DEACONESS HOSPITAL INC
Acute Care Hospitals
Procedure Prices at DEACONESS HOSPITAL INC
Blood Draw From Vein Using Needle
CPT 36415
$1.93
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$5.39
Lab Test - Complete Blood Cell Count
CPT 85025
$5.73
Diagnostic Mammogram (unilateral)
CPT 77065
$19.72
Chest X-Ray (1 view)
CPT 71045
$29.55
Chest X-Ray (2 views)
CPT 71046
$29.55
Thoracic Spine X-Ray
CPT 72072
$60.52
Abdominal Ultrasound
CPT 76700
$74.67
Abdominal Ultrasound — Limited
CPT 76705
$74.67
Retroperitoneal Ultrasound
CPT 76770
$82.57
Screening Mammogram (bilateral)
CPT 77067
$88.16
CT Chest
CPT 71250
$92.3
OB Ultrasound
CPT 76805
$106.51
Diagnostic Mammogram (bilateral)
CPT 77066
$108.84
CT Abdomen & Pelvis
CPT 74177
$154
MRI Joint of Lower Extremity
CPT 73721
$178.25
MRI Brain w/ Contrast
CPT 70553
$188.4
MRI Brain w/o Contrast
CPT 70551
$215.2
Colonoscopy
CPT 45378
$357.38
Colonoscopy w/ Biopsy
CPT 45380
$367.6
Injection of Drug Into Spinal Nerve Root With Imaging Guidance
CPT 64483
$371.14
Upper GI Endoscopy w/ Biopsy
CPT 43239
$416.7
Knee Arthroscopy
CPT 29881
$500
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$957.38
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$957.38
Cataract Surgery — Complex
CPT 66982
$1,230.06
Cataract Surgery
CPT 66984
$1,230.06
Laparoscopic Hernia Repair
CPT 49650
$1,899.36
Inguinal Hernia Repair
CPT 49505
$2,101.85
Recurrent Inguinal Hernia Repair
CPT 49520
$2,101.85
Laparoscopic Cholecystectomy
CPT 47562
$2,104.19
Knee Replacement
CPT 27447
$2,321.22
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$3,086.1
Hip Replacement
CPT 27130
$5,325.58
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.