Robert Wood Johnson University Hospital

One Robert Wood Johnson Place, New Brunswick, NJ 08901 · Acute care hospital · Emergency room

These are Robert Wood Johnson University Hospital'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; 192 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	$1,294.09	$6,067.00	$85.90 – $4,581.19
Emergency room visit, level 1 (minor) CPT 99281	$224.39	$1,052.00	$28.39 – $2,945.00
Emergency room visit, level 2 CPT 99282	$458.80	$2,151.00	$50.21 – $2,945.00
Emergency room visit, level 3 (moderate) CPT 99283	$640.96	$3,005.00	$85.39 – $3,681.00
Emergency room visit, level 4 CPT 99284	$668.26	$3,133.00	$123.65 – $3,681.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,102.33	$5,168.00	$701.81 – $3,902.35
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$5,741.00		$484.18 – $3,639.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$83.40	$391.00	$42.02 – $325.31
New patient office visit, about 30 minutes CPT 99203	$123.28	$578.00	$64.24 – $480.89
New patient office visit, about 45 minutes CPT 99204	$148.67	$697.00	$94.65 – $579.90
New patient office visit, about 60 minutes CPT 99205	$172.55	$809.00	$16.54 – $673.08
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $127.08
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $127.08
Office visit, established patient, about 10 to 19 minutes CPT 99212	$99.18	$465.00	$49.06 – $386.88
Office visit, established patient, about 20 to 29 minutes CPT 99213	$109.42	$513.00	$69.66 – $426.81
Office visit, established patient, about 30 to 39 minutes CPT 99214	$120.30	$564.00	$76.59 – $469.24
Office visit, established patient, about 40 to 54 minutes CPT 99215	$141.84	$665.00	$90.30 – $553.28
Office visit, established patient, brief (often a nurse) CPT 99211	$65.05	$305.00	$16.00 – $253.76
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$45.06 – $45.06
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$45.06 – $45.06

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$59.29	$278.00	$13.99 – $231.29
Abdominal X-ray, 1 view CPT 74018	$92.99	$436.00	$26.06 – $362.75
Ankle X-ray, 3 or more views CPT 73610	not posted	$1,438.00
Bone density scan (DEXA), hips and spine CPT 77080	$185.14	$868.00	$31.50 – $722.17
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	$105.37	$494.00	$20.09 – $411.00
Chest X-ray, 2 views CPT 71046	$108.78	$510.00	$30.09 – $424.32
CT angiogram of the chest (checks for lung clots) CPT 71275	$704.10	$3,301.00	$206.56 – $2,746.43
CT angiogram of the head CPT 70496	$556.28	$2,608.00	$184.66 – $2,169.85
CT scan of the abdomen and pelvis, with contrast CPT 74177	$768.94	$3,605.00	$247.07 – $2,999.36
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$970.30	$4,549.00	$142.83 – $3,784.76
CT scan of the abdomen and pelvis, without contrast CPT 74176	$648.43	$3,040.00	$155.96 – $2,529.28
CT scan of the abdomen, without contrast CPT 74150	$426.81	$2,001.00	$123.39 – $1,664.83
CT scan of the chest, with contrast CPT 71260	$864.93	$4,055.00	$143.14 – $3,373.76
CT scan of the chest, without contrast CPT 71250	$624.75	$2,929.00	$121.67 – $2,436.92
CT scan of the head, without contrast CPT 70450	$444.73	$2,085.00	$107.81 – $1,734.72
CT scan of the neck (cervical spine), without contrast CPT 72125	$579.53	$2,717.00	$122.79 – $2,260.54
CT scan of the pelvis, with contrast CPT 72193	$546.68	$2,563.00	$167.43 – $2,132.41
CT scan of the sinuses or face, without contrast CPT 70486	$629.23	$2,950.00	$110.68 – $2,454.40
Diagnostic mammogram, both breasts CPT 77066	$167.01	$783.00	$91.05 – $651.45
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	$638.19	$2,992.00	$85.01 – $2,489.34
Leg or arm vein ultrasound, one side CPT 93971	$810.54	$3,800.00	$123.39 – $3,161.60
Lower back X-ray, 2 or 3 views CPT 72100	$113.68	$533.00	$36.08 – $443.45
MRI of both breasts, without and with contrast CPT 77049	not posted		$38.36 – $1,700.52
MRI of the abdomen, without and with contrast CPT 74183	$968.80	$4,542.00	$246.73 – $3,778.94
MRI of the brain, without and with contrast CPT 70553	$1,074.60	$5,038.00	$278.43 – $4,191.61
MRI of the brain, without contrast CPT 70551	$699.41	$3,279.00	$197.57 – $2,728.12
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	$608.75	$2,854.00	$197.80 – $2,374.52
MRI of the mid back (thoracic spine), without contrast CPT 72146	$639.04	$2,996.00	$199.50 – $2,492.67
MRI of the neck (cervical spine), without contrast CPT 72141	$587.85	$2,756.00	$201.40 – $2,292.99
MRI of the pelvis, without and with contrast CPT 72197	$1,102.97	$5,171.00	$247.68 – $4,302.27
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	$156.77	$735.00	$29.11 – $611.52
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$239.10	$1,121.00	$34.79 – $932.67
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$198.58	$931.00	$61.49 – $774.59
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$158.48	$743.00	$42.02 – $618.17
Screening mammogram, both breasts CPT 77067	$135.23	$634.00	$38.98 – $527.48
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,638.00
Transvaginal pregnancy ultrasound CPT 76817	$166.58	$781.00	$83.94 – $649.79
Transvaginal ultrasound CPT 76830	$228.01	$1,069.00	$82.74 – $889.40
Ultrasound of the abdomen, complete CPT 76700	$232.71	$1,091.00	$61.78 – $907.71
Ultrasound of the neck or thyroid CPT 76536	$236.97	$1,111.00	$40.19 – $924.35
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	$168.08	$788.00	$43.72 – $655.61

