Jersey City Medical Center

355 Grand Street, Jersey City, NJ 07302 · Acute care hospital · Emergency room

These are Jersey City 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.

232 of the services we track have a posted price here; 196 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	$1,156.61	$5,566.00	$186.69 – $5,052.25
Emergency room visit, level 1 (minor) CPT 99281	$218.60	$1,052.00	$7.37 – $1,964.00
Emergency room visit, level 2 CPT 99282	$296.53	$1,427.00	$26.86 – $1,964.00
Emergency room visit, level 3 (moderate) CPT 99283	$469.83	$2,261.00	$47.51 – $3,030.00
Emergency room visit, level 4 CPT 99284	$643.97	$3,099.00	$80.80 – $3,030.00
Emergency room visit, level 5 (most severe) CPT 99285	$905.38	$4,357.00	$117.00 – $3,954.84
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$5,339.00		$444.60 – $3,236.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$81.24	$391.00	$42.02 – $354.91
New patient office visit, about 30 minutes CPT 99203	$120.10	$578.00	$64.24 – $524.65
New patient office visit, about 45 minutes CPT 99204	$144.83	$697.00	$95.55 – $632.66
New patient office visit, about 60 minutes CPT 99205	$168.11	$809.00	$126.02 – $734.32
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $85.40
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $120.25
Office visit, established patient, about 10 to 19 minutes CPT 99212	$96.62	$465.00	$39.15 – $422.08
Office visit, established patient, about 20 to 29 minutes CPT 99213	$106.60	$513.00	$62.61 – $465.65
Office visit, established patient, about 30 to 39 minutes CPT 99214	$117.19	$564.00	$88.18 – $511.94
Office visit, established patient, about 40 to 54 minutes CPT 99215	$138.18	$665.00	$130.19 – $603.62
Office visit, established patient, brief (often a nurse) CPT 99211	$63.37	$305.00	$15.66 – $276.84
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$42.64 – $42.64
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$42.64 – $42.64

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$57.76	$278.00	$13.99 – $252.34
Abdominal X-ray, 1 view CPT 74018	$90.60	$436.00	$20.41 – $395.75
Ankle X-ray, 3 or more views CPT 73610	not posted	$958.00
Bone density scan (DEXA), hips and spine CPT 77080	$180.37	$868.00	$36.80 – $787.88
Breast ultrasound, one breast, complete CPT 76641	not posted	$2,512.00
Breast ultrasound, one breast, limited CPT 76642	not posted	$1,170.00
Chest X-ray, 1 view CPT 71045	$102.65	$494.00	$17.24 – $448.40
Chest X-ray, 2 views CPT 71046	$105.97	$510.00	$22.64 – $462.92
CT angiogram of the chest (checks for lung clots) CPT 71275	$834.73	$4,017.00	$176.89 – $3,646.23
CT angiogram of the head CPT 70496	$541.94	$2,608.00	$174.73 – $2,367.28
CT scan of the abdomen and pelvis, with contrast CPT 74177	$749.11	$3,605.00	$209.62 – $3,272.25
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$945.28	$4,549.00	$221.00 – $4,129.12
CT scan of the abdomen and pelvis, without contrast CPT 74176	$631.71	$3,040.00	$125.47 – $2,759.40
CT scan of the abdomen, without contrast CPT 74150	$415.80	$2,001.00	$93.75 – $1,816.30
CT scan of the chest, with contrast CPT 71260	$619.86	$2,983.00	$115.13 – $2,707.66
CT scan of the chest, without contrast CPT 71250	$456.12	$2,195.00	$91.40 – $1,992.40
CT scan of the head, without contrast CPT 70450	$433.26	$2,085.00	$72.88 – $1,892.55
CT scan of the neck (cervical spine), without contrast CPT 72125	$459.03	$2,209.00	$89.47 – $2,005.10
CT scan of the pelvis, with contrast CPT 72193	$532.59	$2,563.00	$156.91 – $2,326.43
CT scan of the sinuses or face, without contrast CPT 70486	$434.71	$2,092.00	$88.32 – $1,898.90
Diagnostic mammogram, both breasts CPT 77066	$162.70	$783.00	$106.72 – $710.72
Diagnostic mammogram, one breast CPT 77065	not posted	$619.00
Foot X-ray, 3 or more views CPT 73630	not posted	$1,048.00
Hand X-ray, 3 or more views CPT 73130	not posted	$1,074.00
Knee X-ray, 3 views CPT 73562	not posted	$1,084.00
Leg or arm vein ultrasound, both sides CPT 93970	$419.34	$2,018.00	$126.40 – $2,452.00
Leg or arm vein ultrasound, one side CPT 93971	$370.71	$1,784.00	$80.44 – $2,452.00
Lower back X-ray, 2 or 3 views CPT 72100	$110.75	$533.00	$26.94 – $483.80
MRI of both breasts, without and with contrast CPT 77049	not posted		$236.87 – $1,307.63
MRI of the abdomen, without and with contrast CPT 74183	$943.82	$4,542.00	$233.84 – $4,122.77
MRI of the brain, without and with contrast CPT 70553	$1,046.89	$5,038.00	$219.86 – $4,572.99
MRI of the brain, without contrast CPT 70551	$681.37	$3,279.00	$135.37 – $3,317.00
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	$593.06	$2,854.00	$131.96 – $3,317.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$622.56	$2,996.00	$131.27 – $3,317.00
MRI of the neck (cervical spine), without contrast CPT 72141	$572.69	$2,756.00	$131.50 – $3,317.00
MRI of the pelvis, without and with contrast CPT 72197	$1,056.24	$5,083.00	$232.93 – $4,613.83
MRI of the shoulder or other arm joint, without contrast CPT 73221	not posted	$3,173.00
Neck X-ray, 2 or 3 views CPT 72040	$111.58	$537.00	$26.72 – $487.43
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$236.47	$1,138.00	$70.82 – $1,032.96
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$193.46	$931.00	$91.08 – $845.06
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$154.39	$743.00	$78.59 – $674.42
Screening mammogram, both breasts CPT 77067	$131.74	$634.00	$83.91 – $575.48
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,140.00
Transvaginal pregnancy ultrasound CPT 76817	$162.29	$781.00	$62.12 – $708.91
Transvaginal ultrasound CPT 76830	$222.13	$1,069.00	$80.35 – $970.33
Ultrasound of the abdomen, complete CPT 76700	$226.70	$1,091.00	$78.14 – $990.30
Ultrasound of the neck or thyroid CPT 76536	$231.48	$1,114.00	$67.14 – $1,011.17
Wrist X-ray, 3 or more views CPT 73110	not posted	$1,020.00
X-ray of the lower back, 4 or more views CPT 72110	$163.74	$788.00	$35.07 – $715.26

