Inspira Medical Center Vineland

1505 W Sherman Ave, Vineland, NJ 08360 · Acute care hospital · Emergency room

These are Inspira Medical Center Vineland's own posted figures from its standard-charges file dated March 24, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

235 of the services we track have a posted price here; 151 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	$3,829.20	$3,829.20	$659.20 – $4,105.00
Emergency room visit, level 1 (minor) CPT 99281	$507.74	$507.74	$87.41 – $4,105.00
Emergency room visit, level 2 CPT 99282	$748.31	$748.31	$128.82 – $4,105.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,282.85	$1,282.85	$220.85 – $4,105.00
Emergency room visit, level 4 CPT 99284	$2,244.94	$2,244.94	$386.47 – $4,105.00
Emergency room visit, level 5 (most severe) CPT 99285	$3,875.20	$3,875.20	$667.12 – $4,105.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$987.16	$987.16	$84.74 – $4,105.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted		$42.02 – $164.95
New patient office visit, about 30 minutes CPT 99203	not posted		$64.24 – $257.55
New patient office visit, about 45 minutes CPT 99204	not posted		$95.55 – $387.86
New patient office visit, about 60 minutes CPT 99205	not posted		$126.02 – $517.79
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $245.61
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $350.88
Office visit, established patient, about 10 to 19 minutes CPT 99212	$421.18	$421.18	$49.06 – $1,239.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$449.10	$449.10	$77.31 – $1,239.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$673.67	$673.67	$115.97 – $1,239.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted		$161.06 – $420.78
Office visit, established patient, brief (often a nurse) CPT 99211	$360.91	$360.91	$16.00 – $1,239.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$143.67 – $294.53
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$165.95 – $340.19

