Brooklyn Hospital Center - Downtown Campus

121 Dekalb Avenue, Brooklyn, NY 11201 · Acute care hospital · Emergency room

These are Brooklyn Hospital Center - Downtown Campus's own posted figures from its standard-charges file dated July 27, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

216 of the services we track have a posted price here; 187 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	$3,966.64	$3,966.64	$572.00 – $2,052.14
Emergency room visit, level 1 (minor) CPT 99281	$2,143.38	$2,143.38	$83.79 – $1,570.00
Emergency room visit, level 2 CPT 99282	$2,443.59	$2,443.59	$152.58 – $1,570.00
Emergency room visit, level 3 (moderate) CPT 99283	$2,851.20	$2,851.20	$271.26 – $1,570.00
Emergency room visit, level 4 CPT 99284	$3,069.94	$3,069.94	$414.65 – $1,570.00
Emergency room visit, level 5 (most severe) CPT 99285	$3,288.65	$3,288.65	$572.00 – $1,570.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$1,172.52	$1,172.52	$199.38 – $1,570.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$766.38	$766.38	$36.55 – $926.00
New patient office visit, about 30 minutes CPT 99203	$800.98	$800.98	$64.07 – $926.00
New patient office visit, about 45 minutes CPT 99204	$911.76	$911.76	$104.58 – $926.00
New patient office visit, about 60 minutes CPT 99205	$1,185.29	$1,185.29	$143.95 – $926.00
Office consultation, about 40 minutes CPT 99243	$571.86	$571.86	$413.00 – $926.00
Office consultation, about 60 minutes CPT 99244	$453.46	$453.46	$413.00 – $926.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	$730.70	$730.70	$27.72 – $926.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$683.82	$683.82	$51.02 – $926.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$729.40	$729.40	$75.11 – $926.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$877.81	$877.81	$111.79 – $926.00
Office visit, established patient, brief (often a nurse) CPT 99211	$678.49	$678.49	$6.78 – $926.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$628.68	$628.68	$413.00 – $926.00
Preventive checkup, new patient, age 40 to 64 CPT 99386	$628.68	$628.68	$413.00 – $926.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$241.76	$241.76	$24.57 – $61.42
Abdominal X-ray, 1 view CPT 74018	$335.77	$335.77	$86.48 – $216.20
Ankle X-ray, 3 or more views CPT 73610	$935.88	$935.88	$86.48 – $216.20
Bone density scan (DEXA), hips and spine CPT 77080	$1,259.87	$1,259.87	$103.89 – $259.72
Breast ultrasound, one breast, complete CPT 76641	$845.62	$845.62	$103.89 – $704.00
Breast ultrasound, one breast, limited CPT 76642	$845.62	$845.62	$86.48 – $704.00
Chest X-ray, 1 view CPT 71045	$335.77	$335.77	$86.48 – $216.20
Chest X-ray, 2 views CPT 71046	$335.77	$335.77	$86.48 – $216.20
CT angiogram of the chest (checks for lung clots) CPT 71275	$4,679.33	$4,679.33	$174.30 – $2,421.00
CT angiogram of the head CPT 70496	$3,108.95	$3,108.95	$174.30 – $2,421.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$6,264.45	$6,264.45	$346.69 – $866.72
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$7,023.80	$7,023.80	$346.69 – $866.72
CT scan of the abdomen and pelvis, without contrast CPT 74176	$5,208.65	$5,208.65	$237.10 – $633.00
