St. David's Medical Center
919 E 32nd St., Austin, TX 78705 · Acute care hospital · Emergency room
These are St. David's 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.
233 of the services we track have a posted price here; 145 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 | $10,758.00 | $10,758.00 | $7,250.89 – $7,250.89 |
| Emergency room visit, level 1 (minor) CPT 99281 | $732.00 | $732.00 | $493.37 – $493.37 |
| Emergency room visit, level 2 CPT 99282 | $1,211.00 | $1,211.00 | $816.21 – $816.21 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $2,253.00 | $2,253.00 | $1,518.52 – $1,518.52 |
| Emergency room visit, level 4 CPT 99284 | $4,868.00 | $4,868.00 | $827.56 – $4,381.20 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $6,970.00 | $6,970.00 | $4,697.78 – $4,697.78 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | not posted | $3,195.00 – $14,612.00 |
Office visits
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| New patient office visit, about 15 to 29 minutes CPT 99202 | $2,826.00 | $2,826.00 | $1,975.37 – $1,975.37 |
| New patient office visit, about 30 minutes CPT 99203 | $4,190.00 | $4,190.00 | $2,824.06 – $2,824.06 |
| New patient office visit, about 45 minutes CPT 99204 | $5,733.00 | $5,733.00 | $974.61 – $5,159.70 |
| New patient office visit, about 60 minutes CPT 99205 | $6,674.00 | $6,674.00 | $4,498.28 – $4,498.28 |
| 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 | $1,679.00 | $1,679.00 | $1,173.62 – $1,173.62 |
| Office visit, established patient, about 20 to 29 minutes CPT 99213 | $2,094.00 | $2,094.00 | $355.98 – $1,884.60 |
| Office visit, established patient, about 30 to 39 minutes CPT 99214 | $2,382.00 | $2,382.00 | $404.94 – $2,143.80 |
| Office visit, established patient, about 40 to 54 minutes CPT 99215 | $3,003.00 | $3,003.00 | $510.51 – $2,702.70 |
| Office visit, established patient, brief (often a nurse) CPT 99211 | $1,679.00 | $1,679.00 | $1,131.65 – $1,131.65 |
| 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 | $97.00 | $97.00 | $4.85 – $87.30 |
| Abdominal X-ray, 1 view CPT 74018 | $982.00 | $982.00 | $686.42 – $686.42 |
| Ankle X-ray, 3 or more views CPT 73610 | $1,765.00 | $1,765.00 | $88.25 – $1,588.50 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $832.00 | $832.00 | $581.57 – $581.57 |
| Breast ultrasound, one breast, complete CPT 76641 | $904.00 | $904.00 | $609.30 – $609.30 |
| Breast ultrasound, one breast, limited CPT 76642 | $548.00 | $548.00 | $369.35 – $369.35 |
| Chest X-ray, 1 view CPT 71045 | $881.00 | $881.00 | $44.05 – $792.90 |
| Chest X-ray, 2 views CPT 71046 | $1,105.00 | $1,105.00 | $55.25 – $994.50 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $4,759.00 | $4,759.00 | $237.95 – $4,283.10 |
| CT angiogram of the head CPT 70496 | $3,919.00 | $3,919.00 | $195.95 – $3,527.10 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $7,076.00 | $7,076.00 | $353.80 – $6,368.40 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $7,076.00 | $7,076.00 | $4,769.22 – $4,769.22 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $7,076.00 | $7,076.00 | $353.80 – $6,368.40 |
| CT scan of the abdomen, without contrast CPT 74150 | $2,844.00 | $2,844.00 | $142.20 – $2,559.60 |
| CT scan of the chest, with contrast CPT 71260 | $3,552.00 | $3,552.00 | $2,482.85 – $2,482.85 |
| CT scan of the chest, without contrast CPT 71250 | $4,045.00 | $4,045.00 | $2,726.33 – $2,726.33 |
| CT scan of the head, without contrast CPT 70450 | $2,374.00 | $2,374.00 | $1,659.43 – $1,659.43 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $2,966.00 | $2,966.00 | $2,073.23 – $2,073.23 |
| CT scan of the pelvis, with contrast CPT 72193 | $3,434.00 | $3,434.00 | $171.70 – $3,090.60 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $2,374.00 | $2,374.00 | $1,600.08 – $1,600.08 |
| Diagnostic mammogram, both breasts CPT 77066 | $788.00 | $788.00 | $550.81 – $550.81 |
