HCA Houston Healthcare Northwest

710 Cypress Creek Parkway, Houston, TX 77090 · Acute care hospital · Emergency room

These are HCA Houston Healthcare Northwest'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; 116 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	$9,119.76	$9,119.76	$1,185.57 – $7,751.80
Emergency room visit, level 1 (minor) CPT 99281	$1,107.12	$1,107.12	$186.00 – $941.05
Emergency room visit, level 2 CPT 99282	$2,112.20	$2,112.20	$354.85 – $1,795.37
Emergency room visit, level 3 (moderate) CPT 99283	$3,928.54	$3,928.54	$659.99 – $3,339.26
Emergency room visit, level 4 CPT 99284	$6,521.88	$6,521.88	$913.06 – $5,543.60
Emergency room visit, level 5 (most severe) CPT 99285	$9,731.47	$9,731.47	$1,362.41 – $8,271.75
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$311.02 – $5,841.00

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	not posted		$52.83 – $52.83
Abdominal X-ray, 1 view CPT 74018	$1,749.57	$1,749.57	$104.97 – $1,487.13
Ankle X-ray, 3 or more views CPT 73610	$2,370.80	$2,370.80	$142.25 – $2,015.18
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$38.85 – $133.96
Breast ultrasound, one breast, complete CPT 76641	not posted		$105.99 – $105.99
Breast ultrasound, one breast, limited CPT 76642	$6,909.79	$6,909.79	$85.20 – $291.31
Chest X-ray, 1 view CPT 71045	$2,108.37	$2,108.37	$126.50 – $1,792.11
Chest X-ray, 2 views CPT 71046	$2,372.29	$2,372.29	$142.34 – $2,016.45
CT angiogram of the chest (checks for lung clots) CPT 71275	$23,830.63	$23,830.63	$1,429.84 – $20,256.04
CT angiogram of the head CPT 70496	$23,830.63	$23,830.63	$1,429.84 – $20,256.04
CT scan of the abdomen and pelvis, with contrast CPT 74177	$38,563.77	$38,563.77	$2,313.83 – $32,779.20
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$40,539.37	$40,539.37	$2,432.36 – $34,458.46
CT scan of the abdomen and pelvis, without contrast CPT 74176	$32,859.53	$32,859.53	$1,971.57 – $27,930.60
CT scan of the abdomen, without contrast CPT 74150	$18,629.45	$18,629.45	$1,117.77 – $15,835.03
CT scan of the chest, with contrast CPT 71260	$15,853.55	$15,853.55	$951.21 – $13,475.52
CT scan of the chest, without contrast CPT 71250	$15,063.93	$15,063.93	$903.84 – $12,804.34
CT scan of the head, without contrast CPT 70450	$11,618.82	$11,618.82	$697.13 – $9,876.00
CT scan of the neck (cervical spine), without contrast CPT 72125	$17,871.84	$17,871.84	$1,072.31 – $15,191.06
CT scan of the pelvis, with contrast CPT 72193	$18,644.70	$18,644.70	$1,118.68 – $15,848.00
CT scan of the sinuses or face, without contrast CPT 70486	$13,937.41	$13,937.41	$836.24 – $11,846.80
Diagnostic mammogram, both breasts CPT 77066	not posted		$516.00 – $665.00
Diagnostic mammogram, one breast CPT 77065	not posted		$516.00 – $665.00
Foot X-ray, 3 or more views CPT 73630	$2,441.96	$2,441.96	$146.52 – $2,075.67
Hand X-ray, 3 or more views CPT 73130	$2,115.79	$2,115.79	$126.95 – $1,798.42
Knee X-ray, 3 views CPT 73562	$2,302.60	$2,302.60	$138.16 – $1,957.21
Leg or arm vein ultrasound, both sides CPT 93970	$8,181.71	$8,181.71	$490.90 – $6,954.45
Leg or arm vein ultrasound, one side CPT 93971	$5,454.54	$5,454.54	$327.27 – $4,636.36
Lower back X-ray, 2 or 3 views CPT 72100	$2,275.91	$2,275.91	$136.55 – $1,934.52
MRI of both breasts, without and with contrast CPT 77049	not posted		$635.81 – $2,268.00
MRI of the abdomen, without and with contrast CPT 74183	$33,074.20	$33,074.20	$361.60 – $2,739.00
MRI of the brain, without and with contrast CPT 70553	$37,347.94	$37,347.94	$328.11 – $2,268.00
MRI of the brain, without contrast CPT 70551	$20,243.66	$20,243.66	$208.23 – $2,739.00
MRI of the knee or other leg joint, without contrast CPT 73721	$21,323.73	$21,323.73	$1,279.42 – $18,125.17
MRI of the lower back (lumbar spine), without contrast CPT 72148	$21,149.92	$21,149.92	$197.14 – $2,268.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$21,388.91	$21,388.91	$196.14 – $2,268.00
MRI of the neck (cervical spine), without contrast CPT 72141	$22,009.63	$22,009.63	$196.48 – $2,268.00
MRI of the pelvis, without and with contrast CPT 72197	$24,840.17	$24,840.17	$347.16 – $2,268.00
MRI of the shoulder or other arm joint, without contrast CPT 73221	$22,206.73	$22,206.73	$1,332.40 – $18,875.72
Neck X-ray, 2 or 3 views CPT 72040	$2,225.50	$2,225.50	$133.53 – $1,891.67
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$5,618.99	$5,618.99	$337.14 – $4,776.14
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$5,055.07	$5,055.07	$303.30 – $4,296.81
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$4,475.29	$4,475.29	$268.52 – $3,804.00
Screening mammogram, both breasts CPT 77067	not posted		$516.00 – $665.00
Shoulder X-ray, 2 or more views CPT 73030	$2,449.39	$2,449.39	$146.96 – $2,081.98
Transvaginal pregnancy ultrasound CPT 76817	$3,508.97	$3,508.97	$210.54 – $2,982.62
Transvaginal ultrasound CPT 76830	$3,009.96	$3,009.96	$180.60 – $2,558.47
Ultrasound of the abdomen, complete CPT 76700	$6,433.85	$6,433.85	$386.03 – $5,468.77
Ultrasound of the neck or thyroid CPT 76536	$4,205.58	$4,205.58	$252.33 – $3,574.74
Wrist X-ray, 3 or more views CPT 73110	$1,961.59	$1,961.59	$117.70 – $1,667.35
X-ray of the lower back, 4 or more views CPT 72110	$4,238.98	$4,238.98	$254.34 – $3,603.13

