Trinitas Regional Medical Center

225 Williamson Street, Elizabeth, NJ 07207 · Acute care hospital · Emergency room

These are Trinitas Regional 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; 194 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	$1,044.73	$5,566.00	$144.26 – $4,708.83
Emergency room visit, level 1 (minor) CPT 99281	$197.46	$1,052.00	$5.69 – $1,339.00
Emergency room visit, level 2 CPT 99282	$267.84	$1,427.00	$20.76 – $1,339.00
Emergency room visit, level 3 (moderate) CPT 99283	$424.38	$2,261.00	$36.71 – $1,562.00
Emergency room visit, level 4 CPT 99284	$581.68	$3,099.00	$62.43 – $2,186.00
Emergency room visit, level 5 (most severe) CPT 99285	$817.80	$4,357.00	$90.41 – $2,803.85
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$5,855.00		$434.32 – $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	$73.39	$391.00	$38.57 – $380.75
New patient office visit, about 30 minutes CPT 99203	$108.49	$578.00	$59.34 – $562.85
New patient office visit, about 45 minutes CPT 99204	$130.82	$697.00	$88.72 – $678.73
New patient office visit, about 60 minutes CPT 99205	$151.84	$809.00	$116.90 – $787.80
Office consultation, about 40 minutes CPT 99243	not posted		$64.70 – $65.99
Office consultation, about 60 minutes CPT 99244	not posted		$91.10 – $92.92
Office visit, established patient, about 10 to 19 minutes CPT 99212	$87.28	$465.00	$30.25 – $452.81
Office visit, established patient, about 20 to 29 minutes CPT 99213	$96.29	$513.00	$48.38 – $499.55
Office visit, established patient, about 30 to 39 minutes CPT 99214	$105.86	$564.00	$68.14 – $549.22
Office visit, established patient, about 40 to 54 minutes CPT 99215	$124.82	$665.00	$99.88 – $647.57
Office visit, established patient, brief (often a nurse) CPT 99211	$57.24	$305.00	$12.10 – $297.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$32.95 – $32.95
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$32.95 – $32.95

