FRANCISCAN HEALTH LAFAYETTE
Acute Care Hospitals
Procedure Prices at FRANCISCAN HEALTH LAFAYETTE
Collection of venous blood by venipuncture Copyright � 2009 by American Medical Association. All rights reserved.
CPT 36415
$2.91
Thoracic Spine X-Ray
CPT 72072
$67.46
Chest X-Ray (1 view)
CPT 71045
$82.41
Chest X-Ray (2 views)
CPT 71046
$82.41
Screening Mammogram (bilateral)
CPT 77067
$88.5
Diagnostic Mammogram (unilateral)
CPT 77065
$104
CT Chest
CPT 71250
$110.92
Abdominal Ultrasound
CPT 76700
$110.92
Abdominal Ultrasound — Limited
CPT 76705
$110.92
Retroperitoneal Ultrasound
CPT 76770
$110.92
OB Ultrasound
CPT 76805
$110.92
Diagnostic Mammogram (bilateral)
CPT 77066
$171.25
MRI Brain w/o Contrast
CPT 70551
$234.44
MRI Joint of Lower Extremity
CPT 73721
$234.44
MRI Brain w/ Contrast
CPT 70553
$375.19
CT Abdomen & Pelvis
CPT 74177
$375.19
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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.