ASCENSION SAINT THOMAS HOSPITAL
Acute Care Hospitals
29
Procedure Prices at ASCENSION SAINT THOMAS HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$4.06
Chest X-Ray (1 view)
CPT 71045
$7.8
EKG Interpretation
CPT 93010
$10.54
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$10.95
Mechanical Traction
CPT 97012
$12.89
EKG Tracing
CPT 93005
$13.71
Chest X-Ray (2 views)
CPT 71046
$14.38
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$15.14
Therapeutic Exercises
CPT 97110
$20.3
Thoracic Spine X-Ray
CPT 72072
$20.94
Therapeutic Activities
CPT 97530
$22.01
EKG
CPT 93000
$23.94
Abdominal Ultrasound — Limited
CPT 76705
$40.08
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$46.61
Abdominal Ultrasound
CPT 76700
$55.69
Retroperitoneal Ultrasound
CPT 76770
$55.69
OB Ultrasound
CPT 76805
$59.47
Diagnostic Mammogram (unilateral)
CPT 77065
$69.43
Screening Mammogram (bilateral)
CPT 77067
$73.36
ER Visit — Low-Moderate Complexity
CPT 99283
$74.42
Diagnostic Mammogram (bilateral)
CPT 77066
$88.85
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$92
ER Visit — Moderate Complexity
CPT 99284
$115.01
Echocardiogram
CPT 93307
$117.72
CT Chest
CPT 71250
$130.74
Echocardiogram w/ Doppler
CPT 93306
$148.77
MRI Brain w/o Contrast
CPT 70551
$159.24
MRI Joint of Lower Extremity
CPT 73721
$173.15
CT Abdomen & Pelvis
CPT 74177
$192.93
ER Visit — High Complexity
CPT 99285
$216.48
MRI Brain w/ Contrast
CPT 70553
$259.3
Upper GI Endoscopy w/ Biopsy
CPT 43239
$301.12
Colonoscopy
CPT 45378
$301.12
Colonoscopy w/ Biopsy
CPT 45380
$301.12
Hip Replacement
CPT 27130
$869.15
Appendectomy
CPT 44950
$1,104.19
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,104.19
Knee Arthroscopy
CPT 29881
$1,168.1
Inguinal Hernia Repair
CPT 49505
$1,168.1
Vaginal Delivery
CPT 59400
$1,168.1
VBAC Delivery
CPT 59610
$1,168.1
Laparoscopic Cholecystectomy
CPT 47562
$1,292
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,334.18
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,334.18
Laparoscopic Hernia Repair
CPT 49650
$1,334.18
C-Section
CPT 59510
$1,334.18
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$1,876.7
Knee Replacement
CPT 27447
$1,876.7
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$1,876.7
Recurrent Inguinal Hernia Repair
CPT 49520
$1,876.7
Cataract Surgery — Complex
CPT 66982
$2,183.95
Cataract Surgery
CPT 66984
$2,183.95
Compare Prices Nearby
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.