Medical City Las Colinas

6800 N Macarthur Blvd, Irving, TX 75039 · Acute care hospital · Emergency room

These are Medical City Las Colinas'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; 134 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	$8,142.61	$8,142.61	$800.00 – $8,280.00
Emergency room visit, level 1 (minor) CPT 99281	$1,277.21	$1,277.21	$172.42 – $1,277.21
Emergency room visit, level 2 CPT 99282	$1,793.46	$1,793.46	$242.12 – $1,793.46
Emergency room visit, level 3 (moderate) CPT 99283	$2,944.95	$2,944.95	$397.57 – $2,944.95
Emergency room visit, level 4 CPT 99284	$4,146.71	$4,146.71	$559.81 – $4,146.71
Emergency room visit, level 5 (most severe) CPT 99285	$6,500.00	$6,500.00	$877.50 – $6,500.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$377.42 – $4,954.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$236.10	$236.10	$141.73 – $275.74
New patient office visit, about 30 minutes CPT 99203	$307.35	$307.35	$213.07 – $414.52
New patient office visit, about 45 minutes CPT 99204	$438.67	$438.67	$360.75 – $701.81
New patient office visit, about 60 minutes CPT 99205	$592.35	$592.35	$470.77 – $915.87
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	not posted		$71.36 – $138.83
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted		$142.72 – $277.66
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted		$220.03 – $428.05
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted		$310.20 – $603.48
Office visit, established patient, brief (often a nurse) CPT 99211	$81.02	$81.02	$25.77 – $50.13
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	$284.93	$284.93	$54.24 – $68.57
Abdominal X-ray, 1 view CPT 74018	$1,297.14	$1,297.14	$83.86 – $182.03
Ankle X-ray, 3 or more views CPT 73610	$3,080.90	$3,080.90	$215.66 – $3,080.90
Bone density scan (DEXA), hips and spine CPT 77080	$709.70	$709.70	$154.52 – $245.18
Breast ultrasound, one breast, complete CPT 76641	$1,573.18	$1,573.18	$110.12 – $1,573.18
Breast ultrasound, one breast, limited CPT 76642	$1,203.39	$1,203.39	$84.24 – $1,203.39
Chest X-ray, 1 view CPT 71045	$1,335.88	$1,335.88	$28.30 – $28.30
Chest X-ray, 2 views CPT 71046	$1,362.22	$1,362.22	$33.75 – $357.55
CT angiogram of the chest (checks for lung clots) CPT 71275	$13,247.80	$13,247.80	$927.35 – $13,247.80
CT angiogram of the head CPT 70496	$12,950.75	$12,950.75	$906.55 – $12,950.75
CT scan of the abdomen and pelvis, with contrast CPT 74177	$19,596.61	$19,596.61	$1,371.76 – $19,596.61
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$26,688.08	$26,688.08	$1,868.17 – $26,688.08
CT scan of the abdomen and pelvis, without contrast CPT 74176	$18,334.13	$18,334.13	$1,283.39 – $18,334.13
CT scan of the abdomen, without contrast CPT 74150	$9,781.64	$9,781.64	$684.71 – $9,781.64
CT scan of the chest, with contrast CPT 71260	$10,337.86	$10,337.86	$723.65 – $10,337.86
CT scan of the chest, without contrast CPT 71250	$9,674.04	$9,674.04	$677.18 – $9,674.04
CT scan of the head, without contrast CPT 70450	$7,950.80	$7,950.80	$556.56 – $7,950.80
CT scan of the neck (cervical spine), without contrast CPT 72125	$7,584.04	$7,584.04	$530.88 – $7,584.04
CT scan of the pelvis, with contrast CPT 72193	$9,145.09	$9,145.09	$640.16 – $9,145.09
CT scan of the sinuses or face, without contrast CPT 70486	$10,399.99	$10,399.99	$728.00 – $10,399.99
Diagnostic mammogram, both breasts CPT 77066	$1,780.83	$1,780.83	$115.52 – $115.52
Diagnostic mammogram, one breast CPT 77065	$1,323.12	$1,323.12	$92.62 – $1,323.12
Foot X-ray, 3 or more views CPT 73630	$3,144.43	$3,144.43	$220.11 – $3,144.43
Hand X-ray, 3 or more views CPT 73130	$3,144.43	$3,144.43	$220.11 – $3,144.43
Knee X-ray, 3 views CPT 73562	$2,764.74	$2,764.74	$193.53 – $2,764.74
Leg or arm vein ultrasound, both sides CPT 93970	$9,104.67	$9,104.67	$637.33 – $9,104.67
Leg or arm vein ultrasound, one side CPT 93971	$4,230.28	$4,230.28	$296.12 – $4,230.28
Lower back X-ray, 2 or 3 views CPT 72100	$1,963.52	$1,963.52	$137.45 – $1,963.52
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	$13,270.54	$13,270.54	$616.10 – $828.27
MRI of the brain, without and with contrast CPT 70553	$16,144.10	$16,144.10	$360.92 – $360.92
MRI of the brain, without contrast CPT 70551	$10,130.22	$10,130.22	$222.37 – $222.37
MRI of the knee or other leg joint, without contrast CPT 73721	$18,149.24	$18,149.24	$1,270.45 – $18,149.24
MRI of the lower back (lumbar spine), without contrast CPT 72148	$12,092.91	$12,092.91	$197.14 – $1,321.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$12,061.10	$12,061.10	$219.68 – $219.68
MRI of the neck (cervical spine), without contrast CPT 72141	$10,337.86	$10,337.86	$313.62 – $517.79
MRI of the pelvis, without and with contrast CPT 72197	$9,655.86	$9,655.86	$388.82 – $388.82
MRI of the shoulder or other arm joint, without contrast CPT 73221	$18,149.24	$18,149.24	$1,270.45 – $18,149.24
Neck X-ray, 2 or 3 views CPT 72040	$2,171.19	$2,171.19	$151.98 – $2,171.19
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$3,764.75	$3,764.75	$263.53 – $3,764.75
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$3,576.80	$3,576.80	$250.38 – $3,576.80
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,067.56	$3,067.56	$214.73 – $3,067.56
Screening mammogram, both breasts CPT 77067	$1,397.37	$1,397.37	$88.06 – $445.63
Shoulder X-ray, 2 or more views CPT 73030	$3,705.44	$3,705.44	$259.38 – $3,705.44
Transvaginal pregnancy ultrasound CPT 76817	$1,882.36	$1,882.36	$131.77 – $1,882.36
Transvaginal ultrasound CPT 76830	$2,843.25	$2,843.25	$199.03 – $2,843.25
Ultrasound of the abdomen, complete CPT 76700	$4,416.44	$4,416.44	$309.15 – $4,416.44
Ultrasound of the neck or thyroid CPT 76536	$2,867.49	$2,867.49	$200.72 – $2,867.49
Wrist X-ray, 3 or more views CPT 73110	$5,027.37	$5,027.37	$351.92 – $5,027.37
X-ray of the lower back, 4 or more views CPT 72110	$2,606.66	$2,606.66	$182.47 – $2,606.66

