AVERA ST LUKES
Acute Care Hospitals
Procedure Prices at AVERA ST LUKES
Venipuncture
CPT 36415
$4.69
OB CBC W/Auto Diff
CPT 85025
$11.88
EKG Tracing
CPT 93005
$21.78
Mechanical Traction
CPT 97012
$33.66
Therapeutic Exercises
CPT 97110
$33.66
Therapeutic Activities
CPT 97530
$36.63
Office Visit Level 3
CPT 99213
$43.89
Comprehensive Metabolic Panel
CPT 80053
$97.87
Chest X-Ray (1 view)
CPT 71045
$153.12
Diagnostic Mammogram (unilateral)
CPT 77065
$209.88
Screening Mammogram (bilateral)
CPT 77067
$223.41
ER Visit — Low-Moderate Complexity
CPT 99283
$243.21
Chest X-Ray (2 views)
CPT 71046
$253.77
Diagnostic Mammogram (bilateral)
CPT 77066
$258.72
Thoracic Spine X-Ray
CPT 72072
$285.12
ER Visit — Moderate Complexity
CPT 99284
$287.76
ER Visit — High Complexity
CPT 99285
$325.71
Abdominal Ultrasound — Limited
CPT 76705
$527.34
OB Ultrasound
CPT 76805
$531.96
Echocardiogram
CPT 93307
$553.08
Abdominal Ultrasound
CPT 76700
$654.39
CT Chest
CPT 71250
$1,066.23
Echocardiogram w/ Doppler
CPT 93306
$1,287.33
MRI Brain w/o Contrast
CPT 70551
$1,661.88
MRI Joint of Lower Extremity
CPT 73721
$1,706.76
MRI Brain w/ Contrast
CPT 70553
$1,922.58
CT Abdomen & Pelvis
CPT 74177
$2,225.52
Compare Prices Nearby
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.