HCA Houston Healthcare Clear Lake

500 W Medical Center Blvd, Webster, TX 77598 · Acute care hospital · Emergency room

These are HCA Houston Healthcare Clear Lake's own posted figures from its standard-charges file dated September 1, 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; 137 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	$6,924.07	$6,924.07	$900.13 – $6,231.66
Emergency room visit, level 1 (minor) CPT 99281	$731.51	$731.51	$128.75 – $658.36
Emergency room visit, level 2 CPT 99282	$1,940.76	$1,940.76	$341.57 – $1,746.68
Emergency room visit, level 3 (moderate) CPT 99283	$2,771.96	$2,771.96	$487.86 – $2,494.76
Emergency room visit, level 4 CPT 99284	$3,908.71	$3,908.71	$547.22 – $3,517.84
Emergency room visit, level 5 (most severe) CPT 99285	$5,616.42	$5,616.42	$786.30 – $5,054.78
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$202.56 – $202.56

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$1,210.66	$1,210.66	$72.64 – $1,089.59
New patient office visit, about 30 minutes CPT 99203	$780.44	$780.44	$273.15 – $273.15
New patient office visit, about 45 minutes CPT 99204	$1,670.00	$1,670.00	$100.20 – $1,503.00
New patient office visit, about 60 minutes CPT 99205	$2,163.00	$2,163.00	$757.05 – $757.05
Office consultation, about 40 minutes CPT 99243	not posted		$227.71 – $314.31
Office consultation, about 60 minutes CPT 99244	not posted		$366.00 – $505.20
Office visit, established patient, about 10 to 19 minutes CPT 99212	$507.84	$507.84	$177.74 – $177.74
Office visit, established patient, about 20 to 29 minutes CPT 99213	$624.57	$624.57	$37.47 – $600.00
Office visit, established patient, about 30 to 39 minutes CPT 99214	$1,387.00	$1,387.00	$485.45 – $485.45
Office visit, established patient, about 40 to 54 minutes CPT 99215	$1,726.00	$1,726.00	$604.10 – $604.10
Office visit, established patient, brief (often a nurse) CPT 99211	$391.07	$391.07	$136.87 – $136.87
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$71.48 – $321.29
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$86.92 – $391.12

