Robert Wood Johnson University Hospital - Somerset

110 Rehill Ave, Somerville, NJ 08876 · Acute care hospital · Emergency room

These are Robert Wood Johnson University Hospital - Somerset'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; 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	$931.52	$5,512.00	$152.74 – $3,339.00
Emergency room visit, level 1 (minor) CPT 99281	$154.63	$915.00	$6.03 – $2,409.00
Emergency room visit, level 2 CPT 99282	$266.17	$1,575.00	$21.98 – $2,962.00
Emergency room visit, level 3 (moderate) CPT 99283	$410.33	$2,428.00	$38.87 – $2,962.00
Emergency room visit, level 4 CPT 99284	$531.50	$3,145.00	$66.11 – $3,339.00
Emergency room visit, level 5 (most severe) CPT 99285	$864.77	$5,117.00	$95.73 – $3,339.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$6,311.00		$380.03 – $9,057.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$66.07	$391.00	$40.83 – $357.68
New patient office visit, about 30 minutes CPT 99203	$97.68	$578.00	$62.83 – $528.75
New patient office visit, about 45 minutes CPT 99204	$117.79	$697.00	$93.94 – $637.61
New patient office visit, about 60 minutes CPT 99205	$136.72	$809.00	$116.90 – $740.07
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $69.88
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $98.39
Office visit, established patient, about 10 to 19 minutes CPT 99212	$78.58	$465.00	$32.03 – $425.38
Office visit, established patient, about 20 to 29 minutes CPT 99213	$86.69	$513.00	$51.22 – $469.29
Office visit, established patient, about 30 to 39 minutes CPT 99214	$95.31	$564.00	$72.14 – $515.94
Office visit, established patient, about 40 to 54 minutes CPT 99215	$112.38	$665.00	$96.09 – $608.34
Office visit, established patient, brief (often a nurse) CPT 99211	$51.54	$305.00	$12.81 – $279.01
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$34.88 – $34.88
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$34.88 – $34.88

