Medical City Fort Worth

900 Eighth Avenue, Fort Worth, TX 76104 · Acute care hospital · Emergency room

These are Medical City Fort Worth'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; 129 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	$17,448.44	$17,448.44	$2,355.54 – $17,448.44
Emergency room visit, level 1 (minor) CPT 99281	$848.55	$848.55	$449.73 – $449.73
Emergency room visit, level 2 CPT 99282	$1,437.79	$1,437.79	$194.10 – $1,437.79
Emergency room visit, level 3 (moderate) CPT 99283	$3,303.01	$3,303.01	$1,750.60 – $1,750.60
Emergency room visit, level 4 CPT 99284	$5,278.22	$5,278.22	$712.56 – $5,278.22
Emergency room visit, level 5 (most severe) CPT 99285	$7,677.68	$7,677.68	$3,762.06 – $3,762.06
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$511.96 – $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	$126.71	$126.71	$62.09 – $62.09
New patient office visit, about 30 minutes CPT 99203	$166.46	$166.46	$11.65 – $166.46
New patient office visit, about 45 minutes CPT 99204	$183.85	$183.85	$90.09 – $90.09
New patient office visit, about 60 minutes CPT 99205	$219.88	$219.88	$107.74 – $107.74
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	$126.71	$126.71	$8.87 – $126.71
Office visit, established patient, about 20 to 29 minutes CPT 99213	$126.71	$126.71	$95.03 – $95.03
Office visit, established patient, about 30 to 39 minutes CPT 99214	$183.85	$183.85	$97.44 – $97.44
Office visit, established patient, about 40 to 54 minutes CPT 99215	$219.88	$219.88	$15.39 – $219.88
Office visit, established patient, brief (often a nurse) CPT 99211	$95.66	$95.66	$46.87 – $46.87
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$67.64 – $532.16
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$82.19 – $647.83

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$25.12 – $25.12
Abdominal X-ray, 1 view CPT 74018	$740.85	$740.85	$392.65 – $392.65
Ankle X-ray, 3 or more views CPT 73610	$1,520.46	$1,520.46	$106.43 – $1,520.46
Bone density scan (DEXA), hips and spine CPT 77080	not posted		$154.52 – $245.18
Breast ultrasound, one breast, complete CPT 76641	not posted		$160.05 – $202.34
Breast ultrasound, one breast, limited CPT 76642	$1,696.52	$1,696.52	$118.76 – $1,696.52
Chest X-ray, 1 view CPT 71045	$909.79	$909.79	$445.80 – $445.80
Chest X-ray, 2 views CPT 71046	$1,178.45	$1,178.45	$82.49 – $1,178.45
CT angiogram of the chest (checks for lung clots) CPT 71275	$10,201.07	$10,201.07	$4,998.52 – $4,998.52
CT angiogram of the head CPT 70496	$9,218.61	$9,218.61	$4,885.86 – $4,885.86
CT scan of the abdomen and pelvis, with contrast CPT 74177	$16,685.38	$16,685.38	$1,167.98 – $16,685.38
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$20,465.81	$20,465.81	$10,846.88 – $10,846.88
CT scan of the abdomen and pelvis, without contrast CPT 74176	$14,522.57	$14,522.57	$7,116.06 – $7,116.06
CT scan of the abdomen, without contrast CPT 74150	$9,582.54	$9,582.54	$5,078.75 – $5,078.75
CT scan of the chest, with contrast CPT 71260	$9,246.28	$9,246.28	$647.24 – $9,246.28
CT scan of the chest, without contrast CPT 71250	$8,002.29	$8,002.29	$560.16 – $8,002.29
CT scan of the head, without contrast CPT 70450	$5,551.64	$5,551.64	$2,942.37 – $2,942.37
CT scan of the neck (cervical spine), without contrast CPT 72125	$9,237.98	$9,237.98	$646.66 – $9,237.98
CT scan of the pelvis, with contrast CPT 72193	$8,269.36	$8,269.36	$578.86 – $8,269.36
CT scan of the sinuses or face, without contrast CPT 70486	$4,490.31	$4,490.31	$314.32 – $4,490.31
Diagnostic mammogram, both breasts CPT 77066	not posted		$105.66 – $539.26
Diagnostic mammogram, one breast CPT 77065	not posted		$92.57 – $92.57
Foot X-ray, 3 or more views CPT 73630	$1,055.19	$1,055.19	$559.25 – $559.25
Hand X-ray, 3 or more views CPT 73130	$1,116.13	$1,116.13	$591.55 – $591.55
Knee X-ray, 3 views CPT 73562	$1,193.66	$1,193.66	$83.56 – $1,193.66
Leg or arm vein ultrasound, both sides CPT 93970	$4,836.89	$4,836.89	$2,370.08 – $2,370.08
Leg or arm vein ultrasound, one side CPT 93971	$1,624.74	$1,624.74	$861.11 – $861.11
Lower back X-ray, 2 or 3 views CPT 72100	$868.25	$868.25	$60.78 – $868.25
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	$13,565.69	$13,565.69	$616.10 – $828.27
MRI of the brain, without and with contrast CPT 70553	$9,521.42	$9,521.42	$328.11 – $1,630.50
MRI of the brain, without contrast CPT 70551	$7,277.73	$7,277.73	$222.37 – $222.37
MRI of the knee or other leg joint, without contrast CPT 73721	$8,176.61	$8,176.61	$4,006.54 – $4,006.54
MRI of the lower back (lumbar spine), without contrast CPT 72148	$7,789.37	$7,789.37	$220.80 – $220.80
MRI of the mid back (thoracic spine), without contrast CPT 72146	$7,497.19	$7,497.19	$196.14 – $1,321.00
MRI of the neck (cervical spine), without contrast CPT 72141	$7,604.84	$7,604.84	$313.62 – $517.79
MRI of the pelvis, without and with contrast CPT 72197	$8,927.30	$8,927.30	$381.88 – $381.88
MRI of the shoulder or other arm joint, without contrast CPT 73221	$8,703.64	$8,703.64	$4,612.93 – $4,612.93
Neck X-ray, 2 or 3 views CPT 72040	$815.63	$815.63	$57.09 – $815.63
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,764.21	$1,764.21	$935.03 – $935.03
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,161.91	$2,161.91	$151.33 – $2,161.91
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$2,248.56	$2,248.56	$115.23 – $115.23
Screening mammogram, both breasts CPT 77067	not posted		$87.18 – $445.63
Shoulder X-ray, 2 or more views CPT 73030	$1,366.76	$1,366.76	$669.71 – $669.71
Transvaginal pregnancy ultrasound CPT 76817	$2,249.33	$2,249.33	$1,102.17 – $1,102.17
Transvaginal ultrasound CPT 76830	$1,535.76	$1,535.76	$813.95 – $813.95
Ultrasound of the abdomen, complete CPT 76700	$1,720.48	$1,720.48	$843.04 – $843.04
Ultrasound of the neck or thyroid CPT 76536	$1,369.34	$1,369.34	$95.85 – $1,369.34
Wrist X-ray, 3 or more views CPT 73110	$1,490.00	$1,490.00	$789.70 – $789.70
X-ray of the lower back, 4 or more views CPT 72110	$1,913.74	$1,913.74	$937.73 – $937.73