CT scan of the abdomen, without contrast CPT 74150	$3,407.65	$3,407.65	$103.89 – $633.00
CT scan of the chest, with contrast CPT 71260	$3,164.70	$3,164.70	$174.30 – $633.00
CT scan of the chest, without contrast CPT 71250	$3,103.14	$3,103.14	$103.89 – $633.00
CT scan of the head, without contrast CPT 70450	$2,999.68	$2,999.68	$103.89 – $633.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,661.71	$1,661.71	$103.89 – $633.00
CT scan of the pelvis, with contrast CPT 72193	$3,849.88	$3,849.88	$174.30 – $633.00
CT scan of the sinuses or face, without contrast CPT 70486	$2,650.08	$2,650.08	$103.89 – $633.00
Diagnostic mammogram, both breasts CPT 77066	$1,164.90	$1,164.90	$41.27 – $103.18
Diagnostic mammogram, one breast CPT 77065	$672.81	$672.81	$33.58 – $83.96
Foot X-ray, 3 or more views CPT 73630	$1,086.09	$1,086.09	$86.48 – $216.20
Hand X-ray, 3 or more views CPT 73130	$1,326.86	$1,326.86	$86.48 – $216.20
Knee X-ray, 3 views CPT 73562	$862.61	$862.61	$86.48 – $216.20
Leg or arm vein ultrasound, both sides CPT 93970	$2,157.31	$2,157.31	$237.10 – $1,067.00
Leg or arm vein ultrasound, one side CPT 93971	$1,359.48	$1,359.48	$103.89 – $1,067.00
Lower back X-ray, 2 or 3 views CPT 72100	$921.09	$921.09	$103.89 – $259.72
MRI of both breasts, without and with contrast CPT 77049	$1,697.60	$1,697.60	$94.03 – $3,157.00
MRI of the abdomen, without and with contrast CPT 74183	$10,346.77	$10,346.77	$346.69 – $3,157.00
MRI of the brain, without and with contrast CPT 70553	$11,733.23	$11,733.23	$346.69 – $1,636.00
MRI of the brain, without contrast CPT 70551	$6,898.42	$6,898.42	$237.10 – $3,157.00
MRI of the knee or other leg joint, without contrast CPT 73721	$4,379.70	$4,379.70	$237.10 – $3,157.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$7,440.93	$7,440.93	$237.10 – $3,157.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$7,700.15	$7,700.15	$237.10 – $3,157.00
MRI of the neck (cervical spine), without contrast CPT 72141	$7,554.56	$7,554.56	$237.10 – $3,157.00
MRI of the pelvis, without and with contrast CPT 72197	$9,373.63	$9,373.63	$346.69 – $3,157.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$11,304.37	$11,304.37	$237.10 – $3,157.00
Neck X-ray, 2 or 3 views CPT 72040	$750.88	$750.88	$86.48 – $216.20
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,536.83	$1,536.83	$103.89 – $704.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$703.88	$703.88	$103.89 – $704.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,927.17	$1,927.17	$103.89 – $704.00
Screening mammogram, both breasts CPT 77067	$716.85	$716.85	$31.11 – $77.78
Shoulder X-ray, 2 or more views CPT 73030	$938.34	$938.34	$86.48 – $216.20
Transvaginal pregnancy ultrasound CPT 76817	$1,516.37	$1,516.37	$103.89 – $704.00
Transvaginal ultrasound CPT 76830	$1,588.39	$1,588.39	$103.89 – $704.00
Ultrasound of the abdomen, complete CPT 76700	$1,828.68	$1,828.68	$103.89 – $704.00
Ultrasound of the neck or thyroid CPT 76536	$16,411.36	$16,411.36	$103.89 – $7,319.00
Wrist X-ray, 3 or more views CPT 73110	$453.89	$453.89	$86.48 – $216.20
X-ray of the lower back, 4 or more views CPT 72110	$1,169.86	$1,169.86	$103.89 – $259.72

