Holy Name Medical Center
718 Teaneck Rd, Teaneck, NJ 07666 · Acute care hospital · Emergency room
These are Holy Name Medical Center's own posted figures from its standard-charges file dated November 10, 2025. They are not a quote. Source: the hospital's file · its price transparency page.
224 of the services we track have a posted price here; 30 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 | $600.00 | $3,000.00 | $469.00 – $2,779.00 |
| Emergency room visit, level 1 (minor) CPT 99281 | $600.00 | $600.00 | $25.16 – $2,450.00 |
| Emergency room visit, level 2 CPT 99282 | $600.00 | $900.00 | $93.04 – $2,450.00 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $600.00 | $1,600.00 | $157.98 – $2,450.00 |
| Emergency room visit, level 4 CPT 99284 | $600.00 | $1,900.00 | $269.33 – $2,450.00 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $600.00 | $2,200.00 | $390.90 – $2,450.00 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $600.00 | $959.00 | $94.71 – $4,456.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $400.00 | $65.52 – $299.30 | |
| Abdominal X-ray, 1 view CPT 74018 | not posted | $439.00 | $66.74 – $104.73 |
| Ankle X-ray, 3 or more views CPT 73610 | not posted | $630.00 | $81.92 – $104.73 |
| Bone density scan (DEXA), hips and spine CPT 77080 | not posted | $1,181.00 | $88.47 – $126.48 |
| Breast ultrasound, one breast, complete CPT 76641 | not posted | $1,948.00 | $112.71 – $225.61 |
| Breast ultrasound, one breast, limited CPT 76642 | not posted | $1,402.00 | $93.32 – $185.50 |
| Chest X-ray, 1 view CPT 71045 | not posted | $269.00 | $57.27 – $104.73 |
| Chest X-ray, 2 views CPT 71046 | not posted | $306.00 | $74.68 – $104.73 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | not posted | $3,350.00 | $188.68 – $638.04 |
| CT angiogram of the head CPT 70496 | not posted | $3,163.00 | $188.68 – $626.89 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | not posted | $4,745.00 | $378.52 – $685.88 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | not posted | $5,141.00 | $378.52 – $768.69 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | not posted | $3,163.00 | $256.20 – $404.24 |
| CT scan of the abdomen, without contrast CPT 74150 | not posted | $2,657.00 | $112.71 – $302.67 |
| CT scan of the chest, with contrast CPT 71260 | not posted | $4,625.00 | $188.68 – $376.13 |
| CT scan of the chest, without contrast CPT 71250 | not posted | $2,823.00 | $112.71 – $296.80 |
| CT scan of the head, without contrast CPT 70450 | not posted | $1,582.00 | $112.71 – $238.39 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | not posted | $1,971.00 | $112.71 – $291.65 |
| CT scan of the pelvis, with contrast CPT 72193 | not posted | $2,343.00 | $188.68 – $519.74 |
| CT scan of the sinuses or face, without contrast CPT 70486 | not posted | $1,864.00 | $112.71 – $289.68 |
| Diagnostic mammogram, both breasts CPT 77066 | not posted | $1,317.00 | |
| Diagnostic mammogram, one breast CPT 77065 | not posted | $1,053.00 | |
| Foot X-ray, 3 or more views CPT 73630 | not posted | $650.00 | $76.40 – $104.73 |
| Hand X-ray, 3 or more views CPT 73130 | not posted | $674.00 | $84.29 – $104.73 |
| Knee X-ray, 3 views CPT 73562 | not posted | $644.00 | $91.99 – $104.73 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $400.00 | $2,963.00 | $256.20 – $419.63 |
| Leg or arm vein ultrasound, one side CPT 93971 | $200.00 | $1,786.00 | $112.71 – $268.65 |
| Lower back X-ray, 2 or 3 views CPT 72100 | not posted | $612.00 | $88.89 – $126.48 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $1,540.00 | |
| MRI of the abdomen, without and with contrast CPT 74183 | not posted | $4,120.00 | $378.52 – $763.44 |
| MRI of the brain, without and with contrast CPT 70553 | not posted | $4,462.00 | $378.52 – $716.33 |
| MRI of the brain, without contrast CPT 70551 | not posted | $2,363.00 | $256.20 – $440.28 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | not posted | $2,097.00 | $256.20 – $459.26 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | not posted | $2,135.00 | $256.20 – $427.65 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | not posted | $2,373.00 | $256.20 – $426.87 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | not posted | $2,135.00 | $256.20 – $426.09 |
| MRI of the pelvis, without and with contrast CPT 72197 | not posted | $4,556.00 | $378.52 – $760.29 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | not posted | $2,121.00 | $256.20 – $460.04 |
