HCA Houston Healthcare Medical Center

1313 Hermann Dr, Houston, TX 77004 · Acute care hospital · Emergency room

These are HCA Houston Healthcare Medical Center'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; 121 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	$4,396.96	$4,396.96	$571.60 – $3,737.42
Emergency room visit, level 1 (minor) CPT 99281	$430.64	$430.64	$72.35 – $366.04
Emergency room visit, level 2 CPT 99282	$799.45	$799.45	$134.31 – $679.53
Emergency room visit, level 3 (moderate) CPT 99283	$1,403.04	$1,403.04	$235.71 – $1,192.58
Emergency room visit, level 4 CPT 99284	$2,185.31	$2,185.31	$305.94 – $1,857.51
Emergency room visit, level 5 (most severe) CPT 99285	$3,138.23	$3,138.23	$439.35 – $2,667.50
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$477.01 – $5,841.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$775.00	$775.00	$46.50 – $658.75
New patient office visit, about 30 minutes CPT 99203	$525.00	$525.00	$31.50 – $446.25
New patient office visit, about 45 minutes CPT 99204	$604.00	$604.00	$36.24 – $513.40
New patient office visit, about 60 minutes CPT 99205	$695.00	$695.00	$41.70 – $590.75
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	$380.00	$380.00	$22.80 – $323.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$437.00	$437.00	$26.22 – $371.45
Office visit, established patient, about 30 to 39 minutes CPT 99214	$502.00	$502.00	$30.12 – $426.70
Office visit, established patient, about 40 to 54 minutes CPT 99215	$580.00	$580.00	$34.80 – $493.00
Office visit, established patient, brief (often a nurse) CPT 99211	$330.00	$330.00	$19.80 – $280.50
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	not posted		$52.83 – $52.83
Abdominal X-ray, 1 view CPT 74018	$1,424.14	$1,424.14	$85.45 – $1,210.52
Ankle X-ray, 3 or more views CPT 73610	$2,315.67	$2,315.67	$138.94 – $1,968.32
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$226.62 – $306.53
Breast ultrasound, one breast, complete CPT 76641	not posted		$105.99 – $105.99
Breast ultrasound, one breast, limited CPT 76642	$5,958.12	$5,958.12	$357.49 – $5,064.40
Chest X-ray, 1 view CPT 71045	$1,716.69	$1,716.69	$103.00 – $1,459.19
Chest X-ray, 2 views CPT 71046	$1,933.77	$1,933.77	$116.03 – $1,643.70
CT angiogram of the chest (checks for lung clots) CPT 71275	$20,535.04	$20,535.04	$1,232.10 – $17,454.78
CT angiogram of the head CPT 70496	$14,224.24	$14,224.24	$853.45 – $12,090.60
CT scan of the abdomen and pelvis, with contrast CPT 74177	$33,232.09	$33,232.09	$1,993.93 – $28,247.28
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$34,935.53	$34,935.53	$2,096.13 – $29,695.20
CT scan of the abdomen and pelvis, without contrast CPT 74176	$28,317.96	$28,317.96	$1,699.08 – $24,070.27
CT scan of the abdomen, without contrast CPT 74150	$16,054.93	$16,054.93	$963.30 – $13,646.69
CT scan of the chest, with contrast CPT 71260	$13,662.38	$13,662.38	$819.74 – $11,613.02
CT scan of the chest, without contrast CPT 71250	$12,982.02	$12,982.02	$778.92 – $11,034.72
CT scan of the head, without contrast CPT 70450	$10,014.44	$10,014.44	$600.87 – $8,512.27
CT scan of the neck (cervical spine), without contrast CPT 72125	$15,401.19	$15,401.19	$924.07 – $13,091.01
CT scan of the pelvis, with contrast CPT 72193	$16,066.67	$16,066.67	$964.00 – $13,656.67
CT scan of the sinuses or face, without contrast CPT 70486	$12,011.15	$12,011.15	$720.67 – $10,209.48
Diagnostic mammogram, both breasts CPT 77066	not posted		$516.00 – $665.00
Diagnostic mammogram, one breast CPT 77065	not posted		$83.99 – $364.01
Foot X-ray, 3 or more views CPT 73630	$2,383.44	$2,383.44	$143.01 – $2,025.92
Hand X-ray, 3 or more views CPT 73130	$2,067.06	$2,067.06	$124.02 – $1,757.00
Knee X-ray, 3 views CPT 73562	$2,246.70	$2,246.70	$134.80 – $1,909.69
Leg or arm vein ultrasound, both sides CPT 93970	$6,121.78	$6,121.78	$367.31 – $5,203.51
Leg or arm vein ultrasound, one side CPT 93971	$5,543.40	$5,543.40	$332.60 – $4,711.89
Lower back X-ray, 2 or 3 views CPT 72100	$2,222.91	$2,222.91	$133.37 – $1,889.47
MRI of both breasts, without and with contrast CPT 77049	not posted		$2,127.00 – $2,739.00
MRI of the abdomen, without and with contrast CPT 74183	$28,516.08	$28,516.08	$361.60 – $2,739.00
MRI of the brain, without and with contrast CPT 70553	$32,201.85	$32,201.85	$339.46 – $2,739.00
MRI of the brain, without contrast CPT 70551	$17,453.95	$17,453.95	$208.23 – $2,739.00
MRI of the knee or other leg joint, without contrast CPT 73721	$31,159.60	$31,159.60	$1,869.58 – $26,485.66
MRI of the lower back (lumbar spine), without contrast CPT 72148	$18,235.34	$18,235.34	$203.12 – $2,739.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$18,442.10	$18,442.10	$202.45 – $2,739.00
MRI of the neck (cervical spine), without contrast CPT 72141	$18,977.06	$18,977.06	$202.45 – $2,739.00
MRI of the pelvis, without and with contrast CPT 72197	$21,416.21	$21,416.21	$360.24 – $2,739.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$19,145.36	$19,145.36	$1,148.72 – $16,273.56
Neck X-ray, 2 or 3 views CPT 72040	$2,172.63	$2,172.63	$130.36 – $1,846.74
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$4,793.42	$4,793.42	$287.61 – $4,074.41
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$4,311.09	$4,311.09	$258.67 – $3,664.43
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,818.06	$3,818.06	$229.08 – $3,245.35
Screening mammogram, both breasts CPT 77067	not posted		$763.68 – $1,032.99
Shoulder X-ray, 2 or more views CPT 73030	$4,784.63	$4,784.63	$287.08 – $4,066.94
Transvaginal pregnancy ultrasound CPT 76817	$2,993.15	$2,993.15	$179.59 – $2,544.18
Transvaginal ultrasound CPT 76830	$2,568.96	$2,568.96	$154.14 – $2,183.62
Ultrasound of the abdomen, complete CPT 76700	$5,487.71	$5,487.71	$329.26 – $4,664.55
Ultrasound of the neck or thyroid CPT 76536	$3,587.47	$3,587.47	$215.25 – $3,049.35
Wrist X-ray, 3 or more views CPT 73110	$1,915.90	$1,915.90	$114.95 – $1,628.52
X-ray of the lower back, 4 or more views CPT 72110	$4,139.97	$4,139.97	$248.40 – $3,518.97

