Virginia Mason Medical Center
925 Seneca St., Seattle, WA 98101 · Acute care hospital · Emergency room
These are Virginia Mason Medical Center's own posted figures from its standard-charges file dated January 1, 2026. They are not a quote. Source: the hospital's file · its price transparency page.
205 of the services we track have a posted price here; 186 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 | $2,492.37 | $4,887.00 | $2,932.20 – $3,909.60 |
| Emergency room visit, level 1 (minor) CPT 99281 | $252.96 | $496.00 | $297.60 – $396.80 |
| Emergency room visit, level 2 CPT 99282 | $415.14 | $814.00 | $488.40 – $651.20 |
| Emergency room visit, level 3 (moderate) CPT 99283 | $811.92 | $1,592.00 | $955.20 – $1,273.60 |
| Emergency room visit, level 4 CPT 99284 | $1,298.97 | $2,547.00 | $1,528.20 – $2,037.60 |
| Emergency room visit, level 5 (most severe) CPT 99285 | $1,803.87 | $3,537.00 | $2,122.20 – $2,829.60 |
| Simple wound repair (stitches), 2.5 cm or less CPT 12001 | $369.75 | $725.00 | $435.00 – $580.00 |
Office visits
Imaging
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| 3D screening mammogram (tomosynthesis), add-on CPT 77063 | $43.35 | $85.00 | $51.00 – $68.00 |
| Abdominal X-ray, 1 view CPT 74018 | $189.72 | $372.00 | $223.20 – $297.60 |
| Ankle X-ray, 3 or more views CPT 73610 | $216.24 | $424.00 | $254.40 – $339.20 |
| Bone density scan (DEXA), hips and spine CPT 77080 | $273.36 | $536.00 | $321.60 – $428.80 |
| Breast ultrasound, one breast, complete CPT 76641 | $332.52 | $652.00 | $391.20 – $521.60 |
| Breast ultrasound, one breast, limited CPT 76642 | $248.37 | $487.00 | $292.20 – $389.60 |
| Chest X-ray, 1 view CPT 71045 | $249.90 | $490.00 | $294.00 – $392.00 |
| Chest X-ray, 2 views CPT 71046 | $230.01 | $451.00 | $270.60 – $360.80 |
| CT angiogram of the chest (checks for lung clots) CPT 71275 | $1,353.54 | $2,654.00 | $1,592.40 – $2,123.20 |
| CT angiogram of the head CPT 70496 | $1,299.99 | $2,549.00 | $1,529.40 – $2,039.20 |
| CT scan of the abdomen and pelvis, with contrast CPT 74177 | $1,884.96 | $3,696.00 | $2,217.60 – $2,956.80 |
| CT scan of the abdomen and pelvis, without and with contrast CPT 74178 | $2,130.27 | $4,177.00 | $2,506.20 – $3,341.60 |
| CT scan of the abdomen and pelvis, without contrast CPT 74176 | $1,263.27 | $2,477.00 | $1,486.20 – $1,981.60 |
| CT scan of the abdomen, without contrast CPT 74150 | $830.28 | $1,628.00 | $976.80 – $1,302.40 |
| CT scan of the chest, with contrast CPT 71260 | $1,308.15 | $2,565.00 | $1,539.00 – $2,052.00 |
| CT scan of the chest, without contrast CPT 71250 | $967.98 | $1,898.00 | $1,138.80 – $1,518.40 |
| CT scan of the head, without contrast CPT 70450 | $678.81 | $1,331.00 | $798.60 – $1,064.80 |
| CT scan of the neck (cervical spine), without contrast CPT 72125 | $732.87 | $1,437.00 | $862.20 – $1,149.60 |
| CT scan of the pelvis, with contrast CPT 72193 | $1,244.91 | $2,441.00 | $1,464.60 – $1,952.80 |
| CT scan of the sinuses or face, without contrast CPT 70486 | $545.70 | $1,070.00 | $642.00 – $856.00 |
| Diagnostic mammogram, both breasts CPT 77066 | $284.07 | $557.00 | $334.20 – $445.60 |
