Medina Regional Hospital

3100 Avenue E, Hondo, TX 78861 · Critical access hospital · Emergency room

These are Medina Regional Hospital's own posted figures from its standard-charges file dated July 29, 2026. They are not a quote. Source: the hospital's file · its price transparency page.

235 of the services we track have a posted price here; 166 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	$3,149.86	$3,499.84	$125.00 – $5,400.00
Emergency room visit, level 1 (minor) CPT 99281	$296.82	$329.79	$55.00 – $500.00
Emergency room visit, level 2 CPT 99282	$544.67	$605.18	$85.00 – $850.00
Emergency room visit, level 3 (moderate) CPT 99283	$949.14	$1,054.60	$115.00 – $1,139.32
Emergency room visit, level 4 CPT 99284	$1,342.16	$1,491.28	$125.00 – $3,587.00
Emergency room visit, level 5 (most severe) CPT 99285	$2,235.93	$2,484.36	$125.00 – $4,850.00
Simple wound repair (stitches), 2.5 cm or less CPT 12001	$539.36	$599.28	$143.83 – $900.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$162.00	$180.00	$43.20 – $266.86
New patient office visit, about 30 minutes CPT 99203	$247.50	$275.00	$66.00 – $404.98
New patient office visit, about 45 minutes CPT 99204	$382.50	$425.00	$102.00 – $683.02
New patient office visit, about 60 minutes CPT 99205	$540.00	$600.00	$144.00 – $892.06
Office consultation, about 40 minutes CPT 99243	not posted		$503.88 – $503.88
Office consultation, about 60 minutes CPT 99244	not posted		$809.95 – $809.95
Office visit, established patient, about 10 to 19 minutes CPT 99212	$112.50	$125.00	$30.00 – $134.37
Office visit, established patient, about 20 to 29 minutes CPT 99213	$202.50	$225.00	$54.00 – $270.61
Office visit, established patient, about 30 to 39 minutes CPT 99214	$225.00	$250.00	$60.00 – $414.28
Office visit, established patient, about 40 to 54 minutes CPT 99215	$315.00	$350.00	$84.00 – $585.99
Office visit, established patient, brief (often a nurse) CPT 99211	$67.50	$75.00	$18.00 – $75.00
Preventive checkup, new patient, age 18 to 39 CPT 99385	$151.39	$168.21	$40.37 – $516.93
Preventive checkup, new patient, age 40 to 64 CPT 99386	$177.46	$197.17	$47.32 – $628.89

