Jamaica Hospital Medical Center

89th Avenue and Van Wyck Expressway, Jamaica, NY 11418 · Acute care hospital · Emergency room

These are Jamaica Hospital Medical Center's own posted figures from its standard-charges file dated March 25, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

213 of the services we track have a posted price here; 184 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	$10,786.00	$10,786.00	$130.00 – $1,961.00
Emergency room visit, level 1 (minor) CPT 99281	$550.00	$550.00	$18.00 – $1,961.00
Emergency room visit, level 2 CPT 99282	$756.00	$756.00	$30.00 – $1,961.00
Emergency room visit, level 3 (moderate) CPT 99283	$944.00	$944.00	$35.00 – $1,961.00
Emergency room visit, level 4 CPT 99284	$975.00	$975.00	$35.00 – $1,961.00
Emergency room visit, level 5 (most severe) CPT 99285	$10,114.00	$10,114.00	$35.00 – $1,961.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$463.00	$463.00	$70.00 – $1,961.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$442.00	$442.00	$35.00 – $1,912.00
New patient office visit, about 30 minutes CPT 99203	$506.00	$506.00	$35.00 – $1,912.00
New patient office visit, about 45 minutes CPT 99204	$542.00	$542.00	$35.00 – $1,912.00
New patient office visit, about 60 minutes CPT 99205	$578.00	$578.00	$35.00 – $1,912.00
Office visit, established patient, about 10 to 19 minutes CPT 99212	$330.00	$330.00	$29.31 – $1,912.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$360.00	$360.00	$35.00 – $1,912.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$390.00	$390.00	$35.00 – $1,912.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$759.00	$759.00	$35.00 – $1,912.00
Office visit, established patient, brief (often a nurse) CPT 99211	$300.00	$300.00	$7.19 – $1,912.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$593.00	$593.00	$75.00 – $1,912.00
Preventive checkup, new patient, age 40 to 64 CPT 99386	$608.00	$608.00	$75.00 – $1,912.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$168.00	$168.00	$11.23 – $1,912.00
Abdominal X-ray, 1 view CPT 74018	$210.00	$210.00	$11.11 – $1,912.00
Ankle X-ray, 3 or more views CPT 73610	$363.00	$363.00	$13.89 – $1,912.00
Bone density scan (DEXA), hips and spine CPT 77080	$254.00	$254.00	$26.00 – $1,912.00
Breast ultrasound, one breast, complete CPT 76641	$318.00	$318.00	$36.07 – $1,912.00
Breast ultrasound, one breast, limited CPT 76642	$263.00	$263.00	$29.62 – $1,912.00
Chest X-ray, 1 view CPT 71045	$210.00	$210.00	$11.11 – $1,912.00
Chest X-ray, 2 views CPT 71046	$210.00	$210.00	$16.66 – $1,912.00
CT angiogram of the chest (checks for lung clots) CPT 71275	$744.00	$744.00	$155.54 – $1,912.00
CT angiogram of the head CPT 70496	$744.00	$744.00	$160.13 – $1,912.00
CT scan of the abdomen and pelvis, with contrast CPT 74177	$1,557.00	$1,557.00	$119.91 – $1,912.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$1,557.00	$1,557.00	$151.92 – $1,912.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$992.00	$992.00	$76.32 – $1,912.00
CT scan of the abdomen, without contrast CPT 74150	$445.00	$445.00	$76.96 – $1,912.00