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$135.96	$135.96	$52.83 – $680.00
Abdominal X-ray, 1 view CPT 74018	$2,233.28	$2,233.28	$134.00 – $2,009.95
Ankle X-ray, 3 or more views CPT 73610	$2,164.00	$2,164.00	$129.84 – $1,947.60
Bone density scan (DEXA), hips and spine CPT 77080	$2,568.33	$2,568.33	$226.62 – $306.53
Breast ultrasound, one breast, complete CPT 76641	$3,594.47	$3,594.47	$1,258.06 – $1,258.06
Breast ultrasound, one breast, limited CPT 76642	$2,825.63	$2,825.63	$988.97 – $988.97
Chest X-ray, 1 view CPT 71045	$1,849.10	$1,849.10	$647.18 – $647.18
Chest X-ray, 2 views CPT 71046	$2,021.67	$2,021.67	$707.58 – $707.58
CT angiogram of the chest (checks for lung clots) CPT 71275	$14,154.11	$14,154.11	$849.25 – $12,738.70
CT angiogram of the head CPT 70496	$12,924.00	$12,924.00	$775.44 – $11,631.60
CT scan of the abdomen and pelvis, with contrast CPT 74177	$23,377.19	$23,377.19	$1,402.63 – $21,039.47
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$28,446.76	$28,446.76	$1,706.81 – $25,602.08
CT scan of the abdomen and pelvis, without contrast CPT 74176	$18,716.98	$18,716.98	$1,123.02 – $16,845.28
CT scan of the abdomen, without contrast CPT 74150	$9,706.07	$9,706.07	$582.36 – $8,735.46
CT scan of the chest, with contrast CPT 71260	$13,068.31	$13,068.31	$784.10 – $11,761.48
CT scan of the chest, without contrast CPT 71250	$9,461.45	$9,461.45	$567.69 – $8,515.31
CT scan of the head, without contrast CPT 70450	$8,594.06	$8,594.06	$515.64 – $7,734.65
CT scan of the neck (cervical spine), without contrast CPT 72125	$11,400.91	$11,400.91	$684.05 – $10,260.82
CT scan of the pelvis, with contrast CPT 72193	$10,619.64	$10,619.64	$637.18 – $9,557.68
CT scan of the sinuses or face, without contrast CPT 70486	$9,049.60	$9,049.60	$542.98 – $8,144.64
Diagnostic mammogram, both breasts CPT 77066	$4,553.64	$4,553.64	$528.00 – $680.00
Diagnostic mammogram, one breast CPT 77065	$2,613.03	$2,613.03	$914.56 – $914.56
Foot X-ray, 3 or more views CPT 73630	$3,969.02	$3,969.02	$1,389.16 – $1,389.16
Hand X-ray, 3 or more views CPT 73130	$3,513.03	$3,513.03	$210.78 – $3,161.73
Knee X-ray, 3 views CPT 73562	$5,680.81	$5,680.81	$340.85 – $5,112.73
Leg or arm vein ultrasound, both sides CPT 93970	$7,712.17	$7,712.17	$300.00 – $6,940.95
Leg or arm vein ultrasound, one side CPT 93971	$5,750.44	$5,750.44	$2,012.65 – $2,012.65
Lower back X-ray, 2 or 3 views CPT 72100	$2,351.68	$2,351.68	$141.10 – $2,116.51
MRI of both breasts, without and with contrast CPT 77049	$14,794.04	$14,794.04	$2,127.00 – $2,739.00
MRI of the abdomen, without and with contrast CPT 74183	$20,488.72	$20,488.72	$361.60 – $2,739.00
MRI of the brain, without and with contrast CPT 70553	$20,488.72	$20,488.72	$339.46 – $2,739.00
MRI of the brain, without contrast CPT 70551	$14,794.04	$14,794.04	$887.64 – $13,314.64
MRI of the knee or other leg joint, without contrast CPT 73721	$35,121.54	$35,121.54	$2,107.29 – $31,609.39
MRI of the lower back (lumbar spine), without contrast CPT 72148	$14,794.04	$14,794.04	$887.64 – $13,314.64
MRI of the mid back (thoracic spine), without contrast CPT 72146	$14,792.79	$14,792.79	$887.57 – $13,313.51
MRI of the neck (cervical spine), without contrast CPT 72141	$14,792.79	$14,792.79	$202.45 – $2,739.00
MRI of the pelvis, without and with contrast CPT 72197	$20,488.72	$20,488.72	$360.24 – $2,739.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$17,565.17	$17,565.17	$1,053.91 – $15,808.65
Neck X-ray, 2 or 3 views CPT 72040	$2,598.56	$2,598.56	$155.91 – $2,338.70
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$6,350.87	$6,350.87	$300.00 – $5,715.78
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$8,261.82	$8,261.82	$2,891.64 – $2,891.64
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$6,889.80	$6,889.80	$2,411.43 – $2,411.43
Screening mammogram, both breasts CPT 77067	$2,367.06	$2,367.06	$828.47 – $828.47
Shoulder X-ray, 2 or more views CPT 73030	$4,076.08	$4,076.08	$244.56 – $3,668.47
Transvaginal pregnancy ultrasound CPT 76817	$3,868.87	$3,868.87	$1,354.10 – $1,354.10
Transvaginal ultrasound CPT 76830	$4,771.19	$4,771.19	$286.27 – $4,294.07
Ultrasound of the abdomen, complete CPT 76700	$9,150.55	$9,150.55	$300.00 – $8,235.49
Ultrasound of the neck or thyroid CPT 76536	$5,650.05	$5,650.05	$300.00 – $5,085.05
Wrist X-ray, 3 or more views CPT 73110	$4,340.00	$4,340.00	$1,519.00 – $1,519.00
X-ray of the lower back, 4 or more views CPT 72110	$4,176.85	$4,176.85	$1,461.90 – $1,461.90