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$2,280.86	$2,280.86	$1,117.62 – $1,117.62
Blood culture CPT 87040	$641.28	$641.28	$44.89 – $641.28
Blood draw (venipuncture) CPT 36415	$59.84	$59.84	$29.32 – $29.32
BNP test (heart failure) CPT 83880	$1,528.88	$1,528.88	$107.02 – $1,528.88
C-reactive protein (CRP) test CPT 86140	$685.78	$685.78	$48.00 – $685.78
Chlamydia test (DNA/NAAT) CPT 87491	$408.09	$408.09	$199.96 – $199.96
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $7.77
Complete blood count (CBC), automated CPT 85027	$636.51	$636.51	$44.56 – $636.51
Comprehensive metabolic panel (blood test) CPT 80053	$1,975.99	$1,975.99	$968.24 – $968.24
COVID-19 PCR test CPT 87635	$53.83	$53.83	$30.79 – $139.05
D-dimer test (blood clots) CPT 85379	$1,661.50	$1,661.50	$116.31 – $1,661.50
Drug screen, instrument chemistry CPT 80307	$1,911.57	$1,911.57	$936.67 – $936.67
Ferritin (iron stores) test CPT 82728	$650.46	$650.46	$13.63 – $13.63
Free T4 (thyroid) test CPT 84439	$644.34	$644.34	$8.49 – $8.49
General health panel (blood tests) CPT 80050	$2,244.48	$2,244.48	$47.66 – $227.69
Glucose (blood sugar) test CPT 82947	$420.35	$420.35	$222.79 – $222.79
Gonorrhea test (DNA/NAAT) CPT 87591	$408.09	$408.09	$28.57 – $408.09
Hemoglobin A1c test CPT 83036	$602.93	$602.93	$10.20 – $10.20
Hepatitis C antibody test CPT 86803	$1,149.11	$1,149.11	$609.03 – $609.03
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,420.63	$1,420.63	$22.25 – $22.25
Iron test CPT 83540	$616.73	$616.73	$302.20 – $302.20
Kidney function panel CPT 80069	$1,365.39	$1,365.39	$669.04 – $669.04
Lipase test (pancreas) CPT 83690	$765.56	$765.56	$53.59 – $765.56
Lipid panel, cholesterol and triglycerides CPT 80061	$1,029.43	$1,029.43	$72.06 – $1,029.43
Liver function panel CPT 80076	$1,678.66	$1,678.66	$117.51 – $1,678.66
Magnesium test CPT 83735	$705.70	$705.70	$374.02 – $374.02
Obstetric blood test panel CPT 80055	$1,538.77	$1,538.77	$47.81 – $47.81
Partial thromboplastin time (PTT), clotting test CPT 85730	$736.36	$736.36	$51.55 – $736.36
Pregnancy blood test (hCG), quantitative CPT 84702	$1,032.49	$1,032.49	$547.22 – $547.22
Prothrombin time (PT/INR), clotting test CPT 85610	$628.72	$628.72	$44.01 – $628.72
PSA (prostate specific antigen), free CPT 84154	$803.90	$803.90	$17.30 – $17.30
PSA (prostate specific antigen), total CPT 84153	$803.90	$803.90	$426.07 – $426.07
Rapid strep test CPT 87880	$360.54	$360.54	$15.28 – $15.28
Sed rate (ESR) test CPT 85652	$464.87	$464.87	$32.54 – $464.87
TB skin test CPT 86580	$289.97	$289.97	$24.67 – $24.67
Thyroid stimulating hormone (TSH) CPT 84443	$895.96	$895.96	$439.02 – $439.02
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,156.76	$1,156.76	$49.76 – $49.76
Troponin test (heart damage) CPT 84484	$1,205.95	$1,205.95	$590.92 – $590.92
Urinalysis, automated, with microscope CPT 81001	$389.68	$389.68	$206.53 – $206.53
Urinalysis, automated, without microscope CPT 81003	$234.74	$234.74	$16.43 – $234.74
Urinalysis, manual, with microscope CPT 81000	$362.06	$362.06	$4.02 – $4.02
Urinalysis, manual, without microscope CPT 81002	$262.34	$262.34	$18.36 – $262.34
Urine culture, colony count CPT 87086	$455.64	$455.64	$223.26 – $223.26
Urine pregnancy test CPT 81025	$1,101.43	$1,101.43	$77.10 – $1,101.43
Vitamin B12 test CPT 82607	$650.46	$650.46	$13.94 – $13.94
Vitamin D test CPT 82306	$1,776.56	$1,776.56	$27.84 – $27.84

