Round Rock Medical Center
2400 Round Rock Ave, Round Rock, TX 78681 · Acute care hospital · Emergency room
These are Round Rock 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; 136 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 | $10,630.00 | $10,630.00 | $7,164.62 – $7,164.62 |
| Emergency room visit, level 1 (minor) CPT 99281 | $843.00 | $843.00 | $568.18 – $568.18 |
| Emergency room visit, level 2 CPT 99282 | $1,364.00 | $1,364.00 | $919.34 – $919.34 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,200.00 | $2,200.00 | $374.00 – $1,980.00 |
| Emergency room visit, level 4 CPT 99284 | $4,135.00 | $4,135.00 | $702.95 – $3,721.50 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $6,765.00 | $6,765.00 | $4,559.61 – $4,559.61 |
| 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 | $2,613.00 | $2,613.00 | $1,826.49 – $1,826.49 |
| New patient office visit, about 30 minutes CPT 99203 | $4,180.00 | $4,180.00 | $209.00 – $3,762.00 |
| New patient office visit, about 45 minutes CPT 99204 | $4,703.00 | $4,703.00 | $235.15 – $4,232.70 |
| New patient office visit, about 60 minutes CPT 99205 | $5,748.00 | $5,748.00 | $4,017.85 – $4,017.85 |
| 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 | $1,568.00 | $1,568.00 | $1,056.83 – $1,056.83 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $2,090.00 | $2,090.00 | $104.50 – $1,881.00 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $1,568.00 | $1,568.00 | $78.40 – $1,411.20 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $2,299.00 | $2,299.00 | $1,549.53 – $1,549.53 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $1,568.00 | $1,568.00 | $1,056.83 – $1,056.83 |
| Preventive checkup, new patient, age 18 to 39 CPT 99385 | not posted | $68.91 – $571.95 | |
| Preventive checkup, new patient, age 40 to 64 CPT 99386 | not posted | $83.74 – $696.27 |
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $97.00 | $97.00 | $4.85 – $87.30 |
| Abdominal X-ray, 1 view CPT 74018 | $1,118.00 | $1,118.00 | $753.53 – $753.53 |
| Ankle X-ray, 3 or more views CPT 73610 | $2,361.00 | $2,361.00 | $1,591.31 – $1,591.31 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $1,339.00 | $1,339.00 | $66.95 – $1,205.10 |
| Breast ultrasound, one breast, complete CPT 76641 | $1,134.00 | $1,134.00 | $764.32 – $764.32 |
| Breast ultrasound, one breast, limited CPT 76642 | $1,134.00 | $1,134.00 | $764.32 – $764.32 |
| Chest X-ray, 1 view CPT 71045 | $1,005.00 | $1,005.00 | $50.25 – $904.50 |
| Chest X-ray, 2 views CPT 71046 | $1,267.00 | $1,267.00 | $63.35 – $1,140.30 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $5,061.00 | $5,061.00 | $3,537.64 – $3,537.64 |
| CT angiogram of the head CPT 70496 | $4,521.00 | $4,521.00 | $3,160.18 – $3,160.18 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $14,805.00 | $14,805.00 | $10,348.70 – $10,348.70 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $14,805.00 | $14,805.00 | $740.25 – $13,324.50 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $14,805.00 | $14,805.00 | $9,978.57 – $9,978.57 |
| CT scan of the abdomen, without contrast CPT 74150 | $7,327.00 | $7,327.00 | $366.35 – $6,594.30 |
| CT scan of the chest, with contrast CPT 71260 | $6,971.00 | $6,971.00 | $348.55 – $6,273.90 |
| CT scan of the chest, without contrast CPT 71250 | $6,918.00 | $6,918.00 | $345.90 – $6,226.20 |
| CT scan of the head, without contrast CPT 70450 | $5,767.00 | $5,767.00 | $288.35 – $5,190.30 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $7,286.00 | $7,286.00 | $5,092.91 – $5,092.91 |
| CT scan of the pelvis, with contrast CPT 72193 | $7,190.00 | $7,190.00 | $5,025.81 – $5,025.81 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $5,495.00 | $5,495.00 | $3,703.63 – $3,703.63 |
| Diagnostic mammogram, both breasts CPT 77066 | $916.00 | $916.00 | $45.80 – $824.40 |
| Diagnostic mammogram, one breast CPT 77065 | $650.00 | $650.00 | $438.10 – $438.10 |
