Methodist Hospital Stone Oak

1139 E Sonterra Blvd,, San Antonio, TX 78258 · Acute care hospital · Emergency room

These are Methodist Hospital Stone Oak'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.

228 of the services we track have a posted price here; 138 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	$5,526.91	$5,526.91	$663.23 – $4,697.87
Emergency room visit, level 1 (minor) CPT 99281	$664.63	$664.63	$93.05 – $564.94
Emergency room visit, level 2 CPT 99282	$1,181.01	$1,181.01	$165.34 – $1,003.86
Emergency room visit, level 3 (moderate) CPT 99283	$2,623.53	$2,623.53	$367.29 – $2,230.00
Emergency room visit, level 4 CPT 99284	$3,727.92	$3,727.92	$521.91 – $3,168.73
Emergency room visit, level 5 (most severe) CPT 99285	$4,607.43	$4,607.43	$645.04 – $3,916.32
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$290.05 – $3,007.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$611.34	$611.34	$30.57 – $519.64
New patient office visit, about 30 minutes CPT 99203	$855.64	$855.64	$42.78 – $727.29
New patient office visit, about 45 minutes CPT 99204	$1,101.19	$1,101.19	$55.06 – $936.01
New patient office visit, about 60 minutes CPT 99205	$1,346.74	$1,346.74	$67.34 – $1,144.73
Office consultation, about 40 minutes CPT 99243	not posted		$253.01 – $486.55
Office consultation, about 60 minutes CPT 99244	not posted		$406.67 – $782.05
Office visit, established patient, about 10 to 19 minutes CPT 99212	$368.34	$368.34	$18.42 – $313.09
Office visit, established patient, about 20 to 29 minutes CPT 99213	$611.34	$611.34	$30.57 – $519.64
Office visit, established patient, about 30 to 39 minutes CPT 99214	$855.64	$855.64	$42.78 – $727.29
Office visit, established patient, about 40 to 54 minutes CPT 99215	$1,101.19	$1,101.19	$55.06 – $936.01
Office visit, established patient, brief (often a nurse) CPT 99211	$549.74	$549.74	$65.97 – $467.28
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$68.91 – $497.35
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$83.74 – $605.45

