Medical City Dallas Hospital

7777 Forest Lane, Dallas, TX 75230 · Acute care hospital · Emergency room

These are Medical City Dallas Hospital'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; 135 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	$5,705.61	$5,705.61	$3,822.76 – $3,822.76
Emergency room visit, level 1 (minor) CPT 99281	$745.74	$745.74	$82.03 – $745.74
Emergency room visit, level 2 CPT 99282	$1,243.98	$1,243.98	$870.79 – $870.79
Emergency room visit, level 3 (moderate) CPT 99283	$2,137.61	$2,137.61	$1,496.33 – $1,496.33
Emergency room visit, level 4 CPT 99284	$3,227.29	$3,227.29	$2,259.10 – $2,259.10
Emergency room visit, level 5 (most severe) CPT 99285	$4,667.37	$4,667.37	$3,267.16 – $3,267.16
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$380.91 – $5,932.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$1,201.90	$1,201.90	$901.42 – $901.42
New patient office visit, about 30 minutes CPT 99203	$1,423.11	$1,423.11	$156.54 – $1,423.11
New patient office visit, about 45 minutes CPT 99204	$1,814.81	$1,814.81	$1,361.11 – $1,361.11
New patient office visit, about 60 minutes CPT 99205	$2,036.07	$2,036.07	$223.97 – $2,036.07
Office consultation, about 40 minutes CPT 99243	not posted		$267.60 – $520.61
Office consultation, about 60 minutes CPT 99244	not posted		$430.13 – $836.79
Office visit, established patient, about 10 to 19 minutes CPT 99212	$1,201.90	$1,201.90	$841.33 – $841.33
Office visit, established patient, about 20 to 29 minutes CPT 99213	$860.50	$860.50	$60.23 – $860.50
Office visit, established patient, about 30 to 39 minutes CPT 99214	$1,814.81	$1,814.81	$199.63 – $1,814.81
Office visit, established patient, about 40 to 54 minutes CPT 99215	$2,036.07	$2,036.07	$223.97 – $2,036.07
Office visit, established patient, brief (often a nurse) CPT 99211	$980.64	$980.64	$107.87 – $980.64
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$67.72 – $532.16
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$82.28 – $647.83