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$2,605.48	$2,605.48	$10.91 – $10.91
Blood culture CPT 87040	$1,811.05	$1,811.05	$9.54 – $9.54
Blood draw (venipuncture) CPT 36415	$131.02	$131.02	$9.81 – $9.81
BNP test (heart failure) CPT 83880	$1,970.27	$1,970.27	$137.92 – $1,970.27
C-reactive protein (CRP) test CPT 86140	$850.79	$850.79	$5.44 – $5.44
Chlamydia test (DNA/NAAT) CPT 87491	$747.97	$747.97	$21.05 – $189.83
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $7.77
Complete blood count (CBC), automated CPT 85027	$870.71	$870.71	$3.88 – $34.70
Comprehensive metabolic panel (blood test) CPT 80053	$3,001.83	$3,001.83	$6.34 – $56.59
COVID-19 PCR test CPT 87635	$64.31	$64.31	$47.41 – $47.41
D-dimer test (blood clots) CPT 85379	$905.52	$905.52	$10.18 – $10.18
Drug screen, instrument chemistry CPT 80307	$1,243.85	$1,243.85	$58.46 – $58.46
Ferritin (iron stores) test CPT 82728	$1,293.60	$1,293.60	$13.63 – $13.63
Free T4 (thyroid) test CPT 84439	$1,076.34	$1,076.34	$9.02 – $9.02
General health panel (blood tests) CPT 80050	$3,291.80	$3,291.80	$45.36 – $45.36
Glucose (blood sugar) test CPT 82947	$623.59	$623.59	$43.65 – $623.59
Gonorrhea test (DNA/NAAT) CPT 87591	$747.97	$747.97	$36.84 – $36.84
Hemoglobin A1c test CPT 83036	$1,063.08	$1,063.08	$9.14 – $9.14
Hepatitis C antibody test CPT 86803	$1,799.45	$1,799.45	$13.43 – $13.43
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,225.61	$1,225.61	$24.08 – $24.08
Iron test CPT 83540	$1,938.75	$1,938.75	$135.71 – $1,938.75
Kidney function panel CPT 80069	$2,743.13	$2,743.13	$9.11 – $9.11
Lipase test (pancreas) CPT 83690	$1,207.37	$1,207.37	$6.48 – $6.48
Lipid panel, cholesterol and triglycerides CPT 80061	$1,459.46	$1,459.46	$14.06 – $14.06
Liver function panel CPT 80076	$2,414.74	$2,414.74	$6.61 – $6.61
Magnesium test CPT 83735	$942.01	$942.01	$65.94 – $942.01
Obstetric blood test panel CPT 80055	not posted		$52.11 – $52.11
Partial thromboplastin time (PTT), clotting test CPT 85730	$991.75	$991.75	$5.66 – $5.66
Pregnancy blood test (hCG), quantitative CPT 84702	$1,593.79	$1,593.79	$15.05 – $15.05
Prothrombin time (PT/INR), clotting test CPT 85610	$852.46	$852.46	$4.29 – $4.29
PSA (prostate specific antigen), free CPT 84154	$1,694.97	$1,694.97	$19.31 – $19.31
PSA (prostate specific antigen), total CPT 84153	$1,288.65	$1,288.65	$18.39 – $18.39
Rapid strep test CPT 87880	$963.58	$963.58	$16.53 – $16.53
Sed rate (ESR) test CPT 85652	$766.23	$766.23	$2.84 – $2.84
TB skin test CPT 86580	$29.85	$29.85	$12.22 – $54.38
Thyroid stimulating hormone (TSH) CPT 84443	$1,757.98	$1,757.98	$123.06 – $1,757.98
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,792.82	$1,792.82	$86.57 – $189.49
Troponin test (heart damage) CPT 84484	$1,542.38	$1,542.38	$107.97 – $1,542.38
Urinalysis, automated, with microscope CPT 81001	$766.23	$766.23	$1.90 – $16.44
Urinalysis, automated, without microscope CPT 81003	$426.24	$426.24	$29.84 – $426.24
Urinalysis, manual, with microscope CPT 81000	$766.23	$766.23	$4.02 – $4.02
Urinalysis, manual, without microscope CPT 81002	$426.24	$426.24	$29.84 – $426.24
Urine culture, colony count CPT 87086	$1,507.55	$1,507.55	$8.07 – $8.07
Urine pregnancy test CPT 81025	$1,235.57	$1,235.57	$86.49 – $1,235.57
Vitamin B12 test CPT 82607	$696.56	$696.56	$13.94 – $13.94
Vitamin D test CPT 82306	$2,973.65	$2,973.65	$208.16 – $2,973.65

