Reston Hospital Center

1850 Town Center Parkway, Reston, VA 20190 · Acute care hospital · Emergency room

These are Reston Hospital 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.

224 of the services we track have a posted price here; 123 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	$4,830.54	$4,830.54	$1,352.55 – $4,347.49
Emergency room visit, level 1 (minor) CPT 99281	$971.95	$971.95	$690.08 – $690.08
Emergency room visit, level 2 CPT 99282	$1,456.29	$1,456.29	$1,033.97 – $1,033.97
Emergency room visit, level 3 (moderate) CPT 99283	$2,757.07	$2,757.07	$1,957.52 – $1,957.52
Emergency room visit, level 4 CPT 99284	$3,163.80	$3,163.80	$885.86 – $2,847.42
Emergency room visit, level 5 (most severe) CPT 99285	$4,389.25	$4,389.25	$1,228.99 – $3,950.32
Simple wound repair (stitches), 2.5 cm or less CPT 12001	not posted		$968.00 – $2,644.00

Office visits

Service	Cash price	Gross charge	Insurer rates (min – max)
New patient office visit, about 15 to 29 minutes CPT 99202	$467.03	$467.03
New patient office visit, about 30 minutes CPT 99203	$658.59	$658.59
Office visit, established patient, about 10 to 19 minutes CPT 99212	$291.25	$291.25	$206.79 – $206.79
Office visit, established patient, about 20 to 29 minutes CPT 99213	$418.91	$418.91
Office visit, established patient, brief (often a nurse) CPT 99211	$172.25	$172.25	$25.84 – $155.03
Preventive checkup, new patient, age 18 to 39 CPT 99385	not posted		$73.03 – $75.29
Preventive checkup, new patient, age 40 to 64 CPT 99386	not posted		$88.77 – $91.52