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$4,121.58	$4,121.58	$2,019.57 – $2,019.57
ECG tracing only (no interpretation) CPT 93005	$619.49	$619.49	$43.36 – $619.49
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$10,359.08	$10,359.08	$372.65 – $1,668.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.53 – $1,668.00
Holter monitor, up to 48 hours CPT 93224	not posted		$57.44 – $1,668.00
Left heart catheterization CPT 93452	$30,718.46	$30,718.46	$15,052.05 – $15,052.05
Left heart catheterization with coronary angiogram CPT 93458	$46,639.60	$46,639.60	$6,296.35 – $46,639.60
Nuclear stress test (heart perfusion imaging) CPT 78452	$8,653.96	$8,653.96	$862.65 – $1,090.56
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 – $8,024.00
Appendix removal, laparoscopic CPT 44970	not posted	$8,024.00 – $16,960.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$510.77 – $10,853.00
Carpal tunnel release CPT 64721	not posted	$725.93 – $725.93
Colonoscopy with biopsy CPT 45380	not posted	$480.77 – $480.77
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$429.26 – $1,210.10
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 – $3,553.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $10,853.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$130.67 – $940.41
Gallbladder removal, laparoscopic CPT 47562	not posted	$1,983.29 – $16,960.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$8,858.00 – $39,036.54
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,265.51 – $3,265.51
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	$1,983.29 – $16,960.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,209.12 – $19,415.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,200.05 – $16,960.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $10,300.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$429.26 – $1,210.10
Nasal endoscopy, diagnostic CPT 31231	not posted	$71.55 – $6,680.00
Prostate biopsy CPT 55700	not posted	$4,723.00 – $4,723.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$9,173.00 – $23,981.00
Removal of a breast lump, open surgery CPT 19120	not posted	$1,011.84 – $10,853.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$8,024.00 – $8,024.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,207.00 – $6,680.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$2,700.00 – $3,816.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$3,796.00 – $19,415.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$2,636.00 – $2,636.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$8,024.00 – $25,143.92
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$3,773.00 – $16,491.80
Total hip replacement CPT 27130	not posted	$12,000.00 – $55,933.34
Total knee replacement CPT 27447	not posted	$12,000.00 – $55,933.34
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$351.70 – $6,680.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $5,932.00
Vasectomy CPT 55250	not posted	$731.14 – $731.14

