CHI-ST VINCENT INFIRMARY
Acute Care Hospitals
Procedure Prices at CHI-ST VINCENT INFIRMARY
LC LAB DRAW FEE
CPT 36415
$2.15
Chest X-Ray (1 view)
CPT 71045
$11.86
Abdominal Ultrasound — Limited
CPT 76705
$20
Chest X-Ray (2 views)
CPT 71046
$21.87
LC ANCILLARY - LOW
CPT 99213
$27.24
EKG Tracing
CPT 93005
$38.59
Mechanical Traction
CPT 97012
$38.65
Therapeutic Activities
CPT 97530
$39.3
Retroperitoneal Ultrasound
CPT 76770
$44
Abdominal Ultrasound
CPT 76700
$56
OB Ultrasound
CPT 76805
$56
Therapeutic Exercises
CPT 97110
$56.43
CT Chest
CPT 71250
$100.39
ER Visit — Low-Moderate Complexity
CPT 99283
$115.77
ER Visit — Moderate Complexity
CPT 99284
$115.77
INDIV PSYCH 60MINS(OP)
CPT 90837
$125.52
Echocardiogram
CPT 93307
$172.52
CT Abdomen & Pelvis
CPT 74177
$206.27
MRI Brain w/o Contrast
CPT 70551
$219.34
MRI Joint of Lower Extremity
CPT 73721
$219.34
Colonoscopy
CPT 45378
$260.69
Colonoscopy w/ Biopsy
CPT 45380
$260.69
L XA NRB L/S SINGLE W FLUORO
CPT 64483
$260.69
Hip Replacement
CPT 27130
$320
Knee Replacement
CPT 27447
$320
MRI Brain w/ Contrast
CPT 70553
$346.06
TREAT THIGH FRACTURE
CPT 27245
$363
Upper GI Endoscopy w/ Biopsy
CPT 43239
$429.52
Echocardiogram w/ Doppler
CPT 93306
$462.34
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$502
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$592.75
Cataract Surgery — Complex
CPT 66982
$592.75
Cataract Surgery
CPT 66984
$592.75
Knee Arthroscopy
CPT 29881
$619.25
Appendectomy
CPT 44950
$619.25
Inguinal Hernia Repair
CPT 49505
$619.25
Recurrent Inguinal Hernia Repair
CPT 49520
$619.25
Laparoscopic Hernia Repair
CPT 49650
$619.25
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$705.25
Laparoscopic Cholecystectomy
CPT 47562
$705.25
Vaginal Delivery
CPT 59400
$1,140
C-Section
CPT 59510
$1,140
VBAC Delivery
CPT 59610
$1,140
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.