CHI SAINT JOSEPH EAST
Acute Care Hospitals
Procedure Prices at CHI SAINT JOSEPH EAST
HC VENIPUNCTURE
CPT 36415
$3
HC LAB CBC W/AUTO DIFF
CPT 85025
$6.61
HC LAB COMP METABOLIC PANEL
CPT 80053
$7.15
EKG Tracing
CPT 93005
$52.66
Thoracic Spine X-Ray
CPT 72072
$59.45
Therapeutic Activities
CPT 97530
$74.62
Chest X-Ray (1 view)
CPT 71045
$76.53
Chest X-Ray (2 views)
CPT 71046
$76.53
Therapeutic Exercises
CPT 97110
$90.72
Mechanical Traction
CPT 97012
$102.83
CT Chest
CPT 71250
$103
Abdominal Ultrasound
CPT 76700
$103
Abdominal Ultrasound — Limited
CPT 76705
$103
Retroperitoneal Ultrasound
CPT 76770
$103
OB Ultrasound
CPT 76805
$103
Screening Mammogram (bilateral)
CPT 77067
$108.29
HC PSYTX PT & FAMILY 60 MIN
CPT 90837
$126.59
Diagnostic Mammogram (unilateral)
CPT 77065
$140.14
HC CLINIC VISIT LEVEL 3 EST
CPT 99213
$154.25
Diagnostic Mammogram (bilateral)
CPT 77066
$164
MRI Brain w/o Contrast
CPT 70551
$217.7
MRI Joint of Lower Extremity
CPT 73721
$217.7
Echocardiogram
CPT 93307
$217.7
ER Visit — Low-Moderate Complexity
CPT 99283
$218.95
CT Abdomen & Pelvis
CPT 74177
$300
HC INJ(S) FORAMEN LUMB/SAC
CPT 64483
$325.63
ER Visit — Moderate Complexity
CPT 99284
$344.17
MRI Brain w/ Contrast
CPT 70553
$348.4
Upper GI Endoscopy w/ Biopsy
CPT 43239
$407.18
Colonoscopy
CPT 45378
$407.18
Colonoscopy w/ Biopsy
CPT 45380
$407.18
Echocardiogram w/ Doppler
CPT 93306
$457.15
ER Visit — High Complexity
CPT 99285
$494.01
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$562.58
Hip Replacement
CPT 27130
$651.54
TREAT THIGH FRACTURE
CPT 27245
$651.54
Knee Replacement
CPT 27447
$651.54
Knee Arthroscopy
CPT 29881
$651.54
Inguinal Hernia Repair
CPT 49505
$651.54
Laparoscopic Hernia Repair
CPT 49650
$651.54
Vaginal Delivery
CPT 59400
$651.54
C-Section
CPT 59510
$651.54
VBAC Delivery
CPT 59610
$651.54
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$740.22
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$740.22
Laparoscopic Cholecystectomy
CPT 47562
$903.03
Cataract Surgery — Complex
CPT 66982
$903.03
Cataract Surgery
CPT 66984
$903.03
Recurrent Inguinal Hernia Repair
CPT 49520
$917.86
Appendectomy
CPT 44950
$1,921.93
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.