Monmouth Medical Center

300 Second Avenue, Long Branch, NJ 07740 · Acute care hospital · Emergency room

These are Monmouth 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; 195 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	$1,217.84	$5,566.00	$932.65 – $5,382.87
Emergency room visit, level 1 (minor) CPT 99281	$230.17	$1,052.00	$97.46 – $2,838.00
Emergency room visit, level 2 CPT 99282	$312.22	$1,427.00	$140.00 – $2,838.00
Emergency room visit, level 3 (moderate) CPT 99283	$494.70	$2,261.00	$306.48 – $2,838.00
Emergency room visit, level 4 CPT 99284	$678.06	$3,099.00	$471.32 – $2,997.04
Emergency room visit, level 5 (most severe) CPT 99285	$953.31	$4,357.00	$620.00 – $4,213.65
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$5,419.00		$384.88 – $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	$85.55	$391.00	$42.02 – $378.13
New patient office visit, about 30 minutes CPT 99203	$126.46	$578.00	$64.24 – $558.98
New patient office visit, about 45 minutes CPT 99204	$152.50	$697.00	$95.55 – $674.06
New patient office visit, about 60 minutes CPT 99205	$177.00	$809.00	$126.02 – $782.38
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	$101.74	$465.00	$49.06 – $449.70
Office visit, established patient, about 20 to 29 minutes CPT 99213	$112.24	$513.00	$81.60 – $496.12
Office visit, established patient, about 30 to 39 minutes CPT 99214	$123.40	$564.00	$119.85 – $545.44
Office visit, established patient, about 40 to 54 minutes CPT 99215	$145.50	$665.00	$161.06 – $643.12
Office visit, established patient, brief (often a nurse) CPT 99211	$66.73	$305.00	$16.00 – $294.96

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$60.82	$278.00	$13.99 – $268.85
Abdominal X-ray, 1 view CPT 74018	$95.39	$436.00	$26.76 – $421.65
Ankle X-ray, 3 or more views CPT 73610	not posted	$958.00
Bone density scan (DEXA), hips and spine CPT 77080	$189.91	$868.00	$79.19 – $839.44
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	$108.08	$494.00	$20.09 – $477.74
Chest X-ray, 2 views CPT 71046	$111.58	$510.00	$30.85 – $493.22
CT angiogram of the chest (checks for lung clots) CPT 71275	$878.91	$4,017.00	$197.04 – $3,884.84
CT angiogram of the head CPT 70496	$570.63	$2,608.00	$197.04 – $2,522.19
CT scan of the abdomen and pelvis, with contrast CPT 74177	$788.77	$3,605.00	$221.00 – $3,486.39
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$995.32	$4,549.00	$221.00 – $4,399.33
CT scan of the abdomen and pelvis, without contrast CPT 74176	$665.15	$3,040.00	$155.96 – $2,939.98
CT scan of the abdomen, without contrast CPT 74150	$437.81	$2,001.00	$117.70 – $1,935.16
CT scan of the chest, with contrast CPT 71260	$652.68	$2,983.00	$197.04 – $2,884.85
CT scan of the chest, without contrast CPT 71250	$480.26	$2,195.00	$117.70 – $2,122.78
CT scan of the head, without contrast CPT 70450	$456.19	$2,085.00	$117.70 – $2,016.40
CT scan of the neck (cervical spine), without contrast CPT 72125	$483.32	$2,209.00	$117.70 – $2,136.32
CT scan of the pelvis, with contrast CPT 72193	$560.78	$2,563.00	$197.04 – $2,478.67
CT scan of the sinuses or face, without contrast CPT 70486	$457.72	$2,092.00	$117.70 – $2,023.17
Diagnostic mammogram, both breasts CPT 77066	$171.32	$783.00	$110.48 – $757.23
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	$441.53	$2,018.00	$267.55 – $2,452.00
Leg or arm vein ultrasound, one side CPT 93971	not posted	$1,784.00
Lower back X-ray, 2 or 3 views CPT 72100	$116.62	$533.00	$36.08 – $515.46
MRI of both breasts, without and with contrast CPT 77049	not posted		$296.36 – $1,700.52
MRI of the abdomen, without and with contrast CPT 74183	$993.78	$4,542.00	$326.00 – $4,392.56
MRI of the brain, without and with contrast CPT 70553	$1,102.31	$5,038.00	$326.00 – $4,872.24
MRI of the brain, without contrast CPT 70551	$717.44	$3,279.00	$267.55 – $3,317.00
MRI of the knee or other leg joint, without contrast CPT 73721	not posted	$4,916.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$624.45	$2,854.00	$267.55 – $3,317.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$655.52	$2,996.00	$267.55 – $3,317.00
MRI of the neck (cervical spine), without contrast CPT 72141	$603.01	$2,756.00	$267.55 – $3,317.00
MRI of the pelvis, without and with contrast CPT 72197	$1,112.16	$5,083.00	$326.00 – $4,915.76
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	$117.49	$537.00	$29.11 – $519.33
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$248.99	$1,138.00	$108.24 – $1,100.55
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$203.70	$931.00	$105.94 – $900.37
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$162.56	$743.00	$90.20 – $718.55
Screening mammogram, both breasts CPT 77067	$138.71	$634.00	$83.91 – $613.14
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,140.00
Transvaginal pregnancy ultrasound CPT 76817	$170.88	$781.00	$117.70 – $755.30
Transvaginal ultrasound CPT 76830	$233.89	$1,069.00	$117.70 – $1,033.82
Ultrasound of the abdomen, complete CPT 76700	$238.71	$1,091.00	$108.24 – $1,055.10
Ultrasound of the neck or thyroid CPT 76536	$243.74	$1,114.00	$67.14 – $1,077.34
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	$172.41	$788.00	$45.10 – $762.07