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$2,156.23	$2,156.23	$8.29 – $58.19
Blood culture CPT 87040	$1,492.00	$1,492.00	$8.84 – $53.90
Blood draw (venipuncture) CPT 36415	not posted		$948.00 – $948.00
BNP test (heart failure) CPT 83880	$1,958.40	$1,958.40	$117.50 – $1,664.64
C-reactive protein (CRP) test CPT 86140	$253.00	$253.00	$4.44 – $26.95
Chlamydia test (DNA/NAAT) CPT 87491	$145.07	$145.07	$30.07 – $186.82
Complete blood count (CBC) with differential CPT 85025	not posted		$6.66 – $41.29
Complete blood count (CBC), automated CPT 85027	$901.00	$901.00	$54.06 – $765.85
Comprehensive metabolic panel (blood test) CPT 80053	$2,234.03	$2,234.03	$134.04 – $1,898.93
COVID-19 PCR test CPT 87635	$58.03	$58.03	$52.34 – $52.34
D-dimer test (blood clots) CPT 85379	$1,060.00	$1,060.00	$63.60 – $901.00
Drug screen, instrument chemistry CPT 80307	$2,822.00	$2,822.00	$169.32 – $2,398.70
Ferritin (iron stores) test CPT 82728	$1,325.00	$1,325.00	$11.45 – $93.76
Free T4 (thyroid) test CPT 84439	$741.00	$741.00	$7.73 – $48.49
General health panel (blood tests) CPT 80050	not posted		$167.27 – $215.56
Glucose (blood sugar) test CPT 82947	$199.00	$199.00	$3.30 – $27.06
Gonorrhea test (DNA/NAAT) CPT 87591	$138.47	$138.47	$30.07 – $186.82
Hemoglobin A1c test CPT 83036	$566.00	$566.00	$8.32 – $52.12
Hepatitis C antibody test CPT 86803	$1,534.00	$1,534.00	$12.23 – $75.44
HIV-1/HIV-2 antigen and antibody test CPT 87389	$123.86	$123.86	$20.23 – $165.62
Iron test CPT 83540	$795.00	$795.00	$5.43 – $44.53
Kidney function panel CPT 80069	$2,686.00	$2,686.00	$6.13 – $46.70
Lipase test (pancreas) CPT 83690	$865.00	$865.00	$5.91 – $35.94
Lipid panel, cholesterol and triglycerides CPT 80061	$1,565.00	$1,565.00	$7.81 – $71.87
Liver function panel CPT 80076	$2,201.00	$2,201.00	$6.13 – $43.13
Magnesium test CPT 83735	$925.79	$925.79	$55.55 – $786.92
Obstetric blood test panel CPT 80055	not posted		$196.54 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$924.00	$924.00	$55.44 – $785.40
Pregnancy blood test (hCG), quantitative CPT 84702	$930.00	$930.00	$55.80 – $790.50
Prothrombin time (PT/INR), clotting test CPT 85610	$798.00	$798.00	$47.88 – $678.30
PSA (prostate specific antigen), free CPT 84154	$798.00	$798.00	$15.45 – $126.52
PSA (prostate specific antigen), total CPT 84153	$1,274.00	$1,274.00	$15.76 – $96.98
Rapid strep test CPT 87880	not posted		$14.17 – $88.00
Sed rate (ESR) test CPT 85652	not posted		$2.32 – $14.40
TB skin test CPT 86580	not posted		$41.52 – $53.51
Thyroid stimulating hormone (TSH) CPT 84443	$1,736.00	$1,736.00	$14.11 – $115.57
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,853.00	$1,853.00	$99.93 – $157.81
Troponin test (heart damage) CPT 84484	$1,328.00	$1,328.00	$79.68 – $1,128.80
Urinalysis, automated, with microscope CPT 81001	$708.00	$708.00	$2.66 – $21.81
Urinalysis, automated, without microscope CPT 81003	$345.00	$345.00	$20.70 – $293.25
Urinalysis, manual, with microscope CPT 81000	not posted		$3.45 – $21.54
Urinalysis, manual, without microscope CPT 81002	not posted		$13.94 – $17.97
Urine culture, colony count CPT 87086	$1,242.00	$1,242.00	$6.78 – $55.48
Urine pregnancy test CPT 81025	$573.68	$573.68	$7.37 – $44.92
Vitamin B12 test CPT 82607	$1,932.00	$1,932.00	$12.92 – $80.85
Vitamin D test CPT 82306	$172.77	$172.77	$24.86 – $203.63