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$102.06	$113.40	$27.22 – $113.40
Abdominal X-ray, 1 view CPT 74018	$265.23	$294.70	$70.73 – $294.70
Ankle X-ray, 3 or more views CPT 73610	$547.73	$608.58	$109.47 – $608.58
Bone density scan (DEXA), hips and spine CPT 77080	$547.73	$608.58	$134.67 – $608.58
Breast ultrasound, one breast, complete CPT 76641	$431.16	$479.06	$114.97 – $480.73
Breast ultrasound, one breast, limited CPT 76642	$330.56	$367.28	$88.15 – $367.28
Chest X-ray, 1 view CPT 71045	$247.96	$275.51	$66.12 – $275.51
Chest X-ray, 2 views CPT 71046	$299.78	$333.08	$79.94 – $333.08
CT angiogram of the chest (checks for lung clots) CPT 71275	$2,604.34	$2,893.71	$227.23 – $2,893.71
CT angiogram of the head CPT 70496	$2,310.53	$2,567.25	$227.23 – $2,567.25
CT scan of the abdomen and pelvis, with contrast CPT 74177	$3,186.99	$3,541.10	$400.00 – $3,541.10
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$3,186.99	$3,541.10	$400.00 – $3,541.10
CT scan of the abdomen and pelvis, without contrast CPT 74176	$2,548.64	$2,831.82	$294.24 – $2,831.82
CT scan of the abdomen, without contrast CPT 74150	$1,668.47	$1,853.85	$134.67 – $1,853.85
CT scan of the chest, with contrast CPT 71260	$2,224.80	$2,471.99	$227.23 – $2,471.99
CT scan of the chest, without contrast CPT 71250	$1,968.21	$2,186.89	$134.67 – $2,186.89
CT scan of the head, without contrast CPT 70450	$1,865.21	$2,072.45	$134.67 – $2,072.45
CT scan of the neck (cervical spine), without contrast CPT 72125	$1,796.77	$1,996.41	$134.67 – $1,996.41
CT scan of the pelvis, with contrast CPT 72193	$1,968.21	$2,186.89	$227.23 – $2,186.89
CT scan of the sinuses or face, without contrast CPT 70486	$1,711.63	$1,901.81	$134.67 – $1,901.81
Diagnostic mammogram, both breasts CPT 77066	$387.21	$430.23	$60.00 – $514.00
Diagnostic mammogram, one breast CPT 77065	$313.68	$348.53	$60.00 – $402.44
Foot X-ray, 3 or more views CPT 73630	$547.73	$608.58	$109.47 – $608.58
Hand X-ray, 3 or more views CPT 73130	$496.55	$551.72	$109.47 – $551.72
Knee X-ray, 3 views CPT 73562	$495.30	$550.33	$109.47 – $550.33
Leg or arm vein ultrasound, both sides CPT 93970	$1,179.33	$1,310.36	$289.96 – $1,310.36
Leg or arm vein ultrasound, one side CPT 93971	$905.46	$1,006.06	$137.30 – $1,006.06
Lower back X-ray, 2 or 3 views CPT 72100	$484.84	$538.71	$129.29 – $538.71
MRI of both breasts, without and with contrast CPT 77049	$1,615.50	$1,795.00	$264.43 – $1,795.00
MRI of the abdomen, without and with contrast CPT 74183	$3,524.40	$3,915.99	$464.22 – $3,915.99
MRI of the brain, without and with contrast CPT 70553	$3,230.82	$3,589.80	$464.22 – $3,589.80
MRI of the brain, without contrast CPT 70551	$2,823.72	$3,137.46	$294.24 – $3,137.46
MRI of the knee or other leg joint, without contrast CPT 73721	$2,237.76	$2,486.39	$294.24 – $2,486.39
MRI of the lower back (lumbar spine), without contrast CPT 72148	$2,789.81	$3,099.78	$294.24 – $3,099.78
MRI of the mid back (thoracic spine), without contrast CPT 72146	$2,652.85	$2,947.61	$294.24 – $2,947.61
MRI of the neck (cervical spine), without contrast CPT 72141	$2,567.13	$2,852.36	$294.24 – $2,852.36
MRI of the pelvis, without and with contrast CPT 72197	$3,230.82	$3,589.80	$464.22 – $3,589.80
MRI of the shoulder or other arm joint, without contrast CPT 73221	$2,200.77	$2,445.29	$294.24 – $2,445.29
Neck X-ray, 2 or 3 views CPT 72040	$316.43	$351.58	$84.38 – $351.58
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$746.34	$829.26	$137.30 – $829.26
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$566.86	$629.84	$134.67 – $629.84
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$564.99	$627.76	$134.67 – $627.76
Screening mammogram, both breasts CPT 77067	$439.09	$487.87	$60.00 – $487.87
Shoulder X-ray, 2 or more views CPT 73030	$292.35	$324.83	$77.96 – $324.83
Transvaginal pregnancy ultrasound CPT 76817	$684.64	$760.71	$134.67 – $760.71
Transvaginal ultrasound CPT 76830	$746.34	$829.26	$134.67 – $829.26
Ultrasound of the abdomen, complete CPT 76700	$804.33	$893.69	$134.67 – $893.69
Ultrasound of the neck or thyroid CPT 76536	$559.44	$621.60	$134.67 – $621.60
Wrist X-ray, 3 or more views CPT 73110	$513.18	$570.20	$109.47 – $570.20
X-ray of the lower back, 4 or more views CPT 72110	$419.45	$466.05	$111.85 – $480.73