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$52.18	$278.00	$18.87 – $651.60
Abdominal X-ray, 1 view CPT 74018	$81.83	$436.00	$15.77 – $402.68
Ankle X-ray, 3 or more views CPT 73610	not posted	$958.00
Bone density scan (DEXA), hips and spine CPT 77080	$162.92	$868.00	$28.44 – $3,213.43
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	$92.72	$494.00	$13.32 – $402.68
Chest X-ray, 2 views CPT 71046	$95.72	$510.00	$17.49 – $402.68
CT angiogram of the chest (checks for lung clots) CPT 71275	$753.99	$4,017.00	$136.69 – $2,561.64
CT angiogram of the head CPT 70496	$489.52	$2,608.00	$135.02 – $1,895.45
CT scan of the abdomen and pelvis, with contrast CPT 74177	$676.65	$3,605.00	$161.98 – $2,298.90
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$853.84	$4,549.00	$181.76 – $2,900.89
CT scan of the abdomen and pelvis, without contrast CPT 74176	$570.60	$3,040.00	$96.95 – $1,938.60
CT scan of the abdomen, without contrast CPT 74150	$375.58	$2,001.00	$72.44 – $1,276.03
CT scan of the chest, with contrast CPT 71260	$559.90	$2,983.00	$88.96 – $1,902.25
CT scan of the chest, without contrast CPT 71250	$412.00	$2,195.00	$70.62 – $1,399.75
CT scan of the head, without contrast CPT 70450	$391.35	$2,085.00	$56.31 – $1,329.60
CT scan of the neck (cervical spine), without contrast CPT 72125	$414.62	$2,209.00	$69.14 – $1,408.67
CT scan of the pelvis, with contrast CPT 72193	$481.07	$2,563.00	$121.25 – $1,813.28
CT scan of the sinuses or face, without contrast CPT 70486	$392.66	$2,092.00	$68.25 – $1,334.06
Diagnostic mammogram, both breasts CPT 77066	$146.96	$783.00	$82.47 – $1,152.34
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	$378.77	$2,018.00	$97.68 – $2,625.85
Leg or arm vein ultrasound, one side CPT 93971	not posted	$1,784.00
Lower back X-ray, 2 or 3 views CPT 72100	$100.04	$533.00	$20.82 – $486.33
MRI of both breasts, without and with contrast CPT 77049	$1,020.33	$5,436.00	$183.04 – $4,956.54
MRI of the abdomen, without and with contrast CPT 74183	$852.53	$4,542.00	$180.69 – $2,896.43
MRI of the brain, without and with contrast CPT 70553	$945.63	$5,038.00	$169.89 – $3,212.73
MRI of the brain, without contrast CPT 70551	$615.46	$3,279.00	$104.60 – $2,091.01
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	$535.69	$2,854.00	$101.97 – $1,819.99
MRI of the mid back (thoracic spine), without contrast CPT 72146	$562.34	$2,996.00	$101.44 – $1,910.54
MRI of the neck (cervical spine), without contrast CPT 72141	$517.30	$2,756.00	$101.61 – $1,757.50
MRI of the pelvis, without and with contrast CPT 72197	$954.07	$5,083.00	$179.99 – $3,241.42
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	$100.79	$537.00	$20.64 – $402.68
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$213.60	$1,138.00	$54.72 – $746.10
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$174.74	$931.00	$70.38 – $897.56
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$139.46	$743.00	$60.73 – $719.05
Screening mammogram, both breasts CPT 77067	$119.00	$634.00	$66.58 – $953.13
Shoulder X-ray, 2 or more views CPT 73030	not posted	$1,140.00
Transvaginal pregnancy ultrasound CPT 76817	$146.59	$781.00	$48.00 – $581.30
Transvaginal ultrasound CPT 76830	$200.65	$1,069.00	$62.09 – $876.95
Ultrasound of the abdomen, complete CPT 76700	$204.78	$1,091.00	$48.09 – $797.77
Ultrasound of the neck or thyroid CPT 76536	$209.09	$1,114.00	$57.49 – $852.88
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	$147.90	$788.00	$27.10 – $502.50

