Newark Beth Israel Medical Center

201 Lyons Ave, Newark, NJ 07112 · Acute care hospital · Emergency room

These are Newark Beth Israel 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.

230 of the services we track have a posted price here; 197 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	$1,202.93	$5,775.00	$148.50 – $5,389.80
Emergency room visit, level 1 (minor) CPT 99281	$219.13	$1,052.00	$5.86 – $2,958.00
Emergency room visit, level 2 CPT 99282	$318.90	$1,531.00	$21.37 – $2,958.00
Emergency room visit, level 3 (moderate) CPT 99283	$483.46	$2,321.00	$37.79 – $3,034.00
Emergency room visit, level 4 CPT 99284	$652.60	$3,133.00	$64.27 – $3,034.00
Emergency room visit, level 5 (most severe) CPT 99285	$950.68	$4,564.00	$93.07 – $4,259.58
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$4,881.00		$445.86 – $3,280.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$81.44	$391.00	$39.70 – $364.92
New patient office visit, about 30 minutes CPT 99203	$120.39	$578.00	$61.09 – $539.44
New patient office visit, about 45 minutes CPT 99204	$145.18	$697.00	$91.33 – $650.51
New patient office visit, about 60 minutes CPT 99205	$168.51	$809.00	$120.34 – $755.03
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $67.94
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $95.66
Office visit, established patient, about 10 to 19 minutes CPT 99212	$96.85	$465.00	$31.14 – $433.98
Office visit, established patient, about 20 to 29 minutes CPT 99213	$106.85	$513.00	$49.80 – $478.78
Office visit, established patient, about 30 to 39 minutes CPT 99214	$117.48	$564.00	$70.14 – $526.38
Office visit, established patient, about 40 to 54 minutes CPT 99215	$138.51	$665.00	$103.56 – $620.64
Office visit, established patient, brief (often a nurse) CPT 99211	$63.53	$305.00	$12.45 – $284.65
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$33.92 – $33.92
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$33.92 – $33.92

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$57.90	$278.00	$13.99 – $259.45
Abdominal X-ray, 1 view CPT 74018	$90.81	$436.00	$16.23 – $406.91
Ankle X-ray, 3 or more views CPT 73610	not posted	$1,438.00
Bone density scan (DEXA), hips and spine CPT 77080	$180.80	$868.00	$29.27 – $810.10
Breast ultrasound, one breast, complete CPT 76641	not posted	$2,462.00
Breast ultrasound, one breast, limited CPT 76642	not posted	$1,170.00
Chest X-ray, 1 view CPT 71045	$102.90	$494.00	$13.71 – $461.05
Chest X-ray, 2 views CPT 71046	$106.23	$510.00	$18.01 – $475.98
CT angiogram of the chest (checks for lung clots) CPT 71275	$687.59	$3,301.00	$140.71 – $3,080.82
CT angiogram of the head CPT 70496	$543.24	$2,608.00	$138.99 – $2,434.04
CT scan of the abdomen and pelvis, with contrast CPT 74177	$750.92	$3,605.00	$166.74 – $3,364.54
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$947.55	$4,549.00	$187.11 – $4,245.58
CT scan of the abdomen and pelvis, without contrast CPT 74176	$633.23	$3,040.00	$99.80 – $2,837.23
CT scan of the abdomen, without contrast CPT 74150	$416.80	$2,001.00	$74.57 – $1,867.53
CT scan of the chest, with contrast CPT 71260	$844.65	$4,055.00	$91.58 – $3,784.53
CT scan of the chest, without contrast CPT 71250	$610.11	$2,929.00	$72.70 – $2,733.63
CT scan of the head, without contrast CPT 70450	$434.30	$2,085.00	$57.97 – $1,945.93
CT scan of the neck (cervical spine), without contrast CPT 72125	$565.95	$2,717.00	$71.17 – $2,535.77
CT scan of the pelvis, with contrast CPT 72193	$533.87	$2,563.00	$124.81 – $2,392.04
CT scan of the sinuses or face, without contrast CPT 70486	$614.48	$2,950.00	$70.26 – $2,753.23
Diagnostic mammogram, both breasts CPT 77066	$163.09	$783.00	$84.89 – $730.77
Diagnostic mammogram, one breast CPT 77065	not posted	$619.00
Foot X-ray, 3 or more views CPT 73630	not posted	$1,310.00
Hand X-ray, 3 or more views CPT 73130	not posted	$1,520.00
Knee X-ray, 3 views CPT 73562	not posted	$1,496.00
Leg or arm vein ultrasound, both sides CPT 93970	$623.23	$2,992.00	$100.55 – $2,792.43
Leg or arm vein ultrasound, one side CPT 93971	$791.54	$3,800.00	$63.99 – $3,546.54
Lower back X-ray, 2 or 3 views CPT 72100	$111.02	$533.00	$21.43 – $497.44
MRI of both breasts, without and with contrast CPT 77049	not posted		$188.42 – $1,307.63
MRI of the abdomen, without and with contrast CPT 74183	$946.09	$4,542.00	$186.01 – $4,239.04
MRI of the brain, without and with contrast CPT 70553	$1,049.41	$5,038.00	$174.89 – $4,701.96
MRI of the brain, without contrast CPT 70551	$683.01	$3,279.00	$107.68 – $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	$594.48	$2,854.00	$104.97 – $3,317.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$624.06	$2,996.00	$104.42 – $3,317.00
MRI of the neck (cervical spine), without contrast CPT 72141	$574.07	$2,756.00	$104.60 – $3,317.00
MRI of the pelvis, without and with contrast CPT 72197	$1,077.11	$5,171.00	$185.28 – $4,826.09
MRI of the shoulder or other arm joint, without contrast CPT 73221	not posted	$3,754.00
Neck X-ray, 2 or 3 views CPT 72040	$153.10	$735.00	$21.25 – $685.97
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$233.50	$1,121.00	$56.33 – $1,046.22
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$193.92	$931.00	$72.45 – $868.90
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$154.76	$743.00	$62.52 – $693.44
Screening mammogram, both breasts CPT 77067	$132.06	$634.00	$68.53 – $591.71
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,638.00
Transvaginal pregnancy ultrasound CPT 76817	$162.68	$781.00	$49.41 – $728.90
Transvaginal ultrasound CPT 76830	$222.67	$1,069.00	$63.91 – $997.69
Ultrasound of the abdomen, complete CPT 76700	$227.25	$1,091.00	$62.16 – $1,018.23
Ultrasound of the neck or thyroid CPT 76536	$231.42	$1,111.00	$59.18 – $1,036.89
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	$164.14	$788.00	$27.90 – $735.44