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$56.44	$334.00	$13.99 – $305.54
Abdominal X-ray, 1 view CPT 74018	$86.35	$511.00	$16.70 – $467.46
Ankle X-ray, 3 or more views CPT 73610	not posted	$1,588.00
Bone density scan (DEXA), hips and spine CPT 77080	$184.54	$1,092.00	$30.11 – $998.96
Breast ultrasound, one breast, complete CPT 76641	not posted	$2,928.00
Breast ultrasound, one breast, limited CPT 76642	not posted	$1,762.00
Chest X-ray, 1 view CPT 71045	$71.99	$426.00	$14.10 – $389.70
Chest X-ray, 2 views CPT 71046	$83.31	$493.00	$18.52 – $450.99
CT angiogram of the chest (checks for lung clots) CPT 71275	$680.73	$4,028.00	$144.73 – $3,684.81
CT angiogram of the head CPT 70496	$440.75	$2,608.00	$142.96 – $2,385.79
CT scan of the abdomen and pelvis, with contrast CPT 74177	$609.24	$3,605.00	$171.50 – $3,297.85
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$768.78	$4,549.00	$192.46 – $4,161.42
CT scan of the abdomen and pelvis, without contrast CPT 74176	$513.76	$3,040.00	$102.65 – $2,780.99
CT scan of the abdomen, without contrast CPT 74150	$320.25	$1,895.00	$76.70 – $1,733.54
CT scan of the chest, with contrast CPT 71260	$720.10	$4,261.00	$94.20 – $3,897.96
CT scan of the chest, without contrast CPT 71250	$567.50	$3,358.00	$74.78 – $3,071.89
CT scan of the head, without contrast CPT 70450	$352.36	$2,085.00	$59.63 – $1,907.35
CT scan of the neck (cervical spine), without contrast CPT 72125	$638.65	$3,779.00	$73.20 – $3,457.02
CT scan of the pelvis, with contrast CPT 72193	$433.14	$2,563.00	$128.38 – $2,344.63
CT scan of the sinuses or face, without contrast CPT 70486	$551.78	$3,265.00	$72.26 – $2,986.82
Diagnostic mammogram, both breasts CPT 77066	$132.32	$783.00	$87.32 – $716.28
Diagnostic mammogram, one breast CPT 77065	not posted	$619.00
Foot X-ray, 3 or more views CPT 73630	not posted	$1,648.00
Hand X-ray, 3 or more views CPT 73130	not posted	$1,732.00
Knee X-ray, 3 views CPT 73562	not posted	$1,528.00
Leg or arm vein ultrasound, both sides CPT 93970	$468.63	$2,773.00	$103.42 – $2,536.74
Leg or arm vein ultrasound, one side CPT 93971	$305.21	$1,806.00	$65.82 – $1,652.12
Lower back X-ray, 2 or 3 views CPT 72100	$90.07	$533.00	$22.04 – $487.58
MRI of both breasts, without and with contrast CPT 77049	not posted		$193.81 – $1,307.63
MRI of the abdomen, without and with contrast CPT 74183	$745.79	$4,413.00	$191.32 – $4,037.01
MRI of the brain, without and with contrast CPT 70553	$851.42	$5,038.00	$179.88 – $4,608.76
MRI of the brain, without contrast CPT 70551	$554.15	$3,279.00	$110.75 – $2,999.62
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	$482.32	$2,854.00	$107.97 – $2,917.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$506.32	$2,996.00	$107.41 – $2,917.00
MRI of the neck (cervical spine), without contrast CPT 72141	$465.76	$2,756.00	$107.59 – $2,917.00
MRI of the pelvis, without and with contrast CPT 72197	$887.75	$5,253.00	$190.58 – $4,805.44
MRI of the shoulder or other arm joint, without contrast CPT 73221	not posted	$5,654.00
Neck X-ray, 2 or 3 views CPT 72040	$119.65	$708.00	$21.86 – $647.67
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$224.93	$1,331.00	$57.94 – $1,217.59
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$157.33	$931.00	$74.52 – $960.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$125.56	$743.00	$64.30 – $960.00
Screening mammogram, both breasts CPT 77067	$107.14	$634.00	$70.49 – $579.98
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,656.00
Transvaginal pregnancy ultrasound CPT 76817	$169.67	$1,004.00	$50.82 – $960.00
Transvaginal ultrasound CPT 76830	$180.66	$1,069.00	$65.74 – $977.92
Ultrasound of the abdomen, complete CPT 76700	$184.37	$1,091.00	$63.94 – $998.04
Ultrasound of the neck or thyroid CPT 76536	$229.84	$1,360.00	$60.87 – $1,244.12
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	$133.17	$788.00	$28.70 – $720.86