CT scan of the chest, with contrast CPT 71260	$744.00	$744.00	$106.26 – $1,912.00
CT scan of the chest, without contrast CPT 71250	$445.00	$445.00	$78.16 – $1,912.00
CT scan of the head, without contrast CPT 70450	$445.00	$445.00	$62.87 – $1,912.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$445.00	$445.00	$78.76 – $1,912.00
CT scan of the pelvis, with contrast CPT 72193	$744.00	$744.00	$159.92 – $1,912.00
CT scan of the sinuses or face, without contrast CPT 70486	$445.00	$445.00	$83.26 – $1,912.00
Diagnostic mammogram, both breasts CPT 77066	$285.00	$285.00	$46.38 – $1,912.00
Diagnostic mammogram, one breast CPT 77065	$224.00	$224.00	$37.74 – $1,912.00
Foot X-ray, 3 or more views CPT 73630	$363.00	$363.00	$13.89 – $1,912.00
Hand X-ray, 3 or more views CPT 73130	$363.00	$363.00	$13.89 – $1,912.00
Knee X-ray, 3 views CPT 73562	$363.00	$363.00	$16.66 – $1,912.00
Leg or arm vein ultrasound, both sides CPT 93970	$425.00	$425.00	$119.99 – $1,912.00
Leg or arm vein ultrasound, one side CPT 93971	$318.00	$318.00	$88.87 – $1,912.00
Lower back X-ray, 2 or 3 views CPT 72100	$304.00	$304.00	$16.66 – $1,912.00
MRI of both breasts, without and with contrast CPT 77049	$2,793.00	$2,793.00	$105.70 – $2,456.00
MRI of the abdomen, without and with contrast CPT 74183	$1,557.00	$1,557.00	$226.01 – $2,456.00
MRI of the brain, without and with contrast CPT 70553	$1,557.00	$1,557.00	$202.32 – $2,456.00
MRI of the brain, without contrast CPT 70551	$992.00	$992.00	$120.65 – $2,456.00
MRI of the knee or other leg joint, without contrast CPT 73721	$1,133.00	$1,133.00	$132.04 – $2,456.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$992.00	$992.00	$116.15 – $2,456.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$992.00	$992.00	$115.55 – $2,456.00
MRI of the neck (cervical spine), without contrast CPT 72141	$992.00	$992.00	$115.55 – $2,456.00
MRI of the pelvis, without and with contrast CPT 72197	$1,557.00	$1,557.00	$224.80 – $2,456.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$1,191.00	$1,191.00	$132.04 – $2,456.00
Neck X-ray, 2 or 3 views CPT 72040	$260.00	$260.00	$16.66 – $1,912.00
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$254.00	$254.00	$61.10 – $1,912.00
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$254.00	$254.00	$61.10 – $1,912.00
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$254.00	$254.00	$54.00 – $1,912.00
Screening mammogram, both breasts CPT 77067	$236.00	$236.00	$34.99 – $1,912.00
Shoulder X-ray, 2 or more views CPT 73030	$263.00	$263.00	$16.66 – $1,912.00
Transvaginal pregnancy ultrasound CPT 76817	$254.00	$254.00	$56.74 – $1,912.00
Transvaginal ultrasound CPT 76830	$254.00	$254.00	$66.66 – $1,912.00
Ultrasound of the abdomen, complete CPT 76700	$254.00	$254.00	$66.66 – $1,912.00
Ultrasound of the neck or thyroid CPT 76536	$254.00	$254.00	$33.33 – $1,912.00
Wrist X-ray, 3 or more views CPT 73110	$363.00	$363.00	$13.89 – $1,912.00
X-ray of the lower back, 4 or more views CPT 72110	$304.00	$304.00	$33.33 – $1,912.00