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$195.45	$195.45	$59.12 – $59.12
Abdominal X-ray, 1 view CPT 74018	$772.58	$772.58	$517.63 – $517.63
Ankle X-ray, 3 or more views CPT 73610	$1,926.66	$1,926.66	$134.87 – $1,926.66
Bone density scan (DEXA), hips and spine CPT 77080	$1,160.47	$1,160.47	$38.50 – $156.61
Breast ultrasound, one breast, complete CPT 76641	$1,267.27	$1,267.27	$887.09 – $887.09
Breast ultrasound, one breast, limited CPT 76642	$549.32	$549.32	$384.52 – $384.52
Chest X-ray, 1 view CPT 71045	$753.42	$753.42	$504.79 – $504.79
Chest X-ray, 2 views CPT 71046	$967.31	$967.31	$677.12 – $677.12
CT angiogram of the chest (checks for lung clots) CPT 71275	$6,259.81	$6,259.81	$4,194.07 – $4,194.07
CT angiogram of the head CPT 70496	$12,305.63	$12,305.63	$8,244.77 – $8,244.77
CT scan of the abdomen and pelvis, with contrast CPT 74177	$10,324.95	$10,324.95	$7,227.47 – $7,227.47
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$12,691.28	$12,691.28	$8,883.90 – $8,883.90
CT scan of the abdomen and pelvis, without contrast CPT 74176	$9,136.03	$9,136.03	$6,121.14 – $6,121.14
CT scan of the abdomen, without contrast CPT 74150	$4,888.94	$4,888.94	$3,422.26 – $3,422.26
CT scan of the chest, with contrast CPT 71260	$5,209.24	$5,209.24	$3,646.47 – $3,646.47
CT scan of the chest, without contrast CPT 71250	$4,259.90	$4,259.90	$298.19 – $4,259.90
CT scan of the head, without contrast CPT 70450	$3,789.70	$3,789.70	$265.28 – $3,789.70
CT scan of the neck (cervical spine), without contrast CPT 72125	$4,883.82	$4,883.82	$341.87 – $4,883.82
CT scan of the pelvis, with contrast CPT 72193	$4,969.67	$4,969.67	$347.88 – $4,969.67
CT scan of the sinuses or face, without contrast CPT 70486	$3,999.82	$3,999.82	$2,679.88 – $2,679.88
Diagnostic mammogram, both breasts CPT 77066	$1,019.43	$1,019.43	$258.44 – $326.72
Diagnostic mammogram, one breast CPT 77065	$702.63	$702.63	$49.18 – $702.63
Foot X-ray, 3 or more views CPT 73630	$1,926.66	$1,926.66	$134.87 – $1,926.66
Hand X-ray, 3 or more views CPT 73130	$1,996.89	$1,996.89	$1,397.82 – $1,397.82
Knee X-ray, 3 views CPT 73562	$1,958.58	$1,958.58	$1,371.01 – $1,371.01
Leg or arm vein ultrasound, both sides CPT 93970	$3,290.81	$3,290.81	$2,303.57 – $2,303.57
Leg or arm vein ultrasound, one side CPT 93971	$1,902.60	$1,902.60	$1,274.74 – $1,274.74
Lower back X-ray, 2 or 3 views CPT 72100	$1,383.94	$1,383.94	$96.88 – $1,383.94
MRI of both breasts, without and with contrast CPT 77049	$11,763.10	$11,763.10	$369.18 – $1,321.00
MRI of the abdomen, without and with contrast CPT 74183	$8,373.93	$8,373.93	$383.35 – $383.35
MRI of the brain, without and with contrast CPT 70553	$8,746.95	$8,746.95	$367.48 – $367.48
MRI of the brain, without contrast CPT 70551	$6,582.88	$6,582.88	$313.62 – $517.79
MRI of the knee or other leg joint, without contrast CPT 73721	$10,867.57	$10,867.57	$760.73 – $10,867.57
MRI of the lower back (lumbar spine), without contrast CPT 72148	$6,871.61	$6,871.61	$220.80 – $220.80
MRI of the mid back (thoracic spine), without contrast CPT 72146	$7,070.90	$7,070.90	$313.62 – $517.79
MRI of the neck (cervical spine), without contrast CPT 72141	$6,305.67	$6,305.67	$313.62 – $517.79
MRI of the pelvis, without and with contrast CPT 72197	$7,224.18	$7,224.18	$341.95 – $1,630.50
MRI of the shoulder or other arm joint, without contrast CPT 73221	$11,673.67	$11,673.67	$8,171.57 – $8,171.57
Neck X-ray, 2 or 3 views CPT 72040	$983.29	$983.29	$68.83 – $983.29
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$2,005.65	$2,005.65	$140.40 – $2,005.65
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,204.94	$2,204.94	$1,543.46 – $1,543.46
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,753.99	$1,753.99	$1,227.79 – $1,227.79
Screening mammogram, both breasts CPT 77067	$992.61	$992.61	$213.49 – $269.89
Shoulder X-ray, 2 or more views CPT 73030	$2,231.53	$2,231.53	$156.21 – $2,231.53
Transvaginal pregnancy ultrasound CPT 76817	$530.15	$530.15	$37.11 – $530.15
Transvaginal ultrasound CPT 76830	$1,677.34	$1,677.34	$1,174.14 – $1,174.14
Ultrasound of the abdomen, complete CPT 76700	$2,144.91	$2,144.91	$1,437.09 – $1,437.09
Ultrasound of the neck or thyroid CPT 76536	$1,539.37	$1,539.37	$107.76 – $1,539.37
Wrist X-ray, 3 or more views CPT 73110	$1,958.58	$1,958.58	$137.10 – $1,958.58
X-ray of the lower back, 4 or more views CPT 72110	$1,623.36	$1,623.36	$113.64 – $1,623.36

