HCA Houston Healthcare Kingwood

22999 US Hwy 59, Kingwood, TX 77325 · Acute care hospital · Emergency room

These are HCA Houston Healthcare Kingwood'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.

226 of the services we track have a posted price here; 123 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	$7,748.96	$7,748.96	$1,007.36 – $6,974.06
Emergency room visit, level 1 (minor) CPT 99281	$696.00	$696.00	$116.93 – $626.40
Emergency room visit, level 2 CPT 99282	$956.00	$956.00	$160.61 – $860.40
Emergency room visit, level 3 (moderate) CPT 99283	$2,073.00	$2,073.00	$348.26 – $1,865.70
Emergency room visit, level 4 CPT 99284	$3,970.00	$3,970.00	$555.80 – $3,573.00
Emergency room visit, level 5 (most severe) CPT 99285	$6,019.00	$6,019.00	$842.66 – $5,417.10
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$4,255.00 – $4,255.00

Office visits

Service	Cash price	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted	$120.60 – $166.47
New patient office visit, about 30 minutes CPT 99203	not posted	$181.30 – $250.26
New patient office visit, about 45 minutes CPT 99204	not posted	$306.96 – $423.71
New patient office visit, about 60 minutes CPT 99205	not posted	$400.58 – $552.94
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	not posted	$60.72 – $83.82
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted	$121.45 – $167.64
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted	$187.22 – $258.43
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted	$263.95 – $364.34
Office visit, established patient, brief (often a nurse) CPT 99211	not posted	$21.93 – $30.27
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	$1,813.19	$1,813.19	$22.76 – $92.09
Abdominal X-ray, 1 view CPT 74018	$1,409.00	$1,409.00	$84.54 – $1,268.10
Ankle X-ray, 3 or more views CPT 73610	$4,403.77	$4,403.77	$264.23 – $3,963.39
Bone density scan (DEXA), hips and spine CPT 77080	$2,349.13	$2,349.13	$38.85 – $133.96
Breast ultrasound, one breast, complete CPT 76641	$7,085.86	$7,085.86	$300.00 – $6,377.27
Breast ultrasound, one breast, limited CPT 76642	$6,853.07	$6,853.07	$300.00 – $6,167.76
Chest X-ray, 1 view CPT 71045	$1,788.00	$1,788.00	$625.80 – $625.80
Chest X-ray, 2 views CPT 71046	$1,941.00	$1,941.00	$679.35 – $679.35
CT angiogram of the chest (checks for lung clots) CPT 71275	$21,113.26	$21,113.26	$1,266.80 – $19,001.93
CT angiogram of the head CPT 70496	$21,113.26	$21,113.26	$1,266.80 – $19,001.93
CT scan of the abdomen and pelvis, with contrast CPT 74177	$34,167.80	$34,167.80	$2,050.07 – $30,751.02
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$35,918.04	$35,918.04	$2,155.08 – $32,326.24
CT scan of the abdomen and pelvis, without contrast CPT 74176	$29,113.37	$29,113.37	$1,746.80 – $26,202.03
CT scan of the abdomen, without contrast CPT 74150	$16,505.95	$16,505.95	$990.36 – $14,855.35
CT scan of the chest, with contrast CPT 71260	$14,179.00	$14,179.00	$850.74 – $12,761.10
CT scan of the chest, without contrast CPT 71250	$13,346.24	$13,346.24	$800.77 – $12,011.62
CT scan of the head, without contrast CPT 70450	$10,294.23	$10,294.23	$617.65 – $9,264.81
CT scan of the neck (cervical spine), without contrast CPT 72125	$15,833.92	$15,833.92	$950.04 – $14,250.53
CT scan of the pelvis, with contrast CPT 72193	$16,519.58	$16,519.58	$991.17 – $14,867.62
CT scan of the sinuses or face, without contrast CPT 70486	$12,348.45	$12,348.45	$740.91 – $11,113.60
Diagnostic mammogram, both breasts CPT 77066	$1,813.19	$1,813.19	$924.17 – $1,250.08
Diagnostic mammogram, one breast CPT 77065	$995.64	$995.64	$348.47 – $348.47
Foot X-ray, 3 or more views CPT 73630	$4,532.96	$4,532.96	$271.98 – $4,079.66
Hand X-ray, 3 or more views CPT 73130	$3,925.89	$3,925.89	$235.55 – $3,533.30
Knee X-ray, 3 views CPT 73562	$4,273.19	$4,273.19	$1,495.62 – $1,495.62
Leg or arm vein ultrasound, both sides CPT 93970	$16,156.70	$16,156.70	$300.00 – $14,541.03
Leg or arm vein ultrasound, one side CPT 93971	$5,421.04	$5,421.04	$300.00 – $4,878.94
Lower back X-ray, 2 or 3 views CPT 72100	$2,078.00	$2,078.00	$124.68 – $1,870.20
MRI of both breasts, without and with contrast CPT 77049	not posted		$1,740.00 – $2,241.00
MRI of the abdomen, without and with contrast CPT 74183	$30,454.07	$30,454.07	$1,827.24 – $27,408.66
MRI of the brain, without and with contrast CPT 70553	$34,391.06	$34,391.06	$2,063.46 – $30,951.95
MRI of the brain, without contrast CPT 70551	$18,640.31	$18,640.31	$1,118.42 – $16,776.28
MRI of the knee or other leg joint, without contrast CPT 73721	$19,634.00	$19,634.00	$1,178.04 – $17,670.60
MRI of the lower back (lumbar spine), without contrast CPT 72148	$19,475.21	$19,475.21	$1,168.51 – $17,527.69
MRI of the mid back (thoracic spine), without contrast CPT 72146	$19,694.69	$19,694.69	$1,181.68 – $17,725.22
MRI of the neck (cervical spine), without contrast CPT 72141	$20,265.66	$20,265.66	$1,215.94 – $18,239.09
MRI of the pelvis, without and with contrast CPT 72197	$22,873.00	$22,873.00	$1,372.38 – $20,585.70
MRI of the shoulder or other arm joint, without contrast CPT 73221	$20,447.64	$20,447.64	$1,226.86 – $18,402.88
Neck X-ray, 2 or 3 views CPT 72040	$2,027.00	$2,027.00	$709.45 – $709.45
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$5,512.47	$5,512.47	$300.00 – $4,961.22
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$4,959.96	$4,959.96	$297.60 – $4,463.96
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$4,641.64	$4,641.64	$278.50 – $4,177.48
Screening mammogram, both breasts CPT 77067	$912.90	$912.90	$88.86 – $363.07
Shoulder X-ray, 2 or more views CPT 73030	$4,549.64	$4,549.64	$1,592.37 – $1,592.37
Transvaginal pregnancy ultrasound CPT 76817	$3,442.66	$3,442.66	$1,204.93 – $1,204.93
Transvaginal ultrasound CPT 76830	$2,953.26	$2,953.26	$177.20 – $2,657.93
Ultrasound of the abdomen, complete CPT 76700	$6,311.79	$6,311.79	$2,209.13 – $2,209.13
Ultrasound of the neck or thyroid CPT 76536	$7,202.00	$7,202.00	$300.00 – $6,481.80
Wrist X-ray, 3 or more views CPT 73110	$3,631.37	$3,631.37	$1,270.98 – $1,270.98
X-ray of the lower back, 4 or more views CPT 72110	$3,874.00	$3,874.00	$232.44 – $3,486.60