| Diagnostic mammogram, one breast CPT 77065 | $233.07 | $457.00 | $274.20 – $365.60 |
| Foot X-ray, 3 or more views CPT 73630 | $171.36 | $336.00 | $201.60 – $268.80 |
| Hand X-ray, 3 or more views CPT 73130 | $243.27 | $477.00 | $286.20 – $381.60 |
| Knee X-ray, 3 views CPT 73562 | $196.86 | $386.00 | $231.60 – $308.80 |
| Leg or arm vein ultrasound, both sides CPT 93970 | $858.33 | $1,683.00 | $1,009.80 – $1,346.40 |
| Leg or arm vein ultrasound, one side CPT 93971 | $572.22 | $1,122.00 | $673.20 – $897.60 |
| Lower back X-ray, 2 or 3 views CPT 72100 | $252.45 | $495.00 | $297.00 – $396.00 |
| MRI of both breasts, without and with contrast CPT 77049 | $1,046.01 | $2,051.00 | $1,230.60 – $1,640.80 |
| MRI of the abdomen, without and with contrast CPT 74183 | $1,902.81 | $3,731.00 | $2,238.60 – $2,984.80 |
| MRI of the brain, without and with contrast CPT 70553 | $1,476.45 | $2,895.00 | $1,737.00 – $2,316.00 |
| MRI of the brain, without contrast CPT 70551 | $989.40 | $1,940.00 | $1,164.00 – $1,552.00 |
| MRI of the knee or other leg joint, without contrast CPT 73721 | $941.97 | $1,847.00 | $1,108.20 – $1,477.60 |
| MRI of the lower back (lumbar spine), without contrast CPT 72148 | $1,098.03 | $2,153.00 | $1,291.80 – $1,722.40 |
| MRI of the mid back (thoracic spine), without contrast CPT 72146 | $1,134.75 | $2,225.00 | $1,335.00 – $1,780.00 |
| MRI of the neck (cervical spine), without contrast CPT 72141 | $892.50 | $1,750.00 | $1,050.00 – $1,400.00 |
| MRI of the pelvis, without and with contrast CPT 72197 | $1,945.65 | $3,815.00 | $2,289.00 – $3,052.00 |
| MRI of the shoulder or other arm joint, without contrast CPT 73221 | $1,053.66 | $2,066.00 | $1,239.60 – $1,652.80 |
| Neck X-ray, 2 or 3 views CPT 72040 | $227.46 | $446.00 | $267.60 – $356.80 |
| Pelvic ultrasound, complete (not pregnancy) CPT 76856 | $402.90 | $790.00 | $474.00 – $632.00 |
| Pregnancy ultrasound, 14 weeks or later, single baby CPT 76805 | $439.11 | $861.00 | $516.60 – $688.80 |
| Pregnancy ultrasound, under 14 weeks, single baby CPT 76801 | $457.47 | $897.00 | $538.20 – $717.60 |
| Screening mammogram, both breasts CPT 77067 | $245.31 | $481.00 | $288.60 – $384.80 |
| Shoulder X-ray, 2 or more views CPT 73030 | $260.61 | $511.00 | $306.60 – $408.80 |
| Transvaginal pregnancy ultrasound CPT 76817 | $360.57 | $707.00 | $424.20 – $565.60 |
| Transvaginal ultrasound CPT 76830 | $402.90 | $790.00 | $474.00 – $632.00 |
| Ultrasound of the abdomen, complete CPT 76700 | $398.31 | $781.00 | $468.60 – $624.80 |
| Ultrasound of the neck or thyroid CPT 76536 | $366.18 | $718.00 | $430.80 – $574.40 |
| Wrist X-ray, 3 or more views CPT 73110 | $221.34 | $434.00 | $260.40 – $347.20 |
| X-ray of the lower back, 4 or more views CPT 72110 | $315.69 | $619.00 | $371.40 – $495.20 |
Lab tests
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Basic metabolic panel (blood test) CPT 80048 | $29.58 | $58.00 | $34.80 – $46.40 |
| Blood culture CPT 87040 | $72.93 | $143.00 | $85.80 – $114.40 |
| Blood draw (venipuncture) CPT 36415 | $18.87 | $37.00 | $22.20 – $29.60 |
| BNP test (heart failure) CPT 83880 | $131.58 | $258.00 | $154.80 – $206.40 |
