BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at BON SECOURS SOUTHAMPTON MEMORIAL HOSPITAL
ROUTINE VENIPUNCTURE
CPT 36415
$9.18
EKG Interpretation
CPT 93010
$23.36
CBC WITH AUTO DIFF
CPT 85025
$26.7
COMPREHEN METABOLIC PANEL
CPT 80053
$36.43
Mechanical Traction
CPT 97012
$73.42
Therapeutic Exercises
CPT 97110
$95.67
Therapeutic Activities
CPT 97530
$95.67
Diagnostic Mammogram (unilateral)
CPT 77065
$122.64
Diagnostic Mammogram (bilateral)
CPT 77066
$144.61
Screening Mammogram (bilateral)
CPT 77067
$144.61
Chest X-Ray (1 view)
CPT 71045
$150.73
EKG Tracing
CPT 93005
$171.87
Chest X-Ray (2 views)
CPT 71046
$187.44
Thoracic Spine X-Ray
CPT 72072
$245.84
CT Chest
CPT 71250
$338.45
Abdominal Ultrasound
CPT 76700
$338.45
Retroperitoneal Ultrasound
CPT 76770
$338.45
OB Ultrasound
CPT 76805
$339.56
Abdominal Ultrasound — Limited
CPT 76705
$362.92
ER Visit — Low-Moderate Complexity
CPT 99283
$647.42
MRI Brain w/o Contrast
CPT 70551
$696.64
MRI Joint of Lower Extremity
CPT 73721
$696.64
CT Abdomen & Pelvis
CPT 74177
$719.44
INJ(S) ANES/STEROID EPI LUMB SNG W IMAG
CPT 64483
$961.95
ER Visit — Moderate Complexity
CPT 99284
$1,029.25
MRI Brain w/ Contrast
CPT 70553
$1,296.22
Echocardiogram w/ Doppler
CPT 93306
$1,461.69
ER Visit — High Complexity
CPT 99285
$1,519.54
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.