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$2,282.00	$2,282.00	$136.92 – $2,053.80
Blood culture CPT 87040	$1,548.79	$1,548.79	$8.50 – $70.95
Blood draw (venipuncture) CPT 36415	$96.60	$96.60	$7.29 – $26.99
BNP test (heart failure) CPT 83880	$2,031.79	$2,031.79	$121.91 – $1,828.61
C-reactive protein (CRP) test CPT 86140	$264.04	$264.04	$15.84 – $237.64
Chlamydia test (DNA/NAAT) CPT 87491	$552.23	$552.23	$28.89 – $241.36
Complete blood count (CBC) with differential CPT 85025	not posted		$32.04 – $41.29
Complete blood count (CBC), automated CPT 85027	$1,299.26	$1,299.26	$454.74 – $454.74
Comprehensive metabolic panel (blood test) CPT 80053	$4,048.00	$4,048.00	$242.88 – $3,643.20
COVID-19 PCR test CPT 87635	$76.47	$76.47	$4.59 – $68.82
D-dimer test (blood clots) CPT 85379	$1,756.49	$1,756.49	$614.77 – $614.77
Drug screen, instrument chemistry CPT 80307	$2,928.55	$2,928.55	$1,024.99 – $1,024.99
Ferritin (iron stores) test CPT 82728	$1,376.54	$1,376.54	$11.68 – $71.87
Free T4 (thyroid) test CPT 84439	$771.18	$771.18	$7.73 – $48.49
General health panel (blood tests) CPT 80050	not posted		$167.27 – $215.56
Glucose (blood sugar) test CPT 82947	$276.91	$276.91	$3.37 – $21.54
Gonorrhea test (DNA/NAAT) CPT 87591	$520.03	$520.03	$28.89 – $241.36
Hemoglobin A1c test CPT 83036	$587.65	$587.65	$8.32 – $52.12
Hepatitis C antibody test CPT 86803	$1,592.26	$1,592.26	$11.75 – $98.19
HIV-1/HIV-2 antigen and antibody test CPT 87389	$284.14	$284.14	$20.63 – $127.56
Iron test CPT 83540	$822.70	$822.70	$49.36 – $740.43
Kidney function panel CPT 80069	$2,786.87	$2,786.87	$5.89 – $59.73
Lipase test (pancreas) CPT 83690	$898.38	$898.38	$5.67 – $47.42
Lipid panel, cholesterol and triglycerides CPT 80061	$1,622.85	$1,622.85	$7.51 – $92.13
Liver function panel CPT 80076	$2,282.00	$2,282.00	$6.13 – $43.13
Magnesium test CPT 83735	$961.17	$961.17	$336.41 – $336.41
Obstetric blood test panel CPT 80055	not posted		$196.54 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$959.55	$959.55	$57.57 – $863.60
Pregnancy blood test (hCG), quantitative CPT 84702	$967.60	$967.60	$338.66 – $338.66
Prothrombin time (PT/INR), clotting test CPT 85610	$827.53	$827.53	$289.64 – $289.64
PSA (prostate specific antigen), free CPT 84154	$827.53	$827.53	$15.14 – $126.52
PSA (prostate specific antigen), total CPT 84153	$1,323.40	$1,323.40	$15.76 – $96.98
Rapid strep test CPT 87880	not posted		$68.28 – $88.00
Sed rate (ESR) test CPT 85652	$669.75	$669.75	$2.32 – $14.40
TB skin test CPT 86580	not posted		$41.52 – $53.51
Thyroid stimulating hormone (TSH) CPT 84443	$1,799.97	$1,799.97	$14.39 – $89.84
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,922.31	$1,922.31	$144.71 – $186.48
Troponin test (heart damage) CPT 84484	$1,379.74	$1,379.74	$482.91 – $482.91
Urinalysis, automated, with microscope CPT 81001	$735.76	$735.76	$2.71 – $16.18
Urinalysis, automated, without microscope CPT 81003	$412.15	$412.15	$24.73 – $370.94
Urinalysis, manual, with microscope CPT 81000	not posted		$16.71 – $21.54
Urinalysis, manual, without microscope CPT 81002	$362.66	$362.66	$2.98 – $17.97
Urine culture, colony count CPT 87086	$1,289.60	$1,289.60	$6.64 – $55.48
Urine pregnancy test CPT 81025	$595.70	$595.70	$35.74 – $536.13
Vitamin B12 test CPT 82607	$2,004.41	$2,004.41	$12.92 – $80.85
Vitamin D test CPT 82306	$2,411.74	$2,411.74	$25.36 – $156.30

