ASCENSION SACRED HEART GULF
Acute Care Hospitals
29
Procedure Prices at ASCENSION SACRED HEART GULF
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$1.8
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$6.41
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$15.19
Mechanical Traction
CPT 97012
$20
Therapeutic Exercises
CPT 97110
$51
Therapeutic Activities
CPT 97530
$77.52
Diagnostic Mammogram (unilateral)
CPT 77065
$125
Diagnostic Mammogram (bilateral)
CPT 77066
$125
Screening Mammogram (bilateral)
CPT 77067
$125
Chest X-Ray (1 view)
CPT 71045
$179.01
Chest X-Ray (2 views)
CPT 71046
$206.04
Retroperitoneal Ultrasound
CPT 76770
$235.62
EKG Tracing
CPT 93005
$247.35
OB Ultrasound
CPT 76805
$261.63
Abdominal Ultrasound — Limited
CPT 76705
$334.56
ER Visit — Low-Moderate Complexity
CPT 99283
$441
MRI Brain w/o Contrast
CPT 70551
$541
MRI Brain w/ Contrast
CPT 70553
$541
MRI Joint of Lower Extremity
CPT 73721
$541
CT Chest
CPT 71250
$578
CT Abdomen & Pelvis
CPT 74177
$578
Abdominal Ultrasound
CPT 76700
$653.31
ER Visit — Moderate Complexity
CPT 99284
$808
ER Visit — High Complexity
CPT 99285
$1,036
EKG
CPT 93000
$1,463
EKG Interpretation
CPT 93010
$1,463
Echocardiogram w/ Doppler
CPT 93306
$1,463
Echocardiogram
CPT 93307
$1,463
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$13,136
Knee Arthroscopy
CPT 29881
$13,136
Hip Replacement
CPT 27130
$29,260
Knee Replacement
CPT 27447
$29,260
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
Upper GI Endoscopy w/ Biopsy
CPT 43239
Appendectomy
CPT 44950
Colonoscopy
CPT 45378
Colonoscopy w/ Biopsy
CPT 45380
Laparoscopic Cholecystectomy
CPT 47562
Inguinal Hernia Repair
CPT 49505
Recurrent Inguinal Hernia Repair
CPT 49520
Laparoscopic Hernia Repair
CPT 49650
Vaginal Delivery
CPT 59400
C-Section
CPT 59510
VBAC Delivery
CPT 59610
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
Cataract Surgery — Complex
CPT 66982
Cataract Surgery
CPT 66984
Thoracic Spine X-Ray
CPT 72072
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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.