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $150.02
Blood culture CPT 87040	$11.35	$247.00	$4.85 – $225.95
Blood draw (venipuncture) CPT 36415	$9.71	$72.00	$1.65 – $65.86
BNP test (heart failure) CPT 83880	$43.19	$465.00	$18.45 – $425.38
C-reactive protein (CRP) test CPT 86140	$5.70	$145.00	$2.43 – $132.64
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$284.00	$16.49 – $259.80
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $133.56
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $93.30
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $300.05
COVID-19 PCR test CPT 87635	$56.44	$150.00	$23.73 – $209.62
D-dimer test (blood clots) CPT 85379	$11.20	$121.00	$4.78 – $110.69
Drug screen, instrument chemistry CPT 80307	$68.35	$218.00	$29.21 – $253.69
Ferritin (iron stores) test CPT 82728	$14.99	$246.00	$6.41 – $225.04
Free T4 (thyroid) test CPT 84439	$9.92	$179.00	$4.24 – $163.74
General health panel (blood tests) CPT 80050	not posted		$38.88 – $161.56
Glucose (blood sugar) test CPT 82947	$4.32	$64.00	$1.85 – $58.54
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$290.00	$16.49 – $265.29
Hemoglobin A1c test CPT 83036	$10.68	$242.00	$4.56 – $221.38
Hepatitis C antibody test CPT 86803	$15.70	$267.00	$6.71 – $244.25
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$100.00	$11.32 – $98.81
Iron test CPT 83540	$7.12	$155.00	$3.04 – $141.79
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $192.10
Lipase test (pancreas) CPT 83690	$7.58	$148.00	$3.24 – $135.39
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $225.95
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $164.66
Magnesium test CPT 83735	$7.37	$121.00	$3.15 – $110.69
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $314.69
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $112.52
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$369.00	$7.07 – $337.56
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $85.07
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $180.21
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $291.82
Rapid strep test CPT 87880	$18.18	$110.00	$7.77 – $100.62
Sed rate (ESR) test CPT 85652	$2.97	$48.00	$1.27 – $43.91
TB skin test CPT 86580	not posted		$6.34 – $53.25
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $251.57
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$138.41	$819.00	$23.57 – $749.22
Troponin test (heart damage) CPT 84484	$13.72	$237.00	$5.86 – $216.80
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $102.45
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $70.43
Urinalysis, manual, with microscope CPT 81000	$4.42	$84.00	$1.89 – $76.84
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $39.33
Urine culture, colony count CPT 87086	$8.88	$257.00	$3.79 – $235.10
Urine pregnancy test CPT 81025	$9.47	$153.00	$4.05 – $139.96
Vitamin B12 test CPT 82607	$16.59	$277.00	$7.09 – $253.39
Vitamin D test CPT 82306	$32.56	$411.00	$13.91 – $375.98

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$370.11	$2,190.00	$104.98 – $2,003.41
ECG tracing only (no interpretation) CPT 93005	$60.67	$359.00	$3.53 – $328.41
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$780.10	$4,616.00	$107.81 – $4,222.71
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$7.80 – $132.88
Holter monitor, up to 48 hours CPT 93224	not posted		$39.69 – $369.95
Left heart catheterization CPT 93452	$2,384.92	$14,112.00	$487.31 – $20,471.00
Left heart catheterization with coronary angiogram CPT 93458	$3,619.13	$21,415.00	$564.75 – $20,471.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$1,542.46	$9,127.00	$239.51 – $8,349.37
Treadmill stress test, complete CPT 93015	not posted		$39.30 – $517.93