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$6,046.00	$6,046.00	$300.00 – $5,441.40
ECG tracing only (no interpretation) CPT 93005	$2,191.41	$2,191.41	$128.72 – $177.68
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$19,964.77	$19,964.77	$317.09 – $437.70
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	$36,825.85	$36,825.85	$300.00 – $33,143.26
Left heart catheterization with coronary angiogram CPT 93458	$65,252.47	$65,252.47	$300.00 – $58,727.22
Nuclear stress test (heart perfusion imaging) CPT 78452	$20,380.41	$20,380.41	$429.29 – $1,494.31
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	$4,255.00 – $4,255.00
Appendix removal, laparoscopic CPT 44970	not posted	$4,505.00 – $12,983.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$476.72 – $1,667.42
Carpal tunnel release CPT 64721	not posted	$4,255.00 – $4,255.00
Colonoscopy with biopsy CPT 45380	not posted	$2,434.00 – $2,434.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$460.61 – $3,249.00
Colonoscopy, diagnostic CPT 45378	not posted	$344.93 – $3,993.00
Colposcopy with biopsy CPT 57454	not posted	$4,255.00 – $4,255.00
Cystoscopy (bladder scope) CPT 52000	not posted	$4,255.00 – $4,255.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $12,562.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$4,255.00 – $4,255.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$9,124.00 – $9,124.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$4,255.00 – $4,255.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$11,558.00 – $11,558.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$2,369.00 – $2,369.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$9,124.00 – $9,124.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,209.12 – $13,513.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$4,255.00 – $4,255.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$4,255.00 – $4,255.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$4,255.00 – $4,255.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $5,841.00
Prostate biopsy CPT 55700	not posted	$685.44 – $685.44
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$948.00 – $20,359.73
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	$2,251.00 – $2,251.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$352.49 – $3,993.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$4,255.00 – $4,255.00
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	$948.00 – $19,289.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$4,255.00 – $4,255.00
Total hip replacement CPT 27130	not posted	$4,255.00 – $4,255.00
Total knee replacement CPT 27447	not posted	$4,255.00 – $4,255.00
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 – $351.70
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	$1,141.13	$1,141.13	$15.46 – $680.00
IUD insertion CPT 58300	not posted		$508.94 – $5,841.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$948.00 – $26,874.42
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$5,841.00 – $5,841.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$10,233.18 – $10,233.18
C-section, without complications MS-DRG 788	not posted	$10,914.80 – $10,914.80
Chest pain MS-DRG 313	not posted	$8,773.08 – $8,773.08
COPD flare-up, with major complications MS-DRG 190	not posted	$12,250.24 – $12,250.24
COPD flare-up, without complications MS-DRG 192	not posted	$8,073.52 – $8,073.52
Fainting (syncope) MS-DRG 312	not posted	$10,132.73 – $10,132.73
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$11,111.21 – $11,111.21
Heart failure, with major complications MS-DRG 291	not posted	$13,829.61 – $13,829.61
Heart failure, without complications MS-DRG 293	not posted	$7,391.90 – $7,391.90
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$90,054.32 – $90,054.32
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$19,615.30 – $19,615.30
Irregular heartbeat, without complications MS-DRG 310	not posted	$7,392.80 – $7,392.80
Kidney failure, with complications MS-DRG 683	not posted	$10,170.40 – $10,170.40
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$11,433.38 – $14,728.04
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$24,210.85 – $24,210.85
Normal newborn care MS-DRG 795	not posted	$4,107.58 – $4,107.58
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$9,295.06 – $9,295.06
Pneumonia, with complications MS-DRG 194	not posted	$9,543.49 – $9,543.49
Pneumonia, with major complications MS-DRG 193	not posted	$14,104.06 – $14,104.06
Pneumonia, without complications MS-DRG 195	not posted	$7,952.45 – $7,952.45
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$14,843.08 – $14,843.08
Sepsis, with major complications MS-DRG 871	not posted	$19,737.27 – $19,737.27
Sepsis, without major complications MS-DRG 872	not posted	$11,493.28 – $11,493.28
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$12,300.59 – $15,845.15
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$9,307.61 – $9,307.61
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$11,376.69 – $11,376.69
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$17,523.65 – $22,573.30
Vaginal delivery, without complications MS-DRG 807	not posted	$8,362.32 – $8,362.32
Weight loss surgery, without complications MS-DRG 621	not posted	$1,400.00 – $3,534.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted		$27.40 – $309.89
Lower back nerve root injection with imaging guidance CPT 64483	$28,157.06	$28,157.06	$300.00 – $25,341.35
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$257.60 – $712.64
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$4,255.00 – $4,255.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$892.44 – $5,571.00
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	$204.16 – $555.27

