DAVIS MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at DAVIS MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$3
EKG
CPT 93000
$5.52
EKG Tracing
CPT 93005
$5.52
Lab Test - Complete Blood Cell Count
CPT 85025
$7.13
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$9.78
Chest X-Ray (1 view)
CPT 71045
$11.87
Chest X-Ray (2 views)
CPT 71046
$11.87
Thoracic Spine X-Ray
CPT 72072
$14.58
Therapeutic Exercises
CPT 97110
$16.35
Therapeutic Activities
CPT 97530
$16.35
Outpatient Clinic Visit
CPT 99213
$28.86
Abdominal Ultrasound
CPT 76700
$42.23
Abdominal Ultrasound — Limited
CPT 76705
$42.23
OB Ultrasound
CPT 76805
$46.23
Retroperitoneal Ultrasound
CPT 76770
$48.52
Diagnostic Mammogram (unilateral)
CPT 77065
$59.49
Individual Psychotherapy Session
CPT 90837
$59.65
Diagnostic Mammogram (bilateral)
CPT 77066
$62.07
ER Visit — Low-Moderate Complexity
CPT 99283
$62.75
ER Visit — Moderate Complexity
CPT 99284
$62.75
ER Visit — High Complexity
CPT 99285
$62.75
Screening Mammogram (bilateral)
CPT 77067
$62.99
CT Chest
CPT 71250
$63.67
Upper GI Endoscopy w/ Biopsy
CPT 43239
$71.7
Echocardiogram w/ Doppler
CPT 93306
$83.68
MRI Brain w/o Contrast
CPT 70551
$95.21
MRI Joint of Lower Extremity
CPT 73721
$106.47
Colonoscopy
CPT 45378
$114.48
Colonoscopy w/ Biopsy
CPT 45380
$132.37
CT Abdomen & Pelvis
CPT 74177
$175.46
MRI Brain w/ Contrast
CPT 70553
$198.88
Injection of Drug Into Spinal Nerve Root With Imaging Guidance
CPT 64483
$203.29
Cataract Surgery — Complex
CPT 66982
$394.29
Cataract Surgery
CPT 66984
$394.29
Inguinal Hernia Repair
CPT 49505
$403
Knee Arthroscopy
CPT 29881
$436.18
Appendectomy
CPT 44950
$470.89
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$515.92
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$515.92
Laparoscopic Cholecystectomy
CPT 47562
$530.33
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$857.81
Knee Replacement
CPT 27447
$966.55
Hip Replacement
CPT 27130
$4,717.72
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.