| C-reactive protein (CRP) test CPT 86140 | $22.44 | $44.00 | $26.40 – $35.20 |
| Chlamydia test (DNA/NAAT) CPT 87491 | $112.20 | $220.00 | $132.00 – $176.00 |
| Complete blood count (CBC) with differential CPT 85025 | $49.98 | $98.00 | $58.80 – $78.40 |
| Complete blood count (CBC), automated CPT 85027 | $38.76 | $76.00 | $45.60 – $60.80 |
| Comprehensive metabolic panel (blood test) CPT 80053 | $35.70 | $70.00 | $42.00 – $56.00 |
| COVID-19 PCR test CPT 87635 | $189.21 | $371.00 | $222.60 – $296.80 |
| D-dimer test (blood clots) CPT 85379 | $64.77 | $127.00 | $76.20 – $101.60 |
| Drug screen, instrument chemistry CPT 80307 | $153.51 | $301.00 | $180.60 – $240.80 |
| Ferritin (iron stores) test CPT 82728 | $54.06 | $106.00 | $63.60 – $84.80 |
| Free T4 (thyroid) test CPT 84439 | $36.72 | $72.00 | $43.20 – $57.60 |
| General health panel (blood tests) CPT 80050 | $116.79 | $229.00 | $137.40 – $183.20 |
| Glucose (blood sugar) test CPT 82947 | $16.83 | $33.00 | $19.80 – $26.40 |
| Gonorrhea test (DNA/NAAT) CPT 87591 | $97.92 | $192.00 | $115.20 – $153.60 |
| Hemoglobin A1c test CPT 83036 | $36.72 | $72.00 | $43.20 – $57.60 |
| Hepatitis C antibody test CPT 86803 | $61.20 | $120.00 | $72.00 – $96.00 |
| HIV-1/HIV-2 antigen and antibody test CPT 87389 | $78.54 | $154.00 | $92.40 – $123.20 |
| Iron test CPT 83540 | $27.03 | $53.00 | $31.80 – $42.40 |
| Kidney function panel CPT 80069 | $28.05 | $55.00 | $33.00 – $44.00 |
| Lipase test (pancreas) CPT 83690 | $34.68 | $68.00 | $40.80 – $54.40 |
| Lipid panel, cholesterol and triglycerides CPT 80061 | $54.06 | $106.00 | $63.60 – $84.80 |
| Liver function panel CPT 80076 | $26.52 | $52.00 | $31.20 – $41.60 |
| Magnesium test CPT 83735 | $35.19 | $69.00 | $41.40 – $55.20 |
| Obstetric blood test panel CPT 80055 | $109.65 | $215.00 | $129.00 – $172.00 |
| Partial thromboplastin time (PTT), clotting test CPT 85730 | $35.70 | $70.00 | $42.00 – $56.00 |
| Pregnancy blood test (hCG), quantitative CPT 84702 | $72.93 | $143.00 | $85.80 – $114.40 |
| Prothrombin time (PT/INR), clotting test CPT 85610 | $26.01 | $51.00 | $30.60 – $40.80 |
| PSA (prostate specific antigen), free CPT 84154 | $49.98 | $98.00 | $58.80 – $78.40 |
| PSA (prostate specific antigen), total CPT 84153 | $59.16 | $116.00 | $69.60 – $92.80 |
| Rapid strep test CPT 87880 | $49.98 | $98.00 | $58.80 – $78.40 |
| Sed rate (ESR) test CPT 85652 | $16.32 | $32.00 | $19.20 – $25.60 |
| TB skin test CPT 86580 | $33.66 | $66.00 | $39.60 – $52.80 |
| Thyroid stimulating hormone (TSH) CPT 84443 | $70.38 | $138.00 | $82.80 – $110.40 |
| Tissue exam by a pathologist (biopsy specimen) CPT 88305 | $168.30 | $330.00 | $198.00 – $264.00 |
| Troponin test (heart damage) CPT 84484 | $52.02 | $102.00 | $61.20 – $81.60 |
| Urinalysis, automated, with microscope CPT 81001 | $18.87 | $37.00 | $22.20 – $29.60 |
| Urinalysis, automated, without microscope CPT 81003 | $12.24 | $24.00 | $14.40 – $19.20 |
| Urinalysis, manual, with microscope CPT 81000 | $15.81 | $31.00 | $18.60 – $24.80 |
| Urinalysis, manual, without microscope CPT 81002 | $15.30 | $30.00 | $18.00 – $24.00 |
