Montefiore New Rochelle Hospital

16 Guion Place, New Rochelle, NY 10802 · Acute care hospital · Emergency room

These are Montefiore New Rochelle Hospital's own posted figures from its standard-charges file dated September 28, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

228 of the services we track have a posted price here; 131 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	$2,465.45	$3,793.00	$230.22 – $3,791.00
Emergency room visit, level 1 (minor) CPT 99281	$339.95	$523.00	$82.84 – $3,791.00
Emergency room visit, level 2 CPT 99282	$434.20	$668.00	$160.53 – $3,791.00
Emergency room visit, level 3 (moderate) CPT 99283	$831.35	$1,279.00	$165.00 – $3,791.00
Emergency room visit, level 4 CPT 99284	$1,298.70	$1,998.00	$165.00 – $3,791.00
Emergency room visit, level 5 (most severe) CPT 99285	$1,662.70	$2,558.00	$165.00 – $4,111.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$529.10	$814.00	$50.46 – $18,107.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$78.65	$121.00	$50.33 – $547.00
New patient office visit, about 30 minutes CPT 99203	$182.65	$281.00	$89.04 – $547.00
New patient office visit, about 45 minutes CPT 99204	$523.90	$806.00	$144.57 – $644.80
New patient office visit, about 60 minutes CPT 99205	$648.05	$997.00	$197.21 – $810.19
Office consultation, about 40 minutes CPT 99243	not posted		$354.71 – $574.00
Office consultation, about 60 minutes CPT 99244	not posted		$394.00 – $667.84
Office visit, established patient, about 10 to 19 minutes CPT 99212	$100.10	$154.00	$37.68 – $547.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$116.35	$179.00	$70.90 – $547.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$131.95	$203.00	$101.50 – $547.00
Office visit, established patient, about 40 to 54 minutes CPT 99215	$152.75	$235.00	$117.50 – $642.10
Office visit, established patient, brief (often a nurse) CPT 99211	$67.60	$104.00	$9.25 – $547.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$347.10	$534.00	$267.00 – $547.00
Preventive checkup, new patient, age 40 to 64 CPT 99386	$377.00	$580.00	$290.00 – $547.00

