MERCYONE SIOUXLAND MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at MERCYONE SIOUXLAND MEDICAL CENTER
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$0.01
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT
CPT 85025
$4.01
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$5.54
Therapeutic Activities
CPT 97530
$17.6
Chest X-Ray (1 view)
CPT 71045
$17.67
Therapeutic Exercises
CPT 97110
$22.66
EKG Tracing
CPT 93005
$23.52
ER Visit — Low-Moderate Complexity
CPT 99283
$45.45
Diagnostic Mammogram (bilateral)
CPT 77066
$47.89
Thoracic Spine X-Ray
CPT 72072
$52.87
Chest X-Ray (2 views)
CPT 71046
$60.54
OB Ultrasound
CPT 76805
$63.82
Diagnostic Mammogram (unilateral)
CPT 77065
$82.07
Screening Mammogram (bilateral)
CPT 77067
$83.86
MRI Brain w/o Contrast
CPT 70551
$87.73
Abdominal Ultrasound — Limited
CPT 76705
$91.42
ER Visit — Moderate Complexity
CPT 99284
$101.56
Retroperitoneal Ultrasound
CPT 76770
$107.55
Echocardiogram w/ Doppler
CPT 93306
$108.07
ER Visit — High Complexity
CPT 99285
$108.07
CT Chest
CPT 71250
$108.63
Abdominal Ultrasound
CPT 76700
$110.78
MRI Joint of Lower Extremity
CPT 73721
$229.57
CT Abdomen & Pelvis
CPT 74177
$309.2
MRI Brain w/ Contrast
CPT 70553
$363.77
Upper GI Endoscopy w/ Biopsy
CPT 43239
$552.03
Colonoscopy
CPT 45378
$605.59
Colonoscopy w/ Biopsy
CPT 45380
$870.71
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,070.39
REPAIR OF SHOULDER ROTATOR CUFF USING AN ENDOSCOPE
CPT 29827
$4,321.5
Laparoscopic Hernia Repair
CPT 49650
$4,998.4
Inguinal Hernia Repair
CPT 49505
$5,272.5
Hip Replacement
CPT 27130
$9,232
Knee Replacement
CPT 27447
$12,180.73
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.