| Urine culture, colony count CPT 87086 | $46.92 | $92.00 | $55.20 – $73.60 |
| Urine pregnancy test CPT 81025 | $25.50 | $50.00 | $30.00 – $40.00 |
| Vitamin B12 test CPT 82607 | $58.14 | $114.00 | $68.40 – $91.20 |
| Vitamin D test CPT 82306 | $91.80 | $180.00 | $108.00 – $144.00 |
Heart
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Carotid artery ultrasound, both sides CPT 93880 | $630.87 | $1,237.00 | $742.20 – $989.60 |
| ECG tracing only (no interpretation) CPT 93005 | $191.76 | $376.00 | $225.60 – $300.80 |
| Echocardiogram (heart ultrasound), complete with Doppler CPT 93306 | $1,323.45 | $2,595.00 | $1,557.00 – $2,076.00 |
| Electrocardiogram (ECG/EKG) with interpretation CPT 93000 | not posted | $55.50 – $55.50 | |
| Holter monitor, up to 48 hours CPT 93224 | not posted | $55.50 – $55.50 | |
| Left heart catheterization CPT 93452 | $6,974.76 | $13,676.00 | $8,205.60 – $10,940.80 |
| Left heart catheterization with coronary angiogram CPT 93458 | $7,524.03 | $14,753.00 | $8,851.80 – $11,802.40 |
| Nuclear stress test (heart perfusion imaging) CPT 78452 | $2,880.48 | $5,648.00 | $3,388.80 – $4,518.40 |
| Treadmill stress test, complete CPT 93015 | not posted | $25.93 – $323.40 |
Surgery
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| ACL reconstruction, arthroscopic CPT 29888 | $12,140.04 | $23,804.00 | $14,282.40 – $19,043.20 |
| Appendix removal, laparoscopic CPT 44970 | $7,777.50 | $15,250.00 | $9,150.00 – $12,200.00 |
| Breast biopsy with ultrasound guidance CPT 19083 | $2,165.97 | $4,247.00 | $2,548.20 – $3,397.60 |
| Carpal tunnel release CPT 64721 | $2,943.72 | $5,772.00 | $3,463.20 – $4,617.60 |
| Colonoscopy with biopsy CPT 45380 | $2,104.77 | $4,127.00 | $2,476.20 – $3,301.60 |
| Colonoscopy with polyp removal (snare) CPT 45385 | $2,004.81 | $3,931.00 | $2,358.60 – $3,144.80 |
| Colonoscopy, diagnostic CPT 45378 | $1,998.69 | $3,919.00 | $2,351.40 – $3,135.20 |
| Colposcopy with biopsy CPT 57454 | $556.41 | $1,091.00 | $654.60 – $872.80 |
| Cystoscopy (bladder scope) CPT 52000 | $1,038.87 | $2,037.00 | $1,222.20 – $1,629.60 |
| Ear tubes, under general anesthesia CPT 69436 | $2,888.13 | $5,663.00 | $3,397.80 – $4,530.40 |
| Flexible sigmoidoscopy, diagnostic CPT 45330 | $1,513.68 | $2,968.00 | $1,780.80 – $2,374.40 |
| Gallbladder removal, laparoscopic CPT 47562 | $9,896.04 | $19,404.00 | $11,642.40 – $15,523.20 |
| Gastric bypass (weight loss surgery), laparoscopic CPT 43644 | not posted | $8,023.01 – $49,767.71 | |
| Hysterectomy, laparoscopic, with tubes and/or ovaries CPT 58571 | $13,212.06 | $25,906.00 | $15,543.60 – $20,724.80 |
| Hysteroscopy with biopsy or polyp removal CPT 58558 | $255.00 | $500.00 | $300.00 – $400.00 |
| Inguinal (groin) hernia repair, laparoscopic CPT 49650 | $11,659.11 | $22,861.00 | $13,716.60 – $18,288.80 |
| Inguinal (groin) hernia repair, open, age 5 or older CPT 49505 | $7,880.01 | $15,451.00 | $9,270.60 – $12,360.80 |
| Kidney stone shock-wave lithotripsy CPT 50590 | $8,546.07 | $16,757.00 | $10,054.20 – $13,405.60 |
| Knee arthroscopy, meniscus trim (meniscectomy) CPT 29881 | $3,977.49 | $7,799.00 | $4,679.40 – $6,239.20 |
