Medical City Weatherford

713 E Anderson St., Weatherford, TX 76086 · Acute care hospital · Emergency room

These are Medical City Weatherford'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; 133 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	$10,708.57	$10,708.57	$2,433.00 – $6,861.00
Emergency room visit, level 1 (minor) CPT 99281	$1,119.13	$1,119.13	$51.36 – $473.00
Emergency room visit, level 2 CPT 99282	$1,677.68	$1,677.68	$226.49 – $1,677.68
Emergency room visit, level 3 (moderate) CPT 99283	$2,235.82	$2,235.82	$350.00 – $2,931.00
Emergency room visit, level 4 CPT 99284	$3,350.48	$3,350.48	$452.31 – $3,350.48
Emergency room visit, level 5 (most severe) CPT 99285	$4,445.68	$4,445.68	$600.17 – $4,445.68
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$354.70 – $4,850.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$876.72	$876.72	$61.37 – $876.72
New patient office visit, about 30 minutes CPT 99203	$1,121.58	$1,121.58	$213.07 – $414.52
New patient office visit, about 45 minutes CPT 99204	$1,424.94	$1,424.94	$360.75 – $701.81
New patient office visit, about 60 minutes CPT 99205	$2,103.85	$2,103.85	$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	$876.72	$876.72	$71.36 – $138.83
Office visit, established patient, about 20 to 29 minutes CPT 99213	$1,121.58	$1,121.58	$142.72 – $277.66
Office visit, established patient, about 30 to 39 minutes CPT 99214	$1,424.94	$1,424.94	$220.03 – $428.05
Office visit, established patient, about 40 to 54 minutes CPT 99215	$2,103.85	$2,103.85	$310.20 – $603.48
Office visit, established patient, brief (often a nurse) CPT 99211	$623.98	$623.98	$467.99 – $467.99
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$68.91 – $532.16
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$83.74 – $647.83