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$5,074.46	$5,074.46	$304.47 – $4,313.29
ECG tracing only (no interpretation) CPT 93005	$1,781.90	$1,781.90	$106.91 – $1,514.62
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$3,379.24	$3,379.24	$202.75 – $2,872.35
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	$42,697.15	$42,697.15	$5,550.63 – $36,292.58
Left heart catheterization with coronary angiogram CPT 93458	$65,833.39	$65,833.39	$8,558.34 – $55,958.38
Nuclear stress test (heart perfusion imaging) CPT 78452	$15,906.71	$15,906.71	$438.05 – $1,584.38
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 – $16,330.72
Appendix removal, laparoscopic CPT 44970	not posted	$2,369.00 – $2,369.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$510.77 – $12,562.00
Carpal tunnel release CPT 64721	not posted	$692.94 – $5,571.00
Colonoscopy with biopsy CPT 45380	not posted	$450.72 – $3,755.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$450.72 – $3,755.00
Colonoscopy, diagnostic CPT 45378	not posted	$352.49 – $3,755.00
Colposcopy with biopsy CPT 57454	not posted	$5,841.00 – $5,841.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,128.00
Ear tubes, under general anesthesia CPT 69436	not posted	$451.36 – $12,562.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$140.21 – $3,083.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$1,983.29 – $13,196.03
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$948.00 – $21,292.66
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,421.01 – $18,353.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,116.70 – $12,562.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,983.29 – $13,196.03
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$2,369.00 – $2,369.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,200.05 – $10,342.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $7,473.24
Lower colon endoscopy with ultrasound CPT 45391	not posted	$2,434.00 – $2,434.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $5,841.00
Prostate biopsy CPT 55700	not posted	$700.49 – $3,755.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$11,558.00 – $22,967.79
Removal of a breast lump, open surgery CPT 19120	not posted	$1,011.84 – $12,562.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,573.70 – $16,330.72
Screening colonoscopy, average risk HCPCS G0121	not posted	$352.49 – $3,755.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$352.49 – $3,755.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$2,369.00 – $2,369.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,672.00 – $12,562.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$8,778.00 – $16,425.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$948.00 – $13,241.95
Total hip replacement CPT 27130	not posted	$3,375.00 – $45,698.73
Total knee replacement CPT 27447	not posted	$12,000.00 – $60,464.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$351.70 – $351.70
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$359.42 – $3,083.00
Vasectomy CPT 55250	not posted	$700.49 – $5,571.00