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	not posted		$20.97 – $170.40
Abdominal X-ray, 1 view CPT 74018	$1,133.27	$1,133.27	$56.66 – $963.28
Ankle X-ray, 3 or more views CPT 73610	$2,546.57	$2,546.57	$127.33 – $2,164.58
Bone density scan (DEXA), hips and spine CPT 77080	$681.56	$681.56	$139.13 – $139.13
Breast ultrasound, one breast, complete CPT 76641	$1,298.82	$1,298.82	$64.94 – $1,104.00
Breast ultrasound, one breast, limited CPT 76642	$747.72	$747.72	$37.39 – $635.56
Chest X-ray, 1 view CPT 71045	$1,133.27	$1,133.27	$56.66 – $963.28
Chest X-ray, 2 views CPT 71046	$1,254.67	$1,254.67	$33.75 – $340.63
CT angiogram of the chest (checks for lung clots) CPT 71275	$11,749.21	$11,749.21	$180.34 – $401.74
CT angiogram of the head CPT 70496	$11,749.21	$11,749.21	$587.46 – $9,986.83
CT scan of the abdomen and pelvis, with contrast CPT 74177	$14,859.10	$14,859.10	$318.09 – $828.27
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$16,804.68	$16,804.68	$350.18 – $1,527.40
CT scan of the abdomen and pelvis, without contrast CPT 74176	$11,369.37	$11,369.37	$188.11 – $1,109.00
CT scan of the abdomen, without contrast CPT 74150	$6,547.08	$6,547.08	$106.88 – $245.18
CT scan of the chest, with contrast CPT 71260	$8,690.33	$8,690.33	$173.08 – $401.74
CT scan of the chest, without contrast CPT 71250	$6,686.04	$6,686.04	$104.75 – $1,109.00
CT scan of the head, without contrast CPT 70450	$6,391.11	$6,391.11	$106.88 – $245.18
CT scan of the neck (cervical spine), without contrast CPT 72125	$7,856.50	$7,856.50	$106.88 – $245.18
CT scan of the pelvis, with contrast CPT 72193	$6,060.67	$6,060.67	$180.34 – $401.74
CT scan of the sinuses or face, without contrast CPT 70486	$7,113.77	$7,113.77	$355.69 – $6,046.70
Diagnostic mammogram, both breasts CPT 77066	$1,066.78	$1,066.78	$53.34 – $906.76
Diagnostic mammogram, one breast CPT 77065	$865.35	$865.35	$43.27 – $735.55
Foot X-ray, 3 or more views CPT 73630	$2,546.57	$2,546.57	$127.33 – $2,164.58
Hand X-ray, 3 or more views CPT 73130	$2,716.56	$2,716.56	$135.83 – $2,309.08
Knee X-ray, 3 views CPT 73562	$2,491.54	$2,491.54	$124.58 – $2,117.81
Leg or arm vein ultrasound, both sides CPT 93970	$3,861.07	$3,861.07	$193.05 – $3,281.91
Leg or arm vein ultrasound, one side CPT 93971	$6,412.51	$6,412.51	$320.63 – $5,450.63
Lower back X-ray, 2 or 3 views CPT 72100	$1,821.30	$1,821.30	$91.06 – $1,548.11
MRI of both breasts, without and with contrast CPT 77049	not posted		$635.92 – $635.92
MRI of the abdomen, without and with contrast CPT 74183	$13,856.12	$13,856.12	$348.50 – $1,527.40
MRI of the brain, without and with contrast CPT 70553	$12,741.45	$12,741.45	$332.80 – $828.27
MRI of the brain, without contrast CPT 70551	$9,342.89	$9,342.89	$467.14 – $7,941.46
MRI of the knee or other leg joint, without contrast CPT 73721	$6,645.88	$6,645.88	$332.29 – $5,649.00
MRI of the lower back (lumbar spine), without contrast CPT 72148	$10,716.35	$10,716.35	$535.82 – $9,108.90
MRI of the mid back (thoracic spine), without contrast CPT 72146	$10,716.35	$10,716.35	$535.82 – $9,108.90
MRI of the neck (cervical spine), without contrast CPT 72141	$8,501.05	$8,501.05	$425.05 – $7,225.89
MRI of the pelvis, without and with contrast CPT 72197	$7,267.92	$7,267.92	$347.16 – $1,527.40
MRI of the shoulder or other arm joint, without contrast CPT 73221	$8,929.78	$8,929.78	$446.49 – $7,590.31
Neck X-ray, 2 or 3 views CPT 72040	$1,332.40	$1,332.40	$66.62 – $1,132.54
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$3,060.11	$3,060.11	$96.28 – $537.08
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$3,135.85	$3,135.85	$106.88 – $245.18
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$3,060.11	$3,060.11	$362.38 – $362.38
Screening mammogram, both breasts CPT 77067	$1,026.48	$1,026.48	$51.32 – $872.51
Shoulder X-ray, 2 or more views CPT 73030	$2,648.58	$2,648.58	$132.43 – $2,251.29
Transvaginal pregnancy ultrasound CPT 76817	$2,784.56	$2,784.56	$92.89 – $472.98
Transvaginal ultrasound CPT 76830	$2,784.56	$2,784.56	$106.88 – $245.18
Ultrasound of the abdomen, complete CPT 76700	$3,451.71	$3,451.71	$406.71 – $406.71
Ultrasound of the neck or thyroid CPT 76536	$2,934.41	$2,934.41	$435.69 – $435.69
Wrist X-ray, 3 or more views CPT 73110	$2,716.56	$2,716.56	$135.83 – $2,309.08
X-ray of the lower back, 4 or more views CPT 72110	$2,659.92	$2,659.92	$133.00 – $2,260.93

