NORTHWEST HEALTH-LA PORTE
Acute Care Hospitals
Procedure Prices at NORTHWEST HEALTH-LA PORTE
VENIPUNCTURE,ROUTINE
CPT 36415
$4.19
CBC W-PLT AUTO COMPD
CPT 85025
$22.56
Chest X-Ray (1 view)
CPT 71045
$29.34
COMP METAB PANEL
CPT 80053
$33.53
Screening Mammogram (bilateral)
CPT 77067
$43.15
Diagnostic Mammogram (unilateral)
CPT 77065
$44.25
Chest X-Ray (2 views)
CPT 71046
$46.6
EKG Tracing
CPT 93005
$51.66
Diagnostic Mammogram (bilateral)
CPT 77066
$56.21
Thoracic Spine X-Ray
CPT 72072
$56.83
Abdominal Ultrasound — Limited
CPT 76705
$134.01
Retroperitoneal Ultrasound
CPT 76770
$143.74
OB Ultrasound
CPT 76805
$147.94
Abdominal Ultrasound
CPT 76700
$167.41
Njx aa&/strd tfrm epi l/s 1
CPT 64483
$224.35
CT Chest
CPT 71250
$260.24
CT Abdomen & Pelvis
CPT 74177
$292.79
MRI Brain w/o Contrast
CPT 70551
$325.34
MRI Joint of Lower Extremity
CPT 73721
$325.34
Echocardiogram w/ Doppler
CPT 93306
$372.44
MRI Brain w/ Contrast
CPT 70553
$390.43
Colonoscopy
CPT 45378
$913.06
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,386.36
Colonoscopy w/ Biopsy
CPT 45380
$1,467.17
Cataract Surgery
CPT 66984
$1,924.54
Cataract Surgery — Complex
CPT 66982
$2,085.54
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,917
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,987.47
Knee Arthroscopy
CPT 29881
$3,562.24
Inguinal Hernia Repair
CPT 49505
$3,607.3
Laparoscopic Cholecystectomy
CPT 47562
$4,581.05
Laparoscopic Hernia Repair
CPT 49650
$4,931.28
Sho arthrs srg rt8tr cuf rpr
CPT 29827
$5,805.79
Hip Replacement
CPT 27130
$8,597.01
Knee Replacement
CPT 27447
$9,087.33
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.