North Austin Medical Center
12221 Mopac Expressway North, Austin, TX 78758 · Acute care hospital · Emergency room
These are North Austin Medical Center'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.
230 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 | $10,188.00 | $10,188.00 | $6,775.02 – $6,775.02 |
| Emergency room visit, level 1 (minor) CPT 99281 | $1,053.00 | $1,053.00 | $700.25 – $700.25 |
| Emergency room visit, level 2 CPT 99282 | $1,399.00 | $1,399.00 | $930.34 – $930.34 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,202.00 | $2,202.00 | $374.34 – $1,981.80 |
| Emergency room visit, level 4 CPT 99284 | $4,865.00 | $4,865.00 | $3,356.85 – $3,356.85 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $6,945.00 | $6,945.00 | $4,618.43 – $4,618.43 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $295.29 – $17,365.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $1,425.00 | $1,425.00 | $242.25 – $1,282.50 |
| New patient office visit, about 30 minutes CPT 99203 | $2,050.00 | $2,050.00 | $1,363.25 – $1,363.25 |
| New patient office visit, about 45 minutes CPT 99204 | $2,500.00 | $2,500.00 | $425.00 – $2,250.00 |
| New patient office visit, about 60 minutes CPT 99205 | $3,128.00 | $3,128.00 | $2,080.12 – $2,080.12 |
| Office consultation, about 40 minutes CPT 99243 | not posted | $69.77 – $559.53 | |
| Office consultation, about 60 minutes CPT 99244 | not posted | $97.83 – $899.36 | |
| Office visit, established patient, about 10 to 19 minutes CPT 99212 | $717.00 | $717.00 | $476.81 – $476.81 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $909.00 | $909.00 | $154.53 – $818.10 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,121.00 | $1,121.00 | $190.57 – $1,008.90 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $1,309.00 | $1,309.00 | $870.49 – $870.49 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $1,943.00 | $1,943.00 | $330.31 – $1,748.70 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $70.26 – $571.95 | |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $85.38 – $696.27 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $92.00 | $92.00 | $61.18 – $61.18 |
| Abdominal X-ray, 1 view CPT 74018 | $795.00 | $795.00 | $39.75 – $715.50 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,040.00 | $1,040.00 | $717.60 – $717.60 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $946.00 | $946.00 | $629.09 – $629.09 |
| Breast ultrasound, one breast, complete CPT 76641 | $943.00 | $943.00 | $627.10 – $627.10 |
| Breast ultrasound, one breast, limited CPT 76642 | $512.00 | $512.00 | $340.48 – $340.48 |
| Chest X-ray, 1 view CPT 71045 | $655.00 | $655.00 | $435.57 – $435.57 |
| Chest X-ray, 2 views CPT 71046 | $775.00 | $775.00 | $515.38 – $515.38 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $4,419.00 | $4,419.00 | $220.95 – $3,977.10 |
| CT angiogram of the head CPT 70496 | $3,638.00 | $3,638.00 | $181.90 – $3,274.20 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $10,514.00 | $10,514.00 | $6,991.81 – $6,991.81 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $10,514.00 | $10,514.00 | $6,991.81 – $6,991.81 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $10,514.00 | $10,514.00 | $7,254.66 – $7,254.66 |
| CT scan of the abdomen, without contrast CPT 74150 | $5,319.00 | $5,319.00 | $3,670.11 – $3,670.11 |
| CT scan of the chest, with contrast CPT 71260 | $4,766.00 | $4,766.00 | $3,288.54 – $3,288.54 |
| CT scan of the chest, without contrast CPT 71250 | $5,645.00 | $5,645.00 | $3,895.05 – $3,895.05 |
| CT scan of the head, without contrast CPT 70450 | $4,194.00 | $4,194.00 | $209.70 – $3,774.60 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $3,160.00 | $3,160.00 | $2,180.40 – $2,180.40 |
| CT scan of the pelvis, with contrast CPT 72193 | $4,565.00 | $4,565.00 | $228.25 – $4,108.50 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $4,630.00 | $4,630.00 | $3,078.95 – $3,078.95 |
| Diagnostic mammogram, both breasts CPT 77066 | $737.00 | $737.00 | $36.85 – $663.30 |
| Diagnostic mammogram, one breast CPT 77065 | $518.00 | $518.00 | $25.90 – $466.20 |
| Foot X-ray, 3 or more views CPT 73630 | $1,289.00 | $1,289.00 | $889.41 – $889.41 |
| Hand X-ray, 3 or more views CPT 73130 | $1,029.00 | $1,029.00 | $710.01 – $710.01 |
| Knee X-ray, 3 views CPT 73562 | $1,412.00 | $1,412.00 | $70.60 – $1,270.80 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $2,546.00 | $2,546.00 | $127.30 – $2,291.40 |