| Neck X-ray, 2 or 3 views CPT 72040 | not posted | $608.00 | $88.89 – $104.73 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | not posted | $1,453.00 | $112.71 – $232.66 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | not posted | $1,714.00 | $112.71 – $296.09 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | not posted | $1,029.00 | $112.71 – $254.75 |
| Screening mammogram, both breasts CPT 77067 | not posted | $1,336.00 | |
| Shoulder X-ray, 2 or more views CPT 73030 | not posted | $558.00 | $77.79 – $104.73 |
| Transvaginal pregnancy ultrasound CPT 76817 | not posted | $1,060.00 | $112.71 – $201.26 |
| Transvaginal ultrasound CPT 76830 | not posted | $1,453.00 | $112.71 – $263.43 |
| Ultrasound of the abdomen, complete CPT 76700 | not posted | $850.00 | $112.71 – $255.22 |
| Ultrasound of the neck or thyroid CPT 76536 | not posted | $1,684.00 | $112.71 – $246.11 |
| Wrist X-ray, 3 or more views CPT 73110 | not posted | $573.00 | $93.32 – $104.73 |
| X-ray of the lower back, 4 or more views CPT 72110 | not posted | $973.00 | $112.71 – $126.48 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | not posted | $134.00 | |
| Blood culture CPT 87040 | not posted | $139.00 | |
| Blood draw (venipuncture) CPT 36415 | not posted | $42.00 | |
| BNP test (heart failure) CPT 83880 | not posted | $182.00 | |
| C-reactive protein (CRP) test CPT 86140 | not posted | $152.00 | |
| Chlamydia test (DNA/NAAT) CPT 87491 | not posted | $141.00 | |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $125.00 | |
| Complete blood count (CBC), automated CPT 85027 | not posted | $77.00 | |
| Comprehensive metabolic panel (blood test) CPT 80053 | not posted | $321.00 | |
| COVID-19 PCR test CPT 87635 | not posted | $95.00 | $46.18 – $234.38 |
| D-dimer test (blood clots) CPT 85379 | not posted | $144.00 | |
| Drug screen, instrument chemistry CPT 80307 | not posted | $215.00 | |
| Ferritin (iron stores) test CPT 82728 | not posted | $257.00 | |
| Free T4 (thyroid) test CPT 84439 | not posted | $235.00 | |
| General health panel (blood tests) CPT 80050 | not posted | $112.00 | |
| Glucose (blood sugar) test CPT 82947 | not posted | $56.00 | |
| Gonorrhea test (DNA/NAAT) CPT 87591 | not posted | $183.00 | |
| Hemoglobin A1c test CPT 83036 | not posted | $219.00 | |
| Hepatitis C antibody test CPT 86803 | not posted | $385.00 | |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | not posted | $225.00 | |
| Iron test CPT 83540 | not posted | $87.00 | |
| Kidney function panel CPT 80069 | not posted | $8.68 – $31.20 | |
| Lipase test (pancreas) CPT 83690 | not posted | $100.00 | |
| Lipid panel, cholesterol and triglycerides CPT 80061 | not posted | $246.00 | |
| Liver function panel CPT 80076 | not posted | $123.00 | |
| Magnesium test CPT 83735 | not posted | $63.00 | |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $218.40 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | not posted | $93.00 | |
| Pregnancy blood test (hCG), quantitative CPT 84702 | not posted | $223.00 | |
| Prothrombin time (PT/INR), clotting test CPT 85610 | not posted | $65.00 | |
| PSA (prostate specific antigen), free CPT 84154 | not posted | $149.00 | |
| PSA (prostate specific antigen), total CPT 84153 | not posted | $212.00 | |
| Rapid strep test CPT 87880 | not posted | $120.00 | |
| Sed rate (ESR) test CPT 85652 | not posted | $77.00 | |
| TB skin test CPT 86580 | not posted | $73.00 | $23.19 – $29.13 |
| Thyroid stimulating hormone (TSH) CPT 84443 | not posted | $300.00 | |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | not posted | $557.00 | $56.63 – $154.87 |
| Troponin test (heart damage) CPT 84484 | not posted | $124.00 | |
| Urinalysis, automated, with microscope CPT 81001 | not posted | $112.00 | |
| Urinalysis, automated, without microscope CPT 81003 | not posted | $105.00 | |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $4.02 – $21.43 | |
| Urinalysis, manual, without microscope CPT 81002 | not posted | $24.00 | |
| Urine culture, colony count CPT 87086 | not posted | $155.00 | |
| Urine pregnancy test CPT 81025 | not posted | $8.61 – $24.35 | |
| Vitamin B12 test CPT 82607 | not posted | $256.00 | |
| Vitamin D test CPT 82306 | not posted | $570.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | not posted | $1,416.00 | $256.20 – $424.41 |
| ECG tracing only (no interpretation) CPT 93005 | not posted | $388.00 | $13.15 – $70.65 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | not posted | $3,542.00 | $387.90 – $690.15 |
