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ASCENSION RIVER DISTRICT HOSPITAL

Hospital

4100 RIVER RD

EAST CHINA, MI, 48054

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Procedure Prices at ASCENSION RIVER DISTRICT HOSPITAL

COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$3

EKG Interpretation

CPT 93010

$4.75

BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC

CPT 85025

$7.78

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$20.27

Mechanical Traction

CPT 97012

$20.91

Chest X-Ray (1 view)

CPT 71045

$34.02

Therapeutic Exercises

CPT 97110

$35.48

Therapeutic Activities

CPT 97530

$35.48

Echocardiogram w/ Doppler

CPT 93306

$35.66

EKG Tracing

CPT 93005

$36.64

Chest X-Ray (2 views)

CPT 71046

$46.11

EKG

CPT 93000

$48.85

Thoracic Spine X-Ray

CPT 72072

$56.94

Abdominal Ultrasound — Limited

CPT 76705

$124.55

Retroperitoneal Ultrasound

CPT 76770

$156.94

ER Visit — Low-Moderate Complexity

CPT 99283

$167

ER Visit — Moderate Complexity

CPT 99284

$167

ER Visit — High Complexity

CPT 99285

$167

Abdominal Ultrasound

CPT 76700

$168.75

Screening Mammogram (bilateral)

CPT 77067

$171.19

Diagnostic Mammogram (unilateral)

CPT 77065

$181.94

CT Chest

CPT 71250

$184.72

OB Ultrasound

CPT 76805

$187.51

OFFICE OUTPATIENT VISIT 15 MINUTES

CPT 99213

$200.82

Diagnostic Mammogram (bilateral)

CPT 77066

$232.64

MRI Brain w/o Contrast

CPT 70551

$295.14

MRI Joint of Lower Extremity

CPT 73721

$321.53

CT Abdomen & Pelvis

CPT 74177

$496.54

MRI Brain w/ Contrast

CPT 70553

$497.23

Echocardiogram

CPT 93307

$752

Upper GI Endoscopy w/ Biopsy

CPT 43239

$767.73

Colonoscopy w/ Biopsy

CPT 45380

$893.6

Cataract Surgery — Complex

CPT 66982

$2,554.58

Cataract Surgery

CPT 66984

$2,554.58

Recurrent Inguinal Hernia Repair

CPT 49520

$2,925.7

NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL

CPT 64483

$2,927.93

Colonoscopy

CPT 45378

$2,961.1

Laparoscopic Hernia Repair

CPT 49650

$4,274.2

TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW

CPT 27245

$4,965.4

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$7,975

Vaginal Delivery

CPT 59400

$8,433.77

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$8,450.12

VBAC Delivery

CPT 59610

$8,877.26

C-Section

CPT 59510

$9,361.37

Appendectomy

CPT 44950

$9,749.68

Knee Arthroscopy

CPT 29881

$10,229.42

Inguinal Hernia Repair

CPT 49505

$11,137.26

Laparoscopic Cholecystectomy

CPT 47562

$17,038.6

ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR

CPT 29827

$18,900.46

Knee Replacement

CPT 27447

$20,475.94

Hip Replacement

CPT 27130

$20,997.62

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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.