BON SECOURS MARYVIEW MEDICAL CENTER
Hospital
Procedure Prices at BON SECOURS MARYVIEW MEDICAL CENTER
ROUTINE VENIPUNCTURE
CPT 36415
$2.7
CBC WITH AUTO DIFF
CPT 85025
$6.99
COMPREHEN METABOLIC PANEL
CPT 80053
$9.5
Chest X-Ray (1 view)
CPT 71045
$11.2
EKG Tracing
CPT 93005
$11.2
Mechanical Traction
CPT 97012
$14.7
Chest X-Ray (2 views)
CPT 71046
$20.65
Thoracic Spine X-Ray
CPT 72072
$26.25
Therapeutic Exercises
CPT 97110
$30.43
Therapeutic Activities
CPT 97530
$38.39
Screening Mammogram (bilateral)
CPT 77067
$49.59
Abdominal Ultrasound — Limited
CPT 76705
$73.85
Diagnostic Mammogram (unilateral)
CPT 77065
$90.18
ESTAB PT LEVEL III
CPT 99213
$92.78
Echocardiogram
CPT 93307
$102.55
CT Chest
CPT 71250
$102.76
Abdominal Ultrasound
CPT 76700
$102.76
Retroperitoneal Ultrasound
CPT 76770
$102.76
OB Ultrasound
CPT 76805
$102.76
Diagnostic Mammogram (bilateral)
CPT 77066
$111.65
PSYCH TX 60 MIN W/PT
CPT 90837
$126.29
Echocardiogram w/ Doppler
CPT 93306
$157.15
INJ(S) ANES/STER EPI LUMB SNG W IMA-PBB
CPT 64483
$167.65
ER Visit — Low-Moderate Complexity
CPT 99283
$170.85
ER Visit — Moderate Complexity
CPT 99284
$215.85
MRI Brain w/o Contrast
CPT 70551
$217.19
MRI Joint of Lower Extremity
CPT 73721
$217.19
ER Visit — High Complexity
CPT 99285
$300.81
MRI Brain w/ Contrast
CPT 70553
$347.59
CT Abdomen & Pelvis
CPT 74177
$347.59
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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.