Medical City Denton

3535 South I35 East, Denton, TX 76210 · Acute care hospital · Emergency room

These are Medical City Denton'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.

231 of the services we track have a posted price here; 139 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	$8,947.13	$8,947.13	$1,207.86 – $8,947.13
Emergency room visit, level 1 (minor) CPT 99281	$926.62	$926.62	$125.09 – $926.62
Emergency room visit, level 2 CPT 99282	$1,699.21	$1,699.21	$229.39 – $1,699.21
Emergency room visit, level 3 (moderate) CPT 99283	$2,811.64	$2,811.64	$379.57 – $2,811.64
Emergency room visit, level 4 CPT 99284	$4,179.57	$4,179.57	$564.24 – $4,179.57
Emergency room visit, level 5 (most severe) CPT 99285	$6,761.38	$6,761.38	$912.79 – $6,761.38
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$419.35 – $5,442.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$709.33	$709.33	$532.00 – $532.00
New patient office visit, about 30 minutes CPT 99203	$839.64	$839.64	$113.35 – $839.64
New patient office visit, about 45 minutes CPT 99204	$1,071.99	$1,071.99	$803.99 – $803.99
New patient office visit, about 60 minutes CPT 99205	$1,199.84	$1,199.84	$899.88 – $899.88
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	$709.33	$709.33	$532.00 – $532.00
Office visit, established patient, about 20 to 29 minutes CPT 99213	$839.64	$839.64	$113.35 – $839.64
Office visit, established patient, about 30 to 39 minutes CPT 99214	$1,071.99	$1,071.99	$144.72 – $1,071.99
Office visit, established patient, about 40 to 54 minutes CPT 99215	$1,199.84	$1,199.84	$161.98 – $1,199.84
Office visit, established patient, brief (often a nurse) CPT 99211	$579.01	$579.01	$78.17 – $579.01
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$66.84 – $532.16
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$81.23 – $647.83