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$57.98	$64.42	$13.54 – $64.42
Blood culture CPT 87040	$109.19	$121.32	$16.51 – $121.32
Blood draw (venipuncture) CPT 36415	$13.84	$15.37	$3.69 – $15.37
BNP test (heart failure) CPT 83880	$201.13	$223.47	$53.63 – $223.47
C-reactive protein (CRP) test CPT 86140	$28.37	$31.52	$7.56 – $31.52
Chlamydia test (DNA/NAAT) CPT 87491	$189.99	$211.10	$50.66 – $211.10
Complete blood count (CBC) with differential CPT 85025	$73.43	$81.58	$12.43 – $81.58
Complete blood count (CBC), automated CPT 85027	$67.86	$75.39	$10.35 – $75.39
Comprehensive metabolic panel (blood test) CPT 80053	$123.44	$137.15	$16.90 – $137.15
COVID-19 PCR test CPT 87635	$233.05	$258.94	$51.31 – $258.94
D-dimer test (blood clots) CPT 85379	$158.40	$175.99	$16.29 – $175.99
Drug screen, instrument chemistry CPT 80307	$438.03	$486.70	$99.42 – $486.70
Ferritin (iron stores) test CPT 82728	$74.02	$82.24	$19.74 – $82.24
Free T4 (thyroid) test CPT 84439	$186.90	$207.66	$14.43 – $207.66
General health panel (blood tests) CPT 80050	not posted		$129.43 – $129.43
Glucose (blood sugar) test CPT 82947	$57.98	$64.42	$6.29 – $64.42
Gonorrhea test (DNA/NAAT) CPT 87591	$133.02	$147.79	$35.47 – $159.45
Hemoglobin A1c test CPT 83036	$65.39	$72.65	$15.54 – $72.65
Hepatitis C antibody test CPT 86803	$129.54	$143.93	$22.83 – $143.93
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,116.51	$1,240.56	$38.53 – $1,240.56
Iron test CPT 83540	$71.29	$79.21	$10.35 – $79.21
Kidney function panel CPT 80069	$46.88	$52.08	$12.50 – $52.08
Lipase test (pancreas) CPT 83690	$46.27	$51.41	$11.02 – $51.41
Lipid panel, cholesterol and triglycerides CPT 80061	$118.44	$131.59	$21.42 – $131.59
Liver function panel CPT 80076	$155.43	$172.69	$13.07 – $172.69
Magnesium test CPT 83735	$44.42	$49.35	$10.72 – $49.35
Obstetric blood test panel CPT 80055	not posted		$76.50 – $217.19
Partial thromboplastin time (PTT), clotting test CPT 85730	$69.11	$76.78	$9.62 – $76.78
Pregnancy blood test (hCG), quantitative CPT 84702	$130.89	$145.43	$24.08 – $145.43
Prothrombin time (PT/INR), clotting test CPT 85610	$51.20	$56.88	$6.86 – $56.88
PSA (prostate specific antigen), free CPT 84154	$242.41	$269.34	$29.42 – $269.34
PSA (prostate specific antigen), total CPT 84153	$115.97	$128.85	$29.42 – $128.85
Rapid strep test CPT 87880	$33.08	$36.75	$8.82 – $60.83
Sed rate (ESR) test CPT 85652	$19.17	$21.29	$4.32 – $21.29
TB skin test CPT 86580	$34.55	$38.38	$9.21 – $64.29
Thyroid stimulating hormone (TSH) CPT 84443	$130.78	$145.31	$26.88 – $145.31
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$235.39	$261.54	$62.77 – $261.54
Troponin test (heart damage) CPT 84484	$79.56	$88.39	$19.95 – $88.39
Urinalysis, automated, with microscope CPT 81001	$38.26	$42.51	$5.07 – $42.51
Urinalysis, automated, without microscope CPT 81003	$24.06	$26.73	$3.60 – $26.73
Urinalysis, manual, with microscope CPT 81000	$35.63	$39.58	$6.43 – $39.58
Urinalysis, manual, without microscope CPT 81002	not posted		$5.57 – $12.81
Urine culture, colony count CPT 87086	$73.43	$81.58	$12.91 – $81.58
Urine pregnancy test CPT 81025	$55.53	$61.69	$13.78 – $61.69
Vitamin B12 test CPT 82607	$114.73	$127.47	$24.13 – $127.47
Vitamin D test CPT 82306	$283.74	$315.26	$47.36 – $315.26

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$1,006.02	$1,117.79	$268.27 – $1,117.79
ECG tracing only (no interpretation) CPT 93005	$196.78	$218.64	$52.47 – $290.99
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$1,665.36	$1,850.40	$444.10 – $1,850.40
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	$62.70	$69.66	$16.72 – $69.66
Holter monitor, up to 48 hours CPT 93224	not posted		$481.47 – $481.47
Left heart catheterization CPT 93452	not posted		$830.00 – $14,264.95
Left heart catheterization with coronary angiogram CPT 93458	not posted		$830.00 – $14,264.95
Nuclear stress test (heart perfusion imaging) CPT 78452	not posted		$1,645.48 – $4,058.79
Treadmill stress test, complete CPT 93015	not posted		$377.00 – $377.00