| Foot X-ray, 3 or more views CPT 73630 | $2,291.00 | $2,291.00 | $1,601.41 – $1,601.41 |
| Hand X-ray, 3 or more views CPT 73130 | $2,310.00 | $2,310.00 | $1,556.94 – $1,556.94 |
| Knee X-ray, 3 views CPT 73562 | $2,458.00 | $2,458.00 | $122.90 – $2,212.20 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $3,449.00 | $3,449.00 | $2,324.63 – $2,324.63 |
| Leg or arm vein ultrasound, one side CPT 93971 | $3,069.00 | $3,069.00 | $153.45 – $2,762.10 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,459.00 | $1,459.00 | $983.37 – $983.37 |
| MRI of both breasts, without and with contrast CPT 77049 | not posted | $668.04 – $1,368.31 | |
| MRI of the abdomen, without and with contrast CPT 74183 | $12,095.00 | $12,095.00 | $604.75 – $10,885.50 |
| MRI of the brain, without and with contrast CPT 70553 | $11,531.00 | $11,531.00 | $7,771.89 – $7,771.89 |
| MRI of the brain, without contrast CPT 70551 | $9,405.00 | $9,405.00 | $202.15 – $1,088.30 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $15,541.00 | $15,541.00 | $10,474.63 – $10,474.63 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $9,634.00 | $9,634.00 | $197.14 – $1,088.30 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $9,988.00 | $9,988.00 | $202.45 – $517.79 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $8,764.00 | $8,764.00 | $196.48 – $1,088.30 |
| MRI of the pelvis, without and with contrast CPT 72197 | $12,095.00 | $12,095.00 | $1,911.00 – $3,118.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $11,177.00 | $11,177.00 | $558.85 – $10,059.30 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,267.00 | $1,267.00 | $63.35 – $1,140.30 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $2,245.00 | $2,245.00 | $1,569.26 – $1,569.26 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $2,317.00 | $2,317.00 | $115.85 – $2,085.30 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $643.00 | $643.00 | $449.46 – $449.46 |
| Screening mammogram, both breasts CPT 77067 | $555.00 | $555.00 | $27.75 – $499.50 |
| Shoulder X-ray, 2 or more views CPT 73030 | $2,683.00 | $2,683.00 | $1,808.34 – $1,808.34 |
| Transvaginal pregnancy ultrasound CPT 76817 | $643.00 | $643.00 | $433.38 – $433.38 |
| Transvaginal ultrasound CPT 76830 | $1,131.00 | $1,131.00 | $762.29 – $762.29 |
| Ultrasound of the abdomen, complete CPT 76700 | $2,648.00 | $2,648.00 | $132.40 – $2,383.20 |
| Ultrasound of the neck or thyroid CPT 76536 | $1,797.00 | $1,797.00 | $1,211.18 – $1,211.18 |
| Wrist X-ray, 3 or more views CPT 73110 | $1,705.00 | $1,705.00 | $1,149.17 – $1,149.17 |
| X-ray of the lower back, 4 or more views CPT 72110 | $2,089.00 | $2,089.00 | $104.45 – $1,880.10 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,165.00 | $1,165.00 | $785.21 – $785.21 |
| Blood culture CPT 87040 | $1,137.00 | $1,137.00 | $766.34 – $766.34 |
| Blood draw (venipuncture) CPT 36415 | $355.00 | $355.00 | $239.27 – $239.27 |
| BNP test (heart failure) CPT 83880 | $759.00 | $759.00 | $511.57 – $511.57 |
| C-reactive protein (CRP) test CPT 86140 | $383.00 | $383.00 | $4.44 – $5.18 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $611.00 | $611.00 | $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 | $312.00 | $312.00 | $15.60 – $280.80 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $1,292.00 | $1,292.00 | $64.60 – $1,162.80 |
| COVID-19 PCR test CPT 87635 | $96.00 | $96.00 | $67.10 – $67.10 |
| D-dimer test (blood clots) CPT 85379 | $863.00 | $863.00 | $603.24 – $603.24 |
| Drug screen, instrument chemistry CPT 80307 | $1,239.00 | $1,239.00 | $835.09 – $835.09 |
| Ferritin (iron stores) test CPT 82728 | $1,131.00 | $1,131.00 | $56.55 – $1,017.90 |
| Free T4 (thyroid) test CPT 84439 | $613.00 | $613.00 | $30.65 – $551.70 |
| General health panel (blood tests) CPT 80050 | not posted | $45.36 – $45.36 | |
