BON SECOURS ST MARYS HOSPITAL
Hospital
Procedure Prices at BON SECOURS ST MARYS HOSPITAL
ROUTINE VENIPUNCTURE
CPT 36415
$3.15
Chest X-Ray (1 view)
CPT 71045
$11.2
EKG Tracing
CPT 93005
$11.2
CBC WITH AUTO DIFF
CPT 85025
$13.03
COMPREHEN METABOLIC PANEL
CPT 80053
$17.72
Chest X-Ray (2 views)
CPT 71046
$20.65
Thoracic Spine X-Ray
CPT 72072
$26.25
Mechanical Traction
CPT 97012
$26.25
Therapeutic Exercises
CPT 97110
$45.5
WC SUBSQ INTERMEDIATE EVAL
CPT 99213
$48.65
Therapeutic Activities
CPT 97530
$52.85
Abdominal Ultrasound — Limited
CPT 76705
$73.85
Screening Mammogram (bilateral)
CPT 77067
$96.6
Echocardiogram
CPT 93307
$102.55
INJ(S) ANES/STER EPI LUMB SNG W IMA-PBB
CPT 64483
$167.65
Diagnostic Mammogram (unilateral)
CPT 77065
$172.2
OP PSYCH TELEHEALTH 60 MIN
CPT 90837
$190.75
Diagnostic Mammogram (bilateral)
CPT 77066
$213.15
Colonoscopy
CPT 45378
$231.35
Echocardiogram w/ Doppler
CPT 93306
$269.4
CT Chest
CPT 71250
$392
ER Visit — Moderate Complexity
CPT 99284
$424
OB Ultrasound
CPT 76805
$530.25
ER Visit — Low-Moderate Complexity
CPT 99283
$540.4
MRI Brain w/ Contrast
CPT 70553
$574.35
Retroperitoneal Ultrasound
CPT 76770
$630.7
MRI Brain w/o Contrast
CPT 70551
$678.65
Abdominal Ultrasound
CPT 76700
$699.65
MRI Joint of Lower Extremity
CPT 73721
$822.15
ER Visit — High Complexity
CPT 99285
$1,368.5
CT Abdomen & Pelvis
CPT 74177
$1,379
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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.