Surgery

Service	Cash price	Gross charge	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted		$426.00 – $28,424.55
Appendix removal, laparoscopic CPT 44970	$2,795.97	$3,106.63	$426.00 – $22,757.61
Breast biopsy with ultrasound guidance CPT 19083	$2,597.97	$2,886.63	$371.00 – $6,834.51
Carpal tunnel release CPT 64721	$4,957.70	$5,508.55	$371.00 – $8,165.24
Colonoscopy with biopsy CPT 45380	$2,989.28	$3,321.42	$371.00 – $4,747.50
Colonoscopy with polyp removal (snare) CPT 45385	$2,989.28	$3,321.42	$371.00 – $4,747.50
Colonoscopy, diagnostic CPT 45378	$2,266.51	$2,518.34	$328.50 – $3,599.60
Colposcopy with biopsy CPT 57454	$324.27	$360.29	$65.06 – $916.98
Cystoscopy (bladder scope) CPT 52000	$1,805.59	$2,006.21	$238.15 – $2,867.59
Ear tubes, under general anesthesia CPT 69436	$3,633.47	$4,037.18	$420.64 – $5,770.57
Flexible sigmoidoscopy, diagnostic CPT 45330	$442.46	$491.62	$117.99 – $2,612.43
Gallbladder removal, laparoscopic CPT 47562	$4,861.62	$5,401.79	$599.00 – $22,757.61
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted		$9,125.09 – $9,125.09
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	$24,247.17	$26,941.30	$764.00 – $38,508.78
Hysteroscopy with biopsy or polyp removal CPT 58558	$7,255.46	$8,061.62	$426.00 – $11,522.94
Inguinal (groin) hernia repair, laparoscopic CPT 49650	$14,329.41	$15,921.56	$525.00 – $22,757.61
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	$9,293.40	$10,326.00	$525.00 – $14,759.58
Kidney stone shock-wave lithotripsy CPT 50590	not posted		$1,081.00 – $18,789.57
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	$10,170.80	$11,300.88	$525.00 – $13,411.32
Lower colon endoscopy with ultrasound CPT 45391	not posted		$371.00 – $4,747.50
Nasal endoscopy, diagnostic CPT 31231	not posted		$68.14 – $566.19
Prostate biopsy CPT 55700	not posted		$371.00 – $8,597.10
Prostate removal, laparoscopic or robotic CPT 55866	not posted		$599.00 – $38,508.78
Removal of a breast lump, open surgery CPT 19120	$8,708.21	$9,675.78	$426.00 – $13,830.15
Rotator cuff repair, arthroscopic CPT 29827	not posted		$599.00 – $28,424.55
Screening colonoscopy, average risk HCPCS G0121	$2,266.51	$2,518.34	$328.50 – $3,599.60
Screening colonoscopy, high risk HCPCS G0105	$2,266.51	$2,518.34	$328.50 – $3,599.60
Septoplasty (nasal septum repair) CPT 30520	$7,020.16	$7,800.17	$525.00 – $11,149.23
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted		$426.00 – $426.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted		$5,882.62 – $5,882.62
Tonsil and adenoid removal, under age 12 CPT 42820	$13,850.90	$15,389.88	$426.00 – $21,997.67
Total hip replacement CPT 27130	not posted		$764.00 – $37,619.46
Total knee replacement CPT 27447	not posted		$764.00 – $51,323.20
Upper endoscopy (EGD) with biopsy CPT 43239	$2,373.48	$2,637.19	$334.95 – $3,769.49
Upper endoscopy (EGD), diagnostic CPT 43235	$2,373.48	$2,637.19	$277.00 – $3,769.49
Vasectomy CPT 55250	$5,413.18	$6,014.64	$371.00 – $8,597.10

Pregnancy and birth

Service	Cash price	Gross charge	Insurer rates (min – max)
C-section delivery, routine care including prenatal and postpartum CPT 59510	$7,717.28	$8,574.75	$525.00 – $12,092.76
Fetal non-stress test CPT 59025	$379.96	$422.17	$15.78 – $569.58
IUD insertion CPT 58300	$197.37	$219.30	$52.63 – $900.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$11,477.77 – $11,477.77
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$10,902.78 – $10,902.78

