DOMINICAN HOSPITAL
Acute Care Hospitals
Procedure Prices at DOMINICAN HOSPITAL
VENIPUNCTURE
CPT 36415
$3
CBC W/AUTO DIFF
CPT 85025
$7.77
COMP METABOLIC PANEL
CPT 80053
$10.56
Chest X-Ray (1 view)
CPT 71045
$17.67
EKG Tracing
CPT 93005
$18.82
Chest X-Ray (2 views)
CPT 71046
$27.48
Thoracic Spine X-Ray
CPT 72072
$44.22
Abdominal Ultrasound — Limited
CPT 76705
$87.13
Retroperitoneal Ultrasound
CPT 76770
$115.78
Abdominal Ultrasound
CPT 76700
$119.34
CT Chest
CPT 71250
$133.87
OB Ultrasound
CPT 76805
$133.87
INJ FORAMEN EPIDURAL L/S
CPT 64483
$164.49
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$193.53
Echocardiogram
CPT 93307
$215.3
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$232.41
Echocardiogram w/ Doppler
CPT 93306
$239.76
Upper GI Endoscopy w/ Biopsy
CPT 43239
$268.73
MRI Brain w/o Contrast
CPT 70551
$272.77
CT Abdomen & Pelvis
CPT 74177
$281.8
Colonoscopy
CPT 45378
$338.78
Colonoscopy w/ Biopsy
CPT 45380
$378.95
Laparoscopic Hernia Repair
CPT 49650
$379.7
Inguinal Hernia Repair
CPT 49505
$394.76
Appendectomy
CPT 44950
$459.69
Recurrent Inguinal Hernia Repair
CPT 49520
$484.05
Laparoscopic Cholecystectomy
CPT 47562
$534.88
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$566.83
Mechanical Traction
CPT 97012
$610
Knee Arthroscopy
CPT 29881
$790.35
TREAT THIGH FRACTURE
CPT 27245
$1,071.9
Cataract Surgery
CPT 66984
$1,153.5
Cataract Surgery — Complex
CPT 66982
$1,157.77
Hip Replacement
CPT 27130
$1,708.89
Knee Replacement
CPT 27447
$1,708.89
Vaginal Delivery
CPT 59400
$1,994.02
VBAC Delivery
CPT 59610
$1,994.02
C-Section
CPT 59510
$1,995.21
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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.