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ASCENSION ST VINCENT WILLIAMSPORT

Hospital

412 N MONROE ST

WILLIAMSPORT, IN, 47993

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Procedure Prices at ASCENSION ST VINCENT WILLIAMSPORT

COLLECTION VENOUS BLOOD VENIPUNCTURE

CPT 36415

$3

BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC

CPT 85025

$7.77

COMPREHENSIVE METABOLIC PANEL

CPT 80053

$10.56

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

Diagnostic Mammogram (unilateral)

CPT 77065

$85.87

Screening Mammogram (bilateral)

CPT 77067

$90.79

Diagnostic Mammogram (bilateral)

CPT 77066

$109.51

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.