ASCENSION SETON WILLIAMSON
Acute Care Hospitals
29
Procedure Prices at ASCENSION SETON WILLIAMSON
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3.75
EKG Interpretation
CPT 93010
$12.83
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$13.78
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$18.71
Mechanical Traction
CPT 97012
$22.45
EKG
CPT 93000
$25.67
Therapeutic Exercises
CPT 97110
$46.52
Chest X-Ray (1 view)
CPT 71045
$60.26
Chest X-Ray (2 views)
CPT 71046
$60.26
Therapeutic Activities
CPT 97530
$61.49
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$77.54
EKG Tracing
CPT 93005
$83.38
OB Ultrasound
CPT 76805
$91.21
Diagnostic Mammogram (unilateral)
CPT 77065
$92.95
Screening Mammogram (bilateral)
CPT 77067
$98.17
CT Chest
CPT 71250
$111.03
Thoracic Spine X-Ray
CPT 72072
$111.03
Abdominal Ultrasound
CPT 76700
$111.03
Abdominal Ultrasound — Limited
CPT 76705
$111.03
Retroperitoneal Ultrasound
CPT 76770
$111.03
Diagnostic Mammogram (bilateral)
CPT 77066
$118.71
Echocardiogram
CPT 93307
$147.58
Echocardiogram w/ Doppler
CPT 93306
$206.41
MRI Brain w/o Contrast
CPT 70551
$225.34
MRI Joint of Lower Extremity
CPT 73721
$225.34
CT Abdomen & Pelvis
CPT 74177
$245.16
ER Visit — Low-Moderate Complexity
CPT 99283
$326.46
MRI Brain w/ Contrast
CPT 70553
$442.68
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$457.08
Colonoscopy
CPT 45378
$482.79
ER Visit — Moderate Complexity
CPT 99284
$495
Upper GI Endoscopy w/ Biopsy
CPT 43239
$505.57
Colonoscopy w/ Biopsy
CPT 45380
$636.75
ER Visit — High Complexity
CPT 99285
$707
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$866.84
Hip Replacement
CPT 27130
$1,000
Knee Replacement
CPT 27447
$1,000
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$1,000
Knee Arthroscopy
CPT 29881
$1,000
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,000
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,000
Appendectomy
CPT 44950
$1,000
Laparoscopic Cholecystectomy
CPT 47562
$1,000
Inguinal Hernia Repair
CPT 49505
$1,000
Recurrent Inguinal Hernia Repair
CPT 49520
$1,000
Laparoscopic Hernia Repair
CPT 49650
$1,000
Vaginal Delivery
CPT 59400
$1,000
C-Section
CPT 59510
$1,000
VBAC Delivery
CPT 59610
$1,000
Cataract Surgery — Complex
CPT 66982
$1,000
Cataract Surgery
CPT 66984
$1,000
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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.