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $153.06
Blood culture CPT 87040	$11.35	$229.00	$4.85 – $213.72
Blood draw (venipuncture) CPT 36415	$9.71	$52.00	$1.65 – $48.53
BNP test (heart failure) CPT 83880	$43.19	$314.00	$18.45 – $293.05
C-reactive protein (CRP) test CPT 86140	$5.70	$83.00	$2.43 – $77.46
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$162.00	$16.49 – $151.19
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $136.26
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $95.19
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $306.12
COVID-19 PCR test CPT 87635	$56.44	$150.00	$24.12 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20	$97.00	$4.78 – $90.53
Drug screen, instrument chemistry CPT 80307	$68.35	$168.00	$29.21 – $253.69
Ferritin (iron stores) test CPT 82728	$14.99	$186.00	$6.41 – $173.59
Free T4 (thyroid) test CPT 84439	$9.92	$138.00	$4.24 – $128.79
General health panel (blood tests) CPT 80050	$129.77	$623.00	$19.11 – $581.44
Glucose (blood sugar) test CPT 82947	$4.32	$44.00	$1.85 – $41.06
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$162.00	$16.49 – $151.19
Hemoglobin A1c test CPT 83036	$10.68	$149.00	$4.56 – $139.06
Hepatitis C antibody test CPT 86803	$15.70	$220.00	$6.71 – $205.32
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$134.00	$11.32 – $125.06
Iron test CPT 83540	$7.12	$100.00	$3.04 – $93.33
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $195.99
Lipase test (pancreas) CPT 83690	$7.58	$91.00	$3.24 – $84.93
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $230.52
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $167.99
Magnesium test CPT 83735	$7.37	$104.00	$3.15 – $97.06
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $321.05
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $114.79
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$131.00	$7.07 – $122.26
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $86.79
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $183.86
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $297.72
Rapid strep test CPT 87880	$18.18	$81.00	$7.77 – $75.59
Sed rate (ESR) test CPT 85652	$2.97	$51.00	$1.27 – $47.59
TB skin test CPT 86580	$10.20	$49.00	$6.34 – $54.96
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $256.65
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$172.26	$827.00	$23.57 – $771.83
Troponin test (heart damage) CPT 84484	$13.72	$142.00	$5.86 – $132.52
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $104.52
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $71.86
Urinalysis, manual, with microscope CPT 81000	$4.42	$84.00	$1.89 – $78.39
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $40.13
Urine culture, colony count CPT 87086	$8.88	$143.00	$3.79 – $133.46
Urine pregnancy test CPT 81025	$9.47	$86.00	$4.05 – $80.26
Vitamin B12 test CPT 82607	$16.59	$146.00	$7.09 – $136.26
Vitamin D test CPT 82306	$32.56	$508.00	$13.91 – $474.11