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$115.11	$115.11	$15.50 – $232.00
Abdominal X-ray, 1 view CPT 74018	$243.45	$243.45	$29.35 – $200.71
Ankle X-ray, 3 or more views CPT 73610	$486.34	$486.34	$40.96 – $336.01
Bone density scan (DEXA), hips and spine CPT 77080	$382.29	$382.29	$65.81 – $264.12
Breast ultrasound, one breast, complete CPT 76641	$793.54	$793.54	$105.40 – $583.25
Breast ultrasound, one breast, limited CPT 76642	$793.54	$793.54	$97.91 – $583.25
Chest X-ray, 1 view CPT 71045	$243.45	$243.45	$20.26 – $200.71
Chest X-ray, 2 views CPT 71046	$309.16	$309.16	$37.25 – $213.60
CT angiogram of the chest (checks for lung clots) CPT 71275	$1,238.02	$1,238.02	$197.34 – $909.94
CT angiogram of the head CPT 70496	$1,238.02	$1,238.02	$197.34 – $909.94
CT scan of the abdomen and pelvis, with contrast CPT 74177	$1,654.33	$1,654.33	$284.80 – $1,215.93
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$1,654.33	$1,654.33	$284.80 – $1,215.93
CT scan of the abdomen and pelvis, without contrast CPT 74176	$1,025.28	$1,025.28	$176.50 – $753.58
CT scan of the abdomen, without contrast CPT 74150	$536.26	$536.26	$92.32 – $4,427.00
CT scan of the chest, with contrast CPT 71260	$1,055.86	$1,055.86	$181.77 – $4,427.00
CT scan of the chest, without contrast CPT 71250	$536.26	$536.26	$92.32 – $437.91
CT scan of the head, without contrast CPT 70450	$536.26	$536.26	$92.32 – $412.50
CT scan of the neck (cervical spine), without contrast CPT 72125	$536.26	$536.26	$92.32 – $429.35
CT scan of the pelvis, with contrast CPT 72193	$1,055.86	$1,055.86	$181.77 – $776.06
CT scan of the sinuses or face, without contrast CPT 70486	$536.26	$536.26	$92.32 – $412.50
Diagnostic mammogram, both breasts CPT 77066	$1,908.19	$1,908.19	$122.45 – $1,402.52
Diagnostic mammogram, one breast CPT 77065	$954.09	$954.09	$96.10 – $701.26
Foot X-ray, 3 or more views CPT 73630	$486.34	$486.34	$40.27 – $336.01
Hand X-ray, 3 or more views CPT 73130	$486.34	$486.34	$40.96 – $336.01
Knee X-ray, 3 views CPT 73562	$486.34	$486.34	$45.04 – $336.01
Leg or arm vein ultrasound, both sides CPT 93970	$809.26	$809.26	$139.32 – $2,654.00
Leg or arm vein ultrasound, one side CPT 93971	$570.61	$570.61	$98.23 – $2,654.00
Lower back X-ray, 2 or 3 views CPT 72100	$243.15	$243.15	$41.86 – $241.12
MRI of both breasts, without and with contrast CPT 77049	$1,594.80	$1,594.80	$274.55 – $1,449.25
MRI of the abdomen, without and with contrast CPT 74183	$2,090.18	$2,090.18	$359.83 – $1,536.28
MRI of the brain, without and with contrast CPT 70553	$2,090.18	$2,090.18	$359.83 – $1,632.27
MRI of the brain, without contrast CPT 70551	$1,249.97	$1,249.97	$215.18 – $990.00
MRI of the knee or other leg joint, without contrast CPT 73721	$2,499.93	$2,499.93	$268.44 – $1,837.45
MRI of the lower back (lumbar spine), without contrast CPT 72148	$1,249.97	$1,249.97	$215.18 – $990.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$1,249.97	$1,249.97	$215.18 – $990.00
MRI of the neck (cervical spine), without contrast CPT 72141	$1,249.97	$1,249.97	$215.18 – $990.00
MRI of the pelvis, without and with contrast CPT 72197	$2,090.18	$2,090.18	$359.83 – $1,536.28
MRI of the shoulder or other arm joint, without contrast CPT 73221	$2,499.93	$2,499.93	$268.44 – $1,837.45
Neck X-ray, 2 or 3 views CPT 72040	$243.15	$243.15	$41.86 – $200.71
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$570.61	$570.61	$98.23 – $528.90
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$570.61	$570.61	$98.23 – $419.40
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$570.61	$570.61	$98.23 – $533.92
Screening mammogram, both breasts CPT 77067	$572.45	$572.45	$93.00 – $420.75
Shoulder X-ray, 2 or more views CPT 73030	$486.34	$486.34	$36.17 – $336.01
Transvaginal pregnancy ultrasound CPT 76817	$570.61	$570.61	$98.23 – $429.81
Transvaginal ultrasound CPT 76830	$570.61	$570.61	$98.23 – $538.12
Ultrasound of the abdomen, complete CPT 76700	$570.61	$570.61	$98.23 – $600.83
Ultrasound of the neck or thyroid CPT 76536	$570.61	$570.61	$98.23 – $4,427.00
Wrist X-ray, 3 or more views CPT 73110	$486.34	$486.34	$44.95 – $336.01
X-ray of the lower back, 4 or more views CPT 72110	$385.38	$385.38	$66.34 – $266.26