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $136.44
Blood culture CPT 87040	$11.35	$229.00	$4.85 – $190.52
Blood draw (venipuncture) CPT 36415	$9.71	$52.00	$1.65 – $43.26
BNP test (heart failure) CPT 83880	$43.19	$314.00	$15.18 – $261.24
C-reactive protein (CRP) test CPT 86140	$5.70	$83.00	$2.43 – $69.05
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$162.00	$16.49 – $142.88
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $121.47
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $84.86
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $272.89
COVID-19 PCR test CPT 87635	$56.44	$150.00	$22.30 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20	$97.00	$4.78 – $80.70
Drug screen, instrument chemistry CPT 80307	$68.35	$168.00	$24.98 – $253.69
Ferritin (iron stores) test CPT 82728	$14.99	$186.00	$6.41 – $154.75
Free T4 (thyroid) test CPT 84439	$9.92	$138.00	$4.24 – $114.81
General health panel (blood tests) CPT 80050	not posted		$7.83 – $161.56
Glucose (blood sugar) test CPT 82947	$4.32	$44.00	$1.85 – $36.60
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$162.00	$16.49 – $142.88
Hemoglobin A1c test CPT 83036	$10.68	$149.00	$4.56 – $123.96
Hepatitis C antibody test CPT 86803	$15.70	$220.00	$6.71 – $183.04
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$134.00	$11.32 – $111.48
Iron test CPT 83540	$7.12	$100.00	$3.04 – $83.20
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $174.72
Lipase test (pancreas) CPT 83690	$7.58	$91.00	$3.24 – $75.71
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $205.50
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $149.76
Magnesium test CPT 83735	$7.37	$104.00	$3.15 – $86.52
Obstetric blood test panel CPT 80055	$52.59	$344.00	$14.94 – $286.20
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $102.33
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$131.00	$7.07 – $108.99
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $77.37
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$4.10 – $163.90
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $265.40
Rapid strep test CPT 87880	$18.18	$81.00	$7.77 – $67.39
Sed rate (ESR) test CPT 85652	$2.97	$51.00	$1.27 – $42.43
TB skin test CPT 86580	$10.45	$49.00	$6.34 – $59.68
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $228.80
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$176.39	$827.00	$23.57 – $688.06
Troponin test (heart damage) CPT 84484	$13.72	$142.00	$4.60 – $118.14
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $93.18
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $64.06
Urinalysis, manual, with microscope CPT 81000	$4.42		$1.97 – $16.02
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $35.77
Urine culture, colony count CPT 87086	$8.88	$143.00	$3.79 – $118.97
Urine pregnancy test CPT 81025	$9.47	$86.00	$4.05 – $71.55
Vitamin B12 test CPT 82607	$16.59	$146.00	$7.09 – $121.47
Vitamin D test CPT 82306	$32.56	$508.00	$13.91 – $422.65

