HCA Houston Healthcare Pearland

11100 Shadow Creek Parkway, Pearland, TX 77584 · Acute care hospital · Emergency room

These are HCA Houston Healthcare Pearland'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; 120 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	$6,837.70	$6,837.70	$888.90 – $5,812.05
Emergency room visit, level 1 (minor) CPT 99281	$722.74	$722.74	$121.42 – $614.33
Emergency room visit, level 2 CPT 99282	$1,916.93	$1,916.93	$322.04 – $1,629.39
Emergency room visit, level 3 (moderate) CPT 99283	$2,741.30	$2,741.30	$460.54 – $2,330.11
Emergency room visit, level 4 CPT 99284	$3,661.64	$3,661.64	$512.63 – $3,112.39
Emergency room visit, level 5 (most severe) CPT 99285	$5,550.33	$5,550.33	$777.05 – $4,717.78
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$358.20 – $3,244.00

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	$69.43 – $321.29
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted	$84.36 – $391.12

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$122.19	$122.19	$7.33 – $103.86
Abdominal X-ray, 1 view CPT 74018	$1,883.30	$1,883.30	$113.00 – $1,600.81
Ankle X-ray, 3 or more views CPT 73610	$1,823.71	$1,823.71	$109.42 – $1,550.15
Bone density scan (DEXA), hips and spine CPT 77080	$2,164.61	$2,164.61	$38.09 – $118.54
Breast ultrasound, one breast, complete CPT 76641	$2,754.18	$2,754.18	$165.25 – $2,341.05
Breast ultrasound, one breast, limited CPT 76642	$2,754.18	$2,754.18	$165.25 – $2,341.05
Chest X-ray, 1 view CPT 71045	$1,557.63	$1,557.63	$93.46 – $1,323.99
Chest X-ray, 2 views CPT 71046	$1,705.91	$1,705.91	$102.35 – $1,450.02
CT angiogram of the chest (checks for lung clots) CPT 71275	$13,119.36	$13,119.36	$787.16 – $11,151.46
CT angiogram of the head CPT 70496	$11,952.00	$11,952.00	$717.12 – $10,159.20
CT scan of the abdomen and pelvis, with contrast CPT 74177	$21,666.98	$21,666.98	$1,300.02 – $18,416.93
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$26,367.62	$26,367.62	$1,582.06 – $22,412.48
CT scan of the abdomen and pelvis, without contrast CPT 74176	$17,348.83	$17,348.83	$1,040.93 – $14,746.51
CT scan of the abdomen, without contrast CPT 74150	$8,996.62	$8,996.62	$539.80 – $7,647.13
CT scan of the chest, with contrast CPT 71260	$12,111.89	$12,111.89	$726.71 – $10,295.11
CT scan of the chest, without contrast CPT 71250	$8,767.96	$8,767.96	$526.08 – $7,452.77
CT scan of the head, without contrast CPT 70450	$7,962.81	$7,962.81	$477.77 – $6,768.39
CT scan of the neck (cervical spine), without contrast CPT 72125	$10,568.11	$10,568.11	$634.09 – $8,982.89
CT scan of the pelvis, with contrast CPT 72193	$9,840.57	$9,840.57	$590.43 – $8,364.48
CT scan of the sinuses or face, without contrast CPT 70486	$8,389.63	$8,389.63	$503.38 – $7,131.19
Diagnostic mammogram, both breasts CPT 77066	$3,269.04	$3,269.04	$107.84 – $465.83
Diagnostic mammogram, one breast CPT 77065	$1,791.73	$1,791.73	$107.50 – $1,522.97
Foot X-ray, 3 or more views CPT 73630	$1,672.66	$1,672.66	$100.36 – $1,421.76
Hand X-ray, 3 or more views CPT 73130	$1,478.65	$1,478.65	$88.72 – $1,256.85
Knee X-ray, 3 views CPT 73562	$2,394.66	$2,394.66	$143.68 – $2,035.46
Leg or arm vein ultrasound, both sides CPT 93970	$4,797.00	$4,797.00	$287.82 – $4,077.45
Leg or arm vein ultrasound, one side CPT 93971	$1,592.65	$1,592.65	$95.56 – $1,353.75
Lower back X-ray, 2 or 3 views CPT 72100	$1,978.93	$1,978.93	$118.74 – $1,682.09
MRI of both breasts, without and with contrast CPT 77049	not posted		$629.95 – $2,268.00
MRI of the abdomen, without and with contrast CPT 74183	$18,152.95	$18,152.95	$348.50 – $2,268.00
MRI of the brain, without and with contrast CPT 70553	$18,152.95	$18,152.95	$339.46 – $2,739.00
MRI of the brain, without contrast CPT 70551	$13,110.77	$13,110.77	$202.15 – $2,268.00
MRI of the knee or other leg joint, without contrast CPT 73721	$15,566.92	$15,566.92	$934.02 – $13,231.88
MRI of the lower back (lumbar spine), without contrast CPT 72148	$13,110.77	$13,110.77	$197.14 – $2,268.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$13,106.54	$13,106.54	$196.14 – $2,268.00
MRI of the neck (cervical spine), without contrast CPT 72141	$13,106.54	$13,106.54	$202.45 – $2,739.00
MRI of the pelvis, without and with contrast CPT 72197	$18,152.95	$18,152.95	$1,089.18 – $15,430.01
MRI of the shoulder or other arm joint, without contrast CPT 73221	$15,566.92	$15,566.92	$934.02 – $13,231.88
Neck X-ray, 2 or 3 views CPT 72040	$2,192.34	$2,192.34	$131.54 – $1,863.49
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$4,825.98	$4,825.98	$289.56 – $4,102.08
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$6,281.33	$6,281.33	$104.75 – $354.26
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$5,239.24	$5,239.24	$314.35 – $4,453.35
Screening mammogram, both breasts CPT 77067	$1,606.38	$1,606.38	$763.68 – $1,032.99
Shoulder X-ray, 2 or more views CPT 73030	$2,310.12	$2,310.12	$138.61 – $1,963.60
Transvaginal pregnancy ultrasound CPT 76817	$2,942.28	$2,942.28	$176.54 – $2,500.94
Transvaginal ultrasound CPT 76830	$3,659.00	$3,659.00	$219.54 – $3,110.15
Ultrasound of the abdomen, complete CPT 76700	$6,954.09	$6,954.09	$417.25 – $5,910.98
Ultrasound of the neck or thyroid CPT 76536	$4,293.28	$4,293.28	$257.60 – $3,649.29
Wrist X-ray, 3 or more views CPT 73110	$1,771.05	$1,771.05	$106.26 – $1,505.39
X-ray of the lower back, 4 or more views CPT 72110	$3,519.93	$3,519.93	$211.20 – $2,991.94