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $158.60
Blood culture CPT 87040	$11.35	$232.00	$4.85 – $224.36
Blood draw (venipuncture) CPT 36415	$9.71	$52.00	$1.65 – $50.28
BNP test (heart failure) CPT 83880	$43.19	$314.00	$18.45 – $303.66
C-reactive protein (CRP) test CPT 86140	$5.70	$83.00	$2.43 – $80.26
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$253.00	$16.49 – $244.67
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $141.19
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $98.64
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $317.20
COVID-19 PCR test CPT 87635	$56.44	$150.00	$24.12 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20		$8.71 – $41.38
Drug screen, instrument chemistry CPT 80307	$68.35	$324.00	$29.21 – $313.34
Ferritin (iron stores) test CPT 82728	$14.99	$170.00	$6.41 – $164.40
Free T4 (thyroid) test CPT 84439	$9.92	$154.00	$4.24 – $148.93
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 – $44.48
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$253.00	$16.49 – $244.67
Hemoglobin A1c test CPT 83036	$10.68	$115.00	$4.56 – $111.21
Hepatitis C antibody test CPT 86803	$15.70	$219.00	$6.71 – $211.79
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$174.00	$11.32 – $168.27
Iron test CPT 83540	$7.12	$90.00	$3.04 – $87.03
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $203.09
Lipase test (pancreas) CPT 83690	$7.58	$95.00	$3.24 – $91.87
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $238.87
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $174.07
Magnesium test CPT 83735	$7.37	$104.00	$3.15 – $100.57
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $332.68
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $118.95
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$131.00	$7.07 – $126.69
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $89.94
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $190.51
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $308.50
Rapid strep test CPT 87880	$18.18	$110.00	$7.77 – $106.38
Sed rate (ESR) test CPT 85652	$2.97	$51.00	$1.27 – $49.32
TB skin test CPT 86580	$18.81	$86.00	$6.34 – $83.17
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $265.95
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$93.86	$429.00	$23.57 – $414.88
Troponin test (heart damage) CPT 84484	$13.72	$130.00	$5.86 – $125.72
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $108.31
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $74.46
Urinalysis, manual, with microscope CPT 81000	$4.42		$1.97 – $16.02
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $41.58
Urine culture, colony count CPT 87086	$8.88	$130.00	$3.79 – $125.72
Urine pregnancy test CPT 81025	$9.47	$90.00	$4.05 – $87.03
Vitamin B12 test CPT 82607	$16.59	$148.00	$7.09 – $143.13
Vitamin D test CPT 82306	$32.56	$281.00	$13.91 – $271.75