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$920.70	$920.70	$6.77 – $16.92
Blood culture CPT 87040	$320.95	$320.95	$8.26 – $20.64
Blood draw (venipuncture) CPT 36415	$218.80	$218.80	$7.47 – $2,785.00
BNP test (heart failure) CPT 83880	$454.14	$454.14	$31.41 – $78.52
Chlamydia test (DNA/NAAT) CPT 87491	$1,110.00	$1,110.00	$28.07 – $70.18
Complete blood count (CBC) with differential CPT 85025	$360.16	$360.16	$6.22 – $15.54
Complete blood count (CBC), automated CPT 85027	$173.93	$173.93	$5.18 – $12.94
Comprehensive metabolic panel (blood test) CPT 80053	$487.63	$487.63	$8.45 – $21.12
COVID-19 PCR test CPT 87635	$192.51	$192.51	$41.05 – $102.62
D-dimer test (blood clots) CPT 85379	$250.20	$250.20	$8.14 – $20.36
Drug screen, instrument chemistry CPT 80307	$310.72	$310.72	$49.71 – $124.28
Ferritin (iron stores) test CPT 82728	$450.62	$450.62	$10.90 – $27.26
Free T4 (thyroid) test CPT 84439	$429.57	$429.57	$7.22 – $18.04
Glucose (blood sugar) test CPT 82947	$155.45	$155.45	$3.14 – $7.86
Gonorrhea test (DNA/NAAT) CPT 87591	$1,193.85	$1,193.85	$28.07 – $70.18
Hemoglobin A1c test CPT 83036	$315.33	$315.33	$7.77 – $19.42
Hepatitis C antibody test CPT 86803	$572.39	$572.39	$11.42 – $28.54
HIV-1/HIV-2 antigen and antibody test CPT 87389	$197.85	$197.85	$19.26 – $48.16
Iron test CPT 83540	$140.85	$140.85	$5.18 – $12.94
Lipase test (pancreas) CPT 83690	$437.47	$437.47	$5.51 – $13.78
Lipid panel, cholesterol and triglycerides CPT 80061	$761.57	$761.57	$10.71 – $26.78
Liver function panel CPT 80076	$655.85	$655.85	$6.54 – $16.34
Magnesium test CPT 83735	$174.57	$174.57	$5.36 – $13.40
Partial thromboplastin time (PTT), clotting test CPT 85730	$615.69	$615.69	$4.81 – $12.02
Pregnancy blood test (hCG), quantitative CPT 84702	$486.82	$486.82	$12.04 – $30.10
Prothrombin time (PT/INR), clotting test CPT 85610	$128.07	$128.07	$3.43 – $8.58
PSA (prostate specific antigen), free CPT 84154	$130.66	$130.66	$14.71 – $36.78
PSA (prostate specific antigen), total CPT 84153	$502.19	$502.19	$14.71 – $36.78
Rapid strep test CPT 87880	$253.70	$253.70	$13.22 – $33.06
TB skin test CPT 86580	$527.44	$527.44	$28.74 – $71.84
Thyroid stimulating hormone (TSH) CPT 84443	$708.88	$708.88	$13.44 – $33.60
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$5,168.73	$5,168.73	$51.78 – $129.46
Troponin test (heart damage) CPT 84484	$268.40	$268.40	$9.98 – $24.94
Urinalysis, automated, with microscope CPT 81001	$166.11	$166.11	$2.54 – $6.34
Urinalysis, automated, without microscope CPT 81003	$138.25	$138.25	$1.80 – $4.50
Urinalysis, manual, with microscope CPT 81000	$201.97	$201.97	$3.22 – $8.04
Urinalysis, manual, without microscope CPT 81002	$18.21	$18.21	$2.78 – $6.96
Urine pregnancy test CPT 81025	$429.57	$429.57	$6.89 – $17.22
Vitamin B12 test CPT 82607	$439.57	$439.57	$12.06 – $30.16
Vitamin D test CPT 82306	$585.70	$585.70	$23.68 – $59.20

