LABETTE HEALTH
Acute Care Hospitals
Procedure Prices at LABETTE HEALTH
ZI BLOOD COLLECTION
CPT 36415
$1.26
^CBC W/AUTO DIFF
CPT 85025
$6.25
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$9.94
EKG Tracing
CPT 93005
$10.59
Thoracic Spine X-Ray
CPT 72072
$51.67
Chest X-Ray (1 view)
CPT 71045
$72.68
Abdominal Ultrasound — Limited
CPT 76705
$76.07
Chest X-Ray (2 views)
CPT 71046
$76.71
CT Chest
CPT 71250
$82.66
Screening Mammogram (bilateral)
CPT 77067
$87.6
Mechanical Traction
CPT 97012
$88.07
Abdominal Ultrasound
CPT 76700
$103.33
Retroperitoneal Ultrasound
CPT 76770
$103.33
Therapeutic Exercises
CPT 97110
$120.13
LEVEL III ESTABLISHED PATIENT
CPT 99213
$138.98
Therapeutic Activities
CPT 97530
$140.03
Diagnostic Mammogram (unilateral)
CPT 77065
$177.51
ER Visit — Low-Moderate Complexity
CPT 99283
$208.41
MRI Brain w/o Contrast
CPT 70551
$218.21
MRI Joint of Lower Extremity
CPT 73721
$218.21
Diagnostic Mammogram (bilateral)
CPT 77066
$246.78
CT Abdomen & Pelvis
CPT 74177
$285.62
OB Ultrasound
CPT 76805
$292.19
ER Visit — Moderate Complexity
CPT 99284
$336.63
MRI Brain w/ Contrast
CPT 70553
$349.05
Echocardiogram w/ Doppler
CPT 93306
$457.88
INJ SINGLE FORAMEN EPIDURAL
CPT 64483
$826.28
ER Visit — High Complexity
CPT 99285
$1,163.45
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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.