Imaging

Service	Cash price	Gross charge	Insurer rates (min – max)
3D screening mammogram (tomosynthesis), add-on CPT 77063	$65.62	$65.62	$46.59 – $46.59
Abdominal X-ray, 1 view CPT 74018	$1,081.06	$1,081.06	$205.40 – $972.95
Ankle X-ray, 3 or more views CPT 73610	$2,279.66	$2,279.66	$1,618.56 – $1,618.56
Bone density scan (DEXA), hips and spine CPT 77080	$1,587.99	$1,587.99	$156.04 – $245.18
Breast ultrasound, one breast, complete CPT 76641	$2,862.19	$2,862.19	$543.82 – $2,575.97
Breast ultrasound, one breast, limited CPT 76642	$2,361.50	$2,361.50	$448.69 – $2,125.35
Chest X-ray, 1 view CPT 71045	$980.99	$980.99	$186.39 – $882.89
Chest X-ray, 2 views CPT 71046	$1,075.64	$1,075.64	$204.37 – $968.08
CT angiogram of the chest (checks for lung clots) CPT 71275	$6,094.03	$6,094.03	$1,157.87 – $5,484.63
CT angiogram of the head CPT 70496	$4,961.91	$4,961.91	$3,522.96 – $3,522.96
CT scan of the abdomen and pelvis, with contrast CPT 74177	$8,994.50	$8,994.50	$1,708.95 – $8,095.05
CT scan of the abdomen and pelvis, without and with contrast CPT 74178	$10,631.69	$10,631.69	$2,020.02 – $9,568.52
CT scan of the abdomen and pelvis, without contrast CPT 74176	$7,918.94	$7,918.94	$5,622.45 – $5,622.45
CT scan of the abdomen, without contrast CPT 74150	$4,145.79	$4,145.79	$787.70 – $3,731.21
CT scan of the chest, with contrast CPT 71260	$4,666.59	$4,666.59	$3,313.28 – $3,313.28
CT scan of the chest, without contrast CPT 71250	$3,576.71	$3,576.71	$2,539.46 – $2,539.46
CT scan of the head, without contrast CPT 70450	$3,240.38	$3,240.38	$2,300.67 – $2,300.67
CT scan of the neck (cervical spine), without contrast CPT 72125	$4,615.70	$4,615.70	$876.98 – $4,154.13
CT scan of the pelvis, with contrast CPT 72193	$5,350.13	$5,350.13	$3,798.59 – $3,798.59
CT scan of the sinuses or face, without contrast CPT 70486	$4,261.77	$4,261.77	$3,025.86 – $3,025.86
Diagnostic mammogram, both breasts CPT 77066	$1,315.73	$1,315.73	$126.27 – $675.56
Diagnostic mammogram, one breast CPT 77065	$1,188.57	$1,188.57	$843.88 – $843.88
Foot X-ray, 3 or more views CPT 73630	$2,236.68	$2,236.68	$424.97 – $2,013.01
Hand X-ray, 3 or more views CPT 73130	$1,654.57	$1,654.57	$1,174.74 – $1,174.74
Knee X-ray, 3 views CPT 73562	$1,052.44	$1,052.44	$199.96 – $947.20
Leg or arm vein ultrasound, both sides CPT 93970	$3,448.12	$3,448.12	$2,448.17 – $2,448.17
Leg or arm vein ultrasound, one side CPT 93971	$1,808.78	$1,808.78	$1,284.23 – $1,284.23
Lower back X-ray, 2 or 3 views CPT 72100	$1,036.62	$1,036.62	$736.00 – $736.00
MRI of both breasts, without and with contrast CPT 77049	not posted		$405.32 – $439.09
MRI of the abdomen, without and with contrast CPT 74183	$11,120.51	$11,120.51	$1,992.00 – $4,986.36
MRI of the brain, without and with contrast CPT 70553	$11,566.72	$11,566.72	$1,992.00 – $5,062.54
MRI of the brain, without contrast CPT 70551	$7,304.58	$7,304.58	$517.79 – $517.79
MRI of the knee or other leg joint, without contrast CPT 73721	$10,139.18	$10,139.18	$1,926.44 – $9,125.26
MRI of the lower back (lumbar spine), without contrast CPT 72148	$7,495.26	$7,495.26	$1,992.00 – $2,594.65
MRI of the mid back (thoracic spine), without contrast CPT 72146	$7,240.78	$7,240.78	$5,140.95 – $5,140.95
MRI of the neck (cervical spine), without contrast CPT 72141	$7,240.78	$7,240.78	$517.79 – $517.79
MRI of the pelvis, without and with contrast CPT 72197	$11,650.06	$11,650.06	$828.27 – $828.27
MRI of the shoulder or other arm joint, without contrast CPT 73221	$7,226.87	$7,226.87	$5,131.08 – $5,131.08
Neck X-ray, 2 or 3 views CPT 72040	$1,085.10	$1,085.10	$770.42 – $770.42
Pelvic ultrasound, complete (not pregnancy) CPT 76856	$1,297.57	$1,297.57	$921.27 – $921.27
Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805	$2,465.34	$2,465.34	$468.41 – $2,218.81
Pregnancy ultrasound, under 14 weeks, single baby CPT 76801	$1,172.83	$1,172.83	$832.71 – $832.71
Screening mammogram, both breasts CPT 77067	$1,094.40	$1,094.40	$207.94 – $984.96
Shoulder X-ray, 2 or more views CPT 73030	$2,571.81	$2,571.81	$488.64 – $2,314.63
Transvaginal pregnancy ultrasound CPT 76817	$761.50	$761.50	$540.66 – $540.66
Transvaginal ultrasound CPT 76830	$1,321.60	$1,321.60	$938.34 – $938.34
Ultrasound of the abdomen, complete CPT 76700	$3,202.02	$3,202.02	$2,273.43 – $2,273.43
Ultrasound of the neck or thyroid CPT 76536	$1,670.87	$1,670.87	$1,186.32 – $1,186.32
Wrist X-ray, 3 or more views CPT 73110	$1,503.52	$1,503.52	$1,067.50 – $1,067.50
X-ray of the lower back, 4 or more views CPT 72110	$1,506.79	$1,506.79	$286.29 – $1,356.11