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$281.63	$281.63	$21.51 – $131.43
Abdominal X-ray, 1 view CPT 74018	$939.00	$939.00	$65.73 – $939.00
Ankle X-ray, 3 or more views CPT 73610	$1,399.73	$1,399.73	$97.98 – $1,399.73
Bone density scan (DEXA), hips and spine CPT 77080	$1,413.21	$1,413.21	$98.92 – $1,413.21
Breast ultrasound, one breast, complete CPT 76641	$1,558.58	$1,558.58	$109.10 – $1,558.58
Breast ultrasound, one breast, limited CPT 76642	$1,192.09	$1,192.09	$83.45 – $1,192.09
Chest X-ray, 1 view CPT 71045	$901.28	$901.28	$63.09 – $901.28
Chest X-ray, 2 views CPT 71046	$976.72	$976.72	$68.37 – $976.72
CT angiogram of the chest (checks for lung clots) CPT 71275	$10,324.45	$10,324.45	$722.71 – $10,324.45
CT angiogram of the head CPT 70496	$9,611.60	$9,611.60	$672.81 – $9,611.60
CT scan of the abdomen and pelvis, with contrast CPT 74177	$13,470.93	$13,470.93	$942.97 – $13,470.93
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$16,912.41	$16,912.41	$1,183.87 – $16,912.41
CT scan of the abdomen and pelvis, without contrast CPT 74176	$11,907.71	$11,907.71	$833.54 – $11,907.71
CT scan of the abdomen, without contrast CPT 74150	$8,670.47	$8,670.47	$606.93 – $8,670.47
CT scan of the chest, with contrast CPT 71260	$8,418.17	$8,418.17	$589.27 – $8,418.17
CT scan of the chest, without contrast CPT 71250	$8,418.17	$8,418.17	$589.27 – $8,418.17
CT scan of the head, without contrast CPT 70450	$5,752.27	$5,752.27	$402.66 – $5,752.27
CT scan of the neck (cervical spine), without contrast CPT 72125	$6,330.31	$6,330.31	$443.12 – $6,330.31
CT scan of the pelvis, with contrast CPT 72193	$7,485.04	$7,485.04	$523.95 – $7,485.04
CT scan of the sinuses or face, without contrast CPT 70486	$5,673.52	$5,673.52	$397.15 – $5,673.52
Diagnostic mammogram, both breasts CPT 77066	$924.61	$924.61	$165.73 – $263.00
Diagnostic mammogram, one breast CPT 77065	$1,231.95	$1,231.95	$86.24 – $1,231.95
Foot X-ray, 3 or more views CPT 73630	$1,438.80	$1,438.80	$100.72 – $1,438.80
Hand X-ray, 3 or more views CPT 73130	$1,732.49	$1,732.49	$121.27 – $1,732.49
Knee X-ray, 3 views CPT 73562	$1,286.57	$1,286.57	$90.06 – $1,286.57
Leg or arm vein ultrasound, both sides CPT 93970	$2,436.27	$2,436.27	$170.54 – $2,436.27
Leg or arm vein ultrasound, one side CPT 93971	$1,956.96	$1,956.96	$136.99 – $1,956.96
Lower back X-ray, 2 or 3 views CPT 72100	$1,119.52	$1,119.52	$78.37 – $1,119.52
MRI of both breasts, without and with contrast CPT 77049	not posted		$395.55 – $635.92
MRI of the abdomen, without and with contrast CPT 74183	$13,445.32	$13,445.32	$941.17 – $13,445.32
MRI of the brain, without and with contrast CPT 70553	$14,755.72	$14,755.72	$1,032.90 – $14,755.72
MRI of the brain, without contrast CPT 70551	$10,553.18	$10,553.18	$738.72 – $10,553.18
MRI of the knee or other leg joint, without contrast CPT 73721	$19,632.33	$19,632.33	$1,374.26 – $19,632.33
MRI of the lower back (lumbar spine), without contrast CPT 72148	$10,962.95	$10,962.95	$767.41 – $10,962.95
MRI of the mid back (thoracic spine), without contrast CPT 72146	$10,962.95	$10,962.95	$767.41 – $10,962.95
MRI of the neck (cervical spine), without contrast CPT 72141	$10,509.84	$10,509.84	$735.69 – $10,509.84
MRI of the pelvis, without and with contrast CPT 72197	$14,491.40	$14,491.40	$1,014.40 – $14,491.40
MRI of the shoulder or other arm joint, without contrast CPT 73221	$17,467.43	$17,467.43	$1,222.72 – $17,467.43
Neck X-ray, 2 or 3 views CPT 72040	$1,079.10	$1,079.10	$75.54 – $1,079.10
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$3,122.31	$3,122.31	$218.56 – $3,122.31
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$3,145.47	$3,145.47	$220.18 – $3,145.47
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,189.18	$3,189.18	$223.24 – $3,189.18
Screening mammogram, both breasts CPT 77067	$1,121.35	$1,121.35	$137.05 – $217.46
Shoulder X-ray, 2 or more views CPT 73030	$1,585.66	$1,585.66	$111.00 – $1,585.66
Transvaginal pregnancy ultrasound CPT 76817	$2,683.79	$2,683.79	$187.87 – $2,683.79
Transvaginal ultrasound CPT 76830	$1,939.23	$1,939.23	$135.75 – $1,939.23
Ultrasound of the abdomen, complete CPT 76700	$3,250.91	$3,250.91	$227.56 – $3,250.91
Ultrasound of the neck or thyroid CPT 76536	$2,304.44	$2,304.44	$161.31 – $2,304.44
Wrist X-ray, 3 or more views CPT 73110	$1,601.81	$1,601.81	$112.13 – $1,601.81
X-ray of the lower back, 4 or more views CPT 72110	$1,795.81	$1,795.81	$125.71 – $1,795.81

