Procedure Prices at AVERA QUEEN OF PEACE
Venipuncture
CPT 36415
$19.8
OB CBC W/Auto Diff
CPT 85025
$23.6
Mechanical Traction
CPT 97012
$40.59
Therapeutic Exercises
CPT 97110
$49.83
Therapeutic Activities
CPT 97530
$49.83
Office Visit Level 3
CPT 99213
$51.62
EKG Tracing
CPT 93005
$120.12
Comprehensive Metabolic Panel
CPT 80053
$129.36
Chest X-Ray (1 view)
CPT 71045
$160.38
ER Visit — Moderate Complexity
CPT 99284
$184.47
Diagnostic Mammogram (unilateral)
CPT 77065
$220.44
Screening Mammogram (bilateral)
CPT 77067
$223.08
Chest X-Ray (2 views)
CPT 71046
$266.64
Diagnostic Mammogram (bilateral)
CPT 77066
$269.94
ER Visit — High Complexity
CPT 99285
$283.47
ER Visit — Low-Moderate Complexity
CPT 99283
$288.36
Thoracic Spine X-Ray
CPT 72072
$299.64
Abdominal Ultrasound — Limited
CPT 76705
$553.74
OB Ultrasound
CPT 76805
$565.29
Retroperitoneal Ultrasound
CPT 76770
$657.03
Abdominal Ultrasound
CPT 76700
$687.39
CT Chest
CPT 71250
$1,292.28
Echocardiogram w/ Doppler
CPT 93306
$1,553.97
MRI Brain w/o Contrast
CPT 70551
$1,745.04
MRI Joint of Lower Extremity
CPT 73721
$1,792.23
MRI Brain w/ Contrast
CPT 70553
$2,032.47
CT Abdomen & Pelvis
CPT 74177
$2,407.02
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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.