| Diagnostic mammogram, one breast CPT 77065 | $487.00 | $487.00 | $24.35 – $438.30 |
| Foot X-ray, 3 or more views CPT 73630 | $2,112.00 | $2,112.00 | $1,423.49 – $1,423.49 |
| Hand X-ray, 3 or more views CPT 73130 | $2,012.00 | $2,012.00 | $1,356.09 – $1,356.09 |
| Knee X-ray, 3 views CPT 73562 | $2,435.00 | $2,435.00 | $1,641.19 – $1,641.19 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $1,996.00 | $1,996.00 | $1,345.30 – $1,345.30 |
| Leg or arm vein ultrasound, one side CPT 93971 | $779.00 | $779.00 | $544.52 – $544.52 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $1,374.00 | $1,374.00 | $926.08 – $926.08 |
| MRI of both breasts, without and with contrast CPT 77049 | $5,782.00 | $5,782.00 | $432.42 – $635.92 |
| MRI of the abdomen, without and with contrast CPT 74183 | $6,800.00 | $6,800.00 | $361.60 – $828.27 |
| MRI of the brain, without and with contrast CPT 70553 | $6,941.00 | $6,941.00 | $1,911.00 – $3,118.00 |
| MRI of the brain, without contrast CPT 70551 | $4,903.00 | $4,903.00 | $1,911.00 – $3,118.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $9,804.00 | $9,804.00 | $490.20 – $8,823.60 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $5,439.00 | $5,439.00 | $197.14 – $1,088.30 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $5,439.00 | $5,439.00 | $202.45 – $517.79 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $4,903.00 | $4,903.00 | $202.45 – $517.79 |
| MRI of the pelvis, without and with contrast CPT 72197 | $6,800.00 | $6,800.00 | $347.16 – $1,783.24 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $4,903.00 | $4,903.00 | $3,427.20 – $3,427.20 |
| Neck X-ray, 2 or 3 views CPT 72040 | $1,271.00 | $1,271.00 | $63.55 – $1,143.90 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $1,410.00 | $1,410.00 | $950.34 – $950.34 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $1,359.00 | $1,359.00 | $67.95 – $1,223.10 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $407.00 | $407.00 | $20.35 – $366.30 |
| Screening mammogram, both breasts CPT 77067 | $690.00 | $690.00 | $465.06 – $465.06 |
| Shoulder X-ray, 2 or more views CPT 73030 | $1,988.00 | $1,988.00 | $99.40 – $1,789.20 |
| Transvaginal pregnancy ultrasound CPT 76817 | $410.00 | $410.00 | $20.50 – $369.00 |
| Transvaginal ultrasound CPT 76830 | $1,123.00 | $1,123.00 | $56.15 – $1,010.70 |
| Ultrasound of the abdomen, complete CPT 76700 | $1,599.00 | $1,599.00 | $1,077.73 – $1,077.73 |
| Ultrasound of the neck or thyroid CPT 76536 | $967.00 | $967.00 | $675.93 – $675.93 |
| Wrist X-ray, 3 or more views CPT 73110 | $2,026.00 | $2,026.00 | $1,365.52 – $1,365.52 |
| X-ray of the lower back, 4 or more views CPT 72110 | $1,677.00 | $1,677.00 | $83.85 – $1,509.30 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $1,163.00 | $1,163.00 | $58.15 – $1,046.70 |
| Blood culture CPT 87040 | $319.00 | $319.00 | $15.95 – $287.10 |
| Blood draw (venipuncture) CPT 36415 | $218.00 | $218.00 | $10.90 – $196.20 |
| BNP test (heart failure) CPT 83880 | $1,458.00 | $1,458.00 | $982.69 – $982.69 |
| C-reactive protein (CRP) test CPT 86140 | $515.00 | $515.00 | $25.75 – $463.50 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $654.00 | $654.00 | $440.80 – $440.80 |
| Complete blood count (CBC) with differential CPT 85025 | not posted | $6.66 – $7.77 | |
| Complete blood count (CBC), automated CPT 85027 | $447.00 | $447.00 | $312.45 – $312.45 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $975.00 | $975.00 | $657.15 – $657.15 |
| COVID-19 PCR test CPT 87635 | $54.00 | $54.00 | $36.40 – $36.40 |
| D-dimer test (blood clots) CPT 85379 | $711.00 | $711.00 | $35.55 – $639.90 |
| Drug screen, instrument chemistry CPT 80307 | $1,455.00 | $1,455.00 | $72.75 – $1,309.50 |
| Ferritin (iron stores) test CPT 82728 | $280.00 | $280.00 | $195.72 – $195.72 |
| Free T4 (thyroid) test CPT 84439 | $327.00 | $327.00 | $16.35 – $294.30 |
| General health panel (blood tests) CPT 80050 | $2,483.00 | $2,483.00 | $45.36 – $45.36 |