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $148.86
Blood culture CPT 87040	$11.35	$232.00	$4.85 – $210.58
Blood draw (venipuncture) CPT 36415	$9.71	$52.00	$1.65 – $47.20
BNP test (heart failure) CPT 83880	$43.19	$314.00	$18.45 – $285.01
C-reactive protein (CRP) test CPT 86140	$5.70	$83.00	$2.43 – $75.33
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$253.00	$16.49 – $229.64
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $132.52
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $92.58
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $297.72
COVID-19 PCR test CPT 87635	$56.44	$129.00	$24.12 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20	$94.00	$4.78 – $85.32
Drug screen, instrument chemistry CPT 80307	$68.35	$324.00	$29.21 – $294.09
Ferritin (iron stores) test CPT 82728	$14.99	$170.00	$6.41 – $154.30
Free T4 (thyroid) test CPT 84439	$9.92	$154.00	$4.24 – $139.78
General health panel (blood tests) CPT 80050	not posted		$38.52 – $161.56
Glucose (blood sugar) test CPT 82947	$4.32	$46.00	$1.85 – $41.75
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$253.00	$16.49 – $229.64
Hemoglobin A1c test CPT 83036	$10.68	$115.00	$4.56 – $104.38
Hepatitis C antibody test CPT 86803	$15.70	$219.00	$6.71 – $198.78
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$174.00	$11.32 – $157.93
Iron test CPT 83540	$7.12	$90.00	$3.04 – $81.69
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $190.61
Lipase test (pancreas) CPT 83690	$7.58	$95.00	$3.24 – $86.23
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $224.20
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $163.38
Magnesium test CPT 83735	$7.37	$104.00	$3.15 – $94.40
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $312.24
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $111.64
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$131.00	$7.07 – $118.90
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $84.41
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $178.81
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $289.55
Rapid strep test CPT 87880	$18.18	$110.00	$7.77 – $99.84
Sed rate (ESR) test CPT 85652	$2.97	$51.00	$1.27 – $46.29
TB skin test CPT 86580	$17.87	$86.00	$6.34 – $78.06
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $249.61
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$89.14	$429.00	$23.57 – $389.40
Troponin test (heart damage) CPT 84484	$13.72	$130.00	$5.86 – $118.00
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $101.66
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $69.89
Urinalysis, manual, with microscope CPT 81000	$4.42		$1.97 – $16.02
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $39.03
Urine culture, colony count CPT 87086	$8.88	$130.00	$3.79 – $118.00
Urine pregnancy test CPT 81025	$9.47	$90.00	$4.05 – $81.69
Vitamin B12 test CPT 82607	$16.59	$148.00	$7.09 – $134.33
Vitamin D test CPT 82306	$32.56	$281.00	$13.91 – $255.06