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,858.00	$1,858.00	$8.29 – $58.19
Blood culture CPT 87040	$2,249.76	$2,249.76	$8.84 – $53.90
Blood draw (venipuncture) CPT 36415	$105.00	$105.00	$24.12 – $31.08
BNP test (heart failure) CPT 83880	$8,558.68	$8,558.68	$513.52 – $7,274.88
C-reactive protein (CRP) test CPT 86140	$1,129.24	$1,129.24	$4.35 – $35.66
Chlamydia test (DNA/NAAT) CPT 87491	$7,649.62	$7,649.62	$30.07 – $186.82
Complete blood count (CBC) with differential CPT 85025	not posted		$6.66 – $6.66
Complete blood count (CBC), automated CPT 85027	$1,693.86	$1,693.86	$101.63 – $1,439.78
Comprehensive metabolic panel (blood test) CPT 80053	$2,069.00	$2,069.00	$124.14 – $1,758.65
COVID-19 PCR test CPT 87635	$49.32	$49.32	$52.34 – $52.34
D-dimer test (blood clots) CPT 85379	$2,219.24	$2,219.24	$133.15 – $1,886.35
Drug screen, instrument chemistry CPT 80307	$2,439.00	$2,439.00	$146.34 – $2,073.15
Ferritin (iron stores) test CPT 82728	$2,971.34	$2,971.34	$11.45 – $93.76
Free T4 (thyroid) test CPT 84439	$1,966.36	$1,966.36	$7.73 – $48.49
General health panel (blood tests) CPT 80050	not posted		$167.27 – $215.56
Glucose (blood sugar) test CPT 82947	$856.74	$856.74	$3.30 – $27.06
Gonorrhea test (DNA/NAAT) CPT 87591	$7,649.62	$7,649.62	$29.48 – $241.36
Hemoglobin A1c test CPT 83036	$2,116.78	$2,116.78	$8.32 – $52.12
Hepatitis C antibody test CPT 86803	$3,110.86	$3,110.86	$12.23 – $75.44
HIV-1/HIV-2 antigen and antibody test CPT 87389	$5,249.44	$5,249.44	$20.23 – $165.62
Iron test CPT 83540	$1,410.46	$1,410.46	$5.43 – $44.53
Kidney function panel CPT 80069	$1,892.24	$1,892.24	$6.13 – $46.70
Lipase test (pancreas) CPT 83690	$1,502.02	$1,502.02	$5.91 – $35.94
Lipid panel, cholesterol and triglycerides CPT 80061	$2,919.00	$2,919.00	$7.66 – $92.13
Liver function panel CPT 80076	$1,858.00	$1,858.00	$6.01 – $56.20
Magnesium test CPT 83735	$1,460.60	$1,460.60	$87.64 – $1,241.51
Obstetric blood test panel CPT 80055	not posted		$196.54 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$1,310.18	$1,310.18	$78.61 – $1,113.65
Pregnancy blood test (hCG), quantitative CPT 84702	$3,280.90	$3,280.90	$196.85 – $2,788.76
Prothrombin time (PT/INR), clotting test CPT 85610	$935.22	$935.22	$56.11 – $794.94
PSA (prostate specific antigen), free CPT 84154	$687.28	$687.28	$15.76 – $96.98
PSA (prostate specific antigen), total CPT 84153	$4,009.02	$4,009.02	$15.76 – $96.98
Rapid strep test CPT 87880	not posted		$68.28 – $88.00
Sed rate (ESR) test CPT 85652	not posted		$11.17 – $14.40
TB skin test CPT 86580	not posted		$41.52 – $53.51
Thyroid stimulating hormone (TSH) CPT 84443	$3,662.40	$3,662.40	$14.11 – $115.57
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$2,246.37	$2,246.37	$144.71 – $186.48
Troponin test (heart damage) CPT 84484	$2,718.46	$2,718.46	$163.11 – $2,310.69
Urinalysis, automated, with microscope CPT 81001	$691.00	$691.00	$2.66 – $21.81
Urinalysis, automated, without microscope CPT 81003	$342.91	$342.91	$20.57 – $291.47
Urinalysis, manual, with microscope CPT 81000	not posted		$16.71 – $21.54
Urinalysis, manual, without microscope CPT 81002	not posted		$13.94 – $17.97
Urine culture, colony count CPT 87086	$1,759.26	$1,759.26	$6.92 – $43.13
Urine pregnancy test CPT 81025	$1,876.98	$1,876.98	$7.23 – $59.19
Vitamin B12 test CPT 82607	$3,287.44	$3,287.44	$12.92 – $80.85
Vitamin D test CPT 82306	$6,452.80	$6,452.80	$24.86 – $203.63

