Procedure Prices at DANIELS MEMORIAL HOSPITAL
Chest X-Ray (1 view)
CPT 71045
$8.8
Thoracic Spine X-Ray
CPT 72072
$10.84
COLLECTION: Venous Draw
CPT 36415
$25.5
Mechanical Traction
CPT 97012
$25.85
Abdominal Ultrasound — Limited
CPT 76705
$28.44
CBC, Diff
CPT 85025
$36.17
Diagnostic Mammogram (unilateral)
CPT 77065
$42.46
Comprehensive Metabolic Panel
CPT 80053
$49.17
Telehealth Home Visit 99213
CPT 99213
$66.01
Therapeutic Activities
CPT 97530
$70.78
Chest X-Ray (2 views)
CPT 71046
$71
EKG Interpretation
CPT 93010
$71
Screening Mammogram (bilateral)
CPT 77067
$87.4
OB Ultrasound
CPT 76805
$95
MRI Brain w/ Contrast
CPT 70553
$109.71
Therapeutic Exercises
CPT 97110
$118.15
90837 Psych Tx Pt&/Family 60 Min
CPT 90837
$129.39
CT Abdomen & Pelvis
CPT 74177
$176
ER Visit — High Complexity
CPT 99285
$176.24
ER Visit — Moderate Complexity
CPT 99284
$199.26
Diagnostic Mammogram (bilateral)
CPT 77066
$273.7
EKG Tracing
CPT 93005
$298.8
MRI Joint of Lower Extremity
CPT 73721
$433.2
MRI Brain w/o Contrast
CPT 70551
$474
ER Visit — Low-Moderate Complexity
CPT 99283
$503
Retroperitoneal Ultrasound
CPT 76770
$613.39
Abdominal Ultrasound
CPT 76700
$658.42
CT Chest
CPT 71250
$881.94
Echocardiogram w/ Doppler
CPT 93306
$1,530
Echocardiogram
CPT 93307
$1,779.9
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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.