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$2,252.68	$2,252.68	$135.16 – $2,027.41
Blood culture CPT 87040	$1,341.19	$1,341.19	$80.47 – $1,207.07
Blood draw (venipuncture) CPT 36415	not posted		$24.12 – $31.08
BNP test (heart failure) CPT 83880	$1,559.85	$1,559.85	$545.95 – $545.95
C-reactive protein (CRP) test CPT 86140	$851.75	$851.75	$51.10 – $766.58
Chlamydia test (DNA/NAAT) CPT 87491	$524.00	$524.00	$31.44 – $471.60
Complete blood count (CBC) with differential CPT 85025	not posted		$6.66 – $41.29
Complete blood count (CBC), automated CPT 85027	$812.34	$812.34	$284.32 – $284.32
Comprehensive metabolic panel (blood test) CPT 80053	$2,948.00	$2,948.00	$176.88 – $2,653.20
COVID-19 PCR test CPT 87635	$63.99	$63.99	$22.40 – $22.40
D-dimer test (blood clots) CPT 85379	$1,031.27	$1,031.27	$360.94 – $360.94
Drug screen, instrument chemistry CPT 80307	$264.42	$264.42	$92.55 – $92.55
Ferritin (iron stores) test CPT 82728	$1,430.17	$1,430.17	$85.81 – $1,287.15
Free T4 (thyroid) test CPT 84439	$1,735.28	$1,735.28	$104.12 – $1,561.75
General health panel (blood tests) CPT 80050	not posted		$167.27 – $215.56
Glucose (blood sugar) test CPT 82947	$883.53	$883.53	$53.01 – $795.18
Gonorrhea test (DNA/NAAT) CPT 87591	$779.00	$779.00	$272.65 – $272.65
Hemoglobin A1c test CPT 83036	$1,428.90	$1,428.90	$85.73 – $1,286.01
Hepatitis C antibody test CPT 86803	$1,127.61	$1,127.61	$67.66 – $1,014.85
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,808.29	$1,808.29	$19.83 – $165.62
Iron test CPT 83540	$1,127.61	$1,127.61	$67.66 – $1,014.85
Kidney function panel CPT 80069	$1,756.89	$1,756.89	$614.91 – $614.91
Lipase test (pancreas) CPT 83690	$1,276.35	$1,276.35	$76.58 – $1,148.71
Lipid panel, cholesterol and triglycerides CPT 80061	$1,726.38	$1,726.38	$604.23 – $604.23
Liver function panel CPT 80076	$2,308.62	$2,308.62	$138.52 – $2,077.76
Magnesium test CPT 83735	$1,276.35	$1,276.35	$446.72 – $446.72
Obstetric blood test panel CPT 80055	not posted		$196.54 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$1,013.20	$1,013.20	$60.79 – $911.88
Pregnancy blood test (hCG), quantitative CPT 84702	$2,449.73	$2,449.73	$146.98 – $2,204.76
Prothrombin time (PT/INR), clotting test CPT 85610	$874.63	$874.63	$306.12 – $306.12
PSA (prostate specific antigen), free CPT 84154	$1,003.03	$1,003.03	$351.06 – $351.06
PSA (prostate specific antigen), total CPT 84153	$921.67	$921.67	$322.58 – $322.58
Rapid strep test CPT 87880	not posted		$68.28 – $88.00
Sed rate (ESR) test CPT 85652	$714.45	$714.45	$2.32 – $14.40
TB skin test CPT 86580	$429.69	$429.69	$25.78 – $386.72
Thyroid stimulating hormone (TSH) CPT 84443	$2,306.07	$2,306.07	$138.36 – $2,075.46
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,699.68	$1,699.68	$144.71 – $186.48
Troponin test (heart damage) CPT 84484	$1,540.78	$1,540.78	$92.45 – $1,386.70
Urinalysis, automated, with microscope CPT 81001	$734.79	$734.79	$257.18 – $257.18
Urinalysis, automated, without microscope CPT 81003	$653.43	$653.43	$39.21 – $588.09
Urinalysis, manual, with microscope CPT 81000	$263.16	$263.16	$15.79 – $236.84
Urinalysis, manual, without microscope CPT 81002	$621.00	$621.00	$2.86 – $23.89
Urine culture, colony count CPT 87086	$1,268.72	$1,268.72	$444.05 – $444.05
Urine pregnancy test CPT 81025	$755.00	$755.00	$45.30 – $679.50
Vitamin B12 test CPT 82607	$1,798.84	$1,798.84	$107.93 – $1,618.96
Vitamin D test CPT 82306	$1,296.69	$1,296.69	$77.80 – $1,167.02

