.22
Saline IV solution, 1000 ml HCPCS J7030	not posted	$2.02 – $2.85

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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