| Left heart catheterization CPT 93452 | not posted | $7,955.00 | $1,900.06 – $10,294.00 |
| Left heart catheterization with coronary angiogram CPT 93458 | not posted | $18,623.00 | $2,193.53 – $10,294.00 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | not posted | $6,591.00 | $961.79 – $1,552.79 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $7,571.60 – $8,497.01 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $6,183.80 – $6,939.60 | |
| Breast biopsy with ultrasound guidance CPT 19083 | $4,500.00 | $7,082.00 | $332.64 – $9,950.00 |
| Carpal tunnel release CPT 64721 | not posted | $2,069.73 – $2,322.70 | |
| Colonoscopy with biopsy CPT 45380 | $4,500.00 | $3,672.00 | $423.67 – $9,950.00 |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $1,249.70 – $1,402.44 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $966.32 – $1,084.42 | |
| Colposcopy with biopsy CPT 57454 | not posted | $764.00 | $255.61 – $4,456.00 |
| Cystoscopy (bladder scope) CPT 52000 | $4,500.00 | $3,070.00 | $172.48 – $9,950.00 |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $1,570.00 – $1,761.89 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $600.00 | $628.00 | $117.50 – $4,456.00 |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $6,183.80 – $6,939.60 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $11,034.79 – $12,383.49 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $3,369.96 – $3,781.85 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $6,183.80 – $6,939.60 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $3,740.43 – $4,197.59 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | $4,500.00 | $11,083.00 | $1,143.00 – $10,549.00 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $3,438.94 – $3,859.26 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $1,249.70 – $1,402.44 | |
| Nasal endoscopy, diagnostic CPT 31231 | $600.00 | $405.00 | $135.76 – $4,456.00 |
| Prostate biopsy CPT 55700 | $4,500.00 | $9,312.00 | $279.26 – $9,950.00 |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $11,034.79 – $12,383.49 | |
| Removal of a breast lump, open surgery CPT 19120 | $4,500.00 | $6,426.00 | $855.63 – $9,950.00 |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $7,571.60 – $8,497.01 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $966.32 – $1,084.42 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $966.32 – $1,084.42 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $3,437.31 – $3,857.43 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $6,269.97 – $7,036.30 | |
| Total hip replacement CPT 27130 | not posted | $13,637.47 – $15,304.27 | |
| Total knee replacement CPT 27447 | not posted | $13,637.47 – $15,304.27 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,750.00 | $2,854.00 | $290.99 – $9,950.00 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,750.00 | $3,453.00 | $257.86 – $9,950.00 |
| Vasectomy CPT 55250 | not posted | $2,171.20 – $2,436.57 |
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 | $3,057.00 | |
| Fetal non-stress test CPT 59025 | $4,500.00 | $1,280.00 | $90.84 – $4,500.00 |
| IUD insertion CPT 58300 | not posted | $57.67 – $57.67 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,516.00 |
Hospital stays
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897 | not posted | $7,271.78 – $16,748.21 | |
| C-section, without complications MS-DRG 788 | $8,500.00 | $4,500.00 – $20,589.00 | |
| Chest pain MS-DRG 313 | not posted | $5,943.61 – $14,898.61 | |
| COPD flare-up, with major complications MS-DRG 190 | not posted | $9,166.46 – $24,447.80 | |
| COPD flare-up, without complications MS-DRG 192 | not posted | $5,422.73 – $15,409.79 | |
| Fainting (syncope) MS-DRG 312 | not posted | $7,186.01 – $16,894.56 | |
| Gastrointestinal bleeding, with complications MS-DRG 378 | not posted | $8,087.72 – $20,581.03 | |
| Heart failure, with major complications MS-DRG 291 | not posted | $10,596.91 – $31,305.31 | |
| Heart failure, without complications MS-DRG 293 | not posted | $4,647.71 – $14,287.73 | |
| Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216 | not posted | $8,806.11 – $201,496.02 | |
| Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470 | not posted | $15,166.01 – $43,573.76 | |
| Irregular heartbeat, without complications MS-DRG 310 | not posted | $4,732.69 – $11,931.19 | |
| Kidney failure, with complications MS-DRG 683 | not posted | $7,324.49 – $19,709.26 | |
| Kidney or urinary tract infection, without major complications MS-DRG 690 | not posted | $6,645.46 – $16,852.14 | |