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$7,936.00	$7,936.00	$300.00 – $7,142.40
ECG tracing only (no interpretation) CPT 93005	$1,942.31	$1,942.31	$128.72 – $177.68
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$15,906.79	$15,906.79	$5,567.38 – $5,567.38
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$13.25 – $55.19
Holter monitor, up to 48 hours CPT 93224	not posted		$59.98 – $292.19
Left heart catheterization CPT 93452	$33,199.16	$33,199.16	$300.00 – $29,879.24
Left heart catheterization with coronary angiogram CPT 93458	$33,199.16	$33,199.16	$300.00 – $29,879.24
Nuclear stress test (heart perfusion imaging) CPT 78452	$22,348.25	$22,348.25	$475.10 – $475.10
Treadmill stress test, complete CPT 93015	not posted		$169.51 – $233.98

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$3,465.05 – $16,995.26
Appendix removal, laparoscopic CPT 44970	not posted	$4,255.00 – $4,255.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$2,434.00 – $2,434.00
Carpal tunnel release CPT 64721	not posted	$708.15 – $5,571.00
Colonoscopy with biopsy CPT 45380	not posted	$4,255.00 – $4,255.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$4,255.00 – $4,255.00
Colonoscopy, diagnostic CPT 45378	not posted	$344.93 – $344.93
Colposcopy with biopsy CPT 57454	not posted	$68.31 – $5,841.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $250.06
Ear tubes, under general anesthesia CPT 69436	not posted	$451.36 – $4,220.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$4,255.00 – $4,255.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$4,255.00 – $4,255.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$16,603.20 – $21,292.66
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$2,115.00 – $17,415.14
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$4,255.00 – $4,255.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$4,255.00 – $4,255.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,235.65 – $7,014.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$4,255.00 – $4,255.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,167.76 – $7,014.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$4,255.00 – $4,255.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$2,369.00 – $2,369.00
Prostate biopsy CPT 55700	not posted	$685.44 – $3,755.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$13,460.98 – $17,415.14
Removal of a breast lump, open surgery CPT 19120	not posted	$4,255.00 – $4,255.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$4,255.00 – $4,255.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$352.49 – $3,249.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$352.49 – $3,755.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$3,041.00 – $3,041.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$4,255.00 – $4,255.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$4,255.00 – $4,255.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$4,255.00 – $4,255.00
Total hip replacement CPT 27130	not posted	$948.00 – $42,583.00
Total knee replacement CPT 27447	not posted	$948.00 – $42,583.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$4,255.00 – $4,255.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $3,128.00
Vasectomy CPT 55250	not posted	$685.44 – $5,571.00

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		$948.00 – $28,395.93
Fetal non-stress test CPT 59025	$3,362.79	$3,362.79	$201.77 – $3,026.51
IUD insertion CPT 58300	not posted		$508.94 – $3,244.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$3,390.00 – $26,874.42
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$3,390.00 – $25,611.40

