Womans Hospital of Texas,the

7600 Fannin, Houston, TX 77054 · Acute care hospital · Emergency room

These are Womans Hospital of Texas,the'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.

227 of the services we track have a posted price here; 116 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	$8,748.00	$8,748.00	$3,640.00 – $7,960.00
Emergency room visit, level 1 (minor) CPT 99281	$1,066.00	$1,066.00	$259.04 – $906.10
Emergency room visit, level 2 CPT 99282	$1,400.00	$1,400.00	$340.20 – $1,190.00
Emergency room visit, level 3 (moderate) CPT 99283	$1,786.00	$1,786.00	$434.00 – $1,518.10
Emergency room visit, level 4 CPT 99284	$2,440.00	$2,440.00	$341.60 – $2,074.00
Emergency room visit, level 5 (most severe) CPT 99285	$3,048.00	$3,048.00	$426.72 – $2,590.80
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$241.13 – $5,841.00

Office visits

Service	Cash price	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	not posted	$120.60 – $201.52
New patient office visit, about 30 minutes CPT 99203	not posted	$181.30 – $302.95
New patient office visit, about 45 minutes CPT 99204	not posted	$306.96 – $512.91
New patient office visit, about 60 minutes CPT 99205	not posted	$400.58 – $669.35
Office consultation, about 40 minutes CPT 99243	not posted	$227.71 – $380.48
Office consultation, about 60 minutes CPT 99244	not posted	$366.00 – $611.56
Office visit, established patient, about 10 to 19 minutes CPT 99212	not posted	$60.72 – $101.46
Office visit, established patient, about 20 to 29 minutes CPT 99213	not posted	$121.45 – $202.93
Office visit, established patient, about 30 to 39 minutes CPT 99214	not posted	$187.22 – $312.84
Office visit, established patient, about 40 to 54 minutes CPT 99215	not posted	$263.95 – $441.05
Office visit, established patient, brief (often a nurse) CPT 99211	not posted	$21.93 – $36.64
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted	$71.48 – $388.93
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted	$86.92 – $473.46