| Leg or arm vein ultrasound, one side CPT 93971 | $2,266.00 | $2,266.00 | $1,506.89 – $1,506.89 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $816.00 | $816.00 | $542.64 – $542.64 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $432.42 – $635.92 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $7,094.00 | $7,094.00 | $4,717.51 – $4,717.51 |
| MRI of the brain, without and with contrast CPT 70553 | $5,678.00 | $5,678.00 | $283.90 – $5,110.20 |
| MRI of the brain, without contrast CPT 70551 | $4,594.00 | $4,594.00 | $229.70 – $4,134.60 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $4,107.00 | $4,107.00 | $2,833.83 – $2,833.83 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $6,233.00 | $6,233.00 | $4,144.94 – $4,144.94 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $5,898.00 | $5,898.00 | $294.90 – $5,308.20 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,220.00 | $4,220.00 | $2,806.30 – $2,806.30 |
| MRI of the pelvis, without and with contrast CPT 72197 | $4,287.00 | $4,287.00 | $2,850.86 – $2,850.86 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $4,107.00 | $4,107.00 | $2,731.16 – $2,731.16 |
| Neck X-ray, 2 or 3 views CPT 72040 | $753.00 | $753.00 | $519.57 – $519.57 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,417.00 | $1,417.00 | $942.30 – $942.30 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,601.00 | $1,601.00 | $1,064.66 – $1,064.66 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $478.00 | $478.00 | $23.90 – $430.20 |
| Screening mammogram, both breasts CPT 77067 | $526.00 | $526.00 | $26.30 – $473.40 |
| Shoulder X-ray, 2 or more views CPT 73030 | $2,099.00 | $2,099.00 | $1,448.31 – $1,448.31 |
| Transvaginal pregnancy ultrasound CPT 76817 | $478.00 | $478.00 | $23.90 – $430.20 |
| Transvaginal ultrasound CPT 76830 | $1,139.00 | $1,139.00 | $757.43 – $757.43 |
| Ultrasound of the abdomen, complete CPT 76700 | $2,198.00 | $2,198.00 | $1,516.62 – $1,516.62 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,168.00 | $1,168.00 | $805.92 – $805.92 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,412.00 | $1,412.00 | $974.28 – $974.28 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,317.00 | $1,317.00 | $908.73 – $908.73 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,620.00 | $1,620.00 | $81.00 – $1,458.00 |
| Blood culture CPT 87040 | $1,626.00 | $1,626.00 | $8.67 – $50.88 |
| Blood draw (venipuncture) CPT 36415 | $400.00 | $400.00 | $2.21 – $5,722.00 |
| BNP test (heart failure) CPT 83880 | $1,635.00 | $1,635.00 | $1,128.15 – $1,128.15 |
| C-reactive protein (CRP) test CPT 86140 | $330.00 | $330.00 | $4.44 – $5.18 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $802.00 | $802.00 | $29.48 – $172.99 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $6.66 – $7.77 | |
| Complete blood count (CBC), automated CPT 85027 | $1,273.00 | $1,273.00 | $846.54 – $846.54 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $2,021.00 | $2,021.00 | $1,343.96 – $1,343.96 |
| COVID-19 PCR test CPT 87635 | $64.00 | $64.00 | $43.10 – $252.96 |
| D-dimer test (blood clots) CPT 85379 | $1,111.00 | $1,111.00 | $738.82 – $738.82 |
| Drug screen, instrument chemistry CPT 80307 | $1,587.00 | $1,587.00 | $1,055.36 – $1,055.36 |
| Ferritin (iron stores) test CPT 82728 | $903.00 | $903.00 | $11.68 – $13.63 |
| Free T4 (thyroid) test CPT 84439 | $1,045.00 | $1,045.00 | $52.25 – $940.50 |
| General health panel (blood tests) CPT 80050 | not posted | $45.36 – $45.36 | |
| Glucose (blood sugar) test CPT 82947 | $453.00 | $453.00 | $301.25 – $301.25 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $802.00 | $802.00 | $30.07 – $35.09 |
| Hemoglobin A1c test CPT 83036 | $698.00 | $698.00 | $8.16 – $47.87 |
| Hepatitis C antibody test CPT 86803 | $677.00 | $677.00 | $11.99 – $70.35 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $1,294.00 | $1,294.00 | $20.63 – $24.08 |
| Iron test CPT 83540 | $1,125.00 | $1,125.00 | $56.25 – $1,012.50 |
| Kidney function panel CPT 80069 | $1,264.00 | $1,264.00 | $6.13 – $8.68 |
| Lipase test (pancreas) CPT 83690 | $1,121.00 | $1,121.00 | $56.05 – $1,008.90 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $1,213.00 | $1,213.00 | $7.81 – $13.39 |
| Liver function panel CPT 80076 | $1,864.00 | $1,864.00 | $93.20 – $1,677.60 |
| Magnesium test CPT 83735 | $829.00 | $829.00 | $551.28 – $551.28 |