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$6,616.50 – $11,311.57
C-section, without complications MS-DRG 788	not posted	$1,800.00 – $15,408.53
Chest pain MS-DRG 313	not posted	$5,349.75 – $9,145.93
COPD flare-up, with major complications MS-DRG 190	not posted	$8,424.75 – $14,402.95
COPD flare-up, without complications MS-DRG 192	not posted	$4,854.00 – $8,298.40
Fainting (syncope) MS-DRG 312	not posted	$6,534.75 – $11,171.81
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$7,394.25 – $12,641.21
Heart failure, with major complications MS-DRG 291	not posted	$9,786.75 – $16,731.43
Heart failure, without complications MS-DRG 293	not posted	$4,117.50 – $7,081.98
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$72,378.00 – $123,737.43
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$14,141.25 – $24,175.88
Irregular heartbeat, without complications MS-DRG 310	not posted	$4,196.25 – $7,173.91
Kidney failure, with complications MS-DRG 683	not posted	$6,666.75 – $11,397.48
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$6,019.50 – $10,290.94
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$17,754.00 – $30,352.24
Normal newborn care MS-DRG 795	not posted	$160.00 – $1,962.02
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$5,861.25 – $10,020.39
Pneumonia, with complications MS-DRG 194	not posted	$6,150.00 – $10,514.04
Pneumonia, with major complications MS-DRG 193	not posted	$9,883.50 – $16,896.83
Pneumonia, without complications MS-DRG 195	not posted	$4,671.00 – $7,985.54
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$10,571.25 – $18,072.61
Sepsis, with major complications MS-DRG 871	not posted	$14,717.25 – $25,160.61
Sepsis, without major complications MS-DRG 872	not posted	$7,732.50 – $13,219.48
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$6,606.75 – $11,294.90
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$42,959.00 – $42,959.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$5,852.25 – $10,005.01
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$7,627.50 – $13,039.97
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$8,989.50 – $15,368.45
Vaginal delivery, without complications MS-DRG 807	not posted	$1,200.00 – $10,848.97
Weight loss surgery, without complications MS-DRG 621	not posted	$10,962.75 – $18,741.92

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$1,134.92	$1,261.02	$27.96 – $1,261.02
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$277.00 – $3,407.95
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$2,312.33	$2,569.25	$262.86 – $2,754.94
Lower back spinal injection (epidural), without imaging CPT 62322	$530.59	$589.54	$125.00 – $2,754.94

Eye

Service	Cash price	Gross charge	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	$6,132.78	$6,814.19	$599.00 – $9,739.93
Eye exam, new patient, comprehensive CPT 92004	not posted		$377.85 – $591.19
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted		$208.33 – $2,474.06

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$446.49 – $708.86

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$446.49 – $574.81
Sleep study with CPAP titration CPT 95811	not posted	$2,806.80 – $2,988.54
Sleep study, overnight in a sleep lab CPT 95810	not posted	$2,666.82 – $2,988.54

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$300.38	$333.75	$80.10 – $708.86

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$105.70	$117.44	$28.19 – $147.42
Physical therapy evaluation, low complexity CPT 97161	$267.55	$297.27	$71.34 – $444.18
Physical therapy evaluation, moderate complexity CPT 97162	$290.14	$322.37	$77.37 – $444.18
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$112.82	$125.35	$30.08 – $162.34
Therapeutic activities, 15 minutes CPT 97530	$90.06	$100.06	$24.01 – $214.60

Mental health

Service	Cash price	Insurer rates (min – max)
Family psychotherapy, with the patient, 50 minutes CPT 90847	not posted	$82.52 – $455.73
Family psychotherapy, without the patient, 50 minutes CPT 90846	not posted	$455.73 – $455.73
Group psychotherapy CPT 90853	not posted	$22.17 – $254.79
Psychiatric diagnostic evaluation CPT 90791	not posted	$145.39 – $455.73
Psychotherapy, 30 minutes CPT 90832	not posted	$62.59 – $455.73
Psychotherapy, 45 minutes CPT 90834	not posted	$83.08 – $455.73
Psychotherapy, 60 minutes CPT 90837	not posted	$122.65 – $455.73

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$49.58	$55.08	$13.22 – $302.64
IV hydration, each additional hour CPT 96361	$176.41	$196.01	$47.04 – $196.01
IV hydration, first hour CPT 96360	$446.63	$496.25	$119.10 – $612.66
IV push injection of a drug, first CPT 96374	$446.63	$496.25	$119.10 – $612.66
IV push injection, each additional drug CPT 96375	$100.38	$111.53	$26.77 – $135.78

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$17.28	$19.20	$4.61 – $19.20
Dexamethasone injection, per 1 mg HCPCS J1100	$17.28	$19.20	? – $19.20
Fentanyl injection, per 0.1 mg HCPCS J3010	$17.28	$19.20	$1.64 – $19.20
Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170	not posted		$1.68 – $1.68
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$17.28	$19.20	? – $19.20
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$17.28	$19.20	? – $19.20
Morphine injection, up to 10 mg HCPCS J2270	$17.28	$19.20	? – $19.20
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$28.48	$31.64	$2.48 – $31.64
Propofol injection, per 10 mg HCPCS J2704	$67.76	$75.28	? – $75.28
Saline IV solution, 1000 ml HCPCS J7030	$69.12	$76.79	$18.43 – $76.79

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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