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$215.38	$215.38	$21.75 – $131.43
Abdominal X-ray, 1 view CPT 74018	$895.83	$895.83	$30.40 – $357.55
Ankle X-ray, 3 or more views CPT 73610	$2,068.84	$2,068.84	$144.82 – $2,068.84
Bone density scan (DEXA), hips and spine CPT 77080	$802.25	$802.25	$154.52 – $245.18
Breast ultrasound, one breast, complete CPT 76641	$1,285.00	$1,285.00	$89.95 – $1,285.00
Breast ultrasound, one breast, limited CPT 76642	$1,380.67	$1,380.67	$96.65 – $1,380.67
Chest X-ray, 1 view CPT 71045	$843.70	$843.70	$25.73 – $357.55
Chest X-ray, 2 views CPT 71046	$976.92	$976.92	$53.12 – $67.15
CT angiogram of the chest (checks for lung clots) CPT 71275	$5,006.32	$5,006.32	$341.20 – $401.74
CT angiogram of the head CPT 70496	$8,653.83	$8,653.83	$605.77 – $8,653.83
CT scan of the abdomen and pelvis, with contrast CPT 74177	$10,683.54	$10,683.54	$312.08 – $1,630.50
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$11,999.86	$11,999.86	$350.18 – $1,630.50
CT scan of the abdomen and pelvis, without contrast CPT 74176	$10,026.77	$10,026.77	$701.87 – $10,026.77
CT scan of the abdomen, without contrast CPT 74150	$5,078.49	$5,078.49	$355.49 – $5,078.49
CT scan of the chest, with contrast CPT 71260	$5,006.32	$5,006.32	$171.74 – $1,013.00
CT scan of the chest, without contrast CPT 71250	$4,486.86	$4,486.86	$104.75 – $1,013.00
CT scan of the head, without contrast CPT 70450	$5,078.49	$5,078.49	$154.52 – $245.18
CT scan of the neck (cervical spine), without contrast CPT 72125	$6,392.00	$6,392.00	$154.52 – $245.18
CT scan of the pelvis, with contrast CPT 72193	$5,246.93	$5,246.93	$341.20 – $401.74
CT scan of the sinuses or face, without contrast CPT 70486	$4,724.64	$4,724.64	$104.75 – $1,013.00
Diagnostic mammogram, both breasts CPT 77066	$1,059.43	$1,059.43	$258.44 – $326.72
Diagnostic mammogram, one breast CPT 77065	$842.27	$842.27	$202.65 – $256.19
Foot X-ray, 3 or more views CPT 73630	$1,948.84	$1,948.84	$136.42 – $1,948.84
Hand X-ray, 3 or more views CPT 73130	$1,948.84	$1,948.84	$136.42 – $1,948.84
Knee X-ray, 3 views CPT 73562	$3,366.18	$3,366.18	$235.63 – $3,366.18
Leg or arm vein ultrasound, both sides CPT 93970	$5,172.57	$5,172.57	$188.79 – $929.00
Leg or arm vein ultrasound, one side CPT 93971	$3,018.92	$3,018.92	$106.88 – $929.00
Lower back X-ray, 2 or 3 views CPT 72100	$1,948.84	$1,948.84	$67.06 – $84.77
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	$8,712.62	$8,712.62	$609.88 – $8,712.62
MRI of the brain, without and with contrast CPT 70553	$9,817.05	$9,817.05	$616.10 – $828.27
MRI of the brain, without contrast CPT 70551	$9,537.01	$9,537.01	$202.15 – $1,321.00
MRI of the knee or other leg joint, without contrast CPT 73721	$19,074.02	$19,074.02	$1,335.18 – $19,074.02
MRI of the lower back (lumbar spine), without contrast CPT 72148	$9,537.01	$9,537.01	$197.14 – $1,321.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$8,712.62	$8,712.62	$313.62 – $517.79
MRI of the neck (cervical spine), without contrast CPT 72141	$9,537.01	$9,537.01	$196.48 – $1,321.00
MRI of the pelvis, without and with contrast CPT 72197	$9,727.04	$9,727.04	$616.10 – $828.27
MRI of the shoulder or other arm joint, without contrast CPT 73221	$17,420.94	$17,420.94	$1,219.47 – $17,420.94
Neck X-ray, 2 or 3 views CPT 72040	$1,513.05	$1,513.05	$83.86 – $182.03
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$3,091.85	$3,091.85	$96.28 – $502.12
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$4,296.30	$4,296.30	$300.74 – $4,296.30
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,104.71	$3,104.71	$100.72 – $390.27
Screening mammogram, both breasts CPT 77067	$920.84	$920.84	$213.49 – $269.89
Shoulder X-ray, 2 or more views CPT 73030	$2,388.89	$2,388.89	$167.22 – $2,388.89
Transvaginal pregnancy ultrasound CPT 76817	$3,434.74	$3,434.74	$132.92 – $168.03
Transvaginal ultrasound CPT 76830	$3,434.74	$3,434.74	$203.42 – $257.17
Ultrasound of the abdomen, complete CPT 76700	$3,603.34	$3,603.34	$252.23 – $3,603.34
Ultrasound of the neck or thyroid CPT 76536	$2,533.20	$2,533.20	$104.75 – $502.12
Wrist X-ray, 3 or more views CPT 73110	$1,805.95	$1,805.95	$126.42 – $1,805.95
X-ray of the lower back, 4 or more views CPT 72110	$2,114.57	$2,114.57	$52.13 – $502.12