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$28.63	$28.63	$5.48 – $38.91
Blood culture CPT 87040	$35.00	$35.00	$6.69 – $47.48
Blood draw (venipuncture) CPT 36415	$44.98	$44.98	$1.94 – $4,105.00
BNP test (heart failure) CPT 83880	$115.00	$115.00	$22.00 – $156.07
C-reactive protein (CRP) test CPT 86140	$17.53	$17.53	$3.24 – $23.79
Chlamydia test (DNA/NAAT) CPT 87491	$118.85	$118.85	$22.73 – $161.37
Complete blood count (CBC) with differential CPT 85025	$26.34	$26.34	$5.04 – $35.76
Complete blood count (CBC), automated CPT 85027	$21.94	$21.94	$4.20 – $29.76
Comprehensive metabolic panel (blood test) CPT 80053	$32.37	$32.37	$6.19 – $48.60
COVID-19 PCR test CPT 87635	$165.97	$165.97	$31.75 – $164.71
D-dimer test (blood clots) CPT 85379	$21.43	$21.43	$4.10 – $46.77
Drug screen, instrument chemistry CPT 80307	$273.97	$273.97
Ferritin (iron stores) test CPT 82728	$46.16	$46.16	$8.83 – $62.63
Free T4 (thyroid) test CPT 84439	$30.51	$30.51	$5.84 – $41.47
General health panel (blood tests) CPT 80050	$447.05	$447.05	$38.88 – $183.02
Glucose (blood sugar) test CPT 82947	$13.30	$13.30	$2.54 – $18.04
Gonorrhea test (DNA/NAAT) CPT 87591	$118.85	$118.85	$22.73 – $161.37
Hemoglobin A1c test CPT 83036	$32.86	$32.86	$6.29 – $44.62
Hepatitis C antibody test CPT 86803	$48.35	$48.35	$9.25 – $65.61
HIV-1/HIV-2 antigen and antibody test CPT 87389	$129.78	$129.78	$20.80 – $109.53
Iron test CPT 83540	$21.94	$21.94	$4.20 – $29.79
Kidney function panel CPT 80069	$29.45	$29.45	$5.63 – $39.90
Lipase test (pancreas) CPT 83690	$23.36	$23.36	$4.47 – $31.65
Lipid panel, cholesterol and triglycerides CPT 80061	$45.35	$45.35	$8.67 – $61.60
Liver function panel CPT 80076	$27.70	$27.70	$5.30 – $37.56
Magnesium test CPT 83735	$22.70	$22.70	$4.34 – $30.82
Obstetric blood test panel CPT 80055	not posted		$16.20 – $192.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$20.33	$20.33	$3.24 – $27.61
Pregnancy blood test (hCG), quantitative CPT 84702	$51.00	$51.00	$9.76 – $69.21
Prothrombin time (PT/INR), clotting test CPT 85610	$13.33	$13.33	$2.55 – $18.04
PSA (prostate specific antigen), free CPT 84154	$62.31	$62.31	$11.92 – $84.55
PSA (prostate specific antigen), total CPT 84153	$62.31	$62.31	$11.92 – $84.55
Rapid strep test CPT 87880	$37.29	$37.29	$7.13 – $55.15
Sed rate (ESR) test CPT 85652	$9.16	$9.16	$1.62 – $12.42
TB skin test CPT 86580	$84.14	$84.14	$4.32 – $66.71
Thyroid stimulating hormone (TSH) CPT 84443	$56.92	$56.92	$10.89 – $77.23
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$154.90	$154.90	$29.63 – $159.94
Troponin test (heart damage) CPT 84484	$29.53	$29.53	$5.65 – $118.80
Urinalysis, automated, with microscope CPT 81001	$10.72	$10.72	$1.30 – $14.57
Urinalysis, automated, without microscope CPT 81003	$7.59	$7.59	$1.45 – $10.34
Urinalysis, manual, with microscope CPT 81000	$10.72	$10.72	$1.30 – $14.57
Urinalysis, manual, without microscope CPT 81002	not posted		$1.08 – $11.75
Urine culture, colony count CPT 87086	$27.33	$27.33	$5.23 – $37.14
Urine pregnancy test CPT 81025	$21.43	$21.43	$3.24 – $29.08
Vitamin B12 test CPT 82607	$51.05	$51.05	$9.76 – $69.30
Vitamin D test CPT 82306	$100.32	$100.32	$19.19 – $136.10