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$94.21	$94.21	$236.08 – $277.43
Abdominal X-ray, 1 view CPT 74018	$1,103.33	$1,103.33	$215.46 – $253.20
Ankle X-ray, 3 or more views CPT 73610	$1,493.18	$1,493.18	$522.61 – $522.61
Bone density scan (DEXA), hips and spine CPT 77080	$1,634.60	$1,634.60	$572.11 – $572.11
Breast ultrasound, one breast, complete CPT 76641	$2,322.21	$2,322.21	$139.33 – $1,973.88
Breast ultrasound, one breast, limited CPT 76642	$1,860.06	$1,860.06	$651.02 – $651.02
Chest X-ray, 1 view CPT 71045	$1,070.20	$1,070.20	$26.58 – $182.03
Chest X-ray, 2 views CPT 71046	$1,261.30	$1,261.30	$232.37 – $273.06
CT angiogram of the chest (checks for lung clots) CPT 71275	$8,197.23	$8,197.23	$171.56 – $754.39
CT angiogram of the head CPT 70496	$10,619.21	$10,619.21	$2,203.52 – $2,589.46
CT scan of the abdomen and pelvis, with contrast CPT 74177	$13,303.14	$13,303.14	$2,953.02 – $3,470.23
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$15,603.29	$15,603.29	$3,329.62 – $3,912.79
CT scan of the abdomen and pelvis, without contrast CPT 74176	$11,846.56	$11,846.56	$1,342.64 – $1,577.80
CT scan of the abdomen, without contrast CPT 74150	$5,929.83	$5,929.83	$355.79 – $5,040.36
CT scan of the chest, with contrast CPT 71260	$6,650.26	$6,650.26	$168.31 – $754.39
CT scan of the chest, without contrast CPT 71250	$5,918.04	$5,918.04	$102.66 – $464.01
CT scan of the head, without contrast CPT 70450	$5,535.56	$5,535.56	$102.66 – $464.01
CT scan of the neck (cervical spine), without contrast CPT 72125	$7,331.40	$7,331.40	$102.66 – $464.01
CT scan of the pelvis, with contrast CPT 72193	$6,650.26	$6,650.26	$183.95 – $2,106.00
CT scan of the sinuses or face, without contrast CPT 70486	$5,477.91	$5,477.91	$109.02 – $2,106.00
Diagnostic mammogram, both breasts CPT 77066	$1,287.15	$1,287.15	$77.23 – $1,094.08
Diagnostic mammogram, one breast CPT 77065	$1,098.72	$1,098.72	$384.55 – $384.55
Foot X-ray, 3 or more views CPT 73630	$2,016.82	$2,016.82	$121.01 – $1,714.30
Hand X-ray, 3 or more views CPT 73130	$1,368.33	$1,368.33	$478.92 – $478.92
Knee X-ray, 3 views CPT 73562	$2,494.58	$2,494.58	$873.10 – $873.10
Leg or arm vein ultrasound, both sides CPT 93970	$3,358.56	$3,358.56	$185.01 – $660.76
Leg or arm vein ultrasound, one side CPT 93971	$2,391.76	$2,391.76	$143.51 – $2,033.00
Lower back X-ray, 2 or 3 views CPT 72100	$1,590.02	$1,590.02	$293.04 – $344.36
MRI of both breasts, without and with contrast CPT 77049	not posted		$537.00 – $2,241.00
MRI of the abdomen, without and with contrast CPT 74183	$17,276.70	$17,276.70	$3,999.14 – $4,699.58
MRI of the brain, without and with contrast CPT 70553	$17,276.70	$17,276.70	$321.55 – $1,580.86
MRI of the brain, without contrast CPT 70551	$10,080.14	$10,080.14	$208.23 – $2,241.00
MRI of the knee or other leg joint, without contrast CPT 73721	$16,125.09	$16,125.09	$967.51 – $13,706.33
MRI of the lower back (lumbar spine), without contrast CPT 72148	$10,080.14	$10,080.14	$203.12 – $2,241.00
MRI of the mid back (thoracic spine), without contrast CPT 72146	$10,080.14	$10,080.14	$202.45 – $2,241.00
MRI of the neck (cervical spine), without contrast CPT 72141	$10,080.14	$10,080.14	$2,041.54 – $2,399.10
MRI of the pelvis, without and with contrast CPT 72197	$17,276.70	$17,276.70	$3,983.32 – $4,680.98
MRI of the shoulder or other arm joint, without contrast CPT 73221	$10,080.14	$10,080.14	$604.81 – $8,568.12
Neck X-ray, 2 or 3 views CPT 72040	$1,312.27	$1,312.27	$40.56 – $182.03
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$2,303.11	$2,303.11	$745.06 – $875.55
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,378.23	$2,378.23	$102.66 – $346.02
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$2,310.75	$2,310.75	$138.65 – $1,964.14
Screening mammogram, both breasts CPT 77067	$937.03	$937.03	$327.96 – $327.96
Shoulder X-ray, 2 or more views CPT 73030	$2,967.26	$2,967.26	$178.04 – $2,522.17
Transvaginal pregnancy ultrasound CPT 76817	$1,270.60	$1,270.60	$579.72 – $681.25
Transvaginal ultrasound CPT 76830	$1,270.60	$1,270.60	$886.66 – $1,041.96
Ultrasound of the abdomen, complete CPT 76700	$2,781.81	$2,781.81	$109.02 – $245.18
Ultrasound of the neck or thyroid CPT 76536	$2,089.23	$2,089.23	$102.66 – $423.66
Wrist X-ray, 3 or more views CPT 73110	$1,853.74	$1,853.74	$648.81 – $648.81
X-ray of the lower back, 4 or more views CPT 72110	$2,400.31	$2,400.31	$390.87 – $459.33