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$386.71	$1,861.00	$128.30 – $2,452.00
ECG tracing only (no interpretation) CPT 93005	$74.60	$359.00	$4.32 – $334.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$855.72	$4,118.00	$131.76 – $3,737.90
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$9.53 – $158.40
Holter monitor, up to 48 hours CPT 93224	not posted		$48.51 – $441.00
Left heart catheterization CPT 93452	$2,932.47	$14,112.00	$595.60 – $20,919.00
Left heart catheterization with coronary angiogram CPT 93458	$4,549.57	$21,894.00	$690.25 – $20,919.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,019.05	$4,904.00	$275.52 – $4,451.36
Treadmill stress test, complete CPT 93015	not posted		$48.03 – $617.40

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$5,339.00	$4,148.00 – $26,028.00
Appendix removal, laparoscopic CPT 44970	$5,339.00	$3,584.00 – $13,054.69
Breast biopsy with ultrasound guidance CPT 19083	$5,339.00	$2,577.00 – $4,523.00
Carpal tunnel release CPT 64721	$5,339.00	$2,222.00 – $5,045.00
Colonoscopy with biopsy CPT 45380	$5,339.00	$2,222.00 – $4,523.00
Colonoscopy with polyp removal (snare) CPT 45385	$5,339.00	$2,222.00 – $4,523.00
Colonoscopy, diagnostic CPT 45378	$5,339.00	$2,039.99 – $4,523.00
Colposcopy with biopsy CPT 57454	$5,339.00	$680.64 – $3,236.00
Cystoscopy (bladder scope) CPT 52000	$5,339.00	$1,493.50 – $3,301.00
Ear tubes, under general anesthesia CPT 69436	$5,339.00	$2,577.00 – $4,523.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$5,339.00	$1,686.00 – $3,301.00
Gallbladder removal, laparoscopic CPT 47562	$5,339.00	$7,099.00 – $13,054.69
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$5,339.00	$2,700.00 – $26,028.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$5,339.00	$7,099.00 – $23,295.67
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,339.00	$2,577.00 – $7,114.38
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$5,339.00	$3,584.00 – $13,054.69
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$5,339.00	$3,584.00 – $7,896.46
Kidney stone shock-wave lithotripsy CPT 50590	$5,339.00	$4,148.00 – $10,725.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$5,339.00	$4,791.00 – $26,028.00
Lower colon endoscopy with ultrasound CPT 45391	$5,339.00	$2,222.00 – $4,523.00
Nasal endoscopy, diagnostic CPT 31231	$5,339.00	$434.40 – $3,236.00
Prostate biopsy CPT 55700	$5,339.00	$2,222.00 – $4,583.66
Prostate removal, laparoscopic or robotic CPT 55866	$5,339.00	$2,700.00 – $23,295.67
Removal of a breast lump, open surgery CPT 19120	$5,339.00	$2,577.00 – $8,568.22
Rotator cuff repair, arthroscopic CPT 29827	$5,339.00	$5,115.00 – $26,028.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$317.80 – $5,009.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$317.50 – $5,009.00
Septoplasty (nasal septum repair) CPT 30520	$5,339.00	$3,584.00 – $7,256.54
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$5,339.00	$2,445.00 – $26,028.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$5,339.00	$2,700.00 – $35,540.00
Tonsil and adenoid removal, under age 12 CPT 42820	$5,339.00	$2,577.00 – $13,236.62
Total hip replacement CPT 27130	$5,339.00	$2,700.00 – $28,790.21
Total knee replacement CPT 27447	$5,339.00	$2,700.00 – $28,790.21
Upper endoscopy (EGD) with biopsy CPT 43239	$5,339.00	$2,097.85 – $4,523.00
Upper endoscopy (EGD), diagnostic CPT 43235	$5,339.00	$1,686.00 – $4,523.00
Vasectomy CPT 55250	$5,339.00	$2,222.00 – $5,045.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$5,339.00
Fetal non-stress test CPT 59025	$5,339.00	$450.13 – $3,236.00
IUD insertion CPT 58300	$5,339.00	$1,686.00 – $3,236.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$5,339.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$5,339.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$5,589.00	$2,955.00 – $21,670.93
C-section, without complications MS-DRG 788	$5,589.00	$6,640.00 – $45,931.00
Chest pain MS-DRG 313	$5,589.00	$4,788.19 – $21,523.00
COPD flare-up, with major complications MS-DRG 190	$5,589.00	$5,863.00 – $33,880.00
COPD flare-up, without complications MS-DRG 192	$5,589.00	$4,747.42 – $19,525.00
Fainting (syncope) MS-DRG 312	$5,589.00	$5,465.92 – $26,286.00
Gastrointestinal bleeding, with complications MS-DRG 378	$5,589.00	$5,863.00 – $29,744.00
Heart failure, with major complications MS-DRG 291	$5,589.00	$9,007.75 – $39,365.00
Heart failure, without complications MS-DRG 293	$5,589.00	$4,385.96 – $19,215.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$5,589.00	$6,640.00 – $291,164.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$5,589.00	$7,173.00 – $45,925.00
Irregular heartbeat, without complications MS-DRG 310	$5,589.00	$3,743.49 – $19,215.00
Kidney failure, with complications MS-DRG 683	$5,589.00	$5,863.00 – $26,817.00
Kidney or urinary tract infection, without major complications MS-DRG 690	$5,589.00	$5,292.91 – $24,214.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	$5,589.00	$7,173.00 – $71,422.00
Normal newborn care MS-DRG 795	not posted	$1,156.00 – $4,074.92
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$5,589.00	$5,063.69 – $23,574.00
Pneumonia, with complications MS-DRG 194	$5,589.00	$5,863.00 – $24,739.00
Pneumonia, with major complications MS-DRG 193	$5,589.00	$5,863.00 – $39,754.00
Pneumonia, without complications MS-DRG 195	$5,589.00	$4,565.59 – $18,786.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	$5,589.00	$2,334.00 – $32,476.20
Sepsis, with major complications MS-DRG 871	$5,589.00	$5,863.00 – $59,194.00
Sepsis, without major complications MS-DRG 872	$5,589.00	$5,863.00 – $31,104.00
Skin infection (cellulitis), without major complications MS-DRG 603	$5,589.00	$5,645.55 – $26,573.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$26,509.71 – $103,240.77
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$5,589.00	$5,097.85 – $23,541.00
Stroke, with complications or clot-busting drug MS-DRG 65	$5,589.00	$5,863.00 – $30,679.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$5,589.00	$7,173.00 – $36,164.00
Vaginal delivery, without complications MS-DRG 807	$5,589.00	$6,531.52 – $24,959.00
Weight loss surgery, without complications MS-DRG 621	$5,589.00	$7,173.00 – $43,038.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$5,339.00	$660.50 – $3,236.00
Lower back nerve root injection with imaging guidance CPT 64483	$5,339.00	$1,686.00 – $3,301.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$5,339.00	$1,549.55 – $3,301.00
Lower back spinal injection (epidural), without imaging CPT 62322	$5,339.00	$1,686.00 – $3,301.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$5,339.00		$3,811.00 – $9,509.00
Eye exam, new patient, comprehensive CPT 92004	$87.06	$419.00	$77.40 – $380.32
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$5,339.00		$1,227.51 – $3,301.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$142.34	$685.00	$23.94 – $621.77