Lab tests

Service	Cash price	Gross charge	Insurer rates (min – max)
Basic metabolic panel (blood test) CPT 80048	$901.75	$901.75	$8.46 – $48.03
Blood culture CPT 87040	$771.03	$771.03	$547.43 – $547.43
Blood draw (venipuncture) CPT 36415	$91.78	$91.78	$8.83 – $2,550.00
BNP test (heart failure) CPT 83880	$510.59	$510.59	$362.52 – $362.52
C-reactive protein (CRP) test CPT 86140	$491.86	$491.86	$5.18 – $29.35
Chlamydia test (DNA/NAAT) CPT 87491	$724.38	$724.38	$35.09 – $184.29
Complete blood count (CBC) with differential CPT 85025	not posted		$7.77 – $40.81
Complete blood count (CBC), automated CPT 85027	$304.53	$304.53	$57.86 – $274.08
Comprehensive metabolic panel (blood test) CPT 80053	$1,385.59	$1,385.59	$263.26 – $1,247.03
COVID-19 PCR test CPT 87635	$83.01	$83.01	$51.31 – $208.40
D-dimer test (blood clots) CPT 85379	$815.11	$815.11	$154.87 – $733.60
Drug screen, instrument chemistry CPT 80307	$1,626.54	$1,626.54	$309.04 – $1,463.89
Ferritin (iron stores) test CPT 82728	$212.25	$212.25	$13.63 – $71.58
Free T4 (thyroid) test CPT 84439	$573.91	$573.91	$9.02 – $47.37
General health panel (blood tests) CPT 80050	not posted		$45.36 – $238.23
Glucose (blood sugar) test CPT 82947	$530.33	$530.33	$3.93 – $20.64
Gonorrhea test (DNA/NAAT) CPT 87591	$410.05	$410.05	$35.09 – $184.29
Hemoglobin A1c test CPT 83036	$544.23	$544.23	$9.71 – $51.00
Hepatitis C antibody test CPT 86803	$868.37	$868.37	$14.27 – $74.95
HIV-1/HIV-2 antigen and antibody test CPT 87389	$259.34	$259.34	$24.08 – $138.53
Iron test CPT 83540	$484.15	$484.15	$6.47 – $36.74
Kidney function panel CPT 80069	$1,074.08	$1,074.08	$8.68 – $45.59
Lipase test (pancreas) CPT 83690	$595.34	$595.34	$6.89 – $36.19
Lipid panel, cholesterol and triglycerides CPT 80061	$1,074.08	$1,074.08	$13.39 – $76.00
Liver function panel CPT 80076	$809.97	$809.97	$8.17 – $46.37
Magnesium test CPT 83735	$697.46	$697.46	$132.52 – $627.71
Obstetric blood test panel CPT 80055	not posted		$47.81 – $251.10
Partial thromboplastin time (PTT), clotting test CPT 85730	$358.87	$358.87	$68.19 – $322.98
Pregnancy blood test (hCG), quantitative CPT 84702	$1,140.93	$1,140.93	$216.78 – $1,026.84
Prothrombin time (PT/INR), clotting test CPT 85610	$358.87	$358.87	$68.19 – $322.98
PSA (prostate specific antigen), free CPT 84154	not posted		$18.39 – $96.58
PSA (prostate specific antigen), total CPT 84153	$749.36	$749.36	$18.39 – $104.34
Rapid strep test CPT 87880	not posted		$16.53 – $86.82
Sed rate (ESR) test CPT 85652	$353.01	$353.01	$2.70 – $14.18
TB skin test CPT 86580	not posted		$24.67 – $129.57
Thyroid stimulating hormone (TSH) CPT 84443	$1,051.70	$1,051.70	$16.80 – $88.23
Tissue exam by a pathologist (biopsy specimen) CPT 88305	$1,349.88	$1,349.88	$133.34 – $154.73
Troponin test (heart damage) CPT 84484	$601.98	$601.98	$114.38 – $541.78
Urinalysis, automated, with microscope CPT 81001	$337.10	$337.10	$3.17 – $16.65
Urinalysis, automated, without microscope CPT 81003	$169.48	$169.48	$120.33 – $120.33
Urinalysis, manual, with microscope CPT 81000	not posted		$4.02 – $21.11
Urinalysis, manual, without microscope CPT 81002	not posted		$3.48 – $14.49
Urine culture, colony count CPT 87086	$744.58	$744.58	$8.07 – $45.80
Urine pregnancy test CPT 81025	$354.27	$354.27	$8.61 – $45.22
Vitamin B12 test CPT 82607	$730.68	$730.68	$15.08 – $85.50
Vitamin D test CPT 82306	$330.97	$330.97	$29.60 – $155.46