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$6,867.72	$6,867.72	$480.74 – $6,867.72
ECG tracing only (no interpretation) CPT 93005	$1,658.57	$1,658.57	$116.10 – $1,658.57
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$15,598.72	$15,598.72	$372.65 – $1,514.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.60 – $1,514.00
Holter monitor, up to 48 hours CPT 93224	not posted		$57.90 – $1,514.00
Left heart catheterization CPT 93452	$33,844.03	$33,844.03	$4,568.94 – $33,844.03
Left heart catheterization with coronary angiogram CPT 93458	$49,085.70	$49,085.70	$6,626.57 – $49,085.70
Nuclear stress test (heart perfusion imaging) CPT 78452	$19,695.14	$19,695.14	$481.86 – $481.86
Treadmill stress test, complete CPT 93015	not posted		$199.21 – $1,514.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$3,696.06 – $3,696.06
Appendix removal, laparoscopic CPT 44970	not posted		$8,024.00 – $8,024.00
Breast biopsy with ultrasound guidance CPT 19083	not posted		$6,004.00 – $8,485.00
Carpal tunnel release CPT 64721	not posted		$692.94 – $5,773.00
Colonoscopy with biopsy CPT 45380	not posted		$450.72 – $5,773.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted		$472.19 – $472.19
Colonoscopy, diagnostic CPT 45378	not posted		$1,649.98 – $5,773.00
Colposcopy with biopsy CPT 57454	not posted		$2,636.00 – $5,773.00
Cystoscopy (bladder scope) CPT 52000	not posted		$948.00 – $3,293.00
Ear tubes, under general anesthesia CPT 69436	not posted		$441.67 – $8,910.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted		$137.20 – $4,850.00
Gallbladder removal, laparoscopic CPT 47562	not posted		$1,983.29 – $16,960.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$948.00 – $37,859.65
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted		$3,421.01 – $3,421.01
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted		$5,381.00 – $5,381.00
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 – $12,499.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$1,142.90 – $14,088.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted		$1,142.68 – $10,300.00
Lower colon endoscopy with ultrasound CPT 45391	not posted		$2,467.00 – $3,486.00
Nasal endoscopy, diagnostic CPT 31231	not posted		$76.32 – $76.32
Prostate biopsy CPT 55700	not posted		$2,214.00 – $2,214.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$948.00 – $23,556.71
Removal of a breast lump, open surgery CPT 19120	not posted		$1,011.84 – $8,910.00
Rotator cuff repair, arthroscopic CPT 29827	not posted		$8,858.00 – $8,858.00
Screening colonoscopy, average risk HCPCS G0121	not posted		$328.50 – $410.63
Screening colonoscopy, high risk HCPCS G0105	$3,365.91	$3,365.91	$1,170.00 – $5,773.00
Septoplasty (nasal septum repair) CPT 30520	not posted		$5,381.00 – $11,138.00
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 – $24,385.87
Tonsil and adenoid removal, under age 12 CPT 42820	not posted		$948.00 – $13,581.48
Total hip replacement CPT 27130	not posted		$12,000.00 – $70,440.00
Total knee replacement CPT 27447	not posted		$948.00 – $55,933.34
Upper endoscopy (EGD) with biopsy CPT 43239	not posted		$2,467.00 – $3,486.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted		$351.70 – $4,850.00
Vasectomy CPT 55250	not posted		$685.44 – $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		$948.00 – $50,489.70
Fetal non-stress test CPT 59025	$1,087.75	$1,087.75	$17.36 – $17.36
IUD insertion CPT 58300	not posted		$2,152.00 – $4,850.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$948.00 – $47,784.37
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$2,287.00 – $45,538.63

