ASCENSION ST VINCENT MERCY
Critical Access Hospitals
16
Procedure Prices at ASCENSION ST VINCENT MERCY
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$8
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$13.23
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$16.5
Thoracic Spine X-Ray
CPT 72072
$34.97
Abdominal Ultrasound
CPT 76700
$74.75
Abdominal Ultrasound — Limited
CPT 76705
$74.75
Retroperitoneal Ultrasound
CPT 76770
$74.75
OB Ultrasound
CPT 76805
$74.75
CT Chest
CPT 71250
$150.5
CT Abdomen & Pelvis
CPT 74177
$232.77
MRI Brain w/o Contrast
CPT 70551
$266.25
MRI Joint of Lower Extremity
CPT 73721
$266.25
MRI Brain w/ Contrast
CPT 70553
$414.28
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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.