AVERA ST ANTHONY'S HOSPITAL
Hospital
Procedure Prices at AVERA ST ANTHONY'S HOSPITAL
EKG Interpretation
CPT 93010
$10.2
Draw & Process Specimen
CPT 36415
$11.4
OB CBC W/Auto Diff
CPT 85025
$36.1
Est Patient Level 3 Low Comp
CPT 99213
$76.78
Therapeutic Activities
CPT 97530
$76.8
Mechanical Traction
CPT 97012
$91.8
Therapeutic Exercises
CPT 97110
$123.25
ER Visit — Low-Moderate Complexity
CPT 99283
$124.3
Comprehensive Metabolic Panel
CPT 80053
$217.6
ER Visit — Moderate Complexity
CPT 99284
$239.47
Chest X-Ray (1 view)
CPT 71045
$267.75
Chest X-Ray (2 views)
CPT 71046
$348.5
ER Visit — High Complexity
CPT 99285
$348.5
EKG Tracing
CPT 93005
$374
Screening Mammogram (bilateral)
CPT 77067
$379.95
Diagnostic Mammogram (unilateral)
CPT 77065
$419.05
Thoracic Spine X-Ray
CPT 72072
$437.75
Inj Foramen Epidural L/S LT
CPT 64483
$453.05
OB Ultrasound
CPT 76805
$475.15
Diagnostic Mammogram (bilateral)
CPT 77066
$577.15
Colonoscopy
CPT 45378
$714
Abdominal Ultrasound — Limited
CPT 76705
$728.46
Upper GI Endoscopy w/ Biopsy
CPT 43239
$740.35
Retroperitoneal Ultrasound
CPT 76770
$776.05
Colonoscopy w/ Biopsy
CPT 45380
$851.7
Inguinal Hernia Repair
CPT 49505
$944.35
Knee Arthroscopy
CPT 29881
$995.35
Abdominal Ultrasound
CPT 76700
$1,006.4
Arthro Rotator Cuff Repair LT
CPT 29827
$1,953.3
Echocardiogram w/ Doppler
CPT 93306
$2,439.5
Knee Replacement
CPT 27447
$2,491.35
Hip Replacement
CPT 27130
$2,562.75
CT Chest
CPT 71250
$2,820.3
MRI Brain w/o Contrast
CPT 70551
$2,833.9
MRI Joint of Lower Extremity
CPT 73721
$2,861.95
MRI Brain w/ Contrast
CPT 70553
$4,420.85
CT Abdomen & Pelvis
CPT 74177
$4,797.4
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.