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$25.00	$25.00	$7.19 – $1,912.00
Blood culture CPT 87040	$31.00	$31.00	$5.50 – $1,912.00
Blood draw (venipuncture) CPT 36415	$26.00	$26.00	$2.00 – $1,912.00
BNP test (heart failure) CPT 83880	$118.00	$118.00	$26.00 – $1,912.00
C-reactive protein (CRP) test CPT 86140	$16.00	$16.00	$4.40 – $1,912.00
Chlamydia test (DNA/NAAT) CPT 87491	$105.00	$105.00	$22.10 – $1,912.00
Complete blood count (CBC) with differential CPT 85025	$23.00	$23.00	$3.52 – $1,912.00
Complete blood count (CBC), automated CPT 85027	$19.00	$19.00	$3.52 – $1,912.00
Comprehensive metabolic panel (blood test) CPT 80053	$32.00	$32.00	$8.98 – $1,912.00
COVID-19 PCR test CPT 87635	$1,250.00	$1,250.00	$33.87 – $1,912.00
D-dimer test (blood clots) CPT 85379	$31.00	$31.00	$5.50 – $1,912.00
Drug screen, instrument chemistry CPT 80307	$186.00	$186.00	$8.34 – $1,912.00
Ferritin (iron stores) test CPT 82728	$41.00	$41.00	$8.10 – $1,912.00
Free T4 (thyroid) test CPT 84439	$27.00	$27.00	$5.50 – $1,912.00
General health panel (blood tests) CPT 80050	$209.00	$209.00	$16.10 – $1,912.00
Glucose (blood sugar) test CPT 82947	$12.00	$12.00	$3.34 – $1,912.00
Gonorrhea test (DNA/NAAT) CPT 87591	$105.00	$105.00	$22.10 – $1,912.00
Hemoglobin A1c test CPT 83036	$29.00	$29.00	$4.50 – $1,912.00
Hepatitis C antibody test CPT 86803	$43.00	$43.00	$7.60 – $1,912.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$72.00	$72.00	$15.00 – $1,912.00
Iron test CPT 83540	$19.00	$19.00	$5.50 – $1,912.00
Kidney function panel CPT 80069	$26.00	$26.00	$7.38 – $1,912.00
Lipase test (pancreas) CPT 83690	$21.00	$21.00	$5.50 – $1,912.00
Lipid panel, cholesterol and triglycerides CPT 80061	$40.00	$40.00	$6.71 – $1,912.00
Liver function panel CPT 80076	$25.00	$25.00	$5.00 – $1,912.00
Magnesium test CPT 83735	$99.00	$99.00	$4.50 – $1,912.00
Obstetric blood test panel CPT 80055	$143.00	$143.00	$20.10 – $1,912.00
Partial thromboplastin time (PTT), clotting test CPT 85730	$110.00	$110.00	$3.50 – $1,912.00
Pregnancy blood test (hCG), quantitative CPT 84702	$45.00	$45.00	$12.60 – $1,912.00
Prothrombin time (PT/INR), clotting test CPT 85610	$13.00	$13.00	$2.00 – $1,912.00
PSA (prostate specific antigen), free CPT 84154	$55.00	$55.00	$10.10 – $1,912.00
PSA (prostate specific antigen), total CPT 84153	$55.00	$55.00	$10.10 – $1,912.00
Rapid strep test CPT 87880	$50.00	$50.00	$4.17 – $1,912.00
TB skin test CPT 86580	$103.00	$103.00	$4.00 – $1,912.00
Thyroid stimulating hormone (TSH) CPT 84443	$50.00	$50.00	$10.00 – $1,912.00
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$188.00	$188.00	$28.00 – $1,912.00
Troponin test (heart damage) CPT 84484	$50.00	$50.00	$7.00 – $1,912.00
Urinalysis, automated, with microscope CPT 81001	$17.00	$17.00	$2.00 – $1,912.00
Urinalysis, automated, without microscope CPT 81003	$7.00	$7.00	? – $1,912.00
Urinalysis, manual, without microscope CPT 81002	$10.00	$10.00	? – $1,912.00
Urine pregnancy test CPT 81025	$26.00	$26.00	? – $1,912.00
Vitamin B12 test CPT 82607	$45.00	$45.00	$12.82 – $1,912.00
Vitamin D test CPT 82306	$89.00	$89.00	$24.10 – $1,912.00

