ASCENSION ST MARY'S HOSPITAL
Hospital
Procedure Prices at ASCENSION ST MARY'S HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$1.3
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$4.64
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$10.95
Therapeutic Exercises
CPT 97110
$17.82
Mechanical Traction
CPT 97012
$22.34
Chest X-Ray (1 view)
CPT 71045
$36.97
Thoracic Spine X-Ray
CPT 72072
$42.68
Chest X-Ray (2 views)
CPT 71046
$50.56
Therapeutic Activities
CPT 97530
$58.7
EKG Tracing
CPT 93005
$74.71
EKG
CPT 93000
$99.61
Abdominal Ultrasound — Limited
CPT 76705
$111.99
Retroperitoneal Ultrasound
CPT 76770
$137.82
Abdominal Ultrasound
CPT 76700
$147.92
Diagnostic Mammogram (unilateral)
CPT 77065
$157.68
OB Ultrasound
CPT 76805
$165.56
Screening Mammogram (bilateral)
CPT 77067
$169.02
Diagnostic Mammogram (bilateral)
CPT 77066
$183.6
CT Chest
CPT 71250
$200.74
MRI Brain w/o Contrast
CPT 70551
$320.73
MRI Joint of Lower Extremity
CPT 73721
$349.41
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$409.46
ER Visit — Low-Moderate Complexity
CPT 99283
$451.44
CT Abdomen & Pelvis
CPT 74177
$475.56
MRI Brain w/ Contrast
CPT 70553
$540.35
ER Visit — Moderate Complexity
CPT 99284
$732.24
Upper GI Endoscopy w/ Biopsy
CPT 43239
$860.21
Colonoscopy w/ Biopsy
CPT 45380
$1,001.24
ER Visit — High Complexity
CPT 99285
$1,052.46
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,434.78
Echocardiogram
CPT 93307
$1,533.29
Echocardiogram w/ Doppler
CPT 93306
$1,561.14
Cataract Surgery — Complex
CPT 66982
$2,862.29
Cataract Surgery
CPT 66984
$2,862.29
Recurrent Inguinal Hernia Repair
CPT 49520
$3,278.12
Colonoscopy
CPT 45378
$3,452
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,962
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,962
Laparoscopic Hernia Repair
CPT 49650
$4,789.06
Knee Arthroscopy
CPT 29881
$4,885
Appendectomy
CPT 44950
$4,885
Inguinal Hernia Repair
CPT 49505
$4,885
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$5,543
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$6,392
Laparoscopic Cholecystectomy
CPT 47562
$6,392
Hip Replacement
CPT 27130
$7,691
Knee Replacement
CPT 27447
$7,691
Vaginal Delivery
CPT 59400
$9,449.67
VBAC Delivery
CPT 59610
$9,946.59
C-Section
CPT 59510
$10,489.01
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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.