GEISINGER ST. LUKE'S HOSPITAL
Hospital
Procedure Prices at GEISINGER ST. LUKE'S HOSPITAL
HB ROUTINE VENIPUNCTURE
CPT 36415
$0.01
HB COMPLETE CBC W/AUTO DIFF WBC
CPT 85025
$1.21
Chest X-Ray (1 view)
CPT 71045
$1.53
EKG Tracing
CPT 93005
$1.87
HB COMPREHEN METABOLIC PANEL
CPT 80053
$2.07
Therapeutic Exercises
CPT 97110
$5.02
Therapeutic Activities
CPT 97530
$6.7
Chest X-Ray (2 views)
CPT 71046
$12.32
Abdominal Ultrasound — Limited
CPT 76705
$17.79
Screening Mammogram (bilateral)
CPT 77067
$21.12
Thoracic Spine X-Ray
CPT 72072
$24.49
Diagnostic Mammogram (unilateral)
CPT 77065
$32.18
Diagnostic Mammogram (bilateral)
CPT 77066
$38.38
ER Visit — Low-Moderate Complexity
CPT 99283
$47.49
HB INJ FORAMEN EPIDURAL L/S
CPT 64483
$49.9
CT Chest
CPT 71250
$57.35
Retroperitoneal Ultrasound
CPT 76770
$57.82
Abdominal Ultrasound
CPT 76700
$59.8
ER Visit — Moderate Complexity
CPT 99284
$69.65
Echocardiogram
CPT 93307
$77.2
OB Ultrasound
CPT 76805
$84.46
Echocardiogram w/ Doppler
CPT 93306
$94.87
ER Visit — High Complexity
CPT 99285
$107.16
CT Abdomen & Pelvis
CPT 74177
$109.69
MRI Brain w/o Contrast
CPT 70551
$112.67
MRI Joint of Lower Extremity
CPT 73721
$156.02
MRI Brain w/ Contrast
CPT 70553
$297.69
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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.