ASCENSION VIA CHRISTI REHABILITATION HOSPITAL, INC
Hospital
Procedure Prices at ASCENSION VIA CHRISTI REHABILITATION HOSPITAL, INC
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$4.54
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$13.46
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$18.32
Mechanical Traction
CPT 97012
$27.2
Therapeutic Exercises
CPT 97110
$30.4
Therapeutic Activities
CPT 97530
$38.4
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$46
EKG Tracing
CPT 93005
$116.15
Chest X-Ray (1 view)
CPT 71045
$168.52
Chest X-Ray (2 views)
CPT 71046
$168.52
Diagnostic Mammogram (unilateral)
CPT 77065
$200.17
Screening Mammogram (bilateral)
CPT 77067
$211.65
CT Chest
CPT 71250
$236.66
Thoracic Spine X-Ray
CPT 72072
$236.66
Abdominal Ultrasound
CPT 76700
$236.66
Abdominal Ultrasound — Limited
CPT 76705
$236.66
Retroperitoneal Ultrasound
CPT 76770
$236.66
OB Ultrasound
CPT 76805
$236.66
Diagnostic Mammogram (bilateral)
CPT 77066
$255.26
ER Visit — Low-Moderate Complexity
CPT 99283
$406.8
MRI Brain w/o Contrast
CPT 70551
$492.06
MRI Joint of Lower Extremity
CPT 73721
$492.06
MRI Brain w/ Contrast
CPT 70553
$806.27
CT Abdomen & Pelvis
CPT 74177
$806.27
Echocardiogram
CPT 93307
$956.57
ER Visit — Moderate Complexity
CPT 99284
$1,004
Echocardiogram w/ Doppler
CPT 93306
$1,016.85
ER Visit — High Complexity
CPT 99285
$1,114.4
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,313
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,133
Colonoscopy
CPT 45378
$2,133
Colonoscopy w/ Biopsy
CPT 45380
$2,133
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,395
Knee Arthroscopy
CPT 29881
$2,965
Inguinal Hernia Repair
CPT 49505
$2,965
Laparoscopic Hernia Repair
CPT 49650
$2,965
Hip Replacement
CPT 27130
$3,281
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$3,281
Knee Replacement
CPT 27447
$3,281
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$3,281
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,281
Appendectomy
CPT 44950
$3,281
Cataract Surgery — Complex
CPT 66982
$4,217
Cataract Surgery
CPT 66984
$4,217
Recurrent Inguinal Hernia Repair
CPT 49520
$4,301
Laparoscopic Cholecystectomy
CPT 47562
$6,208
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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.