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$2,109.30	$2,109.30	$237.10 – $1,067.00
ECG tracing only (no interpretation) CPT 93005	$546.61	$546.61	$58.62 – $146.56
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$3,677.10	$3,677.10	$542.99 – $1,357.48
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$492.60	$492.60	$74.00 – $81.00
Left heart catheterization CPT 93452	$19,934.29	$19,934.29	$3,221.62 – $12,742.00
Left heart catheterization with coronary angiogram CPT 93458	$19,934.29	$19,934.29	$3,221.62 – $12,742.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$6,653.56	$6,653.56	$1,286.54 – $3,216.34

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$28,719.89	$28,719.89	$780.00 – $18,026.88
Appendix removal, laparoscopic CPT 44970	$16,411.37	$16,411.37	$2,785.00 – $15,019.10
Breast biopsy with ultrasound guidance CPT 19083	$6,985.43	$6,985.43	$2,785.00 – $7,319.00
Carpal tunnel release CPT 64721	$12,308.54	$12,308.54	$725.00 – $7,319.00
Colonoscopy with biopsy CPT 45380	$9,454.59	$9,454.59	$725.00 – $7,319.00
Colonoscopy with polyp removal (snare) CPT 45385	$4,727.30	$4,727.30	$725.00 – $7,319.00
Colonoscopy, diagnostic CPT 45378	$20,274.61	$20,274.61	$725.00 – $7,319.00
Colposcopy with biopsy CPT 57454	$13,170.14	$13,170.14	$302.82 – $7,319.00
Cystoscopy (bladder scope) CPT 52000	$9,964.86	$9,964.86	$580.00 – $7,319.00
Ear tubes, under general anesthesia CPT 69436	$13,170.14	$13,170.14	$780.00 – $7,319.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$9,454.59	$9,454.59	$924.13 – $7,319.00
Gallbladder removal, laparoscopic CPT 47562	$28,719.89	$28,719.89	$2,785.00 – $15,019.10
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	$24,876.89	$24,876.89	$1,515.83 – $7,319.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$18,462.80	$18,462.80	$2,785.00 – $26,408.06
Hysteroscopy with biopsy or polyp removal CPT 58558	$16,411.37	$16,411.37	$780.00 – $8,042.10
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$21,950.19	$21,950.19	$1,015.00 – $15,019.10
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$5,566.63	$5,566.63	$572.00 – $8,894.92
Kidney stone shock-wave lithotripsy CPT 50590	$15,532.56	$15,532.56	$2,785.00 – $8,757.24
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$16,411.37	$16,411.37	$1,015.00 – $8,128.76
Prostate biopsy CPT 55700	$13,206.43	$13,206.43	$2,785.00 – $7,319.00
Prostate removal, laparoscopic or robotic CPT 55866	$53,336.96	$53,336.96	$2,785.00 – $26,408.06
Removal of a breast lump, open surgery CPT 19120	$16,411.37	$16,411.37	$780.00 – $9,727.24
Rotator cuff repair, arthroscopic CPT 29827	$16,411.36	$16,411.36	$1,620.00 – $18,026.88
Screening colonoscopy, average risk HCPCS G0121	$5,102.48	$5,102.48	$725.00 – $7,319.00
Screening colonoscopy, high risk HCPCS G0105	$9,454.59	$9,454.59	$725.00 – $7,319.00
Septoplasty (nasal septum repair) CPT 30520	$26,668.48	$26,668.48	$1,015.00 – $8,236.70
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	$10,257.10	$10,257.10	$136.14 – $7,319.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	$30,087.51	$30,087.51	$937.18 – $7,319.00
Tonsil and adenoid removal, under age 12 CPT 42820	$16,411.37	$16,411.37	$780.00 – $14,706.84
Total hip replacement CPT 27130	$24,617.05	$24,617.05	$2,785.00 – $31,895.58
Total knee replacement CPT 27447	$24,617.05	$24,617.05	$2,785.00 – $31,895.58
Upper endoscopy (EGD) with biopsy CPT 43239	$8,704.24	$8,704.24	$725.00 – $7,319.00
Upper endoscopy (EGD), diagnostic CPT 43235	$9,454.59	$9,454.59	$580.00 – $7,319.00
Vasectomy CPT 55250	$13,956.79	$13,956.79	$725.00 – $7,319.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$1,565.81	$1,565.81	$140.00 – $2,785.00
IUD insertion CPT 58300	$6,154.27	$6,154.27	$2,785.00 – $7,319.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$1,574.00 – $31,106.19
C-section, without complications MS-DRG 788	not posted	$7,250.40 – $31,084.38
Chest pain MS-DRG 313	not posted	$6,136.13 – $26,307.20
COPD flare-up, with major complications MS-DRG 190	not posted	$9,344.96 – $40,064.31
COPD flare-up, without complications MS-DRG 192	not posted	$5,442.46 – $23,333.28
Fainting (syncope) MS-DRG 312	not posted	$7,322.48 – $31,393.41
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$8,342.62 – $35,767.03
Heart failure, with major complications MS-DRG 291	not posted	$10,887.47 – $46,677.47
Heart failure, without complications MS-DRG 293	not posted	$4,761.52 – $20,413.89
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$82,300.94 – $352,845.89
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$15,956.82 – $68,411.09
Irregular heartbeat, without complications MS-DRG 310	not posted	$4,689.44 – $20,104.87
Kidney failure, with complications MS-DRG 683	not posted	$7,638.78 – $32,749.48
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$6,842.51 – $29,335.66
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$20,865.89 – $89,457.57
Normal newborn care MS-DRG 795	not posted	$1,710.42 – $7,333.01
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$6,626.27 – $28,408.58
Pneumonia, with complications MS-DRG 194	not posted	$6,972.26 – $29,891.90
Pneumonia, with major complications MS-DRG 193	not posted	$11,249.57 – $48,229.87
Pneumonia, without complications MS-DRG 195	not posted	$5,305.09 – $22,744.31
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$11,587.07 – $49,676.84
Sepsis, with major complications MS-DRG 871	not posted	$16,812.45 – $72,079.41
Sepsis, without major complications MS-DRG 872	not posted	$8,733.55 – $37,443.04
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$7,502.26 – $32,164.15
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$6,661.89 – $28,561.27
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$8,619.07 – $36,952.24
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$9,853.76 – $42,245.67
Vaginal delivery, without complications MS-DRG 807	not posted	$5,548.46 – $23,787.73
Weight loss surgery, without complications MS-DRG 621	not posted	$12,866.70 – $55,162.96