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,390.12	$1,390.12	$9.93 – $44.92
Blood culture CPT 87040	$1,166.37	$1,166.37	$8.84 – $53.90
Blood draw (venipuncture) CPT 36415	not posted		$24.12 – $31.08
BNP test (heart failure) CPT 83880	$1,359.35	$1,359.35	$81.56 – $1,155.45
C-reactive protein (CRP) test CPT 86140	$620.95	$620.95	$4.35 – $35.66
Chlamydia test (DNA/NAAT) CPT 87491	$458.00	$458.00	$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	$706.26	$706.26	$42.38 – $600.32
Comprehensive metabolic panel (blood test) CPT 80053	$1,826.00	$1,826.00	$109.56 – $1,552.10
COVID-19 PCR test CPT 87635	$70.39	$70.39	$4.22 – $59.83
D-dimer test (blood clots) CPT 85379	$959.37	$959.37	$57.56 – $815.46
Drug screen, instrument chemistry CPT 80307	$1,298.00	$1,298.00	$77.88 – $1,103.30
Ferritin (iron stores) test CPT 82728	$1,169.15	$1,169.15	$11.68 – $71.87
Free T4 (thyroid) test CPT 84439	$1,371.95	$1,371.95	$7.73 – $48.49
General health panel (blood tests) CPT 80050	not posted		$167.27 – $215.56
Glucose (blood sugar) test CPT 82947	$769.19	$769.19	$3.30 – $27.06
Gonorrhea test (DNA/NAAT) CPT 87591	$449.00	$449.00	$30.07 – $186.82
Hemoglobin A1c test CPT 83036	$1,241.88	$1,241.88	$8.16 – $66.79
Hepatitis C antibody test CPT 86803	$980.36	$980.36	$11.99 – $98.19
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,450.00	$1,450.00	$20.23 – $165.62
Iron test CPT 83540	$980.36	$980.36	$5.54 – $34.15
Kidney function panel CPT 80069	$1,390.12	$1,390.12	$6.13 – $46.70
Lipase test (pancreas) CPT 83690	$1,110.42	$1,110.42	$5.79 – $47.42
Lipid panel, cholesterol and triglycerides CPT 80061	$1,502.01	$1,502.01	$7.66 – $92.13
Liver function panel CPT 80076	$1,390.12	$1,390.12	$6.13 – $43.13
Magnesium test CPT 83735	$1,110.42	$1,110.42	$5.63 – $46.06
Obstetric blood test panel CPT 80055	not posted		$196.54 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$868.48	$868.48	$52.11 – $738.21
Pregnancy blood test (hCG), quantitative CPT 84702	$2,129.94	$2,129.94	$127.80 – $1,810.45
Prothrombin time (PT/INR), clotting test CPT 85610	$620.95	$620.95	$37.26 – $527.81
PSA (prostate specific antigen), free CPT 84154	$791.55	$791.55	$15.45 – $126.52
PSA (prostate specific antigen), total CPT 84153	$805.54	$805.54	$15.45 – $126.52
Rapid strep test CPT 87880	$455.48	$455.48	$14.17 – $88.00
Sed rate (ESR) test CPT 85652	$620.00	$620.00	$2.32 – $14.40
TB skin test CPT 86580	not posted		$41.52 – $53.51
Thyroid stimulating hormone (TSH) CPT 84443	$2,005.47	$2,005.47	$14.11 – $115.57
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,395.72	$1,395.72	$99.93 – $157.81
Troponin test (heart damage) CPT 84484	$1,243.27	$1,243.27	$74.60 – $1,056.78
Urinalysis, automated, with microscope CPT 81001	$518.85	$518.85	$2.66 – $21.81
Urinalysis, automated, without microscope CPT 81003	$309.07	$309.07	$18.54 – $262.71
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	$1,103.43	$1,103.43	$6.78 – $55.48
Urine pregnancy test CPT 81025	$569.19	$569.19	$7.37 – $44.92
Vitamin B12 test CPT 82607	$1,563.54	$1,563.54	$12.92 – $80.85
Vitamin D test CPT 82306	$699.26	$699.26	$24.86 – $203.63