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$544.70	$2,615.00	$102.06 – $2,452.00
ECG tracing only (no interpretation) CPT 93005	$74.77	$359.00	$3.43 – $335.05
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,017.12	$4,883.00	$104.81 – $4,557.30
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$7.58 – $264.88
Holter monitor, up to 48 hours CPT 93224	not posted		$38.59 – $737.45
Left heart catheterization CPT 93452	$2,939.52	$14,112.00	$473.77 – $21,049.00
Left heart catheterization with coronary angiogram CPT 93458	$6,171.72	$29,629.00	$549.07 – $22,864.69
Nuclear stress test (heart perfusion imaging) CPT 78452	$992.34	$4,764.00	$232.86 – $4,446.24
Treadmill stress test, complete CPT 93015	not posted		$38.21 – $1,032.43

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$4,881.00		$3,266.00 – $24,026.00
Appendix removal, laparoscopic CPT 44970	$4,881.00		$2,963.00 – $13,091.38
Breast biopsy with ultrasound guidance CPT 19083	$4,881.00		$2,323.00 – $4,584.00
Carpal tunnel release CPT 64721	$4,881.00		$2,001.00 – $5,113.00
Colonoscopy with biopsy CPT 45380	$4,881.00		$2,001.00 – $4,584.00
Colonoscopy with polyp removal (snare) CPT 45385	$4,881.00		$2,001.00 – $4,584.00
Colonoscopy, diagnostic CPT 45378	$4,881.00		$2,001.00 – $4,584.00
Colposcopy with biopsy CPT 57454	$4,881.00		$682.56 – $3,280.00
Cystoscopy (bladder scope) CPT 52000	$4,881.00		$1,497.70 – $3,345.00
Ear tubes, under general anesthesia CPT 69436	$4,881.00		$2,323.00 – $4,584.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$4,881.00		$1,519.00 – $3,345.00
Gallbladder removal, laparoscopic CPT 47562	$4,881.00		$3,266.00 – $13,091.38
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$4,881.00		$2,699.00 – $24,026.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$4,881.00		$3,266.00 – $23,361.12
Hysteroscopy with biopsy or polyp removal CPT 58558	$4,881.00		$2,323.00 – $7,134.36
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$4,881.00		$2,963.00 – $13,091.38
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$4,881.00		$2,963.00 – $7,918.64
Kidney stone shock-wave lithotripsy CPT 50590	$4,881.00		$3,266.00 – $9,647.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$4,881.00		$3,266.00 – $24,026.00
Lower colon endoscopy with ultrasound CPT 45391	$4,881.00		$2,001.00 – $4,584.00
Nasal endoscopy, diagnostic CPT 31231	$4,881.00		$435.62 – $3,280.00
Prostate biopsy CPT 55700	$4,881.00	$6,593.00	$126.42 – $6,153.24
Prostate removal, laparoscopic or robotic CPT 55866	$4,881.00		$2,699.00 – $23,361.12
Removal of a breast lump, open surgery CPT 19120	$4,881.00		$2,323.00 – $8,592.30
Rotator cuff repair, arthroscopic CPT 29827	$4,881.00		$3,266.00 – $24,026.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$252.80 – $4,908.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$252.56 – $4,908.00
Septoplasty (nasal septum repair) CPT 30520	$4,881.00		$2,963.00 – $7,276.94
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$4,881.00		$2,626.00 – $24,026.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$4,881.00		$2,699.00 – $35,575.00
Tonsil and adenoid removal, under age 12 CPT 42820	$4,881.00		$2,323.00 – $13,273.80
Total hip replacement CPT 27130	$4,881.00		$2,699.00 – $28,871.08
Total knee replacement CPT 27447	$4,881.00		$2,699.00 – $28,871.08
Upper endoscopy (EGD) with biopsy CPT 43239	$4,881.00		$2,001.00 – $4,584.00
Upper endoscopy (EGD), diagnostic CPT 43235	$4,881.00		$1,519.00 – $4,584.00
Vasectomy CPT 55250	$4,881.00		$2,001.00 – $5,113.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$4,881.00	$3,266.00 – $3,266.00
Fetal non-stress test CPT 59025	$4,881.00	$451.40 – $3,280.00
IUD insertion CPT 58300	$4,881.00	$1,519.00 – $3,280.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$4,881.00	$3,266.00 – $3,266.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$4,881.00	$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	$3,470.00	$2,054.00 – $21,973.00
C-section, without complications MS-DRG 788	$17,010.00	$1,115.00 – $45,932.00
Chest pain MS-DRG 313	$3,470.00	$7,429.47 – $23,149.00
COPD flare-up, with major complications MS-DRG 190	$3,470.00	$5,570.00 – $36,440.00
COPD flare-up, without complications MS-DRG 192	$3,470.00	$5,570.00 – $21,001.00
Fainting (syncope) MS-DRG 312	$3,470.00	$8,888.25 – $28,273.00
Gastrointestinal bleeding, with complications MS-DRG 378	$3,470.00	$5,570.00 – $31,991.00
Heart failure, with major complications MS-DRG 291	$3,470.00	$9,301.00 – $42,339.00
Heart failure, without complications MS-DRG 293	$3,470.00	$5,714.26 – $19,261.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$3,470.00	$6,640.00 – $313,169.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$3,470.00	$6,690.00 – $39,258.00
Irregular heartbeat, without complications MS-DRG 310	$3,470.00	$5,826.73 – $19,261.00
Kidney failure, with complications MS-DRG 683	$3,470.00	$5,570.00 – $28,844.00
Kidney or urinary tract infection, without major complications MS-DRG 690	$3,470.00	$5,570.00 – $26,044.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	$3,470.00	$6,690.00 – $76,820.00
Normal newborn care MS-DRG 795	$1,234.00	$793.00 – $793.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$3,470.00	$5,570.00 – $25,356.00
Pneumonia, with complications MS-DRG 194	$3,470.00	$5,570.00 – $26,608.00
Pneumonia, with major complications MS-DRG 193	$3,470.00	$5,570.00 – $42,758.00
Pneumonia, without complications MS-DRG 195	$3,470.00	$5,570.00 – $20,206.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	$3,470.00	$2,054.00 – $35,109.00
Sepsis, with major complications MS-DRG 871	$3,470.00	$5,570.00 – $63,667.00
Sepsis, without major complications MS-DRG 872	$3,470.00	$5,570.00 – $33,455.00
Skin infection (cellulitis), without major complications MS-DRG 603	$3,470.00	$5,570.00 – $28,581.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$43,104.05 – $105,760.86
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$3,470.00	$5,570.00 – $25,320.00
Stroke, with complications or clot-busting drug MS-DRG 65	$3,470.00	$2,527.00 – $32,997.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$3,470.00	$12,483.47 – $38,897.00
Vaginal delivery, without complications MS-DRG 807	$12,709.00	$1,115.00 – $24,958.00
Weight loss surgery, without complications MS-DRG 621	$3,470.00	$15,223.43 – $43,038.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$4,881.00	$662.36 – $3,280.00
Lower back nerve root injection with imaging guidance CPT 64483	$4,881.00	$1,519.00 – $3,345.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$4,881.00	$1,519.00 – $3,345.00
Lower back spinal injection (epidural), without imaging CPT 62322	$4,881.00	$1,519.00 – $3,345.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$4,881.00	$3,266.00 – $8,576.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$78.62 – $289.16
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$4,881.00	$1,230.98 – $3,345.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$142.68	$685.00	$19.05 – $639.31