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,066.53	$1,066.53	$746.57 – $746.57
Blood culture CPT 87040	$1,440.87	$1,440.87	$9.71 – $9.71
Blood draw (venipuncture) CPT 36415	$85.52	$85.52	$3.00 – $3.00
BNP test (heart failure) CPT 83880	$772.88	$772.88	$54.10 – $772.88
C-reactive protein (CRP) test CPT 86140	$887.44	$887.44	$62.12 – $887.44
Chlamydia test (DNA/NAAT) CPT 87491	$1,163.35	$1,163.35	$81.43 – $1,163.35
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $7.77
Complete blood count (CBC), automated CPT 85027	$1,234.34	$1,234.34	$827.01 – $827.01
Comprehensive metabolic panel (blood test) CPT 80053	$1,978.18	$1,978.18	$1,384.73 – $1,384.73
COVID-19 PCR test CPT 87635	$56.89	$56.89	$3.98 – $56.89
D-dimer test (blood clots) CPT 85379	$658.31	$658.31	$10.69 – $10.69
Drug screen, instrument chemistry CPT 80307	$1,400.54	$1,400.54	$980.38 – $980.38
Ferritin (iron stores) test CPT 82728	$1,356.97	$1,356.97	$8.18 – $73.03
Free T4 (thyroid) test CPT 84439	$1,266.60	$1,266.60	$8.49 – $8.49
General health panel (blood tests) CPT 80050	not posted		$45.36 – $45.36
Glucose (blood sugar) test CPT 82947	$605.07	$605.07	$423.55 – $423.55
Gonorrhea test (DNA/NAAT) CPT 87591	$984.23	$984.23	$68.90 – $984.23
Hemoglobin A1c test CPT 83036	$759.96	$759.96	$509.17 – $509.17
Hepatitis C antibody test CPT 86803	$1,928.16	$1,928.16	$14.98 – $14.98
HIV-1/HIV-2 antigen and antibody test CPT 87389	$463.08	$463.08	$14.45 – $129.62
Iron test CPT 83540	$2,210.52	$2,210.52	$1,547.36 – $1,547.36
Kidney function panel CPT 80069	$1,426.35	$1,426.35	$998.45 – $998.45
Lipase test (pancreas) CPT 83690	$1,061.70	$1,061.70	$711.34 – $711.34
Lipid panel, cholesterol and triglycerides CPT 80061	$1,734.53	$1,734.53	$1,162.14 – $1,162.14
Liver function panel CPT 80076	$1,779.71	$1,779.71	$124.58 – $1,779.71
Magnesium test CPT 83735	$1,440.87	$1,440.87	$100.86 – $1,440.87
Obstetric blood test panel CPT 80055	not posted		$52.11 – $52.11
Partial thromboplastin time (PTT), clotting test CPT 85730	$882.59	$882.59	$61.78 – $882.59
Pregnancy blood test (hCG), quantitative CPT 84702	$2,031.42	$2,031.42	$1,361.05 – $1,361.05
Prothrombin time (PT/INR), clotting test CPT 85610	$753.52	$753.52	$527.46 – $527.46
PSA (prostate specific antigen), free CPT 84154	$556.67	$556.67	$18.39 – $18.39
PSA (prostate specific antigen), total CPT 84153	$556.67	$556.67	$17.30 – $17.30
Rapid strep test CPT 87880	$1,273.06	$1,273.06	$891.14 – $891.14
Sed rate (ESR) test CPT 85652	$630.87	$630.87	$44.16 – $630.87
TB skin test CPT 86580	$238.80	$238.80	$12.22 – $54.38
Thyroid stimulating hormone (TSH) CPT 84443	$1,850.69	$1,850.69	$1,295.48 – $1,295.48
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,958.81	$1,958.81	$137.12 – $1,958.81
Troponin test (heart damage) CPT 84484	$1,445.70	$1,445.70	$101.20 – $1,445.70
Urinalysis, automated, with microscope CPT 81001	$701.88	$701.88	$49.13 – $701.88
Urinalysis, automated, without microscope CPT 81003	$395.32	$395.32	$264.86 – $264.86
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $4.02
Urinalysis, manual, without microscope CPT 81002	not posted		$3.79 – $3.79
Urine culture, colony count CPT 87086	$1,195.60	$1,195.60	$8.07 – $8.07
Urine pregnancy test CPT 81025	$503.41	$503.41	$337.28 – $337.28
Vitamin B12 test CPT 82607	$1,184.32	$1,184.32	$9.05 – $82.16
Vitamin D test CPT 82306	$711.56	$711.56	$27.84 – $27.84