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$425.00	$425.00	$119.99 – $1,912.00
ECG tracing only (no interpretation) CPT 93005	$107.00	$107.00	$8.34 – $1,912.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$957.00	$957.00	$116.27 – $1,912.00
Left heart catheterization CPT 93452	$5,652.00	$5,652.00	$604.68 – $10,176.00
Left heart catheterization with coronary angiogram CPT 93458	$5,652.00	$5,652.00	$678.43 – $10,176.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,284.00	$3,284.00	$265.24 – $4,904.92

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	$9,204.00	$9,204.00	$1,912.00 – $14,872.18
Appendix removal, laparoscopic CPT 44970	$3,664.00	$3,664.00	$577.00 – $12,390.76
Breast biopsy with ultrasound guidance CPT 19083	$3,750.00	$3,750.00	$228.00 – $6,257.26
Carpal tunnel release CPT 64721	$1,782.50	$1,782.50	$460.00 – $5,159.00
Colonoscopy with biopsy CPT 45380	$3,000.00	$3,000.00	$274.00 – $5,159.00
Colonoscopy with polyp removal (snare) CPT 45385	$3,000.00	$3,000.00	$325.00 – $5,159.00
Colonoscopy, diagnostic CPT 45378	$3,000.00	$3,000.00	$232.00 – $5,159.00
Colposcopy with biopsy CPT 57454	$742.00	$742.00	$143.00 – $2,914.00
Cystoscopy (bladder scope) CPT 52000	$2,313.00	$2,313.00	$119.00 – $6,335.00
Ear tubes, under general anesthesia CPT 69436	$3,152.00	$3,152.00	$267.00 – $5,159.00
Flexible sigmoidoscopy, diagnostic CPT 45330	$2,500.00	$2,500.00	$64.00 – $5,159.00
Gallbladder removal, laparoscopic CPT 47562	$5,644.00	$5,644.00	$719.00 – $12,390.76
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$9,373.00	$9,373.00	$1,079.20 – $21,786.65
Hysteroscopy with biopsy or polyp removal CPT 58558	$9,729.00	$9,729.00	$500.36 – $6,634.73
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$12,579.00	$12,579.00	$1,912.00 – $12,390.76
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$6,337.00	$6,337.00	$1,912.00 – $7,338.31
Kidney stone shock-wave lithotripsy CPT 50590	$2,509.00	$2,509.00	$1,912.00 – $7,593.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$3,598.00	$3,598.00	$1,912.00 – $6,706.23
Nasal endoscopy, diagnostic CPT 31231	$458.00	$458.00	$74.00 – $2,914.00
Prostate biopsy CPT 55700	$2,110.00	$2,110.00	$99.00 – $5,159.00
Removal of a breast lump, open surgery CPT 19120	$3,183.00	$3,183.00	$1,912.00 – $8,024.97
Rotator cuff repair, arthroscopic CPT 29827	$6,997.00	$6,997.00	$1,912.00 – $14,872.18
Septoplasty (nasal septum repair) CPT 30520	$3,041.50	$3,041.50	$513.00 – $6,795.28
Tonsil and adenoid removal, under age 12 CPT 42820	$3,862.00	$3,862.00	$363.00 – $12,133.14
Total hip replacement CPT 27130	$4,917.00	$4,917.00	$1,912.00 – $26,313.85
Total knee replacement CPT 27447	$7,899.00	$7,899.00	$1,912.00 – $45,801.00
Upper endoscopy (EGD) with biopsy CPT 43239	$1,500.00	$1,500.00	$174.00 – $5,159.00
Upper endoscopy (EGD), diagnostic CPT 43235	$1,500.00	$1,500.00	$147.00 – $5,159.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
Fetal non-stress test CPT 59025	$461.00	$461.00	$12.00 – $1,912.00
IUD insertion CPT 58300	$2,723.00	$2,723.00	$36.53 – $5,159.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$500.00 – $20,915.20
C-section, without complications MS-DRG 788	not posted	$500.00 – $21,448.63
Chest pain MS-DRG 313	not posted	$500.00 – $16,913.29
COPD flare-up, with major complications MS-DRG 190	not posted	$500.00 – $26,624.08
COPD flare-up, without complications MS-DRG 192	not posted	$500.00 – $15,343.82
Fainting (syncope) MS-DRG 312	not posted	$500.00 – $20,656.78
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$500.00 – $23,373.72
Heart failure, with major complications MS-DRG 291	not posted	$500.00 – $30,934.20
Heart failure, without complications MS-DRG 293	not posted	$500.00 – $13,008.58
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$500.00 – $228,808.28
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$500.00 – $44,701.43
Irregular heartbeat, without complications MS-DRG 310	not posted	$500.00 – $13,264.63
Kidney failure, with complications MS-DRG 683	not posted	$500.00 – $21,074.04
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$500.00 – $19,028.04
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$500.00 – $56,126.32
Normal newborn care MS-DRG 795	not posted	$296.70 – $6,525.68
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$500.00 – $18,525.43
Pneumonia, with complications MS-DRG 194	not posted	$500.00 – $19,440.56
Pneumonia, with major complications MS-DRG 193	not posted	$500.00 – $31,240.03
Pneumonia, without complications MS-DRG 195	not posted	$500.00 – $14,762.97
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$500.00 – $33,418.80
Sepsis, with major complications MS-DRG 871	not posted	$500.00 – $46,517.47
Sepsis, without major complications MS-DRG 872	not posted	$500.00 – $24,442.95
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$500.00 – $20,882.01
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$500.00 – $18,499.35
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$500.00 – $24,108.67
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$500.00 – $28,418.78
Vaginal delivery, without complications MS-DRG 807	not posted	$500.00 – $15,109.11
Weight loss surgery, without complications MS-DRG 621	not posted	$500.00 – $34,656.35

