ALEXIAN BROTHERS MEDICAL CENTER 1
Hospital
Procedure Prices at ALEXIAN BROTHERS MEDICAL CENTER 1
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$2.38
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$8.4
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$11.4
EKG Interpretation
CPT 93010
$32.62
Mechanical Traction
CPT 97012
$41.94
EKG Tracing
CPT 93005
$44.27
Therapeutic Exercises
CPT 97110
$66.85
EKG
CPT 93000
$76.89
Chest X-Ray (1 view)
CPT 71045
$79.82
Therapeutic Activities
CPT 97530
$83.88
Chest X-Ray (2 views)
CPT 71046
$102.52
Thoracic Spine X-Ray
CPT 72072
$123.49
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$133.35
CT Chest
CPT 71250
$139.56
Abdominal Ultrasound
CPT 76700
$190.54
Abdominal Ultrasound — Limited
CPT 76705
$190.54
Retroperitoneal Ultrasound
CPT 76770
$190.54
OB Ultrasound
CPT 76805
$190.54
ER Visit — Low-Moderate Complexity
CPT 99283
$193.39
Diagnostic Mammogram (unilateral)
CPT 77065
$262.85
Screening Mammogram (bilateral)
CPT 77067
$280.7
Diagnostic Mammogram (bilateral)
CPT 77066
$325.5
MRI Brain w/o Contrast
CPT 70551
$339.36
MRI Joint of Lower Extremity
CPT 73721
$339.36
ER Visit — Moderate Complexity
CPT 99284
$356.49
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$413
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$431.05
CT Abdomen & Pelvis
CPT 74177
$431.4
ER Visit — High Complexity
CPT 99285
$531.24
Upper GI Endoscopy w/ Biopsy
CPT 43239
$553
Colonoscopy
CPT 45378
$553
Colonoscopy w/ Biopsy
CPT 45380
$553
MRI Brain w/ Contrast
CPT 70553
$563.65
Knee Replacement
CPT 27447
$632
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$632
Echocardiogram
CPT 93307
$645.41
Knee Arthroscopy
CPT 29881
$781
Inguinal Hernia Repair
CPT 49505
$781
Laparoscopic Hernia Repair
CPT 49650
$781
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$889
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$889
Echocardiogram w/ Doppler
CPT 93306
$973.94
Cataract Surgery — Complex
CPT 66982
$1,206
Cataract Surgery
CPT 66984
$1,206
Recurrent Inguinal Hernia Repair
CPT 49520
$1,234
Laparoscopic Cholecystectomy
CPT 47562
$1,660
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Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.