Pregnancy and birth

Service	Cash price	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	not posted	$3,390.00 – $27,623.25
Fetal non-stress test CPT 59025	not posted	$16.93 – $5,841.00
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	$948.00 – $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	$1,200.00 – $11,954.00
Chest pain MS-DRG 313	not posted	$6,181.92 – $7,963.20
COPD flare-up, with major complications MS-DRG 190	not posted	$2,998.00 – $23,797.83
COPD flare-up, without complications MS-DRG 192	not posted	$995.00 – $5,301.00
Fainting (syncope) MS-DRG 312	not posted	$2,998.00 – $18,725.45
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$8,420.29 – $10,846.54
Heart failure, with major complications MS-DRG 291	not posted	$11,022.71 – $14,198.83
Heart failure, without complications MS-DRG 293	not posted	$4,859.68 – $6,259.96
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$995.00 – $3,848.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$16,561.54 – $21,333.63
Irregular heartbeat, without complications MS-DRG 310	not posted	$995.00 – $5,301.00
Kidney failure, with complications MS-DRG 683	not posted	$995.00 – $5,301.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$6,950.37 – $8,953.07
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$20,961.00 – $27,000.78
Normal newborn care MS-DRG 795	not posted	$995.00 – $1,275.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$6,681.63 – $8,606.89
Pneumonia, with complications MS-DRG 194	not posted	$6,919.46 – $8,913.25
Pneumonia, with major complications MS-DRG 193	not posted	$11,285.44 – $14,537.26
Pneumonia, without complications MS-DRG 195	not posted	$995.00 – $5,301.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$11,992.92 – $15,448.61
Sepsis, with major complications MS-DRG 871	not posted	$995.00 – $5,301.00
Sepsis, without major complications MS-DRG 872	not posted	$8,786.05 – $11,317.70
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$7,477.55 – $9,632.15
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$2,998.00 – $16,748.93
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$2,998.00 – $21,705.29
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$10,652.65 – $13,722.14
Vaginal delivery, without complications MS-DRG 807	not posted	$1,200.00 – $10,661.00
Weight loss surgery, without complications MS-DRG 621	not posted	$16,024.00 – $22,869.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted		$29.36 – $5,841.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$365.66 – $3,128.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$3,648.28	$3,648.28	$276.00 – $5,841.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$282.06 – $5,841.00

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	$229.16 – $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	$3,146.64 – $4,245.08
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	not posted		$323.74 – $446.87

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$395.40	$395.40	$24.04 – $52.73
Physical therapy evaluation, low complexity CPT 97161	$1,052.70	$1,052.70	$63.16 – $894.79
Physical therapy evaluation, moderate complexity CPT 97162	$1,059.06	$1,059.06	$63.54 – $900.20
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$358.53	$358.53	$21.51 – $304.75
Therapeutic activities, 15 minutes CPT 97530	$244.10	$244.10	$14.65 – $207.49

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$825.60	$825.60	$49.54 – $701.76
IV hydration, each additional hour CPT 96361	$394.19	$394.19	$23.65 – $335.06
IV hydration, first hour CPT 96360	$909.75	$909.75	$118.27 – $773.29
IV push injection of a drug, first CPT 96374	$1,138.03	$1,138.03	$68.28 – $967.33
IV push injection, each additional drug CPT 96375	$1,138.03	$1,138.03	$68.28 – $967.33

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$553.22	$553.22	$33.19 – $470.24
Dexamethasone injection, per 1 mg HCPCS J1100	$117.78	$117.78	$7.07 – $100.11
Fentanyl injection, per 0.1 mg HCPCS J3010	$69.00	$69.00	$4.14 – $58.65
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$255.93	$255.93	$15.36 – $217.54
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$65.44	$65.44	$3.93 – $55.62
Morphine injection, up to 10 mg HCPCS J2270	$51.16	$51.16	$3.07 – $43.49
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$71.39	$71.39	? – $2.59
Propofol injection, per 10 mg HCPCS J2704	$375.96	$375.96	$22.56 – $319.57
Saline IV solution, 1000 ml HCPCS J7030	$441.39	$441.39	$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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