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$407.18	$1,861.00	$267.55 – $2,452.00
ECG tracing only (no interpretation) CPT 93005	$78.54	$359.00	$65.75 – $347.18
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$901.01	$4,118.00	$413.80 – $3,982.51
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$288.64 – $288.64
Holter monitor, up to 48 hours CPT 93224	not posted		$803.60 – $803.60
Left heart catheterization CPT 93452	$3,087.70	$14,112.00	$3,180.00 – $21,297.00
Left heart catheterization with coronary angiogram CPT 93458	$4,790.40	$21,894.00	$3,180.00 – $21,297.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,072.99	$4,904.00	$275.52 – $4,742.65
Treadmill stress test, complete CPT 93015	not posted		$1,125.04 – $1,125.04

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$5,419.00	$3,266.00 – $21,314.00
Appendix removal, laparoscopic CPT 44970	$5,419.00	$3,266.00 – $11,301.19
Breast biopsy with ultrasound guidance CPT 19083	$5,419.00	$2,888.00 – $4,523.00
Carpal tunnel release CPT 64721	$5,419.00	$2,491.00 – $5,045.00
Colonoscopy with biopsy CPT 45380	$5,419.00	$2,283.89 – $4,523.00
Colonoscopy with polyp removal (snare) CPT 45385	$5,419.00	$2,283.89 – $4,523.00
Colonoscopy, diagnostic CPT 45378	$5,419.00	$1,766.00 – $4,523.00
Colposcopy with biopsy CPT 57454	$5,419.00	$589.23 – $3,266.00
Cystoscopy (bladder scope) CPT 52000	$5,419.00	$1,292.90 – $3,301.00
Ear tubes, under general anesthesia CPT 69436	$5,419.00	$2,869.25 – $4,523.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$5,419.00	$1,766.00 – $3,301.00
Gallbladder removal, laparoscopic CPT 47562	$5,419.00	$3,266.00 – $12,565.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$5,419.00	$2,699.00 – $21,314.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$5,419.00	$3,266.00 – $20,166.58
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,419.00	$2,888.00 – $6,158.76
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$5,419.00	$3,266.00 – $11,301.19
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$5,419.00	$3,266.00 – $6,835.82
Kidney stone shock-wave lithotripsy CPT 50590	$5,419.00	$3,266.00 – $12,565.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$5,419.00	$3,266.00 – $21,314.00
Lower colon endoscopy with ultrasound CPT 45391	$5,419.00	$2,283.89 – $4,523.00
Nasal endoscopy, diagnostic CPT 31231	$5,419.00	$376.06 – $3,266.00
Prostate biopsy CPT 55700	$5,419.00	$2,491.00 – $4,523.00
Prostate removal, laparoscopic or robotic CPT 55866	$5,419.00	$2,699.00 – $20,166.58
Removal of a breast lump, open surgery CPT 19120	$5,419.00	$2,888.00 – $7,417.34
Rotator cuff repair, arthroscopic CPT 29827	$5,419.00	$3,266.00 – $21,314.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,009.14 – $5,153.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$660.53 – $5,153.00
Septoplasty (nasal septum repair) CPT 30520	$5,419.00	$3,266.00 – $6,281.84
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$5,419.00	$2,445.00 – $21,314.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$5,419.00	$2,699.00 – $32,768.00
Tonsil and adenoid removal, under age 12 CPT 42820	$5,419.00	$2,888.00 – $11,458.67
Total hip replacement CPT 27130	$5,419.00	$2,699.00 – $26,500.00
Total knee replacement CPT 27447	$5,419.00	$2,699.00 – $26,500.00
Upper endoscopy (EGD) with biopsy CPT 43239	$5,419.00	$1,816.06 – $4,523.00
Upper endoscopy (EGD), diagnostic CPT 43235	$5,419.00	$1,816.06 – $4,523.00
Vasectomy CPT 55250	$5,419.00	$2,491.00 – $5,045.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$5,419.00	$3,266.00 – $3,266.00
Fetal non-stress test CPT 59025	$5,419.00	$389.67 – $3,266.00
IUD insertion CPT 58300	$5,419.00	$1,893.00 – $3,266.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$5,419.00	$3,266.00 – $3,266.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$5,419.00	$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	$3,629.00	$2,680.00 – $19,193.75
C-section, without complications MS-DRG 788	$3,629.00	$1,115.00 – $45,931.00
Chest pain MS-DRG 313	$3,629.00	$5,800.00 – $19,039.93
COPD flare-up, with major complications MS-DRG 190	$3,629.00	$5,570.00 – $29,971.75
COPD flare-up, without complications MS-DRG 192	$3,629.00	$5,515.00 – $17,273.12
Fainting (syncope) MS-DRG 312	$3,629.00	$5,800.00 – $23,254.13
Gastrointestinal bleeding, with complications MS-DRG 378	$3,629.00	$5,570.00 – $26,312.69
Heart failure, with major complications MS-DRG 291	$3,629.00	$5,800.00 – $34,823.81
Heart failure, without complications MS-DRG 293	$3,629.00	$4,675.65 – $15,697.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$3,629.00	$5,800.00 – $257,578.21
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$3,629.00	$6,690.00 – $39,258.00
Irregular heartbeat, without complications MS-DRG 310	$3,629.00	$4,767.67 – $15,697.00
Kidney failure, with complications MS-DRG 683	$3,629.00	$5,570.00 – $23,723.85
Kidney or urinary tract infection, without major complications MS-DRG 690	$3,629.00	$5,570.00 – $21,420.59
Neck (cervical) spinal fusion, without complications MS-DRG 473	$3,629.00	$6,690.00 – $63,183.54
Normal newborn care MS-DRG 795	$1,460.00	$793.00 – $793.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$3,629.00	$5,570.00 – $20,854.78
Pneumonia, with complications MS-DRG 194	$3,629.00	$5,570.00 – $21,884.98
Pneumonia, with major complications MS-DRG 193	$3,629.00	$5,570.00 – $35,168.10
Pneumonia, without complications MS-DRG 195	$3,629.00	$5,306.22 – $16,619.24
Psychoses (inpatient psychiatric stay) MS-DRG 885	$3,629.00	$2,334.00 – $29,394.00
Sepsis, with major complications MS-DRG 871	$3,629.00	$5,570.00 – $52,366.49
Sepsis, without major complications MS-DRG 872	$3,629.00	$5,570.00 – $27,516.36
Skin infection (cellulitis), without major complications MS-DRG 603	$3,629.00	$5,570.00 – $23,507.67
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$39,196.00 – $91,439.44
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$3,629.00	$5,570.00 – $20,825.43
Stroke, with complications or clot-busting drug MS-DRG 65	$3,629.00	$2,527.00 – $27,140.04
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$3,629.00	$10,214.50 – $31,992.10
Vaginal delivery, without complications MS-DRG 807	$9,390.00	$1,115.00 – $24,959.00
Weight loss surgery, without complications MS-DRG 621	$3,629.00	$12,456.45 – $43,038.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$5,419.00	$571.78 – $3,266.00
Lower back nerve root injection with imaging guidance CPT 64483	$5,419.00	$1,724.50 – $3,301.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$5,419.00	$1,341.41 – $3,301.00
Lower back spinal injection (epidural), without imaging CPT 62322	$5,419.00	$1,724.50 – $3,301.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$5,419.00	$3,266.00 – $11,172.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$141.04 – $283.85
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$5,419.00	$1,062.64 – $3,334.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$149.87	$685.00	$170.22 – $662.46

