Procedure Prices at ASCENSION STANDISH HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3
EKG Interpretation
CPT 93010
$9.94
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$41.58
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$67.5
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$73.21
EKG Tracing
CPT 93005
$88.02
Echocardiogram w/ Doppler
CPT 93306
$98.85
Thoracic Spine X-Ray
CPT 72072
$106.92
ER Visit — Low-Moderate Complexity
CPT 99283
$211.14
Abdominal Ultrasound — Limited
CPT 76705
$250.02
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$305.1
Retroperitoneal Ultrasound
CPT 76770
$315.9
Abdominal Ultrasound
CPT 76700
$358.02
OB Ultrasound
CPT 76805
$362.88
ER Visit — Moderate Complexity
CPT 99284
$466.56
ER Visit — High Complexity
CPT 99285
$583.2
CT Chest
CPT 71250
$847.26
MRI Brain w/o Contrast
CPT 70551
$1,244.7
MRI Joint of Lower Extremity
CPT 73721
$1,250.64
CT Abdomen & Pelvis
CPT 74177
$1,388.88
MRI Brain w/ Contrast
CPT 70553
$1,692.9
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
Knee Arthroscopy
CPT 29881
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
Upper GI Endoscopy w/ Biopsy
CPT 43239
Appendectomy
CPT 44950
Colonoscopy
CPT 45378
Colonoscopy w/ Biopsy
CPT 45380
Laparoscopic Cholecystectomy
CPT 47562
Inguinal Hernia Repair
CPT 49505
Recurrent Inguinal Hernia Repair
CPT 49520
Laparoscopic Hernia Repair
CPT 49650
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
Cataract Surgery — Complex
CPT 66982
Cataract Surgery
CPT 66984
Echocardiogram
CPT 93307
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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.