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$1,892.12	$1,892.12	$8.46 – $44.92
Blood culture CPT 87040	$1,224.48	$1,224.48	$8.84 – $53.90
Blood draw (venipuncture) CPT 36415	not posted		$24.12 – $31.08
BNP test (heart failure) CPT 83880	$1,272.53	$1,272.53	$445.39 – $445.39
C-reactive protein (CRP) test CPT 86140	$834.00	$834.00	$4.26 – $29.63
Chlamydia test (DNA/NAAT) CPT 87491	$522.10	$522.10	$28.89 – $200.56
Complete blood count (CBC) with differential CPT 85025	not posted		$6.66 – $7.77
Complete blood count (CBC), automated CPT 85027	$543.46	$543.46	$5.54 – $34.15
Comprehensive metabolic panel (blood test) CPT 80053	$2,131.00	$2,131.00	$127.86 – $1,811.35
COVID-19 PCR test CPT 87635	$75.37	$75.37	$51.31 – $52.34
D-dimer test (blood clots) CPT 85379	$391.25	$391.25	$8.38 – $58.20
Drug screen, instrument chemistry CPT 80307	$3,932.00	$3,932.00	$51.16 – $355.17
Ferritin (iron stores) test CPT 82728	$391.25	$391.25	$11.68 – $71.87
Free T4 (thyroid) test CPT 84439	$1,540.93	$1,540.93	$539.33 – $539.33
General health panel (blood tests) CPT 80050	not posted		$45.36 – $215.56
Glucose (blood sugar) test CPT 82947	$640.00	$640.00	$3.23 – $22.48
Gonorrhea test (DNA/NAAT) CPT 87591	$522.10	$522.10	$28.89 – $200.56
Hemoglobin A1c test CPT 83036	$522.10	$522.10	$8.00 – $55.50
Hepatitis C antibody test CPT 86803	$592.88	$592.88	$11.75 – $81.59
HIV-1/HIV-2 antigen and antibody test CPT 87389	$1,505.00	$1,505.00	$526.75 – $526.75
Iron test CPT 83540	$423.29	$423.29	$5.32 – $37.00
Kidney function panel CPT 80069	$1,419.42	$1,419.42	$6.13 – $46.70
Lipase test (pancreas) CPT 83690	$827.89	$827.89	$5.91 – $35.94
Lipid panel, cholesterol and triglycerides CPT 80061	$930.70	$930.70	$7.51 – $76.55
Liver function panel CPT 80076	$1,375.36	$1,375.36	$6.13 – $43.13
Magnesium test CPT 83735	$725.06	$725.06	$5.74 – $35.94
Obstetric blood test panel CPT 80055	not posted		$47.81 – $253.28
Partial thromboplastin time (PTT), clotting test CPT 85730	$695.68	$695.68	$243.49 – $243.49
Pregnancy blood test (hCG), quantitative CPT 84702	$1,408.74	$1,408.74	$12.89 – $79.01
Prothrombin time (PT/INR), clotting test CPT 85610	$592.88	$592.88	$3.53 – $24.52
PSA (prostate specific antigen), free CPT 84154	not posted		$15.76 – $96.98
PSA (prostate specific antigen), total CPT 84153	$1,136.00	$1,136.00	$15.76 – $96.98
Rapid strep test CPT 87880	not posted		$14.17 – $88.00
Sed rate (ESR) test CPT 85652	not posted		$2.32 – $14.40
TB skin test CPT 86580	not posted		$24.67 – $53.51
Thyroid stimulating hormone (TSH) CPT 84443	$1,251.17	$1,251.17	$13.83 – $96.03
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$576.85	$576.85	$99.93 – $157.81
Troponin test (heart damage) CPT 84484	$1,613.04	$1,613.04	$10.26 – $71.29
Urinalysis, automated, with microscope CPT 81001	$423.29	$423.29	$2.61 – $18.12
Urinalysis, automated, without microscope CPT 81003	$268.00	$268.00	$16.08 – $227.80
Urinalysis, manual, with microscope CPT 81000	not posted		$3.45 – $4.02
Urinalysis, manual, without microscope CPT 81002	$436.65	$436.65	$2.98 – $17.97
Urine culture, colony count CPT 87086	$895.99	$895.99	$6.92 – $43.13
Urine pregnancy test CPT 81025	$257.72	$257.72	$7.09 – $49.18
Vitamin B12 test CPT 82607	$711.71	$711.71	$12.42 – $86.18
Vitamin D test CPT 82306	$1,654.00	$1,654.00	$24.36 – $169.20