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,386.65	$1,386.65	$5.08 – $45.64
Blood culture CPT 87040	$792.48	$792.48	$10.32 – $10.32
Blood draw (venipuncture) CPT 36415	$95.17	$95.17	$3.00 – $3.00
BNP test (heart failure) CPT 83880	$1,399.64	$1,399.64	$97.97 – $1,399.64
C-reactive protein (CRP) test CPT 86140	$449.73	$449.73	$5.44 – $5.44
Chlamydia test (DNA/NAAT) CPT 87491	$559.40	$559.40	$35.09 – $35.09
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $7.77
Complete blood count (CBC), automated CPT 85027	$659.51	$659.51	$6.79 – $6.79
Comprehensive metabolic panel (blood test) CPT 80053	$1,724.04	$1,724.04	$11.09 – $11.09
COVID-19 PCR test CPT 87635	$57.61	$57.61	$30.79 – $139.05
D-dimer test (blood clots) CPT 85379	$1,127.20	$1,127.20	$10.18 – $10.18
Drug screen, instrument chemistry CPT 80307	$1,298.01	$1,298.01	$65.25 – $65.25
Ferritin (iron stores) test CPT 82728	$751.61	$751.61	$14.31 – $14.31
Free T4 (thyroid) test CPT 84439	$618.62	$618.62	$9.47 – $9.47
General health panel (blood tests) CPT 80050	$2,517.29	$2,517.29	$47.66 – $219.03
Glucose (blood sugar) test CPT 82947	$431.39	$431.39	$2.36 – $21.89
Gonorrhea test (DNA/NAAT) CPT 87591	$554.42	$554.42	$36.84 – $36.84
Hemoglobin A1c test CPT 83036	$401.98	$401.98	$9.71 – $9.71
Hepatitis C antibody test CPT 86803	$961.37	$961.37	$14.98 – $14.98
HIV-1/HIV-2 antigen and antibody test CPT 87389	$662.95	$662.95	$25.28 – $25.28
Iron test CPT 83540	$707.28	$707.28	$3.88 – $34.70
Kidney function panel CPT 80069	$1,473.39	$1,473.39	$8.68 – $8.68
Lipase test (pancreas) CPT 83690	$661.42	$661.42	$46.30 – $661.42
Lipid panel, cholesterol and triglycerides CPT 80061	$836.80	$836.80	$13.39 – $13.39
Liver function panel CPT 80076	$1,604.83	$1,604.83	$8.17 – $8.17
Magnesium test CPT 83735	$523.48	$523.48	$36.64 – $523.48
Obstetric blood test panel CPT 80055	not posted		$47.81 – $47.81
Partial thromboplastin time (PTT), clotting test CPT 85730	$580.78	$580.78	$40.65 – $580.78
Pregnancy blood test (hCG), quantitative CPT 84702	$1,445.48	$1,445.48	$101.18 – $1,445.48
Prothrombin time (PT/INR), clotting test CPT 85610	$438.28	$438.28	$30.68 – $438.28
PSA (prostate specific antigen), free CPT 84154	$845.21	$845.21	$19.31 – $19.31
PSA (prostate specific antigen), total CPT 84153	$836.80	$836.80	$58.58 – $836.80
Rapid strep test CPT 87880	$236.00	$236.00	$17.36 – $17.36
Sed rate (ESR) test CPT 85652	$520.04	$520.04	$2.84 – $2.84
TB skin test CPT 86580	not posted		$24.67 – $24.67
Thyroid stimulating hormone (TSH) CPT 84443	$1,004.16	$1,004.16	$17.64 – $17.64
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,792.83	$1,792.83	$125.50 – $1,792.83
Troponin test (heart damage) CPT 84484	$1,132.16	$1,132.16	$13.09 – $13.09
Urinalysis, automated, with microscope CPT 81001	$485.64	$485.64	$3.33 – $3.33
Urinalysis, automated, without microscope CPT 81003	$224.68	$224.68	$15.73 – $224.68
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $4.02
Urinalysis, manual, without microscope CPT 81002	$246.08	$246.08	$17.23 – $246.08
Urine culture, colony count CPT 87086	$889.15	$889.15	$8.07 – $8.07
Urine pregnancy test CPT 81025	$631.61	$631.61	$9.04 – $9.04
Vitamin B12 test CPT 82607	$697.34	$697.34	$15.08 – $15.08
Vitamin D test CPT 82306	$1,450.46	$1,450.46	$101.53 – $1,450.46