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$6,311.00		$9,057.00 – $22,013.00
Appendix removal, laparoscopic CPT 44970	$6,311.00		$5,854.00 – $13,407.00
Breast biopsy with ultrasound guidance CPT 19083	$6,311.00		$3,098.78 – $9,057.00
Carpal tunnel release CPT 64721	$6,311.00		$3,420.00 – $9,057.00
Colonoscopy with biopsy CPT 45380	$6,311.00		$2,255.03 – $9,057.00
Colonoscopy with polyp removal (snare) CPT 45385	$6,311.00		$2,255.03 – $9,057.00
Colonoscopy, diagnostic CPT 45378	$6,311.00		$1,743.68 – $9,057.00
Colposcopy with biopsy CPT 57454	$6,311.00		$581.77 – $9,057.00
Cystoscopy (bladder scope) CPT 52000	$6,311.00		$1,276.56 – $9,057.00
Ear tubes, under general anesthesia CPT 69436	$6,311.00		$2,833.01 – $9,057.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$6,311.00		$1,743.68 – $9,057.00
Gallbladder removal, laparoscopic CPT 47562	$6,311.00		$9,057.00 – $13,407.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$6,311.00		$9,057.00 – $20,900.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$6,311.00		$9,057.00 – $19,911.87
Hysteroscopy with biopsy or polyp removal CPT 58558	$6,311.00		$3,963.00 – $9,057.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$6,311.00		$5,854.00 – $13,407.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$6,311.00		$5,599.00 – $9,057.00
Kidney stone shock-wave lithotripsy CPT 50590	$6,311.00		$6,596.29 – $13,407.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$6,311.00		$5,599.00 – $22,013.00
Lower colon endoscopy with ultrasound CPT 45391	$6,311.00		$2,255.03 – $9,057.00
Nasal endoscopy, diagnostic CPT 31231	$6,311.00		$371.30 – $9,057.00
Prostate biopsy CPT 55700	$6,311.00	$6,593.00	$63.42 – $9,057.00
Prostate removal, laparoscopic or robotic CPT 55866	$6,311.00		$9,057.00 – $19,911.87
Removal of a breast lump, open surgery CPT 19120	$6,311.00		$3,963.00 – $9,057.00
Rotator cuff repair, arthroscopic CPT 29827	$6,311.00		$9,057.00 – $22,013.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$260.02 – $5,486.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$259.77 – $5,486.00
Septoplasty (nasal septum repair) CPT 30520	$6,311.00		$5,599.00 – $9,057.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$6,311.00		$3,392.00 – $22,013.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$6,311.00		$9,057.00 – $25,466.00
Tonsil and adenoid removal, under age 12 CPT 42820	$6,311.00		$3,963.00 – $11,313.94
Total hip replacement CPT 27130	$6,311.00		$9,057.00 – $24,608.31
Total knee replacement CPT 27447	$6,311.00		$9,057.00 – $24,608.31
Upper endoscopy (EGD) with biopsy CPT 43239	$6,311.00		$1,793.12 – $9,057.00
Upper endoscopy (EGD), diagnostic CPT 43235	$6,311.00		$1,793.12 – $9,057.00
Vasectomy CPT 55250	$6,311.00		$3,420.00 – $9,057.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$6,311.00	$9,057.00 – $9,057.00
Fetal non-stress test CPT 59025	$6,311.00	$384.74 – $9,057.00
IUD insertion CPT 58300	$6,311.00	$2,363.00 – $9,057.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$6,311.00	$9,057.00 – $9,057.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$6,311.00	$9,057.00 – $9,057.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$2,486.00	$3,325.00 – $21,834.00
C-section, without complications MS-DRG 788	$2,486.00	$7,500.16 – $32,216.00
Chest pain MS-DRG 313	$2,486.00	$4,673.23 – $25,405.60
COPD flare-up, with major complications MS-DRG 190	$2,486.00	$6,377.00 – $39,992.28
COPD flare-up, without complications MS-DRG 192	$2,486.00	$4,633.92 – $23,048.09
Fainting (syncope) MS-DRG 312	$2,486.00	$5,335.72 – $31,028.74
Gastrointestinal bleeding, with complications MS-DRG 378	$2,486.00	$6,377.00 – $35,109.87
Heart failure, with major complications MS-DRG 291	$2,486.00	$7,801.00 – $46,466.54
Heart failure, without complications MS-DRG 293	$2,486.00	$4,281.29 – $19,540.30
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$2,486.00	$7,801.00 – $343,694.97
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$2,486.00	$8,802.00 – $71,288.87
Irregular heartbeat, without complications MS-DRG 310	$2,486.00	$3,654.65 – $19,924.91
Kidney failure, with complications MS-DRG 683	$2,486.00	$5,862.93 – $31,655.51
Kidney or urinary tract infection, without major complications MS-DRG 690	$2,486.00	$5,166.92 – $28,582.19
Neck (cervical) spinal fusion, without complications MS-DRG 473	$2,486.00	$8,802.00 – $84,307.85
Normal newborn care MS-DRG 795	$819.00	$2,189.00 – $2,189.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$2,486.00	$4,943.78 – $27,827.22
Pneumonia, with complications MS-DRG 194	$2,486.00	$5,806.28 – $29,201.84
Pneumonia, with major complications MS-DRG 193	$2,486.00	$6,377.00 – $46,925.93
Pneumonia, without complications MS-DRG 195	$2,486.00	$4,457.03 – $22,175.59
Psychoses (inpatient psychiatric stay) MS-DRG 885	$2,486.00	$2,334.00 – $34,888.00
Sepsis, with major complications MS-DRG 871	$2,486.00	$6,377.00 – $69,874.31
Sepsis, without major complications MS-DRG 872	$2,486.00	$6,377.00 – $36,715.97
Skin infection (cellulitis), without major complications MS-DRG 603	$2,486.00	$5,511.46 – $31,367.05
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$25,877.37 – $104,831.76
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$2,486.00	$4,976.15 – $27,788.04
Stroke, with complications or clot-busting drug MS-DRG 65	$2,486.00	$6,377.00 – $36,213.84
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$2,486.00	$7,504.69 – $42,688.10
Vaginal delivery, without complications MS-DRG 807	$2,486.00	$5,283.36 – $18,299.00
Weight loss surgery, without complications MS-DRG 621	$2,486.00	$8,802.00 – $48,862.13