| Glucose (blood sugar) test CPT 82947 | $528.00 | $528.00 | $369.07 – $369.07 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $654.00 | $654.00 | $457.15 – $457.15 |
| Hemoglobin A1c test CPT 83036 | $440.00 | $440.00 | $8.16 – $47.87 |
| Hepatitis C antibody test CPT 86803 | $1,123.00 | $1,123.00 | $756.90 – $756.90 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $126.00 | $126.00 | $20.23 – $118.71 |
| Iron test CPT 83540 | $731.00 | $731.00 | $510.97 – $510.97 |
| Kidney function panel CPT 80069 | $861.00 | $861.00 | $601.84 – $601.84 |
| Lipase test (pancreas) CPT 83690 | $706.00 | $706.00 | $35.30 – $635.40 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $1,106.00 | $1,106.00 | $55.30 – $995.40 |
| Liver function panel CPT 80076 | $1,447.00 | $1,447.00 | $975.28 – $975.28 |
| Magnesium test CPT 83735 | $440.00 | $440.00 | $296.56 – $296.56 |
| Obstetric blood test panel CPT 80055 | not posted | $41.05 – $235.70 | |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $582.00 | $582.00 | $392.27 – $392.27 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $1,406.00 | $1,406.00 | $982.79 – $982.79 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $539.00 | $539.00 | $363.29 – $363.29 |
| PSA (prostate specific antigen), free CPT 84154 | $1,137.00 | $1,137.00 | $15.76 – $18.39 |
| PSA (prostate specific antigen), total CPT 84153 | $428.00 | $428.00 | $299.17 – $299.17 |
| Rapid strep test CPT 87880 | not posted | $14.17 – $16.53 | |
| Sed rate (ESR) test CPT 85652 | $428.00 | $428.00 | $21.40 – $385.20 |
| TB skin test CPT 86580 | not posted | $24.67 – $24.67 | |
| Thyroid stimulating hormone (TSH) CPT 84443 | $1,061.00 | $1,061.00 | $53.05 – $954.90 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $2,494.00 | $2,494.00 | $124.70 – $2,244.60 |
| Troponin test (heart damage) CPT 84484 | $990.00 | $990.00 | $49.50 – $891.00 |
| Urinalysis, automated, with microscope CPT 81001 | $421.00 | $421.00 | $21.05 – $378.90 |
| Urinalysis, automated, without microscope CPT 81003 | $421.00 | $421.00 | $283.75 – $283.75 |
| Urinalysis, manual, with microscope CPT 81000 | not posted | $3.45 – $4.02 | |
| Urinalysis, manual, without microscope CPT 81002 | $217.00 | $217.00 | $10.85 – $195.30 |
| Urine culture, colony count CPT 87086 | $654.00 | $654.00 | $440.80 – $440.80 |
| Urine pregnancy test CPT 81025 | $334.00 | $334.00 | $16.70 – $300.60 |
| Vitamin B12 test CPT 82607 | $831.00 | $831.00 | $580.87 – $580.87 |
| Vitamin D test CPT 82306 | $836.00 | $836.00 | $24.86 – $145.93 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $1,144.00 | $1,144.00 | $799.66 – $799.66 |
| ECG tracing only (no interpretation) CPT 93005 | $1,229.00 | $1,229.00 | $859.07 – $859.07 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $3,955.00 | $3,955.00 | $2,665.67 – $2,665.67 |
| 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 | $37,686.00 | $37,686.00 | $26,342.51 – $26,342.51 |
| Left heart catheterization with coronary angiogram CPT 93458 | $47,097.00 | $47,097.00 | $31,743.38 – $31,743.38 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $11,893.00 | $11,893.00 | $594.65 – $10,703.70 |
| 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 | $3,541.08 – $19,979.71 | |
| Appendix removal, laparoscopic CPT 44970 | not posted | $5,681.00 – $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 | $3,097.00 – $4,023.00 | |
| 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 | $451.36 – $5,947.00 | |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | not posted | $67.37 – $5,722.00 | |
| Gallbladder removal, laparoscopic CPT 47562 | not posted | $2,026.81 – $16,517.00 | |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $929.00 – $16,517.00 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | not posted | $2,323.00 – $28,099.79 | |
| 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 | $294.30 – $13,329.00 | |
| 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 | $582.99 – $24,997.00 | |