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$5,868.51	$5,868.51	$352.11 – $4,988.23
ECG tracing only (no interpretation) CPT 93005	$2,053.77	$2,053.77	$128.72 – $177.68
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,173.10	$9,173.10	$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	$36,129.55	$36,129.55	$4,696.84 – $30,710.12
Left heart catheterization with coronary angiogram CPT 93458	$64,017.05	$64,017.05	$8,322.22 – $54,414.49
Nuclear stress test (heart perfusion imaging) CPT 78452	$21,158.58	$21,158.58	$438.05 – $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	$2,369.00 – $2,369.00
Appendix removal, laparoscopic CPT 44970	not posted	$8,604.00 – $11,697.58
Breast biopsy with ultrasound guidance CPT 19083	not posted	$510.77 – $10,586.00
Carpal tunnel release CPT 64721	not posted	$2,369.00 – $2,369.00
Colonoscopy with biopsy CPT 45380	not posted	$450.72 – $4,349.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$450.72 – $4,349.00
Colonoscopy, diagnostic CPT 45378	not posted	$344.93 – $4,349.00
Colposcopy with biopsy CPT 57454	not posted	$69.81 – $5,841.00
Cystoscopy (bladder scope) CPT 52000	not posted	$255.54 – $3,083.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $10,586.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$137.20 – $3,128.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$1,983.29 – $11,697.58
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	$3,265.51 – $20,359.73
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,116.70 – $1,116.70
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,983.29 – $11,697.58
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$4,988.00 – $4,988.00
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 – $7,014.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$450.72 – $4,349.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $5,841.00
Prostate biopsy CPT 55700	not posted	$700.49 – $4,349.00
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	$3,041.00 – $3,041.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,518.45 – $14,476.32
Screening colonoscopy, average risk HCPCS G0121	not posted	$352.49 – $4,349.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$352.49 – $3,249.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$930.95 – $10,659.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$5,202.00 – $7,026.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$948.00 – $16,425.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,096.96 – $11,738.28
Total hip replacement CPT 27130	not posted	$948.00 – $42,583.00
Total knee replacement CPT 27447	not posted	$3,375.00 – $42,583.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$351.70 – $4,349.00
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	$1,148.19	$1,148.19	$17.36 – $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		$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	$931.00 – $21,491.45
C-section, without complications MS-DRG 788	not posted	$1,128.00 – $3,787.00
Chest pain MS-DRG 313	not posted	$2,998.00 – $21,052.83
COPD flare-up, with major complications MS-DRG 190	not posted	$2,998.00 – $25,627.11
COPD flare-up, without complications MS-DRG 192	not posted	$9,660.17 – $12,443.89
Fainting (syncope) MS-DRG 312	not posted	$13,114.97 – $16,894.22
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$995.00 – $5,099.00
Heart failure, with major complications MS-DRG 291	not posted	$995.00 – $3,848.00
Heart failure, without complications MS-DRG 293	not posted	$8,516.60 – $10,970.78
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$147,201.79 – $189,620.01
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$29,024.16 – $37,387.87
Irregular heartbeat, without complications MS-DRG 310	not posted	$8,518.11 – $10,972.72
Kidney failure, with complications MS-DRG 683	not posted	$13,178.16 – $16,975.63
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$12,180.55 – $15,690.54
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$2,998.00 – $64,032.86
Normal newborn care MS-DRG 795	not posted	$656.00 – $10,585.02
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$11,709.58 – $15,083.85
Pneumonia, with complications MS-DRG 194	not posted	$995.00 – $5,099.00
Pneumonia, with major complications MS-DRG 193	not posted	$19,777.78 – $25,477.02
Pneumonia, without complications MS-DRG 195	not posted	$995.00 – $5,099.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$21,017.65 – $27,074.17
Sepsis, with major complications MS-DRG 871	not posted	$29,228.80 – $37,651.48
Sepsis, without major complications MS-DRG 872	not posted	$995.00 – $5,099.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$13,104.43 – $16,880.65
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$11,730.64 – $15,110.99
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$995.00 – $5,099.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$18,668.81 – $24,048.49
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	$16,731.00 – $23,879.00