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$4,134.13	$4,134.13	$289.39 – $4,134.13
ECG tracing only (no interpretation) CPT 93005	$908.39	$908.39	$63.59 – $908.39
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,589.61	$9,589.61	$671.27 – $9,589.61
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.60 – $1,668.00
Holter monitor, up to 48 hours CPT 93224	not posted		$57.90 – $1,668.00
Left heart catheterization CPT 93452	$41,126.47	$41,126.47	$28,788.53 – $28,788.53
Left heart catheterization with coronary angiogram CPT 93458	$50,367.80	$50,367.80	$33,746.43 – $33,746.43
Nuclear stress test (heart perfusion imaging) CPT 78452	$8,197.63	$8,197.63	$5,738.34 – $5,738.34
Treadmill stress test, complete CPT 93015	not posted		$199.21 – $1,668.00

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$3,465.05 – $21,630.00
Appendix removal, laparoscopic CPT 44970	not posted	$8,024.00 – $21,630.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$2,214.00 – $6,680.00
Carpal tunnel release CPT 64721	not posted	$692.94 – $6,680.00
Colonoscopy with biopsy CPT 45380	not posted	$948.00 – $6,680.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$2,189.20 – $6,680.00
Colonoscopy, diagnostic CPT 45378	not posted	$344.93 – $6,680.00
Colposcopy with biopsy CPT 57454	not posted	$68.31 – $6,680.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,293.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $9,908.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$128.71 – $938.87
Gallbladder removal, laparoscopic CPT 47562	not posted	$1,983.29 – $21,630.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$948.00 – $39,036.54
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,265.51 – $23,556.71
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,116.70 – $8,858.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,983.29 – $8,024.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,266.69 – $1,266.69
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$8,858.00 – $9,198.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $7,168.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$450.72 – $6,680.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $6,680.00
Prostate biopsy CPT 55700	not posted	$2,214.00 – $2,299.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$10,122.00 – $10,512.00
Removal of a breast lump, open surgery CPT 19120	not posted	$1,011.84 – $9,908.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$6,982.00 – $9,868.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$323.57 – $410.63
Screening colonoscopy, high risk HCPCS G0105	not posted	$323.57 – $410.63
Septoplasty (nasal septum repair) CPT 30520	not posted	$930.95 – $19,415.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,481.00 – $2,636.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$22,823.00 – $32,258.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,149.64 – $2,149.64
Total hip replacement CPT 27130	not posted	$948.00 – $55,933.34
Total knee replacement CPT 27447	not posted	$10,122.00 – $10,512.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$2,700.00 – $3,816.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$948.00 – $5,932.00
Vasectomy CPT 55250	not posted	$685.44 – $8,858.00

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		$6,587.00 – $6,587.00
Fetal non-stress test CPT 59025	$1,092.68	$1,092.68	$732.10 – $732.10
IUD insertion CPT 58300	not posted		$1,088.91 – $5,932.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,152.00 – $2,235.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$2,152.00 – $46,954.23