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$580.38	$2,793.00	$63.00 – $3,876.00
Sleep study with CPAP titration CPT 95811	$1,853.16	$8,918.00	$440.76 – $8,094.86
Sleep study, overnight in a sleep lab CPT 95810	$1,617.30	$7,783.00	$421.61 – $7,064.62

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$169.14	$814.00	$18.39 – $738.86

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	not posted	$296.00
Physical therapy evaluation, low complexity CPT 97161	not posted	$576.00
Physical therapy evaluation, moderate complexity CPT 97162	not posted	$655.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	not posted	$230.00
Therapeutic activities, 15 minutes CPT 97530	not posted	$270.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$124.47	$599.00	$126.45 – $543.71
Family psychotherapy, without the patient, 50 minutes CPT 90846	$86.65	$417.00	$113.94 – $378.51
Group psychotherapy CPT 90853	$85.82	$413.00	$30.52 – $374.88
Psychiatric diagnostic evaluation CPT 90791	$178.29	$858.00	$189.21 – $778.80
Psychotherapy, 30 minutes CPT 90832	$95.79	$461.00	$88.66 – $418.44
Psychotherapy, 45 minutes CPT 90834	$107.64	$518.00	$100.17 – $470.18
Psychotherapy, 60 minutes CPT 90837	$117.82	$567.00	$90.26 – $514.66

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$68.15	$328.00	$7.97 – $297.72
IV hydration, each additional hour CPT 96361	$65.66	$316.00	$8.28 – $331.00
IV hydration, first hour CPT 96360	$196.57	$946.00	$21.79 – $858.68
IV push injection of a drug, first CPT 96374	$116.78	$562.00	$24.74 – $510.12
IV push injection, each additional drug CPT 96375	$108.05	$520.00	$10.31 – $472.00

Drugs

Service	Cash price	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	not posted	? – $17.12
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	? – $4.03
Morphine injection, up to 10 mg HCPCS J2270	not posted	$2.14 – $5.22
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted	? – $1.62
Saline IV solution, 1000 ml HCPCS J7030	not posted	$2.02 – $9.42

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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