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$557.77	$2,615.00	$89.00 – $2,452.00
ECG tracing only (no interpretation) CPT 93005	$76.57	$359.00	$5.51 – $334.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,041.54	$4,883.00	$96.83 – $4,062.65
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$32.63	$153.00	$4.56 – $334.00
Holter monitor, up to 48 hours CPT 93224	not posted		$13.20 – $369.95
Left heart catheterization CPT 93452	$3,010.08	$14,112.00	$802.78 – $22,517.00
Left heart catheterization with coronary angiogram CPT 93458	$6,319.86	$29,629.00	$784.23 – $23,018.77
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,016.16	$4,764.00	$190.29 – $3,963.64
Treadmill stress test, complete CPT 93015	$358.34	$1,680.00	$14.26 – $1,397.76

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$5,741.00		$8,503.00 – $23,533.00
Appendix removal, laparoscopic CPT 44970	$5,741.00		$5,804.00 – $14,216.41
Breast biopsy with ultrasound guidance CPT 19083	$5,741.00		$3,948.00 – $5,085.00
Carpal tunnel release CPT 64721	$5,741.00		$3,922.00 – $5,671.00
Colonoscopy with biopsy CPT 45380	$5,741.00		$2,873.03 – $5,085.00
Colonoscopy with polyp removal (snare) CPT 45385	$5,741.00		$2,873.03 – $5,085.00
Colonoscopy, diagnostic CPT 45378	$5,741.00		$2,221.55 – $5,085.00
Colposcopy with biopsy CPT 57454	$5,741.00		$741.22 – $3,639.00
Cystoscopy (bladder scope) CPT 52000	$5,741.00		$1,626.41 – $3,710.00
Ear tubes, under general anesthesia CPT 69436	$5,741.00		$3,609.40 – $5,085.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$5,741.00		$2,221.55 – $3,710.00
Gallbladder removal, laparoscopic CPT 47562	$5,741.00		$8,503.00 – $16,006.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$5,741.00		$8,503.00 – $23,533.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$5,741.00		$8,503.00 – $25,368.74
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,741.00		$4,545.00 – $7,747.47
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$5,741.00		$5,804.00 – $14,216.41
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$5,741.00		$5,739.00 – $8,599.16
Kidney stone shock-wave lithotripsy CPT 50590	$5,741.00		$8,404.01 – $16,006.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$5,741.00		$5,739.00 – $23,533.00
Lower colon endoscopy with ultrasound CPT 45391	$5,741.00		$2,873.03 – $5,085.00
Nasal endoscopy, diagnostic CPT 31231	$5,741.00		$473.05 – $3,639.00
Prostate biopsy CPT 55700	$5,741.00	$6,593.00	$63.42 – $5,485.37
Prostate removal, laparoscopic or robotic CPT 55866	$5,741.00		$10,187.00 – $25,368.74
Removal of a breast lump, open surgery CPT 19120	$5,741.00		$4,545.00 – $9,330.70
Rotator cuff repair, arthroscopic CPT 29827	$5,741.00		$8,503.00 – $23,533.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$1,057.88 – $5,244.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$304.08 – $5,244.00
Septoplasty (nasal septum repair) CPT 30520	$5,741.00		$4,565.00 – $7,902.30
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$5,741.00		$2,929.00 – $23,533.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$5,741.00		$22,343.00 – $39,088.00
Tonsil and adenoid removal, under age 12 CPT 42820	$5,741.00		$4,545.00 – $14,414.53
Total hip replacement CPT 27130	$5,741.00		$22,343.00 – $31,352.22
Total knee replacement CPT 27447	$5,741.00		$22,343.00 – $31,352.22
Upper endoscopy (EGD) with biopsy CPT 43239	$5,741.00		$2,284.53 – $5,085.00
Upper endoscopy (EGD), diagnostic CPT 43235	$5,741.00		$2,284.53 – $5,085.00
Vasectomy CPT 55250	$5,741.00		$3,922.00 – $5,671.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$5,741.00
Fetal non-stress test CPT 59025	$5,741.00	$490.18 – $3,639.00
IUD insertion CPT 58300	$5,741.00	$2,750.00 – $3,639.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$5,741.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$5,741.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$4,122.00	$2,832.00 – $24,697.00
C-section, without complications MS-DRG 788	$4,122.00	$8,354.00 – $30,801.00
Chest pain MS-DRG 313	$4,122.00	$5,918.00 – $26,165.00
COPD flare-up, with major complications MS-DRG 190	$4,122.00	$8,354.00 – $34,412.00
COPD flare-up, without complications MS-DRG 192	$4,122.00	$6,648.66 – $19,832.00
Fainting (syncope) MS-DRG 312	$4,122.00	$5,918.00 – $32,318.00
Gastrointestinal bleeding, with complications MS-DRG 378	$4,122.00	$8,354.00 – $30,211.00
Heart failure, with major complications MS-DRG 291	$4,122.00	$8,354.00 – $39,983.00
Heart failure, without complications MS-DRG 293	$4,122.00	$5,636.77 – $17,373.21
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$4,122.00	$5,918.00 – $337,754.15
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$4,122.00	$5,918.00 – $81,390.00
Irregular heartbeat, without complications MS-DRG 310	$4,122.00	$5,370.17 – $17,145.00
Kidney failure, with complications MS-DRG 683	$4,122.00	$8,354.00 – $27,519.44
Kidney or urinary tract infection, without major complications MS-DRG 690	$4,122.00	$7,593.48 – $24,650.80
Neck (cervical) spinal fusion, without complications MS-DRG 473	$4,122.00	$8,354.00 – $85,631.34
Normal newborn care MS-DRG 795	$1,438.00	$2,269.00 – $2,671.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$4,122.00	$7,265.32 – $23,944.00
Pneumonia, with complications MS-DRG 194	$4,122.00	$8,354.00 – $25,127.00
Pneumonia, with major complications MS-DRG 193	$4,122.00	$8,354.00 – $40,527.63
Pneumonia, without complications MS-DRG 195	$4,122.00	$6,396.97 – $19,112.08
Psychoses (inpatient psychiatric stay) MS-DRG 885	$4,122.00	$2,016.00 – $39,462.00
Sepsis, with major complications MS-DRG 871	$4,122.00	$5,918.00 – $84,766.00
Sepsis, without major complications MS-DRG 872	$4,122.00	$5,918.00 – $84,766.00
Skin infection (cellulitis), without major complications MS-DRG 603	$4,122.00	$8,099.79 – $27,027.59
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$38,028.35 – $127,298.58
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$4,122.00	$7,312.20 – $24,000.08
Stroke, with complications or clot-busting drug MS-DRG 65	$4,122.00	$5,918.00 – $62,786.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$4,122.00	$5,918.00 – $40,696.00
Vaginal delivery, without complications MS-DRG 807	$4,122.00	$6,546.96 – $19,931.00
Weight loss surgery, without complications MS-DRG 621	$4,122.00	$5,918.00 – $81,620.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$5,741.00	$719.27 – $3,639.00
Lower back nerve root injection with imaging guidance CPT 64483	$5,741.00	$2,169.34 – $3,710.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$5,741.00	$1,687.43 – $3,710.00
Lower back spinal injection (epidural), without imaging CPT 62322	$5,741.00	$2,169.34 – $3,710.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$5,741.00	$4,565.00 – $14,234.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$62.78 – $314.01
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$5,741.00	$1,336.76 – $4,131.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$146.11	$685.00	$93.02 – $569.92