| Lower colon endoscopy with ultrasound CPT 45391 | $2,004.81 | $3,931.00 | $2,358.60 – $3,144.80 |
| Nasal endoscopy, diagnostic CPT 31231 | $302.94 | $594.00 | $356.40 – $475.20 |
| Prostate biopsy CPT 55700 | $2,676.99 | $5,249.00 | $3,149.40 – $4,199.20 |
| Prostate removal, laparoscopic or robotic CPT 55866 | $12,668.91 | $24,841.00 | $14,904.60 – $19,872.80 |
| Removal of a breast lump, open surgery CPT 19120 | $5,216.79 | $10,229.00 | $6,137.40 – $8,183.20 |
| Rotator cuff repair, arthroscopic CPT 29827 | $9,509.97 | $18,647.00 | $11,188.20 – $14,917.60 |
| Screening colonoscopy, average risk HCPCS G0121 | $1,998.69 | $3,919.00 | $2,351.40 – $3,135.20 |
| Screening colonoscopy, high risk HCPCS G0105 | $1,998.69 | $3,919.00 | $2,351.40 – $3,135.20 |
| Septoplasty (nasal septum repair) CPT 30520 | $5,621.22 | $11,022.00 | $6,613.20 – $8,817.60 |
| Shoulder arthroscopy, bone shaving (decompression) CPT 29826 | $2,827.44 | $5,544.00 | $3,326.40 – $4,435.20 |
| Sleeve gastrectomy (weight loss surgery), laparoscopic CPT 43775 | not posted | $8,023.01 – $49,767.71 | |
| Tonsil and adenoid removal, under age 12 CPT 42820 | $6,523.41 | $12,791.00 | $7,674.60 – $10,232.80 |
| Total hip replacement CPT 27130 | not posted | $9,810.90 – $47,470.32 | |
| Total knee replacement CPT 27447 | $18,264.12 | $35,812.00 | $21,487.20 – $28,649.60 |
| Upper endoscopy (EGD) with biopsy CPT 43239 | $1,928.31 | $3,781.00 | $2,268.60 – $3,024.80 |
| Upper endoscopy (EGD), diagnostic CPT 43235 | $1,735.53 | $3,403.00 | $2,041.80 – $2,722.40 |
| Vasectomy CPT 55250 | $2,811.12 | $5,512.00 | $3,307.20 – $4,409.60 |
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 | $3.18 – $2,949.57 | |
| Fetal non-stress test CPT 59025 | not posted | $153.39 – $742.20 | |
| IUD insertion CPT 58300 | $352.92 | $692.00 | $415.20 – $553.60 |
| Vaginal birth after a prior C-section (VBAC), routine care CPT 59610 | not posted | $3.18 – $2,790.80 | |
| Vaginal delivery, routine care including prenatal and postpartum CPT 59400 | not posted | $11.98 – $2,679.07 |
Pain and spine
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Large joint injection or drainage (knee, shoulder, hip) CPT 20610 | $457.47 | $897.00 | $538.20 – $717.60 |
| Lower back nerve root injection with imaging guidance CPT 64483 | $1,628.94 | $3,194.00 | $1,916.40 – $2,555.20 |
| Lower back spinal injection (epidural), with imaging guidance CPT 62323 | $1,269.39 | $2,489.00 | $1,493.40 – $1,991.20 |
| Lower back spinal injection (epidural), without imaging CPT 62322 | $1,104.66 | $2,166.00 | $1,299.60 – $1,732.80 |
Eye
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Cataract removal with lens implant CPT 66984 | $2,952.39 | $5,789.00 | $3,473.40 – $4,631.20 |
| Eye exam, new patient, comprehensive CPT 92004 | $72.42 | $142.00 | $85.20 – $113.60 |
| Laser treatment of clouding after cataract surgery (YAG) CPT 66821 | $1,183.20 | $2,320.00 | $1,392.00 – $1,856.00 |
Eye and ear
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Hearing test, comprehensive CPT 92557 | $226.95 | $445.00 | $267.00 – $356.00 |
Sleep