Heart

Service	Cash price	Gross charge	Insurer rates (min – max)
Carotid artery ultrasound, both sides CPT 93880	$2,152.01	$2,152.01	$408.88 – $1,936.81
ECG tracing only (no interpretation) CPT 93005	$665.76	$665.76	$472.69 – $472.69
Echocardiogram (heart ultrasound), complete with Doppler CPT 93306	$7,143.14	$7,143.14	$1,119.85 – $1,119.85
Electrocardiogram (ECG/EKG) with interpretation CPT 93000	not posted		$14.30 – $110.62
Holter monitor, up to 48 hours CPT 93224	not posted		$67.10 – $689.98
Left heart catheterization CPT 93452	not posted		$10,691.00 – $14,623.00
Left heart catheterization with coronary angiogram CPT 93458	not posted		$10,691.00 – $14,623.00
Nuclear stress test (heart perfusion imaging) CPT 78452	$7,629.58	$7,629.58	$286.22 – $310.06
Treadmill stress test, complete CPT 93015	not posted		$374.00 – $604.00

Surgery

Service	Cash price	Insurer rates (min – max)
ACL reconstruction, arthroscopic CPT 29888	not posted	$5,995.00 – $12,621.00
Appendix removal, laparoscopic CPT 44970	not posted	$5,995.00 – $12,160.00
Breast biopsy with ultrasound guidance CPT 19083	not posted	$2,550.00 – $2,550.00
Carpal tunnel release CPT 64721	not posted	$4,250.00 – $4,950.00
Colonoscopy with biopsy CPT 45380	not posted	$2,747.00 – $5,569.00
Colonoscopy with polyp removal (snare) CPT 45385	not posted	$1,995.00 – $5,569.00
Colonoscopy, diagnostic CPT 45378	not posted	$2,550.00 – $2,550.00
Colposcopy with biopsy CPT 57454	not posted	$1,765.00 – $3,105.00
Cystoscopy (bladder scope) CPT 52000	not posted	$1,765.00 – $4,081.00
Ear tubes, under general anesthesia CPT 69436	not posted	$3,669.00 – $3,976.00
Flexible sigmoidoscopy, diagnostic CPT 45330	not posted	$1,765.00 – $2,685.00
Gallbladder removal, laparoscopic CPT 47562	not posted	$4,250.00 – $14,012.00
Gastric bypass (weight loss surgery), laparoscopic CPT 43644	not posted	$10,915.00 – $12,160.00
Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571	not posted	$10,915.00 – $14,703.00
Hysteroscopy with biopsy or polyp removal CPT 58558	not posted	$4,250.00 – $9,256.00
Inguinal (groin) hernia repair, laparoscopic CPT 49650	not posted	$5,126.00 – $12,160.00
Inguinal (groin) hernia repair, open, age 5 or older CPT 49505	not posted	$5,081.00 – $9,533.00
Kidney stone shock-wave lithotripsy CPT 50590	not posted	$5,081.00 – $11,502.00
Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881	not posted	$6,692.00 – $7,250.00
Lower colon endoscopy with ultrasound CPT 45391	not posted	$2,497.00 – $5,569.00
Nasal endoscopy, diagnostic CPT 31231	not posted	$3,105.00 – $3,105.00
Prostate biopsy CPT 55700	not posted	$3,105.00 – $3,105.00
Prostate removal, laparoscopic or robotic CPT 55866	not posted	$13,571.00 – $14,703.00
Removal of a breast lump, open surgery CPT 19120	not posted	$3,051.00 – $4,625.00
Rotator cuff repair, arthroscopic CPT 29827	not posted	$5,185.00 – $10,955.00
Screening colonoscopy, average risk HCPCS G0121	not posted	$3,105.00 – $3,105.00
Screening colonoscopy, high risk HCPCS G0105	not posted	$2,403.00 – $2,603.00
Septoplasty (nasal septum repair) CPT 30520	not posted	$3,669.00 – $3,976.00
Shoulder arthroscopy, bone shaving (decompression) CPT 29826	not posted	$916.00 – $7,947.00
Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775	not posted	$1,995.00 – $12,160.00
Tonsil and adenoid removal, under age 12 CPT 42820	not posted	$2,550.00 – $2,550.00
Total hip replacement CPT 27130	not posted	$9,889.00 – $35,438.00
Total knee replacement CPT 27447	not posted	$1,995.00 – $35,438.00
Upper endoscopy (EGD) with biopsy CPT 43239	not posted	$3,105.00 – $5,569.00
Upper endoscopy (EGD), diagnostic CPT 43235	not posted	$1,765.00 – $4,382.00
Vasectomy CPT 55250	not posted	$3,669.00 – $3,976.00

