ASCENSION CALUMET HOSPITAL
Hospital
Procedure Prices at ASCENSION CALUMET HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3.95
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$12.61
Mechanical Traction
CPT 97012
$15.55
EKG Interpretation
CPT 93010
$16.74
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$17.15
Therapeutic Exercises
CPT 97110
$18.9
EKG Tracing
CPT 93005
$20.4
Therapeutic Activities
CPT 97530
$34.1
EKG
CPT 93000
$37.14
Chest X-Ray (1 view)
CPT 71045
$48.84
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$60.48
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$60.48
Chest X-Ray (2 views)
CPT 71046
$68.03
Thoracic Spine X-Ray
CPT 72072
$77.55
ER Visit — Low-Moderate Complexity
CPT 99283
$112.12
Diagnostic Mammogram (unilateral)
CPT 77065
$164
Diagnostic Mammogram (bilateral)
CPT 77066
$164
Screening Mammogram (bilateral)
CPT 77067
$164
Abdominal Ultrasound — Limited
CPT 76705
$207.24
ER Visit — Moderate Complexity
CPT 99284
$213.89
Upper GI Endoscopy w/ Biopsy
CPT 43239
$233.1
Echocardiogram
CPT 93307
$233.17
Retroperitoneal Ultrasound
CPT 76770
$256.49
Abdominal Ultrasound
CPT 76700
$277.37
ER Visit — High Complexity
CPT 99285
$313.66
OB Ultrasound
CPT 76805
$321.74
CT Chest
CPT 71250
$366
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$373.05
Echocardiogram w/ Doppler
CPT 93306
$386.38
Colonoscopy w/ Biopsy
CPT 45380
$414.54
Colonoscopy
CPT 45378
$466.83
MRI Brain w/o Contrast
CPT 70551
$520.11
MRI Joint of Lower Extremity
CPT 73721
$533.93
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$628.35
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$653.04
Laparoscopic Hernia Repair
CPT 49650
$686.7
CT Abdomen & Pelvis
CPT 74177
$701.01
MRI Brain w/ Contrast
CPT 70553
$836
Inguinal Hernia Repair
CPT 49505
$867.51
Knee Arthroscopy
CPT 29881
$1,145.68
Laparoscopic Cholecystectomy
CPT 47562
$1,304.73
Recurrent Inguinal Hernia Repair
CPT 49520
$1,311.92
Appendectomy
CPT 44950
$1,329.18
Cataract Surgery
CPT 66984
$1,397.29
Cataract Surgery — Complex
CPT 66982
$1,733.01
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$2,250.14
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$2,573.18
Hip Replacement
CPT 27130
$3,010.23
Knee Replacement
CPT 27447
$3,213.99
Vaginal Delivery
CPT 59400
$4,206.34
VBAC Delivery
CPT 59610
$4,398.41
C-Section
CPT 59510
$4,822.75
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.