| Neck (cervical) spinal fusion, without complications MS-DRG 473 | $5,500.00 | $18,957.73 – $48,607.13 | |
| Normal newborn care MS-DRG 795 | not posted | $1,728.99 – $3,858.28 | |
| Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641 | not posted | $6,478.65 – $15,825.53 | |
| Pneumonia, with complications MS-DRG 194 | not posted | $6,782.36 – $19,794.11 | |
| Pneumonia, with major complications MS-DRG 193 | not posted | $10,698.40 – $29,124.82 | |
| Pneumonia, without complications MS-DRG 195 | not posted | $5,229.95 – $15,057.69 | |
| Psychoses (inpatient psychiatric stay) MS-DRG 885 | not posted | $11,421.50 – $24,891.11 | |
| Sepsis, with major complications MS-DRG 871 | not posted | $15,768.72 – $38,665.53 | |
| Sepsis, without major complications MS-DRG 872 | not posted | $8,442.57 – $22,369.12 | |
| Skin infection (cellulitis), without major complications MS-DRG 603 | not posted | $7,260.76 – $18,035.71 | |
| Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392 | not posted | $6,469.99 – $16,105.51 | |
| Stroke, with complications or clot-busting drug MS-DRG 65 | not posted | $8,799.83 – $14,846.74 | |
| Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743 | not posted | $9,762.08 – $22,791.22 | |
| Vaginal delivery, without complications MS-DRG 807 | $4,500.00 | $3,300.00 – $14,291.00 | |
| Weight loss surgery, without complications MS-DRG 621 | not posted | $11,832.22 – $33,568.53 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $4,500.00 | $4,269.00 | $95.56 – $9,950.00 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $4,500.00 | $3,564.00 | $237.42 – $9,950.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $4,500.00 | $1,916.00 | $213.45 – $9,950.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $4,500.00 | $3,038.00 | $170.51 – $9,950.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $2,417.33 – $2,712.78 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $136.59 – $153.28 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $4,500.00 | $2,054.00 | $581.46 – $9,950.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $588.00 | $63.19 – $186.10 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | not posted | $3,088.00 | $165.83 – $250.00 |
| Sleep study with CPAP titration CPT 95811 | not posted | $7,166.00 | $1,078.33 – $1,934.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | not posted | $6,700.00 | $1,078.33 – $1,934.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | not posted | $374.00 | $54.90 – $186.10 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | not posted | $326.00 | |
| Physical therapy evaluation, low complexity CPT 97161 | not posted | $126.19 – $576.44 | |
| Physical therapy evaluation, moderate complexity CPT 97162 | not posted | $126.19 – $576.44 | |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | not posted | $329.00 | |
| Therapeutic activities, 15 minutes CPT 97530 | not posted | $309.00 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $170.29 – $191.11 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $170.29 – $191.11 | |
| Group psychotherapy CPT 90853 | not posted | $489.00 | $53.47 – $110.02 |
| Psychiatric diagnostic evaluation CPT 90791 | not posted | $170.29 – $191.11 | |
| Psychotherapy, 30 minutes CPT 90832 | not posted | $170.29 – $191.11 | |
| Psychotherapy, 45 minutes CPT 90834 | not posted | $170.29 – $191.11 | |
| Psychotherapy, 60 minutes CPT 90837 | not posted | $170.29 – $191.11 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | not posted | $408.00 | $27.46 – $84.65 |
| IV hydration, each additional hour CPT 96361 | not posted | $582.00 | $23.79 – $54.88 |
| IV hydration, first hour CPT 96360 | not posted | $1,428.00 | $63.20 – $250.60 |
| IV push injection of a drug, first CPT 96374 | not posted | $909.00 | $71.18 – $250.60 |
| IV push injection, each additional drug CPT 96375 | not posted | $414.00 | $29.35 – $54.88 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $63.00 | |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | not posted | $8.15 | |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $1.75 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | not posted | $16.00 | |
| Morphine injection, up to 10 mg HCPCS J2270 | not posted | $1.75 | |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | not posted | $20.00 | |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.57 – $3.08 |
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.