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$9.31	$164.00	$3.98 – $104.58
Blood culture CPT 87040	$11.35	$232.00	$4.85 – $147.94
Blood draw (venipuncture) CPT 36415	$9.71	$52.00	$1.65 – $55.45
BNP test (heart failure) CPT 83880	$43.19	$314.00	$18.45 – $239.49
C-reactive protein (CRP) test CPT 86140	$5.70	$83.00	$2.43 – $52.92
Chlamydia test (DNA/NAAT) CPT 87491	$38.60	$253.00	$16.49 – $214.05
Complete blood count (CBC) with differential CPT 85025	$8.55	$146.00	$3.65 – $93.10
Complete blood count (CBC), automated CPT 85027	$7.12	$102.00	$3.04 – $65.04
Comprehensive metabolic panel (blood test) CPT 80053	$11.62	$328.00	$4.96 – $209.16
COVID-19 PCR test CPT 87635	$56.44	$129.00	$21.22 – $312.99
D-dimer test (blood clots) CPT 85379	$11.20	$94.00	$4.78 – $62.10
Drug screen, instrument chemistry CPT 80307	$68.35	$324.00	$29.21 – $379.05
Ferritin (iron stores) test CPT 82728	$14.99	$170.00	$6.41 – $108.40
Free T4 (thyroid) test CPT 84439	$9.92	$154.00	$4.24 – $98.20
General health panel (blood tests) CPT 80050	not posted		$36.72 – $161.56
Glucose (blood sugar) test CPT 82947	$4.32	$46.00	$1.85 – $29.33
Gonorrhea test (DNA/NAAT) CPT 87591	$38.60	$253.00	$16.49 – $214.05
Hemoglobin A1c test CPT 83036	$10.68	$115.00	$4.56 – $73.33
Hepatitis C antibody test CPT 86803	$15.70	$219.00	$6.71 – $139.65
HIV-1/HIV-2 antigen and antibody test CPT 87389	$26.49	$174.00	$11.32 – $146.89
Iron test CPT 83540	$7.12	$90.00	$3.04 – $57.39
Kidney function panel CPT 80069	$9.55	$210.00	$4.08 – $133.91
Lipase test (pancreas) CPT 83690	$7.58	$95.00	$3.24 – $60.58
Lipid panel, cholesterol and triglycerides CPT 80061	$14.73	$247.00	$6.29 – $157.51
Liver function panel CPT 80076	$8.99	$180.00	$3.84 – $114.78
Magnesium test CPT 83735	$7.37	$104.00	$3.15 – $66.32
Obstetric blood test panel CPT 80055	$52.59	$344.00	$22.47 – $291.64
Partial thromboplastin time (PTT), clotting test CPT 85730	$6.61	$123.00	$2.82 – $78.43
Pregnancy blood test (hCG), quantitative CPT 84702	$16.56	$131.00	$7.07 – $91.81
Prothrombin time (PT/INR), clotting test CPT 85610	$4.72	$93.00	$2.02 – $59.30
PSA (prostate specific antigen), free CPT 84154	$20.23	$197.00	$8.64 – $125.62
PSA (prostate specific antigen), total CPT 84153	$20.23	$319.00	$8.64 – $203.42
Rapid strep test CPT 87880	$18.18	$110.00	$7.77 – $100.83
Sed rate (ESR) test CPT 85652	$2.97	$51.00	$1.27 – $32.52
TB skin test CPT 86580	$16.14	$86.00	$8.69 – $111.98
Thyroid stimulating hormone (TSH) CPT 84443	$18.48	$275.00	$7.90 – $175.36
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$80.52	$429.00	$23.57 – $481.00
Troponin test (heart damage) CPT 84484	$13.72	$130.00	$5.86 – $102.96
Urinalysis, automated, with microscope CPT 81001	$3.49	$112.00	$1.49 – $71.42
Urinalysis, automated, without microscope CPT 81003	$2.48	$77.00	$1.06 – $49.10
Urinalysis, manual, with microscope CPT 81000	$4.42		$3.12 – $24.52
Urinalysis, manual, without microscope CPT 81002	$3.83	$43.00	$1.64 – $27.42
Urine culture, colony count CPT 87086	$8.88	$130.00	$3.79 – $82.90
Urine pregnancy test CPT 81025	$9.47	$90.00	$4.05 – $57.39
Vitamin B12 test CPT 82607	$16.59	$148.00	$7.09 – $94.37
Vitamin D test CPT 82306	$32.56	$281.00	$13.91 – $180.56

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$349.30	$1,861.00	$99.14 – $2,625.85
ECG tracing only (no interpretation) CPT 93005	$67.38	$359.00	$3.34 – $470.02
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$772.94	$4,118.00	$101.82 – $4,338.43
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$7.36 – $229.68
Holter monitor, up to 48 hours CPT 93224	not posted		$37.49 – $639.45
Left heart catheterization CPT 93452	$2,648.82	$14,112.00	$460.23 – $14,709.50
Left heart catheterization with coronary angiogram CPT 93458	$4,109.50	$21,894.00	$533.38 – $16,895.59
Nuclear stress test (heart perfusion imaging) CPT 78452	$920.48	$4,904.00	$226.21 – $5,970.29
Treadmill stress test, complete CPT 93015	not posted		$37.12 – $895.23