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$115.70	$178.00	$10.21 – $142.40
Abdominal X-ray, 1 view CPT 74018	$267.15	$411.00	$10.10 – $405.19
Ankle X-ray, 3 or more views CPT 73610	$267.15	$411.00	$12.63 – $405.19
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$40.85 – $587.12
Breast ultrasound, one breast, complete CPT 76641	$358.80	$552.00	$32.79 – $486.77
Breast ultrasound, one breast, limited CPT 76642	$238.55	$367.00	$26.93 – $405.19
Chest X-ray, 1 view CPT 71045	$267.15	$411.00	$10.10 – $405.19
Chest X-ray, 2 views CPT 71046	$289.25	$445.00	$15.15 – $405.19
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,225.60	$3,424.00	$141.40 – $4,724.00
CT angiogram of the head CPT 70496	$2,289.30	$3,522.00	$218.95 – $5,304.55
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,465.15	$5,331.00	$109.01 – $4,724.00
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,781.05	$5,817.00	$138.11 – $4,724.00
CT scan of the abdomen and pelvis, without contrast CPT 74176	$3,190.85	$4,909.00	$69.38 – $4,724.00
CT scan of the abdomen, without contrast CPT 74150	$1,951.30	$3,002.00	$130.50 – $4,724.00
CT scan of the chest, with contrast CPT 71260	$1,661.40	$2,556.00	$171.70 – $4,724.00
CT scan of the chest, without contrast CPT 71250	$1,288.95	$1,983.00	$130.50 – $4,724.00
CT scan of the head, without contrast CPT 70450	$1,359.80	$2,092.00	$111.23 – $4,724.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,326.65	$2,041.00	$130.50 – $4,724.00
CT scan of the pelvis, with contrast CPT 72193	$773.50	$1,190.00	$171.70 – $4,724.00
CT scan of the sinuses or face, without contrast CPT 70486	$1,576.25	$2,425.00	$121.20 – $4,724.00
Diagnostic mammogram, both breasts CPT 77066	$508.30	$782.00	$97.97 – $625.60
Diagnostic mammogram, one breast CPT 77065	$405.60	$624.00	$97.97 – $499.20
Foot X-ray, 3 or more views CPT 73630	$267.15	$411.00	$12.63 – $405.19
Hand X-ray, 3 or more views CPT 73130	$267.15	$411.00	$12.63 – $405.19
Knee X-ray, 3 views CPT 73562	$267.15	$411.00	$15.15 – $405.19
Leg or arm vein ultrasound, both sides CPT 93970	$1,514.50	$2,330.00	$109.08 – $1,864.00
Leg or arm vein ultrasound, one side CPT 93971	$358.80	$552.00	$93.93 – $486.77
Lower back X-ray, 2 or 3 views CPT 72100	$451.75	$695.00	$15.15 – $556.00
MRI of both breasts, without and with contrast CPT 77049	not posted		$357.94 – $1,277.19
MRI of the abdomen, without and with contrast CPT 74183	$3,556.80	$5,472.00	$353.58 – $9,025.52
MRI of the brain, without and with contrast CPT 70553	$3,898.05	$5,997.00	$333.52 – $9,234.00
MRI of the brain, without contrast CPT 70551	$3,093.35	$4,759.00	$204.96 – $9,234.00
MRI of the knee or other leg joint, without contrast CPT 73721	$759.20	$1,168.00	$212.80 – $4,514.29
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,908.10	$4,474.00	$199.36 – $4,600.83
MRI of the mid back (thoracic spine), without contrast CPT 72146	$3,031.60	$4,664.00	$199.02 – $4,600.83
MRI of the neck (cervical spine), without contrast CPT 72141	$2,764.45	$4,253.00	$198.67 – $4,201.10
MRI of the pelvis, without and with contrast CPT 72197	$4,643.60	$7,144.00	$352.19 – $9,025.52
MRI of the shoulder or other arm joint, without contrast CPT 73221	$759.20	$1,168.00	$213.15 – $9,234.00
Neck X-ray, 2 or 3 views CPT 72040	$438.10	$674.00	$15.15 – $539.20
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$892.45	$1,373.00	$55.55 – $864.99
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$358.80	$552.00	$55.55 – $915.37
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$358.80	$552.00	$55.55 – $783.53
Screening mammogram, both breasts CPT 77067	$542.10	$834.00	$97.97 – $667.20
Shoulder X-ray, 2 or more views CPT 73030	$267.15	$411.00	$15.15 – $405.19
Transvaginal pregnancy ultrasound CPT 76817	$358.80	$552.00	$60.60 – $605.98
Transvaginal ultrasound CPT 76830	$837.85	$1,289.00	$60.60 – $812.07
Ultrasound of the abdomen, complete CPT 76700	$1,056.25	$1,625.00	$60.60 – $1,023.75
Ultrasound of the neck or thyroid CPT 76536	$733.85	$1,129.00	$30.30 – $781.46
Wrist X-ray, 3 or more views CPT 73110	$267.15	$411.00	$12.63 – $405.19
X-ray of the lower back, 4 or more views CPT 72110	$691.60	$1,064.00	$30.30 – $851.20