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Home sleep apnea test CPT 95806 | $451.35 | $885.00 | $531.00 – $708.00 |
| Sleep study with CPAP titration CPT 95811 | $1,911.48 | $3,748.00 | $2,248.80 – $2,998.40 |
| Sleep study, overnight in a sleep lab CPT 95810 | $1,991.04 | $3,904.00 | $2,342.40 – $3,123.20 |
Lungs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Spirometry (breathing test) CPT 94010 | $277.95 | $545.00 | $327.00 – $436.00 |
Therapy
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Manual therapy, 15 minutes CPT 97140 | $69.87 | $137.00 | $82.20 – $109.60 |
| Physical therapy evaluation, low complexity CPT 97161 | $177.99 | $349.00 | $209.40 – $279.20 |
| Physical therapy evaluation, moderate complexity CPT 97162 | $177.99 | $349.00 | $209.40 – $279.20 |
| Physical therapy, therapeutic exercise, 15 minutes CPT 97110 | $71.91 | $141.00 | $84.60 – $112.80 |
| Therapeutic activities, 15 minutes CPT 97530 | $78.03 | $153.00 | $91.80 – $122.40 |
Mental health
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Family psychotherapy, with the patient, 50 minutes CPT 90847 | $90.27 | $177.00 | $106.20 – $141.60 |
| Family psychotherapy, without the patient, 50 minutes CPT 90846 | $90.27 | $177.00 | $106.20 – $141.60 |
| Group psychotherapy CPT 90853 | $52.02 | $102.00 | $61.20 – $81.60 |
| Psychiatric diagnostic evaluation CPT 90791 | $90.27 | $177.00 | $106.20 – $141.60 |
| Psychotherapy, 30 minutes CPT 90832 | $90.27 | $177.00 | $106.20 – $141.60 |
| Psychotherapy, 45 minutes CPT 90834 | $90.27 | $177.00 | $106.20 – $141.60 |
| Psychotherapy, 60 minutes CPT 90837 | $90.27 | $177.00 | $106.20 – $141.60 |
Infusions and injections
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Injection under the skin or into a muscle CPT 96372 | $100.98 | $198.00 | $118.80 – $158.40 |
| IV hydration, each additional hour CPT 96361 | $113.22 | $222.00 | $133.20 – $177.60 |
| IV hydration, first hour CPT 96360 | $395.76 | $776.00 | $465.60 – $620.80 |
| IV push injection of a drug, first CPT 96374 | $372.30 | $730.00 | $438.00 – $584.00 |
| IV push injection, each additional drug CPT 96375 | $93.33 | $183.00 | $109.80 – $146.40 |
Drugs
| Service | Cash price | Gross charge | Insurer rates (min – max) |
|---|---|---|---|
| Ceftriaxone (Rocephin) injection, per 250 mg HCPCS J0696 | not posted | $1.40 | ? – $1.12 |
| Dexamethasone injection, per 1 mg HCPCS J1100 | not posted | $1.75 | $1.05 – $1.40 |
| Fentanyl injection, per 0.1 mg HCPCS J3010 | $1.82 | $3.56 | $2.14 – $2.85 |
| Hydromorphone (Dilaudid) injection, up to 4 mg HCPCS J1170 | not posted | $5.48 – $5.48 | |
| Ketorolac (Toradol) injection, per 15 mg HCPCS J1885 | $3.36 | $6.59 | $3.95 – $5.27 |
| Midazolam (Versed) injection, per 1 mg HCPCS J2250 | not posted | $1.06 | |
| Morphine injection, up to 10 mg HCPCS J2270 | $19.49 | $38.22 | $22.93 – $30.58 |
| Ondansetron (Zofran) injection, per 1 mg HCPCS J2405 | $1.97 | $3.86 | $2.32 – $3.09 |
| Propofol injection, per 10 mg HCPCS J2704 | $4.58 | $8.99 | $5.39 – $7.19 |
| Saline IV solution, 1000 ml HCPCS J7030 | not posted | $5.46 – $5.46 |
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.