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$809.26	$809.26	$139.32 – $2,654.00
ECG tracing only (no interpretation) CPT 93005	$461.85	$461.85	$66.37 – $339.46
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$5,580.78	$5,580.78	$614.76 – $4,101.87
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$16.49 – $196.24
Holter monitor, up to 48 hours CPT 93224	not posted		$76.30 – $594.00
Left heart catheterization CPT 93452	$17,050.23	$17,050.23	$2,935.23 – $158,133.00
Left heart catheterization with coronary angiogram CPT 93458	$17,050.23	$17,050.23	$2,935.23 – $158,133.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$4,891.90	$4,891.90	$504.00 – $3,595.55
Treadmill stress test, complete CPT 93015	not posted		$78.98 – $3,064.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$976.61 – $16,735.71
Appendix removal, laparoscopic CPT 44970	not posted		$507.79 – $13,943.39
Breast biopsy with ultrasound guidance CPT 19083	$2,977.13	$2,977.13	$512.52 – $8,155.00
Carpal tunnel release CPT 64721	not posted		$388.71 – $8,155.00
Colonoscopy with biopsy CPT 45380	not posted		$446.45 – $8,155.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$604.33 – $8,155.00
Colonoscopy, diagnostic CPT 45378	not posted		$370.40 – $8,155.00
Colposcopy with biopsy CPT 57454	not posted		$192.34 – $8,155.00
Cystoscopy (bladder scope) CPT 52000	not posted		$100.35 – $6,872.00
Ear tubes, under general anesthesia CPT 69436	not posted		$166.78 – $11,208.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$105.93 – $6,872.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$6,801.65 – $13,943.39
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$1,718.64 – $17,548.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$11,959.33 – $24,516.62
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$273.26 – $11,208.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$405.86 – $13,943.39
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$451.66 – $13,320.00
Kidney stone shock-wave lithotripsy CPT 50590	$17,691.79	$17,691.79	$2,792.00 – $17,878.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$633.32 – $13,320.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$424.77 – $8,155.00
Nasal endoscopy, diagnostic CPT 31231	$1,042.52	$1,042.52	$67.57 – $4,105.00
Prostate biopsy CPT 55700	$4,503.33	$4,503.33	$93.66 – $8,155.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,505.99 – $24,516.62
Removal of a breast lump, open surgery CPT 19120	not posted		$400.98 – $11,208.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$992.35 – $16,735.71
Screening colonoscopy, average risk HCPCS G0121	not posted		$1,046.27 – $8,155.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$449.08 – $8,155.00
Septoplasty (nasal septum repair) CPT 30520	not posted		$481.28 – $13,320.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$156.22 – $11,208.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$1,058.39 – $2,169.70
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$264.26 – $13,653.48
Total hip replacement CPT 27130	not posted		$1,884.35 – $29,611.10
Total knee replacement CPT 27447	not posted		$1,465.18 – $29,611.10
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$447.25 – $8,155.00
Upper endoscopy (EGD), diagnostic CPT 43235	$2,727.68	$2,727.68	$336.73 – $4,105.00
Vasectomy CPT 55250	not posted		$2,351.83 – $8,155.00

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		$1,333.54 – $5,395.10
Fetal non-stress test CPT 59025	$1,395.32	$1,395.32	$227.46 – $1,165.79
IUD insertion CPT 58300	not posted		$113.57 – $6,872.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,479.98 – $5,083.97
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,137.30 – $4,829.20

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$3,992.00 – $27,668.91
C-section, without complications MS-DRG 788	not posted	$5,197.00 – $29,516.70
Chest pain MS-DRG 313	not posted	$4,225.00 – $23,995.21
COPD flare-up, with major complications MS-DRG 190	not posted	$6,590.00 – $37,423.08
COPD flare-up, without complications MS-DRG 192	not posted	$4,074.00 – $23,137.05
Fainting (syncope) MS-DRG 312	not posted	$4,912.00 – $27,896.84
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$5,819.00 – $33,045.80
Heart failure, with major complications MS-DRG 291	not posted	$7,428.00 – $42,186.19
Heart failure, without complications MS-DRG 293	not posted	$3,455.00 – $19,621.25
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$58,800.00 – $333,927.20
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$11,130.00 – $63,207.78
Irregular heartbeat, without complications MS-DRG 310	not posted	$3,275.00 – $18,600.11
Kidney failure, with complications MS-DRG 683	not posted	$5,150.00 – $29,247.28
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$4,650.00 – $26,410.03
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$14,871.00 – $84,452.22
Normal newborn care MS-DRG 795	not posted	$1,117.00 – $7,685.90
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$4,417.00 – $25,209.71
Pneumonia, with complications MS-DRG 194	not posted	$5,060.00 – $28,735.04
Pneumonia, with major complications MS-DRG 193	not posted	$7,684.00 – $43,639.74
Pneumonia, without complications MS-DRG 195	not posted	$3,900.00 – $22,145.84
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$3,992.00 – $41,138.40
Sepsis, with major complications MS-DRG 871	not posted	$10,965.00 – $62,273.12
Sepsis, without major complications MS-DRG 872	not posted	$6,011.00 – $34,136.79
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$4,999.00 – $28,593.76
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$23,022.00 – $130,742.94
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$4,485.00 – $25,737.33
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$5,974.00 – $33,927.24
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$6,635.00 – $37,679.19
Vaginal delivery, without complications MS-DRG 807	not posted	$3,762.00 – $21,364.18
Weight loss surgery, without complications MS-DRG 621	not posted	$9,354.00 – $53,122.74

