LUTHERAN DOWNTOWN HOSPITAL
Acute Care Hospitals
Procedure Prices at LUTHERAN DOWNTOWN HOSPITAL
VENIPUNCTURE,ROUTINE
CPT 36415
$3.22
CBC W-PLT AUTO COMPD
CPT 85025
$9.94
Therapeutic Activities
CPT 97530
$16.31
Therapeutic Exercises
CPT 97110
$18.55
Mechanical Traction
CPT 97012
$22.47
EKG Tracing
CPT 93005
$23.87
COMP METAB PANEL
CPT 80053
$40.81
Chest X-Ray (1 view)
CPT 71045
$41.79
Diagnostic Mammogram (unilateral)
CPT 77065
$46.69
Screening Mammogram (bilateral)
CPT 77067
$48.44
Diagnostic Mammogram (bilateral)
CPT 77066
$54.95
Chest X-Ray (2 views)
CPT 71046
$57.12
Thoracic Spine X-Ray
CPT 72072
$75.25
Abdominal Ultrasound — Limited
CPT 76705
$111.79
ER Visit — Low-Moderate Complexity
CPT 99283
$112
OB Ultrasound
CPT 76805
$121.87
Retroperitoneal Ultrasound
CPT 76770
$154.14
Abdominal Ultrasound
CPT 76700
$156.17
Echocardiogram
CPT 93307
$157.78
ER Visit — Moderate Complexity
CPT 99284
$158.27
ER Visit — High Complexity
CPT 99285
$204.33
CT Chest
CPT 71250
$244.86
Echocardiogram w/ Doppler
CPT 93306
$307.23
EKG Interpretation
CPT 93010
$320.43
CT Abdomen & Pelvis
CPT 74177
$590.17
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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.