ASCENSION ST VINCENT'S CLAY COUNTY
Acute Care Hospitals
29
Procedure Prices at ASCENSION ST VINCENT'S CLAY COUNTY
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3.02
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$31.02
Therapeutic Activities
CPT 97530
$50.31
Therapeutic Exercises
CPT 97110
$54.83
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$74.09
Chest X-Ray (1 view)
CPT 71045
$79.3
Chest X-Ray (2 views)
CPT 71046
$85.9
Thoracic Spine X-Ray
CPT 72072
$86.91
Screening Mammogram (bilateral)
CPT 77067
$100.63
Diagnostic Mammogram (unilateral)
CPT 77065
$105.67
Diagnostic Mammogram (bilateral)
CPT 77066
$106.51
OB Ultrasound
CPT 76805
$135.97
EKG Tracing
CPT 93005
$206.4
Retroperitoneal Ultrasound
CPT 76770
$225.46
Mechanical Traction
CPT 97012
$250
ER Visit — Low-Moderate Complexity
CPT 99283
$346
Abdominal Ultrasound — Limited
CPT 76705
$349.22
Abdominal Ultrasound
CPT 76700
$357.78
CT Chest
CPT 71250
$458.3
CT Abdomen & Pelvis
CPT 74177
$490.78
MRI Brain w/o Contrast
CPT 70551
$603.29
MRI Joint of Lower Extremity
CPT 73721
$638.01
MRI Brain w/ Contrast
CPT 70553
$672.73
ER Visit — Moderate Complexity
CPT 99284
$1,105.32
ER Visit — High Complexity
CPT 99285
$1,184
EKG
CPT 93000
$1,400
EKG Interpretation
CPT 93010
$1,400
Echocardiogram w/ Doppler
CPT 93306
$1,400
Echocardiogram
CPT 93307
$1,400
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$12,182
Knee Arthroscopy
CPT 29881
$12,182
Hip Replacement
CPT 27130
$13,500
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$13,500
Knee Replacement
CPT 27447
$13,500
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$13,500
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$13,500
Upper GI Endoscopy w/ Biopsy
CPT 43239
$13,500
Appendectomy
CPT 44950
$13,500
Colonoscopy
CPT 45378
$13,500
Colonoscopy w/ Biopsy
CPT 45380
$13,500
Laparoscopic Cholecystectomy
CPT 47562
$13,500
Inguinal Hernia Repair
CPT 49505
$13,500
Recurrent Inguinal Hernia Repair
CPT 49520
$13,500
Laparoscopic Hernia Repair
CPT 49650
$13,500
Vaginal Delivery
CPT 59400
$13,500
C-Section
CPT 59510
$13,500
VBAC Delivery
CPT 59610
$13,500
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$13,500
Cataract Surgery — Complex
CPT 66982
$13,500
Cataract Surgery
CPT 66984
$13,500
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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.