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$3,242.58	$3,242.58	$87.37 – $6,872.00
Lower back nerve root injection with imaging guidance CPT 64483	$5,570.05	$5,570.05	$958.90 – $12,612.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,403.56	$2,403.56	$413.78 – $12,612.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$179.63 – $6,872.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$1,143.99 – $12,874.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$95.89 – $307.07
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$336.73 – $8,155.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$658.06	$658.06	$113.29 – $747.00

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$2,462.42	$2,462.42	$242.93 – $10,226.00
Sleep study with CPAP titration CPT 95811	$10,326.32	$10,326.32	$966.14 – $10,226.00
Sleep study, overnight in a sleep lab CPT 95810	$10,326.32	$10,326.32	$966.14 – $10,226.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$457.93	$457.93	$78.83 – $838.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$128.16	$128.16	$22.06 – $563.00
Physical therapy evaluation, low complexity CPT 97161	$342.22	$342.22	$58.91 – $563.00
Physical therapy evaluation, moderate complexity CPT 97162	$427.77	$427.77	$60.00 – $563.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$137.45	$137.45	$23.66 – $563.00
Therapeutic activities, 15 minutes CPT 97530	$150.44	$150.44	$25.90 – $563.00

Mental health

Service	Cash price	Gross charge
Family psychotherapy, with the patient, 50 minutes CPT 90847	$1,750.28	$1,750.28
Family psychotherapy, without the patient, 50 minutes CPT 90846	$1,476.90	$1,476.90
Group psychotherapy CPT 90853	$734.92	$734.92
Psychiatric diagnostic evaluation CPT 90791	$976.43	$976.43
Psychotherapy, 30 minutes CPT 90832	$1,197.22	$1,197.22
Psychotherapy, 45 minutes CPT 90834	$1,476.90	$1,476.90
Psychotherapy, 60 minutes CPT 90837	$1,476.90	$1,476.90

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$342.80	$342.80	$7.97 – $519.00
IV hydration, each additional hour CPT 96361	$214.48	$214.48	$36.92 – $4,105.00
IV hydration, first hour CPT 96360	$1,084.06	$1,084.06	$186.62 – $4,105.00
IV push injection of a drug, first CPT 96374	$1,084.06	$1,084.06	$25.30 – $4,105.00
IV push injection, each additional drug CPT 96375	$214.48	$214.48	$11.73 – $4,105.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$90.32	$90.32	$17.16 – $40.64
Dexamethasone injection, per 1 mg HCPCS J1100	$5.06	$5.06	? – $2.28
Fentanyl injection, per 0.1 mg HCPCS J3010	$51.83	$51.83	$9.85 – $23.32
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$3.89 – $5.16
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$19.55	$19.55	$3.71 – $8.80
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$278.96	$278.96	$53.00 – $125.53
Morphine injection, up to 10 mg HCPCS J2270	$50.74	$50.73	$9.64 – $22.83
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$13.50	$13.50	$2.57 – $6.08
Propofol injection, per 10 mg HCPCS J2704	$521.00	$521.00	$98.99 – $234.45
Saline IV solution, 1000 ml HCPCS J7030	$19.55	$19.55	$2.28 – $13.69

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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