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,629.70	$1,629.70	$7.99 – $26.31
Blood culture CPT 87040	$970.17	$970.17	$48.51 – $824.64
Blood draw (venipuncture) CPT 36415	$101.74	$101.74	$4.95 – $24.84
BNP test (heart failure) CPT 83880	$1,337.17	$1,337.17	$66.86 – $1,136.59
C-reactive protein (CRP) test CPT 86140	$401.53	$401.53	$20.08 – $341.30
Chlamydia test (DNA/NAAT) CPT 87491	$664.95	$664.95	$33.25 – $565.21
Complete blood count (CBC) with differential CPT 85025	not posted		$6.53 – $7.77
Complete blood count (CBC), automated CPT 85027	$408.79	$408.79	$20.44 – $347.47
Comprehensive metabolic panel (blood test) CPT 80053	$2,854.20	$2,854.20	$142.71 – $2,426.07
COVID-19 PCR test CPT 87635	$73.67	$73.67	$43.10 – $159.57
D-dimer test (blood clots) CPT 85379	$1,304.47	$1,304.47	$8.55 – $31.66
Drug screen, instrument chemistry CPT 80307	$906.58	$906.58	$45.33 – $770.59
Ferritin (iron stores) test CPT 82728	$755.79	$755.79	$11.45 – $13.63
Free T4 (thyroid) test CPT 84439	$710.37	$710.37	$7.58 – $9.02
General health panel (blood tests) CPT 80050	$4,227.71	$4,227.71	$45.36 – $45.36
Glucose (blood sugar) test CPT 82947	$234.36	$234.36	$11.72 – $199.21
Gonorrhea test (DNA/NAAT) CPT 87591	$664.95	$664.95	$33.25 – $565.21
Hemoglobin A1c test CPT 83036	$506.90	$506.90	$25.34 – $430.87
Hepatitis C antibody test CPT 86803	$853.90	$853.90	$42.70 – $725.82
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,122.36	$1,122.36	$20.23 – $24.08
Iron test CPT 83540	$837.54	$837.54	$41.88 – $711.91
Kidney function panel CPT 80069	$2,033.01	$2,033.01	$6.01 – $26.99
Lipase test (pancreas) CPT 83690	$625.00	$625.00	$31.25 – $531.25
Lipid panel, cholesterol and triglycerides CPT 80061	$1,526.13	$1,526.13	$76.31 – $1,297.21
Liver function panel CPT 80076	$1,438.91	$1,438.91	$6.01 – $8.17
Magnesium test CPT 83735	$501.43	$501.43	$25.07 – $426.22
Obstetric blood test panel CPT 80055	not posted		$47.81 – $47.81
Partial thromboplastin time (PTT), clotting test CPT 85730	$327.03	$327.03	$16.35 – $277.98
Pregnancy blood test (hCG), quantitative CPT 84702	$1,224.51	$1,224.51	$61.23 – $1,040.83
Prothrombin time (PT/INR), clotting test CPT 85610	$327.03	$327.03	$16.35 – $277.98
PSA (prostate specific antigen), free CPT 84154	$970.17	$970.17	$15.45 – $57.19
PSA (prostate specific antigen), total CPT 84153	$710.37	$710.37	$15.45 – $18.39
Rapid strep test CPT 87880	$710.37	$710.37	$13.89 – $96.77
Sed rate (ESR) test CPT 85652	$401.53	$401.53	$2.27 – $2.70
TB skin test CPT 86580	$270.71	$270.71	$13.54 – $230.10
Thyroid stimulating hormone (TSH) CPT 84443	$710.37	$710.37	$14.11 – $52.25
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,526.13	$1,526.13	$76.31 – $1,297.21
Troponin test (heart damage) CPT 84484	$715.82	$715.82	$35.79 – $608.45
Urinalysis, automated, with microscope CPT 81001	$466.92	$466.92	$23.35 – $396.88
Urinalysis, automated, without microscope CPT 81003	$227.09	$227.09	$11.35 – $193.03
Urinalysis, manual, with microscope CPT 81000	$466.92	$466.92	$3.38 – $23.51
Urinalysis, manual, without microscope CPT 81002	$227.09	$227.09	$11.35 – $193.03
Urine culture, colony count CPT 87086	$772.15	$772.15	$38.61 – $656.33
Urine pregnancy test CPT 81025	$772.15	$772.15	$7.23 – $50.38
Vitamin B12 test CPT 82607	$815.73	$815.73	$12.67 – $46.90
Vitamin D test CPT 82306	$1,880.40	$1,880.40	$24.86 – $92.06