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$5,855.00		$7,099.00 – $24,027.00
Appendix removal, laparoscopic CPT 44970	$5,855.00		$3,765.00 – $12,752.52
Breast biopsy with ultrasound guidance CPT 19083	$5,855.00		$2,952.00 – $4,523.00
Carpal tunnel release CPT 64721	$5,855.00		$2,543.00 – $5,045.00
Colonoscopy with biopsy CPT 45380	$5,855.00		$2,543.00 – $4,523.00
Colonoscopy with polyp removal (snare) CPT 45385	$5,855.00		$2,543.00 – $4,523.00
Colonoscopy, diagnostic CPT 45378	$5,855.00		$1,992.78 – $4,523.00
Colposcopy with biopsy CPT 57454	$5,855.00		$664.88 – $3,236.00
Cystoscopy (bladder scope) CPT 52000	$5,855.00		$1,458.92 – $3,301.00
Ear tubes, under general anesthesia CPT 69436	$5,855.00		$2,952.00 – $4,523.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$5,855.00		$1,930.00 – $3,301.00
Gallbladder removal, laparoscopic CPT 47562	$5,855.00		$7,099.00 – $12,752.52
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$5,855.00		$7,099.00 – $24,027.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$5,855.00		$7,099.00 – $22,756.42
Hysteroscopy with biopsy or polyp removal CPT 58558	$5,855.00		$2,952.00 – $6,949.68
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$5,855.00		$3,765.00 – $12,752.52
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$5,855.00		$3,765.00 – $7,713.68
Kidney stone shock-wave lithotripsy CPT 50590	$5,855.00		$7,099.00 – $9,647.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$5,855.00		$4,791.00 – $24,027.00
Lower colon endoscopy with ultrasound CPT 45391	$5,855.00		$2,543.00 – $4,523.00
Nasal endoscopy, diagnostic CPT 31231	$5,855.00		$424.34 – $3,236.00
Prostate biopsy CPT 55700	$5,855.00	$6,593.00	$124.14 – $9,368.40
Prostate removal, laparoscopic or robotic CPT 55866	$5,855.00		$8,822.00 – $22,756.42
Removal of a breast lump, open surgery CPT 19120	$5,855.00		$2,952.00 – $8,369.88
Rotator cuff repair, arthroscopic CPT 29827	$5,855.00		$7,099.00 – $24,027.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$245.58 – $4,169.49
Screening colonoscopy, high risk HCPCS G0105	not posted		$245.34 – $4,169.49
Septoplasty (nasal septum repair) CPT 30520	$5,855.00		$3,765.00 – $7,088.58
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$5,855.00		$2,445.00 – $24,027.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$5,855.00		$22,525.00 – $26,500.00
Tonsil and adenoid removal, under age 12 CPT 42820	$5,855.00		$2,952.00 – $12,930.22
Total hip replacement CPT 27130	$5,855.00		$22,525.00 – $28,123.78
Total knee replacement CPT 27447	$5,855.00		$22,525.00 – $28,123.78
Upper endoscopy (EGD) with biopsy CPT 43239	$5,855.00		$2,049.28 – $4,523.00
Upper endoscopy (EGD), diagnostic CPT 43235	$5,855.00		$1,930.00 – $4,523.00
Vasectomy CPT 55250	$5,855.00		$2,543.00 – $5,045.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$5,855.00
Fetal non-stress test CPT 59025	$5,855.00	$439.70 – $3,236.00
IUD insertion CPT 58300	$5,855.00	$1,930.00 – $3,236.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	$5,855.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	$5,855.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	$2,726.00	$2,266.00 – $17,581.00
C-section, without complications MS-DRG 788	$2,726.00	$7,185.00 – $27,400.00
Chest pain MS-DRG 313	$2,726.00	$3,793.00 – $19,039.93
COPD flare-up, with major complications MS-DRG 190	$2,726.00	$3,287.00 – $29,971.75
COPD flare-up, without complications MS-DRG 192	$2,726.00	$3,287.00 – $17,273.12
Fainting (syncope) MS-DRG 312	$2,726.00	$3,793.00 – $23,254.13
Gastrointestinal bleeding, with complications MS-DRG 378	$2,726.00	$3,287.00 – $26,312.69
Heart failure, with major complications MS-DRG 291	$2,726.00	$3,793.00 – $34,823.81
Heart failure, without complications MS-DRG 293	$2,726.00	$3,793.00 – $14,644.25
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	$2,726.00	$3,793.00 – $257,578.21
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	$2,726.00	$3,699.00 – $47,391.00
Irregular heartbeat, without complications MS-DRG 310	$2,726.00	$3,793.00 – $14,932.50
Kidney failure, with complications MS-DRG 683	$2,726.00	$3,287.00 – $23,723.85
Kidney or urinary tract infection, without major complications MS-DRG 690	$2,726.00	$3,287.00 – $21,420.59
Neck (cervical) spinal fusion, without complications MS-DRG 473	$2,726.00	$3,699.00 – $63,183.54
Normal newborn care MS-DRG 795	$1,589.00	$1,328.00 – $1,328.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	$2,726.00	$3,287.00 – $20,854.78
Pneumonia, with complications MS-DRG 194	$2,726.00	$3,287.00 – $21,884.98
Pneumonia, with major complications MS-DRG 193	$2,726.00	$3,287.00 – $35,168.10
Pneumonia, without complications MS-DRG 195	$2,726.00	$3,287.00 – $16,619.24
Psychoses (inpatient psychiatric stay) MS-DRG 885	$2,726.00	$2,266.00 – $28,092.00
Sepsis, with major complications MS-DRG 871	$2,726.00	$3,287.00 – $52,366.49
Sepsis, without major complications MS-DRG 872	$2,726.00	$3,287.00 – $27,516.36
Skin infection (cellulitis), without major complications MS-DRG 603	$2,726.00	$3,287.00 – $23,507.67
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$32,209.00 – $56,006.11
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	$2,726.00	$3,287.00 – $20,825.43
Stroke, with complications or clot-busting drug MS-DRG 65	$2,726.00	$3,287.00 – $27,140.04
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	$2,726.00	$3,699.00 – $31,992.10
Vaginal delivery, without complications MS-DRG 807	$11,761.00	$4,898.00 – $17,730.00
Weight loss surgery, without complications MS-DRG 621	$2,726.00	$3,699.00 – $43,329.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$5,855.00	$645.22 – $3,236.00
Lower back nerve root injection with imaging guidance CPT 64483	$5,855.00	$1,930.00 – $3,301.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$5,855.00	$1,513.68 – $3,301.00
Lower back spinal injection (epidural), without imaging CPT 62322	$5,855.00	$1,930.00 – $3,301.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$5,855.00	$3,811.00 – $8,576.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$76.38 – $589.36
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	$5,855.00	$1,199.10 – $3,301.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$18.50 – $715.52