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	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$2,476.00 – $3,534.00
Sleep study with CPAP titration CPT 95811	not posted	$2,476.00 – $3,534.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$2,476.00 – $3,534.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$2,117.40	$2,117.40	$323.74 – $446.87

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$375.08	$375.08	$22.50 – $600.00
Physical therapy evaluation, low complexity CPT 97161	$672.00	$672.00	$84.58 – $185.57
Physical therapy evaluation, moderate complexity CPT 97162	$1,006.58	$1,006.58	$60.39 – $905.92
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$325.00	$325.00	$19.50 – $600.00
Therapeutic activities, 15 minutes CPT 97530	$230.00	$230.00	$13.80 – $600.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$513.00	$513.00	$30.78 – $600.00
IV hydration, each additional hour CPT 96361	$285.64	$285.64	$17.14 – $600.00
IV hydration, first hour CPT 96360	$866.49	$866.49	$51.99 – $779.84
IV push injection of a drug, first CPT 96374	$511.00	$511.00	$178.85 – $178.85
IV push injection, each additional drug CPT 96375	$520.00	$520.00	$31.20 – $600.00

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$537.83	$537.83	$32.27 – $484.05
Dexamethasone injection, per 1 mg HCPCS J1100	$110.34	$110.34	$6.62 – $99.31
Fentanyl injection, per 0.1 mg HCPCS J3010	$229.00	$229.00	$13.74 – $206.10
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$242.27	$242.27	$14.54 – $218.04
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$64.53	$64.53	$3.87 – $58.08
Morphine injection, up to 10 mg HCPCS J2270	$49.40	$49.40	$2.96 – $44.46
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$68.61	$68.61	? – $2.59
Propofol injection, per 10 mg HCPCS J2704	$369.77	$369.77	$22.19 – $332.79
Saline IV solution, 1000 ml HCPCS J7030	$426.70	$426.70	$2.19 – $50.21

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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