AVERA SACRED HEART HOSPITAL
Acute Care Hospitals
Procedure Prices at AVERA SACRED HEART HOSPITAL
Draw & Process Specimen
CPT 36415
$19.47
OB CBC W/Auto Diff
CPT 85025
$22.42
EKG Tracing
CPT 93005
$23.43
Mechanical Traction
CPT 97012
$56.1
Therapeutic Exercises
CPT 97110
$56.1
Therapeutic Activities
CPT 97530
$56.1
Office Visit Level 3
CPT 99213
$89.68
Comprehensive Metabolic Panel
CPT 80053
$115.5
Chest X-Ray (1 view)
CPT 71045
$161.04
ER Visit — Low-Moderate Complexity
CPT 99283
$163.68
Diagnostic Mammogram (unilateral)
CPT 77065
$187.11
Screening Mammogram (bilateral)
CPT 77067
$205.92
ER Visit — Moderate Complexity
CPT 99284
$221.1
Chest X-Ray (2 views)
CPT 71046
$261.36
Diagnostic Mammogram (bilateral)
CPT 77066
$261.36
Thoracic Spine X-Ray
CPT 72072
$296.67
Abdominal Ultrasound — Limited
CPT 76705
$321.42
ER Visit — High Complexity
CPT 99285
$400.29
Retroperitoneal Ultrasound
CPT 76770
$414.15
OB Ultrasound
CPT 76805
$431.97
Abdominal Ultrasound
CPT 76700
$443.19
CT Chest
CPT 71250
$802.56
CT Abdomen & Pelvis
CPT 74177
$802.56
Echocardiogram w/ Doppler
CPT 93306
$1,123.65
MRI Brain w/o Contrast
CPT 70551
$1,604.79
MRI Brain w/ Contrast
CPT 70553
$1,604.79
MRI Joint of Lower Extremity
CPT 73721
$1,604.79
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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.