FRANCISCAN HEALTH RENSSELAER, INC
Critical Access Hospitals
16
Procedure Prices at FRANCISCAN HEALTH RENSSELAER, INC
Collection of venous blood by venipuncture Copyright � 2009 by American Medical Association. All rights reserved.
CPT 36415
$2.7
Chest X-Ray (1 view)
CPT 71045
$23.8
Chest X-Ray (2 views)
CPT 71046
$64.5
Diagnostic Mammogram (unilateral)
CPT 77065
$67
Thoracic Spine X-Ray
CPT 72072
$67.46
Diagnostic Mammogram (bilateral)
CPT 77066
$89.25
Abdominal Ultrasound — Limited
CPT 76705
$94.25
OB Ultrasound
CPT 76805
$126.25
Retroperitoneal Ultrasound
CPT 76770
$145.5
Abdominal Ultrasound
CPT 76700
$188.25
CT Chest
CPT 71250
$333
MRI Brain w/o Contrast
CPT 70551
$423.75
MRI Joint of Lower Extremity
CPT 73721
$423.75
MRI Brain w/ Contrast
CPT 70553
$535
CT Abdomen & Pelvis
CPT 74177
$583.81
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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.