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$8,230.83	$8,230.83	$411.54 – $6,996.21
ECG tracing only (no interpretation) CPT 93005	$945.08	$945.08	$47.25 – $803.32
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,783.22	$9,783.22	$489.16 – $8,315.74
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$12.61 – $53.80
Holter monitor, up to 48 hours CPT 93224	not posted		$57.36 – $452.30
Left heart catheterization CPT 93452	$39,455.15	$39,455.15	$4,734.62 – $33,536.88
Left heart catheterization with coronary angiogram CPT 93458	$45,738.11	$45,738.11	$5,488.57 – $38,877.39
Nuclear stress test (heart perfusion imaging) CPT 78452	$13,200.59	$13,200.59	$660.03 – $11,220.50
Treadmill stress test, complete CPT 93015	not posted		$188.34 – $362.20

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$3,645.23 – $16,031.63
Appendix removal, laparoscopic CPT 44970	not posted	$2,369.00 – $12,954.34
Breast biopsy with ultrasound guidance CPT 19083	not posted	$2,157.00 – $3,078.00
Carpal tunnel release CPT 64721	not posted	$2,157.00 – $4,988.00
Colonoscopy with biopsy CPT 45380	not posted	$429.26 – $429.26
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$429.26 – $429.26
Colonoscopy, diagnostic CPT 45378	not posted	$328.50 – $328.50
Colposcopy with biopsy CPT 57454	not posted	$65.06 – $65.06
Cystoscopy (bladder scope) CPT 52000	not posted	$263.06 – $3,103.00
Ear tubes, under general anesthesia CPT 69436	not posted	$420.64 – $420.64
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$144.33 – $3,103.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$2,369.00 – $12,954.34
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$6,716.00 – $23,356.74
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$3,110.01 – $3,110.01
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$1,063.52 – $1,063.52
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,888.85 – $1,888.85
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,271.99 – $9,990.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,262.45 – $13,817.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,088.27 – $1,088.27
Lower colon endoscopy with ultrasound CPT 45391	not posted	$429.26 – $429.26
Nasal endoscopy, diagnostic CPT 31231	not posted	$75.26 – $3,078.00
Prostate biopsy CPT 55700	not posted	$652.80 – $652.80
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$3,431.00 – $22,547.13
Removal of a breast lump, open surgery CPT 19120	not posted	$1,064.46 – $8,119.19
Rotator cuff repair, arthroscopic CPT 29827	not posted	$2,398.52 – $2,398.52
Screening colonoscopy, average risk HCPCS G0121	not posted	$1,268.04 – $3,078.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$362.86 – $4,014.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$979.36 – $7,652.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$3,007.00 – $3,007.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$365.00 – $365.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,158.63 – $12,999.42
Total hip replacement CPT 27130	not posted	$4,312.00 – $6,153.00
Total knee replacement CPT 27447	not posted	$948.00 – $50,221.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$369.99 – $4,014.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$369.99 – $3,917.00
Vasectomy CPT 55250	not posted	$721.09 – $3,695.00

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 – $31,148.60
Fetal non-stress test CPT 59025	$2,394.03	$2,394.03	$119.70 – $2,034.93
IUD insertion CPT 58300	not posted		$36.57 – $36.57
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$948.00 – $29,479.60
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$12,018.00 – $28,094.14