Pregnancy and birth

Service	Cash price	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	not posted	$16.57 – $2,636.00
IUD insertion CPT 58300	not posted	$2,636.00 – $5,932.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted	$2,152.00 – $49,269.77
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	$1,023.00 – $9,491.87
C-section, without complications MS-DRG 788	not posted	$3,395.00 – $10,197.72
Chest pain MS-DRG 313	not posted	$7,838.61 – $7,979.85
COPD flare-up, with major complications MS-DRG 190	not posted	$11,375.68 – $11,580.65
COPD flare-up, without complications MS-DRG 192	not posted	$7,127.00 – $7,255.41
Fainting (syncope) MS-DRG 312	not posted	$9,221.69 – $9,387.85
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$1,023.00 – $10,401.12
Heart failure, with major complications MS-DRG 291	not posted	$12,982.28 – $13,216.20
Heart failure, without complications MS-DRG 293	not posted	$6,433.63 – $6,549.56
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$90,520.48 – $92,151.48
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$18,867.66 – $19,207.62
Irregular heartbeat, without complications MS-DRG 310	not posted	$1,023.00 – $1,023.00
Kidney failure, with complications MS-DRG 683	not posted	$9,260.01 – $9,426.85
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,023.00 – $8,811.09
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$23,542.40 – $23,966.59
Normal newborn care MS-DRG 795	not posted	$3,092.71 – $3,148.44
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,369.58 – $8,520.38
Pneumonia, with complications MS-DRG 194	not posted	$995.00 – $5,075.00
Pneumonia, with major complications MS-DRG 193	not posted	$1,023.00 – $13,500.39
Pneumonia, without complications MS-DRG 195	not posted	$7,003.84 – $7,130.03
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,023.00 – $14,265.70
Sepsis, with major complications MS-DRG 871	not posted	$18,991.74 – $19,333.94
Sepsis, without major complications MS-DRG 872	not posted	$1,023.00 – $10,796.77
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$42,000.00 – $42,000.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$1,023.00 – $8,533.39
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$42,000.00 – $42,000.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$12,589.07 – $12,815.89
Vaginal delivery, without complications MS-DRG 807	not posted	$7,420.77 – $7,554.47
Weight loss surgery, without complications MS-DRG 621	not posted	$15,031.35 – $15,302.19

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$31.32 – $31.32
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$3,293.00 – $5,932.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$276.00 – $5,932.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$276.00 – $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	$2,700.00 – $3,816.00

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	$802.71	$802.71	$380.46 – $740.17

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$115.92	$115.92	$8.11 – $115.92
Physical therapy evaluation, low complexity CPT 97161	$618.69	$618.69	$90.22 – $90.22
Physical therapy evaluation, moderate complexity CPT 97162	$925.86	$925.86	$453.67 – $453.67
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$156.48	$156.48	$10.95 – $156.48
Therapeutic activities, 15 minutes CPT 97530	$160.83	$160.83	$85.24 – $85.24

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$225.31	$225.31	$119.41 – $119.41
IV hydration, each additional hour CPT 96361	$141.61	$141.61	$9.91 – $141.61
IV hydration, first hour CPT 96360	$684.47	$684.47	$362.77 – $362.77
IV push injection of a drug, first CPT 96374	$684.47	$684.47	$47.91 – $684.47
IV push injection, each additional drug CPT 96375	$141.61	$141.61	$9.91 – $141.61

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$1,510.47	$1,510.47	$800.55 – $800.55
Dexamethasone injection, per 1 mg HCPCS J1100	$79.01	$79.01	$5.53 – $79.01
Fentanyl injection, per 0.1 mg HCPCS J3010	$363.17	$363.17	$272.38 – $272.38
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$104.37	$104.37	$55.32 – $55.32
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$105.48	$105.48	$79.11 – $79.11
Morphine injection, up to 10 mg HCPCS J2270	$79.01	$79.01	$38.71 – $38.71
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$60.88	$60.88	? – $7.10
Propofol injection, per 10 mg HCPCS J2704	$412.46	$412.46	$28.87 – $412.46
Saline IV solution, 1000 ml HCPCS J7030	$631.38	$631.38	$309.38 – $309.38

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.

Check a bill from this hospital