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$12,787.27 – $12,787.27
C-section, without complications MS-DRG 788	not posted	$13,402.55 – $13,402.55
Chest pain MS-DRG 313	not posted	$15,313.68 – $21,643.92
COPD flare-up, with major complications MS-DRG 190	not posted	$1,023.00 – $14,608.00
COPD flare-up, without complications MS-DRG 192	not posted	$10,837.81 – $10,837.81
Fainting (syncope) MS-DRG 312	not posted	$1,023.00 – $12,696.60
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$13,579.84 – $13,579.84
Heart failure, with major complications MS-DRG 291	not posted	$1,023.00 – $16,033.66
Heart failure, without complications MS-DRG 293	not posted	$1,023.00 – $10,222.54
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$84,839.42 – $84,839.42
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$1,198.00 – $21,256.23
Irregular heartbeat, without complications MS-DRG 310	not posted	$10,223.35 – $10,223.35
Kidney failure, with complications MS-DRG 683	not posted	$1,023.00 – $12,730.60
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$12,193.85 – $12,193.85
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$1,198.00 – $1,198.00
Normal newborn care MS-DRG 795	not posted	$7,257.87 – $7,257.87
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$11,940.46 – $11,940.46
Pneumonia, with complications MS-DRG 194	not posted	$1,023.00 – $12,164.70
Pneumonia, with major complications MS-DRG 193	not posted	$16,281.39 – $16,281.39
Pneumonia, without complications MS-DRG 195	not posted	$10,728.52 – $10,728.52
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$1,023.00 – $16,948.48
Sepsis, with major complications MS-DRG 871	not posted	$41,315.03 – $58,393.49
Sepsis, without major complications MS-DRG 872	not posted	$1,023.00 – $13,924.72
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$12,690.93 – $12,690.93
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$995.00 – $4,798.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$13,819.48 – $13,819.48
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$1,198.00 – $15,684.73
Vaginal delivery, without complications MS-DRG 807	not posted	$11,098.50 – $11,098.50
Weight loss surgery, without complications MS-DRG 621	not posted	$19,500.00 – $26,000.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$3,238.61	$3,238.61	$437.21 – $3,238.61
Lower back nerve root injection with imaging guidance CPT 64483	$12,003.20	$12,003.20	$1,620.43 – $12,003.20
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted		$948.00 – $4,850.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$289.15 – $289.15