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$114.40	$176.00	$7.32 – $140.80
Blood culture CPT 87040	$83.85	$129.00	$8.23 – $103.20
Blood draw (venipuncture) CPT 36415	$36.40	$56.00	$5.25 – $18,107.00
BNP test (heart failure) CPT 83880	$258.05	$397.00	$34.41 – $367.55
C-reactive protein (CRP) test CPT 86140	$80.60	$124.00	$4.14 – $99.20
Chlamydia test (DNA/NAAT) CPT 87491	$115.70	$178.00	$21.64 – $380.07
Complete blood count (CBC) with differential CPT 85025	$22.75	$35.00	$3.20 – $84.18
Complete blood count (CBC), automated CPT 85027	$16.25	$25.00	$3.20 – $63.00
Comprehensive metabolic panel (blood test) CPT 80053	$160.55	$247.00	$10.10 – $197.60
COVID-19 PCR test CPT 87635	$133.90	$206.00	$30.79 – $256.04
D-dimer test (blood clots) CPT 85379	$27.95	$43.00	$10.18 – $87.75
Drug screen, instrument chemistry CPT 80307	$222.95	$343.00	$7.58 – $310.08
Ferritin (iron stores) test CPT 82728	$107.90	$166.00	$13.63 – $147.51
Free T4 (thyroid) test CPT 84439	$98.80	$152.00	$9.00 – $121.60
General health panel (blood tests) CPT 80050	not posted		$79.38 – $392.25
Glucose (blood sugar) test CPT 82947	$31.20	$48.00	$3.93 – $42.48
Gonorrhea test (DNA/NAAT) CPT 87591	$116.35	$179.00	$21.64 – $380.07
Hemoglobin A1c test CPT 83036	$100.75	$155.00	$9.71 – $124.00
Hepatitis C antibody test CPT 86803	$195.00	$300.00	$10.10 – $240.00
HIV-1/HIV-2 antigen and antibody test CPT 87389	$80.60	$124.00	$18.67 – $120.16
Iron test CPT 83540	$49.40	$76.00	$5.08 – $70.14
Kidney function panel CPT 80069	$69.55	$107.00	$8.68 – $86.78
Lipase test (pancreas) CPT 83690	$84.50	$130.00	$5.81 – $104.00
Lipid panel, cholesterol and triglycerides CPT 80061	$118.30	$182.00	$6.10 – $145.60
Liver function panel CPT 80076	$67.60	$104.00	$7.32 – $83.20
Magnesium test CPT 83735	$59.15	$91.00	$5.08 – $72.80
Obstetric blood test panel CPT 80055	not posted		$83.67 – $447.24
Partial thromboplastin time (PTT), clotting test CPT 85730	$16.90	$26.00	$6.01 – $64.93
Pregnancy blood test (hCG), quantitative CPT 84702	$137.80	$212.00	$12.49 – $169.60
Prothrombin time (PT/INR), clotting test CPT 85610	$11.05	$17.00	$3.95 – $42.56
PSA (prostate specific antigen), free CPT 84154	$75.40	$116.00	$18.39 – $199.12
PSA (prostate specific antigen), total CPT 84153	$149.50	$230.00	$18.39 – $199.12
Rapid strep test CPT 87880	not posted		$3.79 – $94.74
Sed rate (ESR) test CPT 85652	$8.45	$13.00	$2.02 – $29.23
TB skin test CPT 86580	not posted		$5.05 – $97.11
Thyroid stimulating hormone (TSH) CPT 84443	$148.20	$228.00	$9.09 – $182.40
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$306.80	$472.00	$43.62 – $562.79
Troponin test (heart damage) CPT 84484	$83.85	$129.00	$8.13 – $103.20
Urinalysis, automated, with microscope CPT 81001	$65.00	$100.00	$3.17 – $80.00
Urinalysis, automated, without microscope CPT 81003	$39.00	$60.00	$2.02 – $48.00
Urinalysis, manual, with microscope CPT 81000	not posted		$4.00 – $34.35
Urinalysis, manual, without microscope CPT 81002	$7.80	$12.00	$2.02 – $27.75
Urine culture, colony count CPT 87086	not posted		$8.07 – $87.43
Urine pregnancy test CPT 81025	$95.55	$147.00	$2.02 – $117.60
Vitamin B12 test CPT 82607	$113.10	$174.00	$12.63 – $163.24
Vitamin D test CPT 82306	$172.25	$265.00	$29.60 – $320.54