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$7,579.72 – $9,763.77
C-section, without complications MS-DRG 788	not posted	$10,143.15 – $10,143.15
Chest pain MS-DRG 313	not posted	$8,349.25 – $8,349.25
COPD flare-up, with major complications MS-DRG 190	not posted	$11,602.32 – $11,602.32
COPD flare-up, without complications MS-DRG 192	not posted	$7,694.78 – $7,694.78
Fainting (syncope) MS-DRG 312	not posted	$9,621.28 – $9,621.28
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$10,536.70 – $10,536.70
Heart failure, with major complications MS-DRG 291	not posted	$13,079.91 – $13,079.91
Heart failure, without complications MS-DRG 293	not posted	$7,057.08 – $7,057.08
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$84,392.35 – $84,392.35
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$18,492.74 – $18,492.74
Irregular heartbeat, without complications MS-DRG 310	not posted	$7,057.92 – $7,057.92
Kidney failure, with complications MS-DRG 683	not posted	$9,656.52 – $9,656.52
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$9,100.21 – $9,100.21
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$22,792.13 – $22,792.13
Normal newborn care MS-DRG 795	not posted	$3,984.41 – $3,984.41
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,837.59 – $8,837.59
Pneumonia, with complications MS-DRG 194	not posted	$9,070.01 – $9,070.01
Pneumonia, with major complications MS-DRG 193	not posted	$13,905.04 – $13,905.04
Pneumonia, without complications MS-DRG 195	not posted	$7,581.50 – $7,581.50
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$14,028.06 – $14,028.06
Sepsis, with major complications MS-DRG 871	not posted	$18,606.87 – $18,606.87
Sepsis, without major complications MS-DRG 872	not posted	$10,825.49 – $10,825.49
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$9,615.40 – $9,615.40
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$43,874.47 – $64,270.88
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$8,849.33 – $8,849.33
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$10,785.06 – $10,785.06
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$12,718.28 – $12,718.28
Vaginal delivery, without complications MS-DRG 807	not posted	$7,964.95 – $7,964.95
Weight loss surgery, without complications MS-DRG 621	not posted	$2,476.00 – $3,534.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$29.36 – $5,841.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$357.81 – $3,128.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$276.00 – $5,841.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$257.60 – $892.95

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$4,255.00 – $4,255.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$271.28 – $374.45
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$218.75 – $3,755.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$323.74 – $446.87

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	$1,006.93	$1,006.93	$60.42 – $906.24
Sleep study with CPAP titration CPT 95811	$32,754.74	$32,754.74	$3,146.64 – $4,245.08
Sleep study, overnight in a sleep lab CPT 95810	$32,754.74	$32,754.74	$3,009.66 – $4,060.29

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$2,629.21	$2,629.21	$157.75 – $2,366.29

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$338.00	$338.00	$20.28 – $600.00
Physical therapy evaluation, low complexity CPT 97161	$956.07	$956.07	$96.12 – $558.88
Physical therapy evaluation, moderate complexity CPT 97162	$1,043.80	$1,043.80	$62.63 – $939.42
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$380.14	$380.14	$22.81 – $600.00
Therapeutic activities, 15 minutes CPT 97530	$288.00	$288.00	$17.28 – $600.00

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Group psychotherapy CPT 90853	$440.36	$440.36	$26.42 – $600.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$474.18	$474.18	$28.45 – $600.00
IV hydration, each additional hour CPT 96361	$404.00	$404.00	$24.24 – $600.00
IV hydration, first hour CPT 96360	$1,548.54	$1,548.54	$92.91 – $1,393.69
IV push injection of a drug, first CPT 96374	$1,602.21	$1,602.21	$560.77 – $560.77
IV push injection, each additional drug CPT 96375	$1,233.00	$1,233.00	$73.98 – $1,109.70

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$925.34	$925.34	$55.52 – $832.81
Dexamethasone injection, per 1 mg HCPCS J1100	$27.97	$27.97	$1.68 – $25.17
Fentanyl injection, per 0.1 mg HCPCS J3010	$497.08	$497.08	$29.82 – $447.37
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$432.27	$432.27	$25.94 – $389.04
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$33.06	$33.06	$1.98 – $29.75
Morphine injection, up to 10 mg HCPCS J2270	$184.84	$184.84	$11.09 – $166.36
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$29.48	$29.48	? – $2.59
Propofol injection, per 10 mg HCPCS J2704	$1,999.24	$1,999.24	$119.95 – $1,799.32
Saline IV solution, 1000 ml HCPCS J7030	$577.21	$577.21	$2.19 – $40.23

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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