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$524.24	$2,793.00	$48.68 – $7,870.00
Sleep study with CPAP titration CPT 95811	$1,673.90	$8,918.00	$340.59 – $7,870.00
Sleep study, overnight in a sleep lab CPT 95810	$1,460.86	$7,783.00	$325.79 – $7,870.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	not posted		$14.21 – $715.52

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	$112.43	$599.00	$98.53 – $734.77
Family psychotherapy, without the patient, 50 minutes CPT 90846	$78.27	$417.00	$68.59 – $734.77
Group psychotherapy CPT 90853	$68.32	$364.00	$30.52 – $423.02
Psychiatric diagnostic evaluation CPT 90791	$161.04	$858.00	$22.58 – $835.52
Psychotherapy, 30 minutes CPT 90832	$86.52	$461.00	$75.83 – $734.77
Psychotherapy, 45 minutes CPT 90834	$97.22	$518.00	$85.21 – $734.77
Psychotherapy, 60 minutes CPT 90837	$106.42	$567.00	$90.26 – $734.77

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$61.56	$328.00	$7.66 – $325.48
IV hydration, each additional hour CPT 96361	$59.31	$316.00	$6.40 – $331.00
IV hydration, first hour CPT 96360	$177.56	$946.00	$16.84 – $963.55
IV push injection of a drug, first CPT 96374	$105.48	$562.00	$19.11 – $963.55
IV push injection, each additional drug CPT 96375	$97.60	$520.00	$7.97 – $506.37

Drugs

Service	Cash price	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	not posted	? – $13.23
Fentanyl injection, per 0.1 mg HCPCS J3010	not posted	? – $1.05
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted	$3.80 – $4.87
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	not posted	? – $3.43
Morphine injection, up to 10 mg HCPCS J2270	not posted	$1.65 – $5.34
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	not posted	? – $1.25
Saline IV solution, 1000 ml HCPCS J7030	not posted	$1.99 – $7.28

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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