ALLEN HOSPITAL
Acute Care Hospitals
Procedure Prices at ALLEN HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$2.85
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$6.72
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$9.13
Chest X-Ray (1 view)
CPT 71045
$17.64
Therapeutic Activities
CPT 97530
$26.84
Therapeutic Exercises
CPT 97110
$33.12
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$35.64
Thoracic Spine X-Ray
CPT 72072
$41.67
EKG Tracing
CPT 93005
$43.57
Chest X-Ray (2 views)
CPT 71046
$49.65
Screening Mammogram (bilateral)
CPT 77067
$59.9
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$76.8
Diagnostic Mammogram (unilateral)
CPT 77065
$81.45
Abdominal Ultrasound — Limited
CPT 76705
$84.94
Retroperitoneal Ultrasound
CPT 76770
$98.54
Abdominal Ultrasound
CPT 76700
$98.94
OB Ultrasound
CPT 76805
$99.03
CT Chest
CPT 71250
$102.84
Diagnostic Mammogram (bilateral)
CPT 77066
$103.46
ER Visit — Low-Moderate Complexity
CPT 99283
$117.96
ER Visit — Moderate Complexity
CPT 99284
$123.2
Echocardiogram w/ Doppler
CPT 93306
$182.57
MRI Brain w/o Contrast
CPT 70551
$199.04
MRI Joint of Lower Extremity
CPT 73721
$209.38
ER Visit — High Complexity
CPT 99285
$251.35
CT Abdomen & Pelvis
CPT 74177
$286.06
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$300.79
MRI Brain w/ Contrast
CPT 70553
$338.66
Upper GI Endoscopy w/ Biopsy
CPT 43239
$344.84
Colonoscopy
CPT 45378
$771.69
Colonoscopy w/ Biopsy
CPT 45380
$855.44
Knee Arthroscopy
CPT 29881
$1,768.13
Inguinal Hernia Repair
CPT 49505
$2,338.38
Laparoscopic Hernia Repair
CPT 49650
$2,835.43
Recurrent Inguinal Hernia Repair
CPT 49520
$3,023.9
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$3,911.01
Laparoscopic Cholecystectomy
CPT 47562
$4,373.5
Cataract Surgery
CPT 66984
$6,440.14
Cataract Surgery — Complex
CPT 66982
$6,519.82
Hip Replacement
CPT 27130
$11,299.68
Knee Replacement
CPT 27447
$12,053.65
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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.