Lucile Salter Packard Children's Hospital At Stanf

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Procedure Prices at Lucile Salter Packard Children's Hospital At Stanf

HC Venipuncture

CPT 36415

$30.5

List: $61

HC Clinic Use Lvl 3 Estab Pt

CPT 99213

$60.5

List: $121

Therapeutic Exercises

CPT 97110

$64.5

List: $129

Therapeutic Activities

CPT 97530

$86

List: $172

Psychotherapy W/Patient 60 Minutes

CPT 90837

$171.2

List: $632

HC Cbc W/Auto Diff

CPT 85025

$222.5

List: $445

HC Metabolic Pnl Comp

CPT 80053

$621.5

List: $1,243

EKG Tracing

CPT 93005

$1,032

List: $2,064

Chest X-Ray (1 view)

CPT 71045

$1,036.5

List: $2,073

Chest X-Ray (2 views)

CPT 71046

$1,186.5

List: $2,373

OB Ultrasound

CPT 76805

$1,332.5

List: $2,665

Retroperitoneal Ultrasound

CPT 76770

$1,593

List: $3,186

Abdominal Ultrasound — Limited

CPT 76705

$1,596

List: $3,192

Abdominal Ultrasound

CPT 76700

$2,136.5

List: $4,273

Echocardiogram

CPT 93307

$2,321

List: $4,642

MRI Joint of Lower Extremity

CPT 73721

$3,898

List: $7,796

Vaginal Delivery

CPT 59400

$4,068

List: $8,136

C-Section

CPT 59510

$4,429.11

List: $9,101

Echocardiogram w/ Doppler

CPT 93306

$4,625.5

List: $9,251

CT Chest

CPT 71250

$5,765

List: $11,530

MRI Brain w/o Contrast

CPT 70551

$6,147

List: $12,294

MRI Brain w/ Contrast

CPT 70553

$7,817.5

List: $15,635

CT Abdomen & Pelvis

CPT 74177

$8,456

List: $16,912

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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.