| Glucose (blood sugar) test CPT 82947 | $494.00 | $494.00 | $345.31 – $345.31 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $611.00 | $611.00 | $30.07 – $35.09 |
| Hemoglobin A1c test CPT 83036 | $664.00 | $664.00 | $8.32 – $9.71 |
| Hepatitis C antibody test CPT 86803 | $2,191.00 | $2,191.00 | $12.23 – $14.27 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $60.00 | $60.00 | $20.23 – $118.71 |
| Iron test CPT 83540 | $664.00 | $664.00 | $33.20 – $597.60 |
| Kidney function panel CPT 80069 | $1,231.00 | $1,231.00 | $6.01 – $42.79 |
| Lipase test (pancreas) CPT 83690 | $626.00 | $626.00 | $421.92 – $421.92 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $807.00 | $807.00 | $7.81 – $13.39 |
| Liver function panel CPT 80076 | $738.00 | $738.00 | $497.41 – $497.41 |
| Magnesium test CPT 83735 | $664.00 | $664.00 | $33.20 – $597.60 |
| Obstetric blood test panel CPT 80055 | not posted | $47.81 – $47.81 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $585.00 | $585.00 | $29.25 – $526.50 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,337.00 | $1,337.00 | $66.85 – $1,203.30 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $586.00 | $586.00 | $29.30 – $527.40 |
| PSA (prostate specific antigen), free CPT 84154 | $1,557.00 | $1,557.00 | $15.76 – $18.39 |
| PSA (prostate specific antigen), total CPT 84153 | $1,376.00 | $1,376.00 | $15.45 – $90.66 |
| Rapid strep test CPT 87880 | $980.00 | $980.00 | $49.00 – $882.00 |
| Sed rate (ESR) test CPT 85652 | $426.00 | $426.00 | $287.12 – $287.12 |
| TB skin test CPT 86580 | not posted | $24.67 – $24.67 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,477.00 | $1,477.00 | $995.50 – $995.50 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $1,774.00 | $1,774.00 | $49.76 – $49.76 |
| Troponin test (heart damage) CPT 84484 | $2,166.00 | $2,166.00 | $108.30 – $1,949.40 |
| Urinalysis, automated, with microscope CPT 81001 | $391.00 | $391.00 | $19.55 – $351.90 |
| Urinalysis, automated, without microscope CPT 81003 | $551.00 | $551.00 | $27.55 – $495.90 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.45 – $3.45 | |
| Urinalysis, manual, without microscope CPT 81002 | $243.00 | $243.00 | $163.78 – $163.78 |
| Urine culture, colony count CPT 87086 | $658.00 | $658.00 | $6.78 – $72.95 |
| Urine pregnancy test CPT 81025 | $998.00 | $998.00 | $49.90 – $898.20 |
| Vitamin B12 test CPT 82607 | not posted | $12.92 – $12.92 | |
| Vitamin D test CPT 82306 | $1,005.00 | $1,005.00 | $25.36 – $29.60 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,176.00 | $1,176.00 | $792.62 – $792.62 |
| ECG tracing only (no interpretation) CPT 93005 | $892.00 | $892.00 | $601.21 – $601.21 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $3,723.00 | $3,723.00 | $2,509.30 – $2,509.30 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $12.61 – $85.29 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $57.36 – $520.14 | |
| Left heart catheterization CPT 93452 | $34,754.00 | $34,754.00 | $23,424.20 – $23,424.20 |
| Left heart catheterization with coronary angiogram CPT 93458 | $44,234.00 | $44,234.00 | $29,813.72 – $29,813.72 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $12,989.00 | $12,989.00 | $9,079.31 – $9,079.31 |
| 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 | $5,681.00 – $10,470.00 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $2,323.00 – $16,517.00 | |
| 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 | $65.06 – $5,722.00 | |
| Cystoscopy (bladder scope) CPT 52000 | not posted | $255.54 – $4,496.00 | |
| Ear tubes, under general anesthesia CPT 69436 | not posted | $451.36 – $5,947.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $140.21 – $4,496.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $508.41 – $13,329.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $1,218.87 – $34,046.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $2,323.00 – $27,763.26 | |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | not posted | $1,141.20 – $10,285.00 | |