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$181.54 – $1,705.00
Sleep study with CPAP titration CPT 95811	not posted	$250.88 – $2,479.05
Sleep study, overnight in a sleep lab CPT 95810	not posted	$465.80 – $2,479.05

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$189.19	$887.00	$120.45 – $737.98

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	not posted		$126.45 – $391.50
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$113.94 – $391.50
Group psychotherapy CPT 90853	not posted		$30.52 – $225.39
Psychiatric diagnostic evaluation CPT 90791	$120.08	$563.00	$83.71 – $712.31
Psychotherapy, 30 minutes CPT 90832	$98.33	$461.00	$68.55 – $391.50
Psychotherapy, 45 minutes CPT 90834	$110.48	$518.00	$77.02 – $430.97
Psychotherapy, 60 minutes CPT 90837	$120.94	$567.00	$84.31 – $471.74

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$95.77	$449.00	$7.97 – $373.56
IV hydration, each additional hour CPT 96361	$99.82	$468.00	$44.79 – $389.37
IV hydration, first hour CPT 96360	$254.89	$1,195.00	$8.75 – $994.24
IV push injection of a drug, first CPT 96374	$146.11	$685.00	$10.89 – $569.92
IV push injection, each additional drug CPT 96375	$118.59	$556.00	$11.73 – $462.59

Drugs

Service	Cash price	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	not posted	? – $8.26
Fentanyl injection, per 0.1 mg HCPCS J3010	not posted	? – $191.46
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted	? – $4.87
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	not posted	? – $13.18
Morphine injection, up to 10 mg HCPCS J2270	not posted	$2.26 – $10.28
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted	? – $56.20
Saline IV solution, 1000 ml HCPCS J7030	not posted	$2.02 – $9.74

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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