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$685.00	$685.00	$40.00 – $1,961.00
Lower back nerve root injection with imaging guidance CPT 64483	$2,108.00	$2,108.00	$105.00 – $4,679.44
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$1,639.00	$1,639.00	$89.03 – $4,679.44
Lower back spinal injection (epidural), without imaging CPT 62322	$2,108.00	$2,108.00	$78.16 – $4,679.44

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$2,719.00	$2,719.00	$1,912.00 – $5,159.00
Eye exam, new patient, comprehensive CPT 92004	$230.00	$230.00	$33.33 – $1,912.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	$272.00	$272.00	$21.00 – $1,912.00

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$272.00	$272.00	$161.00 – $2,775.80
Sleep study with CPAP titration CPT 95811	$2,408.00	$2,408.00	$238.00 – $2,775.80
Sleep study, overnight in a sleep lab CPT 95810	$1,814.00	$1,814.00	$245.00 – $2,775.80

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$272.00	$272.00	$16.66 – $1,912.00

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$65.00	$65.00	$26.49 – $1,912.00
Physical therapy evaluation, low complexity CPT 97161	$200.00	$200.00	$35.00 – $1,912.00
Physical therapy evaluation, moderate complexity CPT 97162	$275.00	$275.00	$35.00 – $1,912.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$71.00	$71.00	$27.00 – $1,912.00
Therapeutic activities, 15 minutes CPT 97530	$97.00	$97.00	$2.61 – $1,912.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$475.00	$475.00	$30.00 – $1,912.00
Family psychotherapy, without the patient, 50 minutes CPT 90846	$277.00	$277.00	$75.00 – $1,912.00
Group psychotherapy CPT 90853	$155.00	$155.00	$25.00 – $1,912.00
Psychiatric diagnostic evaluation CPT 90791	$324.00	$324.00	$144.00 – $1,912.00
Psychotherapy, 30 minutes CPT 90832	$2,120.00	$2,120.00	$55.00 – $1,912.00
Psychotherapy, 45 minutes CPT 90834	$1,200.00	$1,200.00	$100.00 – $1,912.00
Psychotherapy, 60 minutes CPT 90837	$443.00	$443.00	$104.00 – $1,912.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$366.00	$366.00	$12.50 – $1,912.00
IV hydration, each additional hour CPT 96361	$830.00	$830.00	$5.56 – $4,679.44
IV hydration, first hour CPT 96360	$372.00	$372.00	$38.88 – $1,912.00
IV push injection of a drug, first CPT 96374	$372.00	$372.00	$69.00 – $1,912.00
IV push injection, each additional drug CPT 96375	$180.00	$180.00	$29.06 – $1,912.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$39.60	$39.60	? – $1,912.00
Dexamethasone injection, per 1 mg HCPCS J1100	$27.00	$27.00	? – $1,912.00
Fentanyl injection, per 0.1 mg HCPCS J3010	$90.00	$90.00	? – $1,912.00
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$23.51	$23.51	? – $1,912.00
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$24.84	$24.84	? – $1,912.00
Morphine injection, up to 10 mg HCPCS J2270	$18.82	$18.82	$2.27 – $1,912.00
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$28.30	$28.30	? – $1,912.00
Propofol injection, per 10 mg HCPCS J2704	$108.00	$108.00	? – $1,912.00
Saline IV solution, 1000 ml HCPCS J7030	$25.20	$25.20	$2.28 – $1,912.00

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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