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$9,836.02 – $10,013.24
C-section, without complications MS-DRG 788	not posted	$455.00 – $21,110.95
Chest pain MS-DRG 313	not posted	$8,496.74 – $8,649.83
COPD flare-up, with major complications MS-DRG 190	not posted	$11,686.16 – $11,896.72
COPD flare-up, without complications MS-DRG 192	not posted	$1,126.00 – $7,996.60
Fainting (syncope) MS-DRG 312	not posted	$1,126.00 – $9,919.44
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$16,248.56 – $29,480.82
Heart failure, with major complications MS-DRG 291	not posted	$13,134.85 – $13,371.52
Heart failure, without complications MS-DRG 293	not posted	$1,126.00 – $7,360.12
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$83,052.13 – $84,548.57
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$1,318.00 – $18,774.07
Irregular heartbeat, without complications MS-DRG 310	not posted	$7,230.67 – $7,360.96
Kidney failure, with complications MS-DRG 683	not posted	$1,126.00 – $9,954.62
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,126.00 – $9,399.37
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$22,657.06 – $23,065.30
Normal newborn care MS-DRG 795	not posted	$4,217.30 – $4,293.28
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$1,126.00 – $9,137.24
Pneumonia, with complications MS-DRG 194	not posted	$1,126.00 – $9,369.22
Pneumonia, with major complications MS-DRG 193	not posted	$13,386.59 – $13,627.79
Pneumonia, without complications MS-DRG 195	not posted	$1,126.00 – $7,883.54
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,126.00 – $14,317.87
Sepsis, with major complications MS-DRG 871	not posted	$1,126.00 – $1,126.00
Sepsis, without major complications MS-DRG 872	not posted	$10,991.84 – $11,189.90
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$1,126.00 – $9,913.58
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$1,126.00 – $9,148.97
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,126.00 – $11,081.02
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$12,780.30 – $13,010.57
Vaginal delivery, without complications MS-DRG 807	not posted	$8,119.96 – $8,266.27
Weight loss surgery, without complications MS-DRG 621	not posted	$32,500.00 – $32,500.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$2,550.32	$2,550.32	$280.54 – $2,550.32
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$357.81 – $5,932.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$294.40 – $294.40
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$3,293.00 – $5,932.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$892.44 – $18,490.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$318.81 – $620.23
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$218.75 – $6,680.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$380.46 – $740.17

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted		$1,927.00 – $3,130.00
Sleep study with CPAP titration CPT 95811	not posted		$1,927.00 – $3,130.00
Sleep study, overnight in a sleep lab CPT 95810	$10,842.74	$10,842.74	$796.00 – $2,680.03

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$554.35	$554.35	$38.80 – $554.35

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$280.21	$280.21	$19.61 – $280.21
Physical therapy evaluation, low complexity CPT 97161	$501.32	$501.32	$103.00 – $103.00
Physical therapy evaluation, moderate complexity CPT 97162	$737.79	$737.79	$90.64 – $90.64
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$198.63	$198.63	$13.90 – $198.63
Therapeutic activities, 15 minutes CPT 97530	$198.63	$198.63	$13.90 – $198.63

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$354.67	$354.67	$24.83 – $354.67
IV hydration, each additional hour CPT 96361	$269.43	$269.43	$188.60 – $188.60
IV hydration, first hour CPT 96360	$1,073.95	$1,073.95	$75.18 – $1,073.95
IV push injection of a drug, first CPT 96374	$724.32	$724.32	$507.02 – $507.02
IV push injection, each additional drug CPT 96375	$593.73	$593.73	$41.56 – $593.73

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$528.52	$528.52	$354.11 – $354.11
Dexamethasone injection, per 1 mg HCPCS J1100	$8.16	$8.16	? – $8.16
Fentanyl injection, per 0.1 mg HCPCS J3010	$45.90	$45.90	$34.42 – $34.42
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$40.74	$40.74	$27.30 – $27.30
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$110.16	$110.16	$77.11 – $77.11
Morphine injection, up to 10 mg HCPCS J2270	$117.50	$117.50	$78.72 – $78.72
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$2.63	$2.63	$1.84 – $1.84
Propofol injection, per 10 mg HCPCS J2704	$17.17	$17.17	$11.50 – $11.50
Saline IV solution, 1000 ml HCPCS J7030	$28.14	$28.14	$3.61 – $3.61

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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