| 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 | $1,235.65 – $11,764.00 | |
| 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 | $48.92 – $5,722.00 | |
| Prostate biopsy CPT 55700 | not posted | $700.49 – $4,304.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $929.00 – $27,763.26 | |
| Removal of a breast lump, open surgery CPT 19120 | not posted | $234.69 – $5,722.00 | |
| Rotator cuff repair, arthroscopic CPT 29827 | not posted | $2,323.00 – $19,740.43 | |
| Screening colonoscopy, average risk HCPCS G0121 | not posted | $352.49 – $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 | $6,857.43 – $16,517.00 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | not posted | $929.00 – $16,006.75 | |
| Total hip replacement CPT 27130 | not posted | $16,566.00 – $59,860.57 | |
| Total knee replacement CPT 27447 | not posted | $19,912.00 – $59,860.57 | |
| Upper endoscopy (EGD) with biopsy CPT 43239 | not posted | $3,097.00 – $4,023.00 | |
| 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 | $1,454.89 – $5,722.00 | |
| Fetal non-stress test CPT 59025 | $1,035.00 | $1,035.00 | $15.78 – $1,119.00 |
| IUD insertion CPT 58300 | not posted | $3,195.00 – $14,612.00 | |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $929.00 – $19,813.03 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $929.00 – $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 | $9,500.00 | $9,500.00 | $1,615.00 – $8,550.00 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $7,127.00 | $7,127.00 | $997.78 – $6,414.30 |
| 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 | $912.02 – $10,285.00 | |
| 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 | $2,373.00 | $2,373.00 | $155.41 – $516.00 |
| Sleep study with CPAP titration CPT 95811 | $8,122.00 | $8,122.00 | $1,142.00 – $2,571.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $7,788.00 | $7,788.00 | $1,142.00 – $2,571.00 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $2,138.00 | $2,138.00 | $1,441.01 – $1,441.01 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $352.00 | $352.00 | $237.25 – $237.25 |
| Physical therapy evaluation, low complexity CPT 97161 | $677.00 | $677.00 | $473.22 – $473.22 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $752.00 | $752.00 | $506.85 – $506.85 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $304.00 | $304.00 | $204.90 – $204.90 |
| Therapeutic activities, 15 minutes CPT 97530 | $304.00 | $304.00 | $204.90 – $204.90 |
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 | $349.00 | $349.00 | $243.95 – $243.95 |
| IV hydration, each additional hour CPT 96361 | $530.00 | $530.00 | $26.50 – $477.00 |
| IV hydration, first hour CPT 96360 | $1,075.00 | $1,075.00 | $53.75 – $967.50 |
| IV push injection of a drug, first CPT 96374 | $393.00 | $393.00 | $274.71 – $274.71 |
| IV push injection, each additional drug CPT 96375 | $393.00 | $393.00 | $274.71 – $274.71 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $77.00 | $77.00 | $3.85 – $69.30 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $261.00 | $261.00 | $13.05 – $234.90 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $603.00 | $603.00 | $406.42 – $406.42 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $1.07 – $1.07 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $107.00 | $107.00 | $5.35 – $96.30 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $546.00 | $546.00 | $27.30 – $491.40 |
| Morphine injection, up to 10 mg HCPCS J2270 | $382.00 | $382.00 | $257.47 – $257.47 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1,352.00 | $1,352.00 | $67.60 – $1,216.80 |
| Propofol injection, per 10 mg HCPCS J2704 | $1,076.00 | $1,076.00 | $53.80 – $968.40 |
| Saline IV solution, 1000 ml HCPCS J7030 | $750.00 | $750.00 | ? – $38.74 |
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.