HOLY REDEEMER HOSPITAL AND MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at HOLY REDEEMER HOSPITAL AND MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$2.25
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$5
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$5.99
Mechanical Traction
CPT 97012
$6.25
Chest X-Ray (1 view)
CPT 71045
$8.09
Therapeutic Exercises
CPT 97110
$10.06
EKG Tracing
CPT 93005
$10.44
Chest X-Ray (2 views)
CPT 71046
$14.82
Therapeutic Activities
CPT 97530
$20.3
Thoracic Spine X-Ray
CPT 72072
$21.5
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$32
Abdominal Ultrasound — Limited
CPT 76705
$37.5
OB Ultrasound
CPT 76805
$55.8
Abdominal Ultrasound
CPT 76700
$57.5
Retroperitoneal Ultrasound
CPT 76770
$58.8
Diagnostic Mammogram (bilateral)
CPT 77066
$66.86
Screening Mammogram (bilateral)
CPT 77067
$67.13
Diagnostic Mammogram (unilateral)
CPT 77065
$67.56
ER Visit — Low-Moderate Complexity
CPT 99283
$75.25
CT Chest
CPT 71250
$83.1
Echocardiogram w/ Doppler
CPT 93306
$117.77
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$135.82
ER Visit — Moderate Complexity
CPT 99284
$147.51
Upper GI Endoscopy w/ Biopsy
CPT 43239
$147.96
CT Abdomen & Pelvis
CPT 74177
$201.48
MRI Brain w/o Contrast
CPT 70551
$227.52
Colonoscopy
CPT 45378
$228.08
MRI Joint of Lower Extremity
CPT 73721
$233.19
Colonoscopy w/ Biopsy
CPT 45380
$272.84
ER Visit — High Complexity
CPT 99285
$288.04
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$289.93
Inguinal Hernia Repair
CPT 49505
$303.69
MRI Brain w/ Contrast
CPT 70553
$322.8
Laparoscopic Cholecystectomy
CPT 47562
$931.2
Recurrent Inguinal Hernia Repair
CPT 49520
$2,574.11
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$2,846.16
Knee Arthroscopy
CPT 29881
$2,979.51
Laparoscopic Hernia Repair
CPT 49650
$3,268.65
Hip Replacement
CPT 27130
$9,262.42
Knee Replacement
CPT 27447
$10,150.35
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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.