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$951.93 – $951.93
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	$2,467.00 – $3,486.00

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	$796.00 – $2,816.94
Sleep study, overnight in a sleep lab CPT 95810	not posted	$796.00 – $2,680.03

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$1,125.51	$1,125.51	$380.46 – $740.17

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$425.60	$425.60	$29.79 – $425.60
Physical therapy evaluation, low complexity CPT 97161	$323.28	$323.28	$90.64 – $90.64
Physical therapy evaluation, moderate complexity CPT 97162	$521.99	$521.99	$90.64 – $90.64
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$409.28	$409.28	$28.65 – $409.28
Therapeutic activities, 15 minutes CPT 97530	$477.51	$477.51	$33.43 – $477.51

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$161.79	$161.79	$11.33 – $161.79
IV hydration, each additional hour CPT 96361	$192.76	$192.76	$13.49 – $192.76
IV hydration, first hour CPT 96360	$1,113.41	$1,113.41	$77.94 – $1,113.41
IV push injection of a drug, first CPT 96374	$547.33	$547.33	$38.31 – $547.33
IV push injection, each additional drug CPT 96375	$396.76	$396.76	$27.77 – $396.76

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$400.70	$400.70	$28.05 – $400.70
Dexamethasone injection, per 1 mg HCPCS J1100	$15.18	$15.18	$11.38 – $11.38
Fentanyl injection, per 0.1 mg HCPCS J3010	$59.71	$59.71	$4.18 – $59.71
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$75.97	$75.97	$5.32 – $75.97
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$188.49	$188.49	$141.37 – $141.37
Morphine injection, up to 10 mg HCPCS J2270	$35.62	$35.62	$2.49 – $35.62
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$539.70	$539.70	? – $7.10
Propofol injection, per 10 mg HCPCS J2704	$72.61	$72.61	$54.46 – $54.46
Saline IV solution, 1000 ml HCPCS J7030	$247.51	$247.51	$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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