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$7,018.62	$7,018.62	$421.12 – $5,965.83
ECG tracing only (no interpretation) CPT 93005	$1,362.86	$1,362.86	$128.72 – $177.68
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,762.95	$9,762.95	$317.09 – $437.70
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.90 – $55.19
Holter monitor, up to 48 hours CPT 93224	not posted		$59.37 – $292.19
Left heart catheterization CPT 93452	$29,898.63	$29,898.63	$3,886.82 – $25,413.84
Left heart catheterization with coronary angiogram CPT 93458	$29,898.63	$29,898.63	$3,886.82 – $25,413.84
Nuclear stress test (heart perfusion imaging) CPT 78452	$19,262.26	$19,262.26	$3,089.27 – $4,178.67
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	$8,778.00 – $13,196.03
Breast biopsy with ultrasound guidance CPT 19083	not posted	$510.77 – $12,562.00
Carpal tunnel release CPT 64721	not posted	$2,369.00 – $2,369.00
Colonoscopy with biopsy CPT 45380	not posted	$450.72 – $450.72
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$472.19 – $1,208.10
Colonoscopy, diagnostic CPT 45378	not posted	$344.93 – $3,755.00
Colposcopy with biopsy CPT 57454	not posted	$68.31 – $68.31
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,128.00
Ear tubes, under general anesthesia CPT 69436	not posted	$2,434.00 – $2,434.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$143.74 – $938.87
Gallbladder removal, laparoscopic CPT 47562	not posted	$2,369.00 – $2,369.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$9,124.00 – $21,292.66
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,337.16 – $22,967.79
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	$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	$450.72 – $3,755.00
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	$948.00 – $22,967.79
Removal of a breast lump, open surgery CPT 19120	not posted	$2,369.00 – $2,369.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,518.45 – $16,330.72
Screening colonoscopy, average risk HCPCS G0121	not posted	$352.49 – $3,755.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$2,251.00 – $2,251.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$930.95 – $8,234.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$2,369.00 – $2,369.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$8,778.00 – $13,835.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,051.93 – $13,241.95
Total hip replacement CPT 27130	not posted	$3,375.00 – $45,698.73
Total knee replacement CPT 27447	not posted	$42,583.00 – $42,583.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$351.70 – $351.70
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $3,128.00
Vasectomy CPT 55250	not posted	$3,041.00 – $3,041.00