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$4,935.00 – $6,533.00
C-section, without complications MS-DRG 788	not posted	$3,866.00 – $3,866.00
Chest pain MS-DRG 313	not posted	$3,866.00 – $3,866.00
COPD flare-up, with major complications MS-DRG 190	not posted	$3,948.00 – $5,226.00
COPD flare-up, without complications MS-DRG 192	not posted	$3,948.00 – $5,226.00
Fainting (syncope) MS-DRG 312	not posted	$3,866.00 – $3,866.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$3,948.00 – $5,226.00
Heart failure, with major complications MS-DRG 291	not posted	$3,866.00 – $3,866.00
Heart failure, without complications MS-DRG 293	not posted	$3,866.00 – $3,866.00
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$1,275.00 – $5,377.00
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$3,866.00 – $3,866.00
Irregular heartbeat, without complications MS-DRG 310	not posted	$3,866.00 – $3,866.00
Kidney failure, with complications MS-DRG 683	not posted	$3,866.00 – $5,226.00
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$3,866.00 – $5,226.00
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$3,866.00 – $3,866.00
Normal newborn care MS-DRG 795	not posted	$594.00 – $3,414.54
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$3,948.00 – $5,226.00
Pneumonia, with complications MS-DRG 194	not posted	$3,866.00 – $5,226.00
Pneumonia, with major complications MS-DRG 193	not posted	$3,866.00 – $5,226.00
Pneumonia, without complications MS-DRG 195	not posted	$4,935.00 – $6,533.00
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$4,935.00 – $6,533.00
Sepsis, with major complications MS-DRG 871	not posted	$3,866.00 – $5,226.00
Sepsis, without major complications MS-DRG 872	not posted	$4,935.00 – $6,533.00
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$4,935.00 – $6,533.00
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$78,560.00 – $78,560.00
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$3,948.00 – $5,226.00
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$3,866.00 – $5,226.00
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$3,866.00 – $3,866.00
Vaginal delivery, without complications MS-DRG 807	not posted	$3,866.00 – $3,866.00
Weight loss surgery, without complications MS-DRG 621	not posted	$18,647.00 – $28,383.00

Pain and spine

Service	Cash price	Gross charge	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	$3,050.28	$3,050.28	$427.04 – $2,592.74
Lower back nerve root injection with imaging guidance CPT 64483	not posted		$340.77 – $340.77
Lower back spinal injection (epidural), with imaging guidance CPT 62323	$4,029.97	$4,029.97	$262.86 – $744.55
Lower back spinal injection (epidural), without imaging CPT 62322	not posted		$262.86 – $262.86

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$849.94 – $849.94
Eye exam, new patient, comprehensive CPT 92004	not posted	$301.42 – $579.65
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$230.12 – $4,014.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$359.71 – $691.75

Sleep

Service	Cash price	Gross charge	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted		$233.32 – $448.70
Sleep study with CPAP titration CPT 95811	not posted		$1,277.00 – $2,672.00
Sleep study, overnight in a sleep lab CPT 95810	$5,506.98	$5,506.98	$2,935.40 – $2,935.40

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$1,080.91	$1,080.91	$359.71 – $691.75

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$574.34	$574.34	$28.72 – $488.19
Physical therapy evaluation, low complexity CPT 97161	$682.84	$682.84	$34.14 – $580.41
Physical therapy evaluation, moderate complexity CPT 97162	$682.84	$682.84	$34.14 – $580.41
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$479.16	$479.16	$23.96 – $407.29
Therapeutic activities, 15 minutes CPT 97530	$530.92	$530.92	$26.55 – $451.28

Mental health

Service	Cash price	Gross charge	Insurer rates (min – max)
Group psychotherapy CPT 90853	$324.56	$324.56	$16.23 – $275.88

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$404.00	$404.00	$20.20 – $343.40
IV hydration, each additional hour CPT 96361	$1,902.05	$1,902.05	$95.10 – $1,616.74
IV hydration, first hour CPT 96360	$1,949.35	$1,949.35	$97.47 – $1,656.95
IV push injection of a drug, first CPT 96374	$1,940.24	$1,940.24	$97.01 – $1,649.20
IV push injection, each additional drug CPT 96375	$1,940.24	$1,940.24	$97.01 – $1,649.20

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$202.92	$202.92	$10.15 – $172.48
Dexamethasone injection, per 1 mg HCPCS J1100	$121.08	$121.08	$6.05 – $102.92
Fentanyl injection, per 0.1 mg HCPCS J3010	$241.43	$241.43	$12.07 – $205.22
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$40.63	$40.63	$2.03 – $34.54
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$616.43	$616.43	$30.82 – $523.97
Morphine injection, up to 10 mg HCPCS J2270	$585.60	$585.60	$29.28 – $497.76
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$583.05	$583.05	$29.15 – $495.59
Propofol injection, per 10 mg HCPCS J2704	$254.25	$254.25	$12.71 – $216.11
Saline IV solution, 1000 ml HCPCS J7030	$350.86	$350.86	$17.54 – $298.23

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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