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$3,602.58	$3,602.58	$191.46 – $929.00
ECG tracing only (no interpretation) CPT 93005	$803.37	$803.37	$151.28 – $1,514.00
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$6,118.50	$6,118.50	$372.65 – $1,514.00
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.61 – $1,514.00
Holter monitor, up to 48 hours CPT 93224	not posted		$57.36 – $1,514.00
Left heart catheterization CPT 93452	$18,617.01	$18,617.01	$2,513.30 – $18,617.01
Left heart catheterization with coronary angiogram CPT 93458	$18,617.01	$18,617.01	$2,513.30 – $18,617.01
Nuclear stress test (heart perfusion imaging) CPT 78452	$14,163.35	$14,163.35	$862.65 – $1,090.56
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 – $16,960.00
Appendix removal, laparoscopic CPT 44970	not posted	$8,024.00 – $8,024.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$1,740.00 – $5,773.00
Carpal tunnel release CPT 64721	not posted	$2,467.00 – $3,486.00
Colonoscopy with biopsy CPT 45380	not posted	$1,740.00 – $5,773.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$429.26 – $1,208.10
Colonoscopy, diagnostic CPT 45378	not posted	$4,568.00 – $5,773.00
Colposcopy with biopsy CPT 57454	not posted	$443.94 – $5,773.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,293.00
Ear tubes, under general anesthesia CPT 69436	not posted	$1,740.00 – $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	$8,794.00 – $37,859.65
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$8,794.00 – $21,874.09
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	$5,020.00 – $11,138.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,200.05 – $16,960.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$7,168.00 – $7,168.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$450.72 – $5,773.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$4,568.00 – $5,773.00
Prostate biopsy CPT 55700	not posted	$4,723.00 – $4,723.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$12,413.00 – $21,874.09
Removal of a breast lump, open surgery CPT 19120	not posted	$5,381.00 – $8,910.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,518.45 – $16,960.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$4,568.00 – $5,773.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$2,467.00 – $3,486.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$5,381.00 – $11,138.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$1,580.00 – $8,485.00
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	$7,050.00 – $8,910.00
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	$4,568.00 – $5,773.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $4,850.00
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		$2,287.00 – $50,489.70
Fetal non-stress test CPT 59025	$1,116.12	$1,116.12	$78.13 – $1,116.12
IUD insertion CPT 58300	not posted		$1,056.16 – $4,850.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$2,287.00 – $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	$1,023.00 – $1,023.00
C-section, without complications MS-DRG 788	not posted	$649.00 – $649.00
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 – $1,023.00
COPD flare-up, without complications MS-DRG 192	not posted	$1,023.00 – $1,023.00
Fainting (syncope) MS-DRG 312	not posted	$1,023.00 – $1,023.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$1,023.00 – $1,023.00
Heart failure, with major complications MS-DRG 291	not posted	$1,023.00 – $1,023.00
Heart failure, without complications MS-DRG 293	not posted	$1,023.00 – $1,023.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$57,468.00 – $60,493.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$1,198.00 – $1,198.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$12,040.38 – $17,017.53
Kidney failure, with complications MS-DRG 683	not posted	$1,023.00 – $1,023.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$1,023.00 – $1,023.00
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	$1,597.00 – $1,597.00
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$1,023.00 – $1,023.00
Pneumonia, with complications MS-DRG 194	not posted	$1,023.00 – $1,023.00
Pneumonia, with major complications MS-DRG 193	not posted	$1,023.00 – $1,023.00
Pneumonia, without complications MS-DRG 195	not posted	$1,023.00 – $1,023.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$29,708.54 – $41,989.20
Sepsis, with major complications MS-DRG 871	not posted	$1,023.00 – $1,023.00
Sepsis, without major complications MS-DRG 872	not posted	$1,023.00 – $1,023.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$1,023.00 – $1,023.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$1,023.00 – $1,023.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$1,023.00 – $1,023.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$1,198.00 – $1,198.00
Vaginal delivery, without complications MS-DRG 807	not posted	$2,396.00 – $2,396.00
Weight loss surgery, without complications MS-DRG 621	not posted	$19,500.00 – $26,000.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$27.96 – $309.89
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$357.81 – $4,850.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$276.00 – $4,850.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$3,293.00 – $4,850.00

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	$796.00 – $2,816.94
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	$780.58	$780.58	$54.64 – $780.58

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$381.66	$381.66	$26.72 – $381.66
Physical therapy evaluation, low complexity CPT 97161	$1,190.89	$1,190.89	$93.57 – $462.72
Physical therapy evaluation, moderate complexity CPT 97162	$1,190.89	$1,190.89	$100.25 – $100.25
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$395.98	$395.98	$27.72 – $395.98
Therapeutic activities, 15 minutes CPT 97530	$353.38	$353.38	$24.74 – $353.38

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$281.28	$281.28	$19.69 – $281.28
IV hydration, each additional hour CPT 96361	$312.57	$312.57	$21.88 – $312.57
IV hydration, first hour CPT 96360	$760.85	$760.85	$53.26 – $760.85
IV push injection of a drug, first CPT 96374	$762.56	$762.56	$53.38 – $762.56
IV push injection, each additional drug CPT 96375	$566.64	$566.64	$39.66 – $566.64

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$107.70	$107.70	$7.54 – $107.70
Dexamethasone injection, per 1 mg HCPCS J1100	$168.60	$168.60	$11.80 – $168.60
Fentanyl injection, per 0.1 mg HCPCS J3010	$404.98	$404.98	$28.35 – $404.98
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$249.29	$249.29	$17.45 – $249.29
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$1,265.82	$1,265.82	$949.37 – $949.37
Morphine injection, up to 10 mg HCPCS J2270	$83.31	$83.31	$5.83 – $83.31
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$491.77	$491.77	? – $7.10
Propofol injection, per 10 mg HCPCS J2704	$1,128.90	$1,128.90	$846.67 – $846.67
Saline IV solution, 1000 ml HCPCS J7030	$651.76	$651.76	$2.19 – $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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