ASCENSION ST VINCENT'S SOUTHSIDE
Acute Care Hospitals
29
Procedure Prices at ASCENSION ST VINCENT'S SOUTHSIDE
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$1.8
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$6.41
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$15.19
Mechanical Traction
CPT 97012
$20
Therapeutic Activities
CPT 97530
$50.31
Therapeutic Exercises
CPT 97110
$54.83
Chest X-Ray (1 view)
CPT 71045
$79.3
Thoracic Spine X-Ray
CPT 72072
$84.98
Chest X-Ray (2 views)
CPT 71046
$85.9
Diagnostic Mammogram (unilateral)
CPT 77065
$96
Diagnostic Mammogram (bilateral)
CPT 77066
$96
Screening Mammogram (bilateral)
CPT 77067
$96
Abdominal Ultrasound
CPT 76700
$125.82
Abdominal Ultrasound — Limited
CPT 76705
$125.82
Retroperitoneal Ultrasound
CPT 76770
$125.82
OB Ultrasound
CPT 76805
$125.82
EKG Tracing
CPT 93005
$206.4
CT Chest
CPT 71250
$396
CT Abdomen & Pelvis
CPT 74177
$396
Echocardiogram w/ Doppler
CPT 93306
$399.48
Echocardiogram
CPT 93307
$399.48
MRI Brain w/o Contrast
CPT 70551
$417
MRI Brain w/ Contrast
CPT 70553
$417
MRI Joint of Lower Extremity
CPT 73721
$417
ER Visit — Low-Moderate Complexity
CPT 99283
$525
ER Visit — Moderate Complexity
CPT 99284
$1,105.32
ER Visit — High Complexity
CPT 99285
$1,413.63
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,064
Colonoscopy
CPT 45378
$2,064
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$2,064
Colonoscopy w/ Biopsy
CPT 45380
$2,243
Cataract Surgery — Complex
CPT 66982
$3,540
Cataract Surgery
CPT 66984
$3,540
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,936
Inguinal Hernia Repair
CPT 49505
$5,016
Laparoscopic Hernia Repair
CPT 49650
$5,016
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$6,097
Hip Replacement
CPT 27130
$6,098
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$6,098
Knee Replacement
CPT 27447
$6,098
Appendectomy
CPT 44950
$6,098
Laparoscopic Cholecystectomy
CPT 47562
$6,098
Vaginal Delivery
CPT 59400
$6,098
C-Section
CPT 59510
$6,098
VBAC Delivery
CPT 59610
$6,098
Knee Arthroscopy
CPT 29881
$6,253
Recurrent Inguinal Hernia Repair
CPT 49520
$7,958
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$9,842
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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.