ASSUMPTION COMMUNITY HOSPITAL
Hospital
Procedure Prices at ASSUMPTION COMMUNITY HOSPITAL
HC Venipuncture (1 per Day)
CPT 36415
$3
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$6.31
HC Comprehensv Metabolic Panel
CPT 80053
$8.76
Chest X-Ray (1 view)
CPT 71045
$59
EKG Tracing
CPT 93005
$78.5
Chest X-Ray (2 views)
CPT 71046
$83
Thoracic Spine X-Ray
CPT 72072
$113.5
Abdominal Ultrasound — Limited
CPT 76705
$190.5
Diagnostic Mammogram (unilateral)
CPT 77065
$195.5
Retroperitoneal Ultrasound
CPT 76770
$220
Diagnostic Mammogram (bilateral)
CPT 77066
$262
CT Chest
CPT 71250
$288.78
Abdominal Ultrasound
CPT 76700
$288.78
ER Visit — Low-Moderate Complexity
CPT 99283
$349.5
ER Visit — Moderate Complexity
CPT 99284
$512.5
CT Abdomen & Pelvis
CPT 74177
$637.66
Echocardiogram
CPT 93307
$657.5
ER Visit — High Complexity
CPT 99285
$761
Echocardiogram w/ Doppler
CPT 93306
$1,189
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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.