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		$1,995.00 – $7,250.00
Fetal non-stress test CPT 59025	$1,772.86	$1,772.86	$24.03 – $2,550.00
IUD insertion CPT 58300	not posted		$916.00 – $2,644.00
Vaginal birth after a prior C-section (VBAC), routine care CPT 59610	not posted		$3,869.00 – $7,250.00
Vaginal delivery, routine care including prenatal and postpartum CPT 59400	not posted		$1,995.00 – $7,250.00

Hospital stays

Service	Cash price	Insurer rates (min – max)
Alcohol or drug use disorder, without rehab, without major complications MS-DRG 897	not posted	$8,356.35 – $8,356.35
C-section, without complications MS-DRG 788	not posted	$9,001.21 – $9,001.21
Chest pain MS-DRG 313	not posted	$6,975.00 – $6,975.00
COPD flare-up, with major complications MS-DRG 190	not posted	$10,264.62 – $10,264.62
COPD flare-up, without complications MS-DRG 192	not posted	$6,313.17 – $6,313.17
Fainting (syncope) MS-DRG 312	not posted	$6,674.71 – $21,620.00
Gastrointestinal bleeding, with complications MS-DRG 378	not posted	$9,187.03 – $9,187.03
Heart failure, with major complications MS-DRG 291	not posted	$11,758.82 – $11,758.82
Heart failure, without complications MS-DRG 293	not posted	$5,668.31 – $5,668.31
Heart valve or other major heart surgery with cardiac catheterization, with major complications MS-DRG 216	not posted	$83,872.67 – $83,872.67
Hip or knee replacement (major joint of the leg), without major complications MS-DRG 470	not posted	$17,232.49 – $17,232.49
Irregular heartbeat, without complications MS-DRG 310	not posted	$5,669.16 – $5,669.16
Kidney failure, with complications MS-DRG 683	not posted	$8,296.96 – $8,296.96
Kidney or urinary tract infection, without major complications MS-DRG 690	not posted	$7,734.40 – $7,734.40
Neck (cervical) spinal fusion, without complications MS-DRG 473	not posted	$21,580.20 – $21,580.20
Normal newborn care MS-DRG 795	not posted	$2,561.11 – $2,561.11
Nutrition, fluid or electrolyte disorder, without major complications MS-DRG 641	not posted	$7,468.82 – $7,468.82
Pneumonia, with complications MS-DRG 194	not posted	$7,703.85 – $7,703.85
Pneumonia, with major complications MS-DRG 193	not posted	$12,018.47 – $12,018.47
Pneumonia, without complications MS-DRG 195	not posted	$6,198.62 – $6,198.62
Psychoses (inpatient psychiatric stay) MS-DRG 885	not posted	$12,717.63 – $12,717.63
Sepsis, with major complications MS-DRG 871	not posted	$17,347.88 – $17,347.88
Sepsis, without major complications MS-DRG 872	not posted	$9,548.49 – $9,548.49
Skin infection (cellulitis), without major complications MS-DRG 603	not posted	$8,255.38 – $8,255.38
Spinal fusion except neck, without major complications MS-DRG 460	not posted	$42,125.98 – $42,125.98
Stomach and digestive disorders (gastroenteritis), without major complications MS-DRG 392	not posted	$7,480.70 – $7,480.70
Stroke, with complications or clot-busting drug MS-DRG 65	not posted	$9,438.18 – $9,438.18
Uterus and ovary surgery for non-cancer conditions, without complications MS-DRG 743	not posted	$11,393.13 – $13,080.28
Vaginal delivery, without complications MS-DRG 807	not posted	$6,586.38 – $6,586.38
Weight loss surgery, without complications MS-DRG 621	not posted	$13,664.55 – $13,664.55

