Procedure Prices at ASCENSION ST JOHN HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$1.69
EKG Interpretation
CPT 93010
$4.75
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$6.01
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$14.24
Mechanical Traction
CPT 97012
$21.75
Chest X-Ray (1 view)
CPT 71045
$34.57
EKG Tracing
CPT 93005
$34.83
Therapeutic Exercises
CPT 97110
$35.48
Therapeutic Activities
CPT 97530
$35.48
Echocardiogram w/ Doppler
CPT 93306
$35.66
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$42.93
EKG
CPT 93000
$46.44
Chest X-Ray (2 views)
CPT 71046
$47.27
Thoracic Spine X-Ray
CPT 72072
$57.86
OB Ultrasound
CPT 76805
$111.3
Abdominal Ultrasound — Limited
CPT 76705
$129.13
Retroperitoneal Ultrasound
CPT 76770
$159.47
ER Visit — Low-Moderate Complexity
CPT 99283
$167
ER Visit — Moderate Complexity
CPT 99284
$167
ER Visit — High Complexity
CPT 99285
$167
Screening Mammogram (bilateral)
CPT 77067
$171.19
Abdominal Ultrasound
CPT 76700
$171.47
Diagnostic Mammogram (unilateral)
CPT 77065
$184.88
CT Chest
CPT 71250
$187.7
Diagnostic Mammogram (bilateral)
CPT 77066
$236.39
MRI Brain w/o Contrast
CPT 70551
$299.89
MRI Joint of Lower Extremity
CPT 73721
$326.71
CT Abdomen & Pelvis
CPT 74177
$504.54
MRI Brain w/ Contrast
CPT 70553
$505.24
Echocardiogram
CPT 93307
$714.86
Upper GI Endoscopy w/ Biopsy
CPT 43239
$797.52
Colonoscopy w/ Biopsy
CPT 45380
$928.27
Cataract Surgery — Complex
CPT 66982
$2,653.69
Cataract Surgery
CPT 66984
$2,653.69
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$2,783.33
Colonoscopy
CPT 45378
$2,814.85
Recurrent Inguinal Hernia Repair
CPT 49520
$3,039.21
Laparoscopic Hernia Repair
CPT 49650
$4,440.03
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$5,158.05
Laparoscopic Cholecystectomy
CPT 47562
$5,224.74
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$7,581.12
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$8,032.78
Vaginal Delivery
CPT 59400
$8,760.98
VBAC Delivery
CPT 59610
$9,221.68
Appendectomy
CPT 44950
$9,268.15
Knee Arthroscopy
CPT 29881
$9,724.2
C-Section
CPT 59510
$9,724.56
Inguinal Hernia Repair
CPT 49505
$10,587.21
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$17,966.99
Knee Replacement
CPT 27447
$21,270.36
Hip Replacement
CPT 27130
$21,812.28
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.