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$3,874.78	$3,874.78	$1,356.17 – $1,356.17
ECG tracing only (no interpretation) CPT 93005	$746.00	$746.00	$261.10 – $261.10
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$9,670.75	$9,670.75	$317.09 – $529.84
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$13.25 – $55.19
Holter monitor, up to 48 hours CPT 93224	not posted		$59.98 – $353.70
Left heart catheterization CPT 93452	not posted		$6,298.39 – $17,384.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$7,818.00 – $7,818.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$14,893.82	$14,893.82	$475.10 – $2,938.37
Treadmill stress test, complete CPT 93015	not posted		$169.51 – $283.24

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$2,636.00 – $16,995.26
Appendix removal, laparoscopic CPT 44970	not posted	$6,670.52 – $10,000.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$4,255.00 – $4,255.00
Carpal tunnel release CPT 64721	not posted	$3,041.00 – $3,041.00
Colonoscopy with biopsy CPT 45380	not posted	$4,255.00 – $4,255.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$450.72 – $3,810.00
Colonoscopy, diagnostic CPT 45378	not posted	$321.93 – $938.87
Colposcopy with biopsy CPT 57454	not posted	$4,255.00 – $4,255.00
Cystoscopy (bladder scope) CPT 52000	not posted	$250.06 – $3,128.00
Ear tubes, under general anesthesia CPT 69436	not posted	$441.67 – $8,208.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$4,255.00 – $4,255.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$1,983.29 – $10,000.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$4,255.00 – $4,255.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$2,115.00 – $16,016.55
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$4,255.00 – $4,255.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$1,983.29 – $10,000.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$1,128.51 – $4,505.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$1,120.04 – $13,030.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$1,142.68 – $7,200.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$4,255.00 – $4,255.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$2,369.00 – $2,369.00
Prostate biopsy CPT 55700	not posted	$685.44 – $3,810.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$7,293.00 – $7,293.00
Removal of a breast lump, open surgery CPT 19120	not posted	$2,369.00 – $2,369.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$4,255.00 – $4,255.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$352.49 – $3,810.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$352.49 – $3,810.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$930.95 – $9,470.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$4,255.00 – $4,255.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$4,255.00 – $4,255.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,096.96 – $10,064.23
Total hip replacement CPT 27130	not posted	$4,255.00 – $4,255.00
Total knee replacement CPT 27447	not posted	$4,255.00 – $4,255.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$359.42 – $3,810.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$351.70 – $3,262.00
Vasectomy CPT 55250	not posted	$685.44 – $5,571.00

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		$4,255.00 – $4,255.00
Fetal non-stress test CPT 59025	$1,865.00	$1,865.00	$15.46 – $680.00
IUD insertion CPT 58300	not posted		$508.94 – $5,841.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$3,390.00 – $26,874.42
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$3,390.00 – $25,611.40