| Obstetric blood test panel CPT 80055 | $1,244.00 | $1,244.00 | $41.05 – $235.70 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $858.00 | $858.00 | $570.57 – $570.57 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,255.00 | $1,255.00 | $62.75 – $1,129.50 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $829.00 | $829.00 | $41.45 – $746.10 |
| PSA (prostate specific antigen), free CPT 84154 | $573.00 | $573.00 | $15.76 – $18.39 |
| PSA (prostate specific antigen), total CPT 84153 | $1,025.00 | $1,025.00 | $51.25 – $922.50 |
| Rapid strep test CPT 87880 | not posted | $14.17 – $16.53 | |
| Sed rate (ESR) test CPT 85652 | $750.00 | $750.00 | $517.50 – $517.50 |
| TB skin test CPT 86580 | not posted | $24.67 – $24.67 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,674.00 | $1,674.00 | $1,113.21 – $1,113.21 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $1,416.00 | $1,416.00 | $941.64 – $941.64 |
| Troponin test (heart damage) CPT 84484 | $2,242.00 | $2,242.00 | $1,490.93 – $1,490.93 |
| Urinalysis, automated, with microscope CPT 81001 | $851.00 | $851.00 | $565.91 – $565.91 |
| Urinalysis, automated, without microscope CPT 81003 | $856.00 | $856.00 | $590.64 – $590.64 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.45 – $4.02 | |
| Urinalysis, manual, without microscope CPT 81002 | $269.00 | $269.00 | $2.92 – $17.16 |
| Urine culture, colony count CPT 87086 | $1,206.00 | $1,206.00 | $6.78 – $72.95 |
| Urine pregnancy test CPT 81025 | $901.00 | $901.00 | $45.05 – $810.90 |
| Vitamin B12 test CPT 82607 | $760.00 | $760.00 | $12.92 – $15.08 |
| Vitamin D test CPT 82306 | $1,536.00 | $1,536.00 | $24.86 – $145.93 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $2,113.00 | $2,113.00 | $105.65 – $1,901.70 |
| ECG tracing only (no interpretation) CPT 93005 | $704.00 | $704.00 | $35.20 – $633.60 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $9,756.00 | $9,756.00 | $376.72 – $779.18 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $13.45 – $85.29 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $62.63 – $520.14 | |
| Left heart catheterization CPT 93452 | $31,667.00 | $31,667.00 | $21,850.23 – $21,850.23 |
| Left heart catheterization with coronary angiogram CPT 93458 | $40,310.00 | $40,310.00 | $26,806.15 – $26,806.15 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $9,863.00 | $9,863.00 | $6,558.90 – $6,558.90 |
| Treadmill stress test, complete CPT 93015 | not posted | $84.20 – $416.53 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | not posted | $622.02 – $13,329.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,681.00 – $10,470.00 | |
| Breast biopsy with ultrasound guidance CPT 19083 | not posted | $521.99 – $5,947.00 | |
| Carpal tunnel release CPT 64721 | not posted | $708.15 – $10,285.00 | |
| Colonoscopy with biopsy CPT 45380 | not posted | $460.61 – $5,947.00 | |
| Colonoscopy with polyp removal (snare) CPT 45385 | not posted | $460.61 – $5,947.00 | |
| Colonoscopy, diagnostic CPT 45378 | not posted | $352.49 – $5,947.00 | |
| Colposcopy with biopsy CPT 57454 | not posted | $69.81 – $17,365.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $255.54 – $4,496.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $120.29 – $5,722.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $140.21 – $4,496.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,026.81 – $16,517.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $5,681.00 – $16,517.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $2,323.00 – $25,239.33 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $206.62 – $13,329.00 | |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | not posted | $2,026.81 – $16,517.00 | |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | not posted | $289.23 – $5,722.00 | |
| Kidney stone shock-wave lithotripsy CPT 50590 | not posted | $1,226.38 – $16,517.00 | |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | not posted | $1,167.76 – $11,764.00 | |
| Lower colon endoscopy with ultrasound CPT 45391 | not posted | $460.61 – $5,947.00 | |
| Nasal endoscopy, diagnostic CPT 31231 | not posted | $73.11 – $17,365.00 | |
| Prostate biopsy CPT 55700 | not posted | $700.49 – $4,304.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $8,681.00 – $25,239.33 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $1,034.05 – $10,285.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,323.00 – $17,945.85 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $1,877.00 – $4,496.00 | |