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$636.56	$3,056.00	$50.12 – $3,880.00
Sleep study with CPAP titration CPT 95811	$1,857.61	$8,918.00	$350.61 – $8,323.16
Sleep study, overnight in a sleep lab CPT 95810	$1,621.19	$7,783.00	$335.37 – $7,263.87

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$184.76	$887.00	$14.63 – $827.83

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	not posted	$268.00
Physical therapy evaluation, low complexity CPT 97161	not posted	$406.00
Physical therapy evaluation, moderate complexity CPT 97162	not posted	$564.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	not posted	$230.00
Therapeutic activities, 15 minutes CPT 97530	not posted	$275.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$124.77	$599.00	$126.45 – $559.04
Family psychotherapy, without the patient, 50 minutes CPT 90846	$86.86	$417.00	$103.74 – $389.18
Group psychotherapy CPT 90853	$86.02	$413.00	$30.52 – $385.45
Psychiatric diagnostic evaluation CPT 90791	$179.55	$862.00	$180.26 – $804.50
Psychotherapy, 30 minutes CPT 90832	$96.02	$461.00	$88.66 – $430.25
Psychotherapy, 45 minutes CPT 90834	$107.89	$518.00	$100.17 – $483.44
Psychotherapy, 60 minutes CPT 90837	$118.10	$567.00	$90.26 – $529.18

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$93.52	$449.00	$7.89 – $419.05
IV hydration, each additional hour CPT 96361	$97.48	$468.00	$51.77 – $436.78
IV hydration, first hour CPT 96360	$248.91	$1,195.00	$236.38 – $1,115.29
IV push injection of a drug, first CPT 96374	$142.68	$685.00	$19.68 – $639.31
IV push injection, each additional drug CPT 96375	$115.81	$556.00	$8.20 – $518.91

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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