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,765.42	$1,765.42	$8.46 – $8.46
Blood culture CPT 87040	$1,116.35	$1,116.35	$9.71 – $9.71
Blood draw (venipuncture) CPT 36415	$124.98	$124.98	$9.81 – $9.81
BNP test (heart failure) CPT 83880	$2,285.25	$2,285.25	$159.97 – $2,285.25
C-reactive protein (CRP) test CPT 86140	$616.41	$616.41	$4.87 – $4.87
Chlamydia test (DNA/NAAT) CPT 87491	$752.75	$752.75	$21.05 – $189.83
Complete blood count (CBC) with differential CPT 85025	not posted		$7.18 – $7.18
Complete blood count (CBC), automated CPT 85027	$769.80	$769.80	$53.89 – $769.80
Comprehensive metabolic panel (blood test) CPT 80053	$1,764.00	$1,764.00	$123.48 – $1,764.00
COVID-19 PCR test CPT 87635	$73.65	$73.65	$48.27 – $48.27
D-dimer test (blood clots) CPT 85379	$1,136.24	$1,136.24	$79.54 – $1,136.24
Drug screen, instrument chemistry CPT 80307	$2,205.72	$2,205.72	$154.40 – $2,205.72
Ferritin (iron stores) test CPT 82728	$656.18	$656.18	$12.60 – $12.60
Free T4 (thyroid) test CPT 84439	$1,035.40	$1,035.40	$9.02 – $9.02
General health panel (blood tests) CPT 80050	$3,704.12	$3,704.12	$47.66 – $219.03
Glucose (blood sugar) test CPT 82947	$646.23	$646.23	$45.24 – $646.23
Gonorrhea test (DNA/NAAT) CPT 87591	$752.75	$752.75	$32.43 – $32.43
Hemoglobin A1c test CPT 83036	$1,012.66	$1,012.66	$9.14 – $9.14
Hepatitis C antibody test CPT 86803	$1,062.37	$1,062.37	$14.27 – $14.27
HIV-1/HIV-2 antigen and antibody test CPT 87389	$194.03	$194.03	$25.28 – $25.28
Iron test CPT 83540	$2,023.91	$2,023.91	$141.67 – $2,023.91
Kidney function panel CPT 80069	$1,815.13	$1,815.13	$6.73 – $6.73
Lipase test (pancreas) CPT 83690	$684.58	$684.58	$4.13 – $36.51
Lipid panel, cholesterol and triglycerides CPT 80061	$926.04	$926.04	$64.82 – $926.04
Liver function panel CPT 80076	$947.33	$947.33	$6.73 – $6.73
Magnesium test CPT 83735	$980.00	$980.00	$68.60 – $980.00
Obstetric blood test panel CPT 80055	not posted		$52.11 – $52.11
Partial thromboplastin time (PTT), clotting test CPT 85730	$646.23	$646.23	$5.66 – $5.66
Pregnancy blood test (hCG), quantitative CPT 84702	$1,349.28	$1,349.28	$94.45 – $1,349.28
Prothrombin time (PT/INR), clotting test CPT 85610	$683.15	$683.15	$47.82 – $683.15
PSA (prostate specific antigen), free CPT 84154	$1,478.52	$1,478.52	$19.31 – $19.31
PSA (prostate specific antigen), total CPT 84153	$1,296.72	$1,296.72	$11.03 – $98.54
Rapid strep test CPT 87880	$646.23	$646.23	$15.28 – $15.28
Sed rate (ESR) test CPT 85652	$502.78	$502.78	$2.84 – $2.84
TB skin test CPT 86580	not posted		$24.67 – $24.67
Thyroid stimulating hormone (TSH) CPT 84443	$1,201.56	$1,201.56	$10.08 – $91.29
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$2,352.00	$2,352.00	$39.86 – $50.46
Troponin test (heart damage) CPT 84484	$1,359.21	$1,359.21	$95.14 – $1,359.21
Urinalysis, automated, with microscope CPT 81001	$626.35	$626.35	$2.98 – $2.98
Urinalysis, automated, without microscope CPT 81003	$382.06	$382.06	$26.74 – $382.06
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $4.02
Urinalysis, manual, without microscope CPT 81002	$345.14	$345.14	$24.16 – $345.14
Urine culture, colony count CPT 87086	$1,116.35	$1,116.35	$8.07 – $8.07
Urine pregnancy test CPT 81025	$894.78	$894.78	$7.95 – $7.95
Vitamin B12 test CPT 82607	$873.47	$873.47	$13.94 – $13.94
Vitamin D test CPT 82306	$2,288.09	$2,288.09	$160.17 – $2,288.09