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$6,311.00	$564.57 – $9,057.00
Lower back nerve root injection with imaging guidance CPT 64483	$6,311.00	$1,702.72 – $9,057.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$6,311.00	$1,324.47 – $9,057.00
Lower back spinal injection (epidural), without imaging CPT 62322	$6,311.00	$1,702.72 – $9,057.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$6,311.00	$4,361.98 – $12,048.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$64.93 – $280.27
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$6,311.00	$1,049.21 – $9,057.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$134.01	$793.00	$19.59 – $902.00

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$383.46	$2,269.00	$51.55 – $4,313.00
Sleep study with CPAP titration CPT 95811	$1,507.14	$8,918.00	$360.62 – $8,158.18
Sleep study, overnight in a sleep lab CPT 95810	$1,315.32	$7,783.00	$344.95 – $7,119.88

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$139.93	$828.00	$15.04 – $757.45

Therapy

Service	Cash price	Gross charge
Manual therapy, 15 minutes CPT 97140	not posted	$248.00
Physical therapy evaluation, low complexity CPT 97161	not posted	$517.00
Physical therapy evaluation, moderate complexity CPT 97162	not posted	$565.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	not posted	$230.00
Therapeutic activities, 15 minutes CPT 97530	not posted	$221.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$113.73	$673.00	$100.00 – $615.66
Family psychotherapy, without the patient, 50 minutes CPT 90846	$90.92	$538.00	$79.94 – $492.16
Group psychotherapy CPT 90853	$110.52	$654.00	$30.52 – $598.27
Psychiatric diagnostic evaluation CPT 90791	$154.46	$914.00	$135.82 – $836.12
Psychotherapy, 30 minutes CPT 90832	$92.44	$547.00	$81.28 – $500.39
Psychotherapy, 45 minutes CPT 90834	$102.41	$606.00	$90.05 – $554.36
Psychotherapy, 60 minutes CPT 90837	$122.52	$725.00	$90.26 – $663.23

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$81.96	$485.00	$7.97 – $443.67
IV hydration, each additional hour CPT 96361	$128.10	$758.00	$6.77 – $693.41
IV hydration, first hour CPT 96360	$246.90	$1,461.00	$17.83 – $1,336.52
IV push injection of a drug, first CPT 96374	$125.90	$745.00	$20.24 – $681.52
IV push injection, each additional drug CPT 96375	$98.86	$585.00	$8.43 – $647.00

Drugs

Service	Cash price	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	not posted	? – $14.01
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	? – $3.29
Morphine injection, up to 10 mg HCPCS J2270	not posted	$1.75 – $5.22
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted	? – $1.33
Saline IV solution, 1000 ml HCPCS J7030	not posted	$2.02 – $7.71

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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