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,254.50	$1,930.00	$109.08 – $1,544.00
ECG tracing only (no interpretation) CPT 93005	$275.60	$424.00	$7.37 – $339.20
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$2,108.60	$3,244.00	$208.57 – $24,855.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$15.15 – $152.00
Holter monitor, up to 48 hours CPT 93224	not posted		$60.60 – $901.00
Left heart catheterization CPT 93452	not posted		$1,708.63 – $19,587.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$1,708.63 – $19,587.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$3,658.85	$5,629.00	$241.13 – $6,028.02
Treadmill stress test, complete CPT 93015	not posted		$60.60 – $661.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$1,331.75 – $24,365.54
Appendix removal, laparoscopic CPT 44970	not posted		$643.49 – $22,121.00
Breast biopsy with ultrasound guidance CPT 19083	$4,525.30	$6,962.00	$587.70 – $18,107.00
Carpal tunnel release CPT 64721	not posted		$1,003.41 – $18,107.00
Colonoscopy with biopsy CPT 45380	not posted		$643.49 – $18,107.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$643.49 – $18,107.00
Colonoscopy, diagnostic CPT 45378	not posted		$643.49 – $18,107.00
Colposcopy with biopsy CPT 57454	$962.65	$1,481.00	$357.82 – $18,107.00
Cystoscopy (bladder scope) CPT 52000	not posted		$301.62 – $18,107.00
Ear tubes, under general anesthesia CPT 69436	not posted		$596.79 – $18,107.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$209.73 – $18,107.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$568.14 – $22,121.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$938.49 – $24,867.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$938.49 – $35,693.74
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$713.47 – $18,107.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted		$1,105.69 – $22,121.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted		$1,105.69 – $19,521.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$1,292.33 – $22,121.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$1,331.75 – $19,521.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$691.89 – $18,107.00
Nasal endoscopy, diagnostic CPT 31231	not posted		$127.61 – $9,640.00
Prostate biopsy CPT 55700	not posted		$489.35 – $18,107.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$1,312.40 – $35,693.74
Removal of a breast lump, open surgery CPT 19120	not posted		$901.25 – $18,107.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$1,331.75 – $24,365.54
Screening colonoscopy, average risk HCPCS G0121	not posted		$643.49 – $18,107.00
Screening colonoscopy, high risk HCPCS G0105	not posted		$643.49 – $18,107.00
Septoplasty (nasal septum repair) CPT 30520	not posted		$1,329.55 – $18,107.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$661.49 – $18,107.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$938.49 – $24,867.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$773.29 – $19,878.10
Total hip replacement CPT 27130	not posted		$1,471.75 – $43,110.80
Total knee replacement CPT 27447	not posted		$1,469.65 – $43,110.80
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$510.31 – $18,107.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$462.15 – $18,107.00
Vasectomy CPT 55250	not posted		$820.63 – $18,107.00