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		$357.81 – $357.81
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$3,123.53	$3,123.53	$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	$218.75 – $4,349.00

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	not posted		$209.99 – $289.86
Sleep study with CPAP titration CPT 95811	not posted		$3,146.64 – $4,245.08
Sleep study, overnight in a sleep lab CPT 95810	$10,872.00	$10,872.00	$2,476.00 – $3,534.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$2,158.23	$2,158.23	$323.74 – $446.87

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$1,002.20	$1,002.20	$60.13 – $851.87
Physical therapy evaluation, low complexity CPT 97161	$776.69	$776.69	$84.58 – $258.93
Physical therapy evaluation, moderate complexity CPT 97162	$1,108.68	$1,108.68	$66.52 – $942.38
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$399.33	$399.33	$23.96 – $339.43
Therapeutic activities, 15 minutes CPT 97530	$308.48	$308.48	$18.51 – $262.21

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$1,768.03	$1,768.03	$229.84 – $1,502.83
IV hydration, each additional hour CPT 96361	$1,026.16	$1,026.16	$61.57 – $872.24
IV hydration, first hour CPT 96360	$1,283.05	$1,283.05	$76.98 – $1,090.59
IV push injection of a drug, first CPT 96374	$1,762.32	$1,762.32	$105.74 – $1,497.97
IV push injection, each additional drug CPT 96375	$1,762.32	$1,762.32	$105.74 – $1,497.97

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$535.15	$535.15	$32.11 – $454.88
Dexamethasone injection, per 1 mg HCPCS J1100	$107.87	$107.87	$6.47 – $91.69
Fentanyl injection, per 0.1 mg HCPCS J3010	$145.69	$145.69	$8.74 – $123.84
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$61.65	$61.65	$3.70 – $52.40
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$67.09	$67.09	$4.03 – $57.03
Morphine injection, up to 10 mg HCPCS J2270	$44.83	$44.83	$2.69 – $38.11
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$68.64	$68.64	$4.12 – $58.34
Propofol injection, per 10 mg HCPCS J2704	$350.24	$350.24	$21.01 – $297.70
Saline IV solution, 1000 ml HCPCS J7030	$424.48	$424.48	$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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