FAXTON-ST LUKE'S HEALTHCARE
Hospital
Procedure Prices at FAXTON-ST LUKE'S HEALTHCARE
Blood Draw From Vein Using Needle
CPT 36415
$1.82
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$3.17
Mechanical Traction
CPT 97012
$9.46
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$10.56
Chest X-Ray (2 views)
CPT 71046
$15
Thoracic Spine X-Ray
CPT 72072
$18
Therapeutic Exercises
CPT 97110
$24.75
Therapeutic Activities
CPT 97530
$28.97
Retroperitoneal Ultrasound
CPT 76770
$36
EKG Tracing
CPT 93005
$39.74
Abdominal Ultrasound
CPT 76700
$45.66
Abdominal Ultrasound — Limited
CPT 76705
$48.11
Individual Psychotherapy Session 60 Minutes
CPT 90837
$52.33
Diagnostic Mammogram (unilateral)
CPT 77065
$58.2
Diagnostic Mammogram (bilateral)
CPT 77066
$58.2
Screening Mammogram (bilateral)
CPT 77067
$58.2
Chest X-Ray (1 view)
CPT 71045
$65.7
OB Ultrasound
CPT 76805
$71.85
CT Chest
CPT 71250
$84
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$97.52
ER Visit — Moderate Complexity
CPT 99284
$117.81
ER Visit — Low-Moderate Complexity
CPT 99283
$120.45
Echocardiogram w/ Doppler
CPT 93306
$270.03
ER Visit — High Complexity
CPT 99285
$278.52
CT Abdomen & Pelvis
CPT 74177
$294.91
Colonoscopy w/ Biopsy
CPT 45380
$377.8
MRI Brain w/ Contrast
CPT 70553
$391.65
Upper GI Endoscopy w/ Biopsy
CPT 43239
$421.28
Colonoscopy
CPT 45378
$640.65
MRI Joint of Lower Extremity
CPT 73721
$662.53
MRI Brain w/o Contrast
CPT 70551
$1,284.57
Inguinal Hernia Repair
CPT 49505
$1,826.56
Knee Arthroscopy
CPT 29881
$2,288.98
Laparoscopic Cholecystectomy
CPT 47562
$2,331.13
Laparoscopic Hernia Repair
CPT 49650
$2,711.38
Recurrent Inguinal Hernia Repair
CPT 49520
$2,996.61
Appendectomy
CPT 44950
$12,584.71
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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.