Pain and spine

Service	Cash price	Insurer rates (min – max)
Large joint injection or drainage (knee, shoulder, hip) CPT 20610	not posted	$968.00 – $2,685.00
Lower back nerve root injection with imaging guidance CPT 64483	not posted	$2,644.00 – $4,081.00
Lower back spinal injection (epidural), with imaging guidance CPT 62323	not posted	$1,765.00 – $2,747.00
Lower back spinal injection (epidural), without imaging CPT 62322	not posted	$2,403.00 – $2,747.00

Eye

Service	Cash price	Insurer rates (min – max)
Cataract removal with lens implant CPT 66984	not posted	$3,007.00 – $11,502.00
Eye exam, new patient, comprehensive CPT 92004	not posted	$347.51 – $347.51
Laser treatment of clouding after cataract surgery (YAG) CPT 66821	not posted	$2,403.00 – $5,569.00

Eye and ear

Service	Cash price	Gross charge	Insurer rates (min – max)
Hearing test, comprehensive CPT 92557	not posted		$208.35 – $208.35

Sleep

Service	Cash price	Insurer rates (min – max)
Home sleep apnea test CPT 95806	not posted	$864.00 – $2,793.00
Sleep study with CPAP titration CPT 95811	not posted	$864.00 – $2,793.00
Sleep study, overnight in a sleep lab CPT 95810	not posted	$864.00 – $2,793.00

Lungs

Service	Cash price	Gross charge	Insurer rates (min – max)
Spirometry (breathing test) CPT 94010	$241.26	$241.26	$136.60 – $136.60

Therapy

Service	Cash price	Gross charge	Insurer rates (min – max)
Manual therapy, 15 minutes CPT 97140	$231.22	$231.22	$164.17 – $164.17
Physical therapy evaluation, low complexity CPT 97161	$881.96	$881.96	$626.19 – $626.19
Physical therapy evaluation, moderate complexity CPT 97162	$881.96	$881.96	$626.19 – $626.19
Physical therapy, therapeutic exercise, 15 minutes CPT 97110	$231.22	$231.22	$164.17 – $164.17
Therapeutic activities, 15 minutes CPT 97530	$231.22	$231.22	$164.17 – $164.17

Mental health

Service	Cash price	Insurer rates (min – max)
Psychotherapy, 30 minutes CPT 90832	not posted	$594.98 – $594.98
Psychotherapy, 45 minutes CPT 90834	not posted	$594.98 – $594.98
Psychotherapy, 60 minutes CPT 90837	not posted	$594.98 – $594.98

Infusions and injections

Service	Cash price	Gross charge	Insurer rates (min – max)
Injection under the skin or into a muscle CPT 96372	$387.85	$387.85	$275.37 – $275.37
IV hydration, each additional hour CPT 96361	$306.53	$306.53	$217.64 – $217.64
IV hydration, first hour CPT 96360	$1,091.95	$1,091.95	$216.21 – $982.75
IV push injection of a drug, first CPT 96374	$1,061.49	$1,061.49	$210.18 – $955.34
IV push injection, each additional drug CPT 96375	$428.18	$428.18	$84.78 – $385.36

Drugs

Service	Cash price	Gross charge	Insurer rates (min – max)
Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696	$493.12	$493.12	$350.12 – $350.12
Dexamethasone injection, per 1 mg HCPCS J1100	$93.02	$93.02	$66.04 – $66.04
Fentanyl injection, per 0.1 mg HCPCS J3010	$99.89	$99.89	$14.98 – $89.90
Ketorolac (Toradol) injection, per 15 mg HCPCS J1885	$62.86	$62.86	$44.63 – $44.63
Midazolam (Versed) injection, per 1 mg HCPCS J2250	$69.34	$69.34	$10.40 – $62.41
Morphine injection, up to 10 mg HCPCS J2270	$82.80	$82.80	$58.79 – $58.79
Ondansetron (Zofran) injection, per 1 mg HCPCS J2405	$61.11	$61.11
Propofol injection, per 10 mg HCPCS J2704	$219.49	$219.49	$32.92 – $197.54
Saline IV solution, 1000 ml HCPCS J7030	$334.58	$334.58	$5.27 – $5.27

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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