Pregnancy and birth

Service	Cash price	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	not posted	$16.57 – $2,358.00
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 – $24,914.49

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	$1,128.00 – $3,787.00
Chest pain MS-DRG 313	not posted	$6,181.92 – $7,963.20
COPD flare-up, with major complications MS-DRG 190	not posted	$995.00 – $5,301.00
COPD flare-up, without complications MS-DRG 192	not posted	$5,512.21 – $7,100.52
Fainting (syncope) MS-DRG 312	not posted	$7,483.56 – $9,639.90
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$995.00 – $5,301.00
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	$2,998.00 – $16,632.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$83,995.12 – $108,197.77
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	$4,860.53 – $6,261.07
Kidney failure, with complications MS-DRG 683	not posted	$7,519.62 – $9,686.35
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$2,998.00 – $17,391.30
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	$2,998.00 – $28,941.00
Pneumonia, with major complications MS-DRG 193	not posted	$995.00 – $5,301.00
Pneumonia, without complications MS-DRG 195	not posted	$995.00 – $5,301.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,577.00 – $30,008.85
Sepsis, with major complications MS-DRG 871	not posted	$16,678.31 – $21,484.05
Sepsis, without major complications MS-DRG 872	not posted	$11,000.00 – $20,160.00
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	$995.00 – $5,301.00
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	$995.00 – $3,848.00
Vaginal delivery, without complications MS-DRG 807	not posted	$1,128.00 – $3,787.00
Weight loss surgery, without complications MS-DRG 621	not posted	$1,400.00 – $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	$276.00 – $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	$2,251.00 – $2,251.00

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	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	$1,172.20 – $1,618.04

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$1,901.08	$1,901.08	$323.74 – $446.87

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$347.24	$347.24	$24.04 – $52.73
Physical therapy evaluation, low complexity CPT 97161	$989.52	$989.52	$59.37 – $841.09
Physical therapy evaluation, moderate complexity CPT 97162	$989.52	$989.52	$59.37 – $841.09
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$392.42	$392.42	$23.55 – $333.56
Therapeutic activities, 15 minutes CPT 97530	$293.60	$293.60	$17.62 – $249.56

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$225.61	$225.61	$13.54 – $191.77
IV hydration, each additional hour CPT 96361	$104.12	$104.12	$6.25 – $88.50
IV hydration, first hour CPT 96360	$480.58	$480.58	$28.83 – $408.49
IV push injection of a drug, first CPT 96374	$998.54	$998.54	$129.81 – $848.76
IV push injection, each additional drug CPT 96375	$998.54	$998.54	$59.91 – $848.76

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$539.62	$539.62	$32.38 – $458.68
Dexamethasone injection, per 1 mg HCPCS J1100	$325.36	$325.36	$19.52 – $276.56
Fentanyl injection, per 0.1 mg HCPCS J3010	$181.20	$181.20	$10.87 – $154.02
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$412.96	$412.96	$24.78 – $351.02
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$458.94	$458.94	$27.54 – $390.10
Morphine injection, up to 10 mg HCPCS J2270	$226.16	$226.16	$13.57 – $192.24
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$277.74	$277.74	$16.66 – $236.08
Propofol injection, per 10 mg HCPCS J2704	$1,782.85	$1,782.85	$106.97 – $1,515.42
Saline IV solution, 1000 ml HCPCS J7030	$513.16	$513.16	$30.79 – $436.19

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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