FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL
Acute Care Hospitals
16
Procedure Prices at FRANCISCAN HEALTH ORTHOPEDIC HOSPITAL CARMEL
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
$81.41
Chest X-Ray (2 views)
CPT 71046
$81.41
CT Chest
CPT 71250
$109.66
Abdominal Ultrasound
CPT 76700
$110.26
Abdominal Ultrasound — Limited
CPT 76705
$110.26
Retroperitoneal Ultrasound
CPT 76770
$110.26
OB Ultrasound
CPT 76805
$111.55
Diagnostic Mammogram (unilateral)
CPT 77065
$117
MRI Brain w/o Contrast
CPT 70551
$231.59
MRI Joint of Lower Extremity
CPT 73721
$231.59
MRI Brain w/ Contrast
CPT 70553
$370.46
CT Abdomen & Pelvis
CPT 74177
$370.46
Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level Copyright � 2021 by American Medical Association.
CPT 64483
$907.3
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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.