| Screening colonoscopy, high risk HCPCS G0105 | not posted | $352.49 – $4,496.00 | |
| Septoplasty (nasal septum repair) CPT 30520 | not posted | $951.37 – $10,285.00 | |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | not posted | $1,444.00 – $17,365.00 | |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $929.00 – $16,517.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $929.00 – $14,551.59 | |
| Total hip replacement CPT 27130 | not posted | $19,912.00 – $51,768.09 | |
| Total knee replacement CPT 27447 | not posted | $16,566.00 – $51,768.09 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $359.42 – $5,947.00 | |
| Upper endoscopy (EGD), diagnostic CPT 43235 | not posted | $359.42 – $5,947.00 | |
| Vasectomy CPT 55250 | not posted | $700.49 – $10,285.00 |
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 | $929.00 – $20,934.76 | |
| Fetal non-stress test CPT 59025 | $883.00 | $883.00 | $587.20 – $587.20 |
| IUD insertion CPT 58300 | not posted | $326.34 – $17,365.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $1,356.34 – $5,722.00 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $3,346.00 – $18,881.87 |
Hospital stays
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | not posted | $30.00 – $17,365.00 | |
| Lower back nerve root injection with imaging guidance CPT 64483 | not posted | $365.66 – $51,322.00 | |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | not posted | $282.06 – $14,612.00 | |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $282.06 – $14,612.00 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | not posted | $811.00 – $5,722.00 | |
| Eye exam, new patient, comprehensive CPT 92004 | not posted | $62.28 – $666.60 | |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | not posted | $223.54 – $4,496.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | not posted | $35.02 – $795.51 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $1,965.00 | $1,965.00 | $155.41 – $516.00 |
| Sleep study with CPAP titration CPT 95811 | $8,000.00 | $8,000.00 | $3,002.73 – $4,902.23 |
| Sleep study, overnight in a sleep lab CPT 95810 | $7,680.00 | $7,680.00 | $352.57 – $2,880.41 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $1,156.00 | $1,156.00 | $768.74 – $768.74 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $403.00 | $403.00 | $20.15 – $362.70 |
| Physical therapy evaluation, low complexity CPT 97161 | $881.00 | $881.00 | $585.87 – $585.87 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $981.00 | $981.00 | $652.37 – $652.37 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $384.00 | $384.00 | $255.36 – $255.36 |
| Therapeutic activities, 15 minutes CPT 97530 | $406.00 | $406.00 | $20.30 – $365.40 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | not posted | $75.38 – $75.38 | |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | not posted | $71.60 – $71.60 | |
| Group psychotherapy CPT 90853 | not posted | $19.25 – $19.25 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $413.00 | $413.00 | $274.64 – $274.64 |
| IV hydration, each additional hour CPT 96361 | $422.00 | $422.00 | $280.63 – $280.63 |
| IV hydration, first hour CPT 96360 | $836.00 | $836.00 | $41.80 – $752.40 |
| IV push injection of a drug, first CPT 96374 | $486.00 | $486.00 | $323.19 – $323.19 |
| IV push injection, each additional drug CPT 96375 | $486.00 | $486.00 | $24.30 – $437.40 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $845.00 | $845.00 | $583.05 – $583.05 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $31.00 | $31.00 | $20.61 – $20.61 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $141.00 | $141.00 | $7.05 – $126.90 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $1.07 – $1.07 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $387.00 | $387.00 | $257.36 – $257.36 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $1,922.00 | $1,922.00 | $1,326.18 – $1,326.18 |
| Morphine injection, up to 10 mg HCPCS J2270 | $79.00 | $79.00 | $3.95 – $71.10 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $177.00 | $177.00 | $8.85 – $159.30 |
| Propofol injection, per 10 mg HCPCS J2704 | $2,853.00 | $2,853.00 | $1,897.24 – $1,897.24 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $2.67 – $3.61 |
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.