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,173.53	$1,173.53	$305.02 – $1,570.00
Lower back nerve root injection with imaging guidance CPT 64483	$3,820.92	$3,820.92	$580.00 – $7,319.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$8,205.70	$8,205.70	$701.46 – $7,319.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Eye exam, new patient, comprehensive CPT 92004	$638.90	$638.90	$132.30 – $926.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$699.84	$699.84	$127.86 – $319.66

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$1,135.78	$1,135.78	$214.57 – $1,291.00
Sleep study with CPAP titration CPT 95811	$8,674.69	$8,674.69	$853.36 – $4,059.00
Sleep study, overnight in a sleep lab CPT 95810	$7,131.72	$7,131.72	$853.36 – $4,059.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$783.21	$783.21	$214.57 – $1,035.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$354.24	$354.24	$24.76 – $426.00
Physical therapy evaluation, low complexity CPT 97161	$741.62	$741.62	$87.06 – $426.00
Physical therapy evaluation, moderate complexity CPT 97162	$741.62	$741.62	$87.06 – $426.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$592.34	$592.34	$25.95 – $426.00
Therapeutic activities, 15 minutes CPT 97530	$338.77	$338.77	$31.57 – $426.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$941.74	$941.74	$176.38 – $440.94
Family psychotherapy, without the patient, 50 minutes CPT 90846	$941.74	$941.74	$176.38 – $440.94
Group psychotherapy CPT 90853	$401.14	$401.14	$100.95 – $252.38
Psychiatric diagnostic evaluation CPT 90791	$772.42	$772.42	$176.38 – $440.94
Psychotherapy, 45 minutes CPT 90834	$772.42	$772.42	$176.38 – $926.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$270.92	$270.92	$71.55 – $1,570.00
IV hydration, each additional hour CPT 96361	$463.02	$463.02	$46.53 – $777.00
IV hydration, first hour CPT 96360	$756.09	$756.09	$211.37 – $777.00
IV push injection of a drug, first CPT 96374	$285.44	$285.44	$211.37 – $777.00
IV push injection, each additional drug CPT 96375	$447.18	$447.18	$46.53 – $777.00

Drugs

Service	Cash price	Gross charge
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$1,148.72	$1,148.72
Dexamethasone injection, per 1 mg HCPCS J1100	$35.40	$35.40
Fentanyl injection, per 0.1 mg HCPCS J3010	$99.00	$99.00
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	$10.80	$10.80
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$18.75	$18.75
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$41.40	$41.40
Morphine injection, up to 10 mg HCPCS J2270	$67.38	$67.38
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$87.40	$87.40
Propofol injection, per 10 mg HCPCS J2704	$83.75	$83.75
Saline IV solution, 1000 ml HCPCS J7030	$10.00	$10.00

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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