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$32,507.75 – $32,507.75
C-section, without complications MS-DRG 788	not posted	$33,186.17 – $33,186.17
Chest pain MS-DRG 313	not posted	$31,054.50 – $31,054.50
COPD flare-up, with major complications MS-DRG 190	not posted	$34,515.33 – $34,515.33
COPD flare-up, without complications MS-DRG 192	not posted	$30,358.23 – $30,358.23
Fainting (syncope) MS-DRG 312	not posted	$32,407.77 – $32,407.77
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$33,381.66 – $33,381.66
Heart failure, with major complications MS-DRG 291	not posted	$36,087.30 – $36,087.30
Heart failure, without complications MS-DRG 293	not posted	$29,679.81 – $29,679.81
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$121,907.22 – $180,235.55
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$41,845.82 – $41,845.82
Irregular heartbeat, without complications MS-DRG 310	not posted	$29,680.71 – $29,680.71
Kidney failure, with complications MS-DRG 683	not posted	$32,445.26 – $32,445.26
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$31,853.42 – $31,853.42
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$46,419.80 – $46,419.80
Normal newborn care MS-DRG 795	not posted	$26,410.90 – $26,410.90
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$8,232.58 – $8,232.58
Pneumonia, with complications MS-DRG 194	not posted	$31,821.29 – $31,821.29
Pneumonia, with major complications MS-DRG 193	not posted	$21,186.81 – $27,293.52
Pneumonia, without complications MS-DRG 195	not posted	$30,237.72 – $30,237.72
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$37,096.00 – $37,096.00
Sepsis, with major complications MS-DRG 871	not posted	$41,967.23 – $41,967.23
Sepsis, without major complications MS-DRG 872	not posted	$33,761.93 – $33,761.93
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$14,038.04 – $18,084.24
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$47,730.49 – $70,567.86
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$31,586.52 – $31,586.52
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$33,645.88 – $33,645.88
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$35,702.57 – $35,702.57
Vaginal delivery, without complications MS-DRG 807	not posted	$30,645.66 – $30,645.66
Weight loss surgery, without complications MS-DRG 621	not posted	$15,400.00 – $22,000.00

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$4,255.00 – $4,255.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$357.81 – $3,128.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$276.00 – $3,128.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$276.00 – $276.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$912.02 – $5,571.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$271.28 – $453.29
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$204.16 – $555.27

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$323.74 – $540.95

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$209.99 – $350.88
Sleep study with CPAP titration CPT 95811	not posted	$2,366.00 – $3,400.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$2,366.00 – $3,400.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	not posted		$323.74 – $540.95

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$293.56	$293.56	$24.04 – $53.71
Physical therapy evaluation, low complexity CPT 97161	$152.36	$152.36	$84.58 – $189.02
Physical therapy evaluation, moderate complexity CPT 97162	$303.47	$303.47	$18.21 – $600.00
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$275.00	$275.00	$16.50 – $600.00
Therapeutic activities, 15 minutes CPT 97530	$320.82	$320.82	$19.25 – $600.00

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$366.00	$366.00	$128.10 – $128.10
IV hydration, each additional hour CPT 96361	$26.00	$26.00	$9.10 – $9.10
IV hydration, first hour CPT 96360	$180.43	$180.43	$10.83 – $600.00
IV push injection of a drug, first CPT 96374	$445.58	$445.58	$26.73 – $600.00
IV push injection, each additional drug CPT 96375	$377.00	$377.00	$131.95 – $131.95

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$2,204.31	$2,204.31	$132.26 – $1,873.66
Dexamethasone injection, per 1 mg HCPCS J1100	$51.50	$51.50	$3.09 – $43.77
Fentanyl injection, per 0.1 mg HCPCS J3010	$400.00	$400.00	$24.00 – $340.00
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$309.02	$309.02	$18.54 – $262.67
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$208.30	$208.30	$12.50 – $177.06
Morphine injection, up to 10 mg HCPCS J2270	$180.83	$180.83	$10.85 – $153.71
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$677.54	$677.54
Propofol injection, per 10 mg HCPCS J2704	$1,161.53	$1,161.53	$69.69 – $987.30
Saline IV solution, 1000 ml HCPCS J7030	$666.30	$666.30	$2.19 – $40.23

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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