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted		$3,146.13 – $18,107.00
Fetal non-stress test CPT 59025	$562.90	$866.00	$15.15 – $18,107.00
IUD insertion CPT 58300	$462.15	$711.00	$131.75 – $18,107.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,969.98 – $18,107.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,787.55 – $18,107.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$3,294.13 – $70,576.00
C-section, without complications MS-DRG 788	not posted	$7,233.57 – $30,104.83
Chest pain MS-DRG 313	not posted	$5,701.33 – $57,064.00
COPD flare-up, with major complications MS-DRG 190	not posted	$8,978.41 – $89,864.00
COPD flare-up, without complications MS-DRG 192	not posted	$5,173.00 – $51,776.00
Fainting (syncope) MS-DRG 312	not posted	$6,964.21 – $69,704.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$7,880.19 – $78,872.00
Heart failure, with major complications MS-DRG 291	not posted	$10,429.92 – $104,392.00
Heart failure, without complications MS-DRG 293	not posted	$4,388.10 – $43,920.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$77,134.59 – $772,032.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$15,070.59 – $150,840.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$4,472.02 – $44,760.00
Kidney failure, with complications MS-DRG 683	not posted	$7,104.88 – $71,112.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$6,415.09 – $64,208.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$8,892.76 – $189,376.00
Normal newborn care MS-DRG 795	not posted	$1,596.98 – $6,646.35
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$6,246.44 – $62,520.00
Pneumonia, with complications MS-DRG 194	not posted	$6,554.17 – $65,600.00
Pneumonia, with major complications MS-DRG 193	not posted	$10,533.03 – $105,424.00
Pneumonia, without complications MS-DRG 195	not posted	$4,977.97 – $49,824.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$11,265.98 – $112,760.00
Sepsis, with major complications MS-DRG 871	not posted	$15,684.45 – $156,984.00
Sepsis, without major complications MS-DRG 872	not posted	$8,240.67 – $82,480.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$7,040.94 – $70,472.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$6,236.85 – $62,424.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$8,128.77 – $81,360.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$9,580.28 – $95,888.00
Vaginal delivery, without complications MS-DRG 807	not posted	$5,093.07 – $21,196.46
Weight loss surgery, without complications MS-DRG 621	not posted	$11,683.21 – $116,936.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,396.20	$2,148.00	$138.54 – $18,107.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$420.71 – $18,107.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$374.12 – $18,107.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$306.82 – $18,107.00

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted		$1,784.61 – $18,107.00
Eye exam, new patient, comprehensive CPT 92004	$350.35	$539.00	$30.30 – $619.89
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted		$686.55 – $18,107.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$25.25 – $221.66

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$412.10	$634.00	$96.46 – $6,346.00
Sleep study with CPAP titration CPT 95811	$2,576.60	$3,964.00	$476.14 – $3,998.37
Sleep study, overnight in a sleep lab CPT 95810	$2,576.60	$3,964.00	$451.82 – $6,337.11

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$499.20	$768.00	$15.15 – $1,005.35

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$133.90	$206.00	$30.03 – $394.00
Physical therapy evaluation, low complexity CPT 97161	$305.50	$470.00	$108.46 – $442.20
Physical therapy evaluation, moderate complexity CPT 97162	$317.85	$489.00	$108.46 – $442.20
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$170.30	$262.00	$31.83 – $394.00
Therapeutic activities, 15 minutes CPT 97530	$148.20	$228.00	$2.37 – $394.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	$308.75	$475.00	$101.70 – $826.42
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted		$101.70 – $522.00
Group psychotherapy CPT 90853	not posted		$25.93 – $356.00
Psychiatric diagnostic evaluation CPT 90791	not posted		$152.39 – $678.43
Psychotherapy, 30 minutes CPT 90832	not posted		$73.22 – $470.00
Psychotherapy, 45 minutes CPT 90834	not posted		$96.53 – $494.00
Psychotherapy, 60 minutes CPT 90837	not posted		$135.60 – $651.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$204.10	$314.00	$13.36 – $18,107.00
IV hydration, each additional hour CPT 96361	$328.25	$505.00	$5.05 – $18,107.00
IV hydration, first hour CPT 96360	$676.00	$1,040.00	$34.52 – $18,107.00
IV push injection of a drug, first CPT 96374	$676.00	$1,040.00	$39.22 – $18,107.00
IV push injection, each additional drug CPT 96375	$165.10	$254.00	$16.36 – $18,107.00

Drugs

Service	Cash price	Insurer rates (min – max)
Fentanyl injection, per 0.1 mg HCPCS J3010	not posted	? – $1.49
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	not posted	? – $1.12
Morphine injection, up to 10 mg HCPCS J2270	not posted	$4.74 – $7.99
Saline IV solution, 1000 ml HCPCS J7030	not posted	$2.52 – $4.24

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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