| 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 | $3,195.00 – $14,612.00 | |
| Prostate biopsy CPT 55700 | not posted | $700.49 – $4,304.00 | |
| Prostate removal, laparoscopic or robotic CPT 55866 | not posted | $1,173.47 – $17,920.00 | |
| 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 – $19,979.71 | |
| 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 | $428.76 – $5,722.00 | |
| 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 – $16,200.77 | |
| Total hip replacement CPT 27130 | not posted | $16,566.00 – $51,768.09 | |
| Total knee replacement CPT 27447 | not posted | $929.00 – $51,768.09 | |
| 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 | $985.00 | $985.00 | $15.78 – $1,119.00 |
| 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 | $3,346.00 – $19,813.03 | |
| 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 | $2,156.00 | $2,156.00 | $366.52 – $1,940.40 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $5,297.00 | $5,297.00 | $900.49 – $4,767.30 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $7,128.00 | $7,128.00 | $262.86 – $5,722.00 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | not posted | $262.86 – $5,722.00 |
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 | $2,377.00 | $2,377.00 | $1,142.00 – $2,571.00 |
| Sleep study with CPAP titration CPT 95811 | $8,005.00 | $8,005.00 | $1,142.00 – $2,571.00 |
| Sleep study, overnight in a sleep lab CPT 95810 | $7,667.00 | $7,667.00 | $352.57 – $2,880.41 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $900.00 | $900.00 | $629.10 – $629.10 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $273.00 | $273.00 | $13.65 – $245.70 |
| Physical therapy evaluation, low complexity CPT 97161 | $562.00 | $562.00 | $392.84 – $392.84 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $678.00 | $678.00 | $33.90 – $610.20 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $293.00 | $293.00 | $14.65 – $263.70 |
| Therapeutic activities, 15 minutes CPT 97530 | $207.00 | $207.00 | $139.52 – $139.52 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $764.00 | $764.00 | $514.94 – $514.94 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $764.00 | $764.00 | $38.20 – $687.60 |
| Group psychotherapy CPT 90853 | $764.00 | $764.00 | $19.25 – $19.25 |
| Psychiatric diagnostic evaluation CPT 90791 | $850.00 | $850.00 | $42.50 – $765.00 |
| Psychotherapy, 45 minutes CPT 90834 | $411.00 | $411.00 | $20.55 – $369.90 |
| Psychotherapy, 60 minutes CPT 90837 | $764.00 | $764.00 | $38.20 – $687.60 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $323.00 | $323.00 | $16.15 – $290.70 |
| IV hydration, each additional hour CPT 96361 | $499.00 | $499.00 | $24.95 – $449.10 |
| IV hydration, first hour CPT 96360 | $842.00 | $842.00 | $588.56 – $588.56 |
| IV push injection of a drug, first CPT 96374 | $452.00 | $452.00 | $22.60 – $406.80 |
| IV push injection, each additional drug CPT 96375 | $452.00 | $452.00 | $315.95 – $315.95 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | $1,515.00 | $1,515.00 | $1,021.11 – $1,021.11 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | $1,664.00 | $1,664.00 | $83.20 – $1,497.60 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $3,438.00 | $3,438.00 | $2,403.16 – $2,403.16 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $1.07 – $1.07 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $90.00 | $90.00 | $60.66 – $60.66 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | $1,260.00 | $1,260.00 | $63.00 – $1,134.00 |
| Morphine injection, up to 10 mg HCPCS J2270 | $140.00 | $140.00 | $7.00 – $126.00 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $120.00 | $120.00 | ? – $5.63 |
| Propofol injection, per 10 mg HCPCS J2704 | $170.00 | $170.00 | $114.58 – $114.58 |
| Saline IV solution, 1000 ml HCPCS J7030 | $656.00 | $656.00 | ? – $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.