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$4,252.25	$4,252.25	$297.66 – $4,252.25
ECG tracing only (no interpretation) CPT 93005	$695.50	$695.50	$48.69 – $695.50
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$13,043.98	$13,043.98	$372.65 – $1,514.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.23 – $1,514.00
Holter monitor, up to 48 hours CPT 93224	not posted		$55.64 – $1,514.00
Left heart catheterization CPT 93452	$47,492.03	$47,492.03	$6,411.42 – $47,492.03
Left heart catheterization with coronary angiogram CPT 93458	$57,237.97	$57,237.97	$7,727.13 – $57,237.97
Nuclear stress test (heart perfusion imaging) CPT 78452	$14,017.45	$14,017.45	$981.22 – $14,017.45
Treadmill stress test, complete CPT 93015	not posted		$199.21 – $1,514.00

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$3,465.05 – $19,860.07
Appendix removal, laparoscopic CPT 44970	not posted	$8,024.00 – $19,055.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$544.82 – $544.82
Carpal tunnel release CPT 64721	not posted	$692.94 – $7,828.00
Colonoscopy with biopsy CPT 45380	not posted	$450.72 – $5,773.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$450.72 – $5,773.00
Colonoscopy, diagnostic CPT 45378	not posted	$1,833.31 – $5,773.00
Colposcopy with biopsy CPT 57454	not posted	$443.94 – $5,773.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,553.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $11,209.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$146.35 – $146.35
Gallbladder removal, laparoscopic CPT 47562	not posted	$8,858.00 – $9,198.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$10,605.00 – $32,258.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$1,995.00 – $27,931.53
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,116.70 – $10,853.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$8,858.00 – $9,198.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,209.12 – $18,490.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,200.05 – $19,055.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $10,918.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$450.72 – $5,773.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $5,773.00
Prostate biopsy CPT 55700	not posted	$2,214.00 – $4,723.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$948.00 – $27,931.53
Removal of a breast lump, open surgery CPT 19120	not posted	$1,011.84 – $11,209.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,638.37 – $2,638.37
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,266.00 – $5,773.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$1,266.00 – $5,773.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$873.32 – $4,250.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,580.00 – $10,853.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$8,858.00 – $9,198.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$7,679.00 – $10,853.00
Total hip replacement CPT 27130	not posted	$10,122.00 – $63,906.81
Total knee replacement CPT 27447	not posted	$10,122.00 – $63,906.81
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$1,886.21 – $5,773.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $5,442.00
Vasectomy CPT 55250	not posted	$4,568.00 – $5,773.00

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	$670.14	$670.14	$46.91 – $670.14
IUD insertion CPT 58300	not posted		$948.00 – $5,442.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,152.00 – $79,069.30
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$2,152.00 – $75,353.26