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$611.10	$2,793.00	$173.18 – $3,577.00
Sleep study with CPAP titration CPT 95811	$1,951.25	$8,918.00	$1,126.11 – $8,624.59
Sleep study, overnight in a sleep lab CPT 95810	$1,702.92	$7,783.00	$1,126.11 – $7,526.93

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$178.10	$814.00	$173.18 – $787.21

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	$131.06	$599.00	$126.45 – $579.29
Family psychotherapy, without the patient, 50 minutes CPT 90846	$91.23	$417.00	$105.62 – $403.28
Group psychotherapy CPT 90853	$90.36	$413.00	$30.52 – $399.41
Psychiatric diagnostic evaluation CPT 90791	$187.73	$858.00	$177.84 – $829.77
Psychotherapy, 30 minutes CPT 90832	$100.86	$461.00	$88.66 – $445.83
Psychotherapy, 45 minutes CPT 90834	$113.33	$518.00	$100.17 – $500.95
Psychotherapy, 60 minutes CPT 90837	$124.05	$567.00	$90.26 – $548.34

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$71.76	$328.00	$7.97 – $317.20
IV hydration, each additional hour CPT 96361	$69.14	$316.00	$51.07 – $331.00
IV hydration, first hour CPT 96360	$206.98	$946.00	$233.20 – $914.87
IV push injection of a drug, first CPT 96374	$122.96	$562.00	$25.30 – $543.51
IV push injection, each additional drug CPT 96375	$113.77	$520.00	$11.73 – $502.89

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	? – $1.65
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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