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$1,023.00 – $10,396.83
C-section, without complications MS-DRG 788	not posted	$10,858.20 – $11,053.85
Chest pain MS-DRG 313	not posted	$1,023.00 – $8,989.43
COPD flare-up, with major complications MS-DRG 190	not posted	$12,122.65 – $12,341.08
COPD flare-up, without complications MS-DRG 192	not posted	$1,023.00 – $8,315.12
Fainting (syncope) MS-DRG 312	not posted	$1,023.00 – $10,300.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$1,023.00 – $11,243.17
Heart failure, with major complications MS-DRG 291	not posted	$1,023.00 – $13,863.46
Heart failure, without complications MS-DRG 293	not posted	$7,522.56 – $7,658.10
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$85,791.22 – $87,337.01
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$1,196.00 – $19,440.33
Irregular heartbeat, without complications MS-DRG 310	not posted	$1,023.00 – $7,658.97
Kidney failure, with complications MS-DRG 683	not posted	$10,153.37 – $10,336.31
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,023.00 – $9,763.15
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$1,196.00 – $23,870.01
Normal newborn care MS-DRG 795	not posted	$4,412.81 – $4,492.32
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$1,023.00 – $9,492.56
Pneumonia, with complications MS-DRG 194	not posted	$1,023.00 – $9,732.03
Pneumonia, with major complications MS-DRG 193	not posted	$27,955.97 – $39,512.18
Pneumonia, without complications MS-DRG 195	not posted	$1,023.00 – $8,198.41
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$14,577.67 – $14,840.34
Sepsis, with major complications MS-DRG 871	not posted	$1,023.00 – $1,023.00
Sepsis, without major complications MS-DRG 872	not posted	$11,405.94 – $11,611.45
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$1,023.00 – $10,293.95
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$9,336.44 – $9,504.67
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,023.00 – $11,499.06
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$13,252.08 – $13,490.86
Vaginal delivery, without complications MS-DRG 807	not posted	$2,396.00 – $8,593.49
Weight loss surgery, without complications MS-DRG 621	not posted	$5,000.00 – $5,000.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,282.32	$1,282.32	$30.76 – $30.76
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$2,514.00 – $3,553.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$276.00 – $5,442.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$948.00 – $5,442.00

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 – $5,773.00

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	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	not posted	$1,927.00 – $3,130.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$1,735.81	$1,735.81	$380.46 – $740.17

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$341.24	$341.24	$23.89 – $341.24
Physical therapy evaluation, low complexity CPT 97161	$419.56	$419.56	$29.37 – $419.56
Physical therapy evaluation, moderate complexity CPT 97162	$794.35	$794.35	$55.60 – $794.35
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$243.35	$243.35	$17.03 – $243.35
Therapeutic activities, 15 minutes CPT 97530	$281.10	$281.10	$19.68 – $281.10

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Group psychotherapy CPT 90853	$575.33	$575.33	$40.27 – $575.33
Psychiatric diagnostic evaluation CPT 90791	$1,300.73	$1,300.73	$91.05 – $1,300.73
Psychotherapy, 30 minutes CPT 90832	$364.49	$364.49	$25.51 – $364.49
Psychotherapy, 45 minutes CPT 90834	$725.41	$725.41	$50.78 – $725.41

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$377.91	$377.91	$26.45 – $377.91
IV hydration, each additional hour CPT 96361	$1,489.74	$1,489.74	$104.28 – $1,489.74
IV hydration, first hour CPT 96360	$1,489.74	$1,489.74	$104.28 – $1,489.74
IV push injection of a drug, first CPT 96374	$1,241.05	$1,241.05	$86.87 – $1,241.05
IV push injection, each additional drug CPT 96375	$1,075.34	$1,075.34	$75.27 – $1,075.34

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$85.09	$85.09	$63.82 – $63.82
Dexamethasone injection, per 1 mg HCPCS J1100	$17.84	$17.84	$1.25 – $17.84
Fentanyl injection, per 0.1 mg HCPCS J3010	$107.07	$107.07	$80.30 – $80.30
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	$1,003.21	$1,003.21	$752.41 – $752.41
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$419.95	$419.95	$29.40 – $419.95
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$485.83	$485.83	$364.37 – $364.37
Morphine injection, up to 10 mg HCPCS J2270	$624.99	$624.99	$43.75 – $624.99
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$2.59	$2.59	? – $7.10
Propofol injection, per 10 mg HCPCS J2704	$1,814.30	$1,814.30	$127.00 – $1,814.30
Saline IV solution, 1000 ml HCPCS J7030	$112.54	$112.54	$2.12 – $82.69

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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