NORTHWESTERN MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at NORTHWESTERN MEMORIAL HOSPITAL
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
CPT 85025
$7.77
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$10.56
Chest X-Ray (1 view)
CPT 71045
$25.08
Chest X-Ray (2 views)
CPT 71046
$32.9
Therapeutic Exercises
CPT 97110
$37.26
Therapeutic Activities
CPT 97530
$37.8
Mechanical Traction
CPT 97012
$38.52
Thoracic Spine X-Ray
CPT 72072
$40.17
PSYTX W PT 60 MINUTES
CPT 90837
$56.25
OFFICE O/P EST LOW 20-29 MIN
CPT 99213
$65.52
EKG Tracing
CPT 93005
$69.12
Abdominal Ultrasound — Limited
CPT 76705
$97.19
Retroperitoneal Ultrasound
CPT 76770
$119.54
Abdominal Ultrasound
CPT 76700
$127.92
OB Ultrasound
CPT 76805
$142.46
Diagnostic Mammogram (unilateral)
CPT 77065
$146.37
Screening Mammogram (bilateral)
CPT 77067
$154.76
Diagnostic Mammogram (bilateral)
CPT 77066
$173.07
ER Visit — Low-Moderate Complexity
CPT 99283
$288
Echocardiogram
CPT 93307
$431.64
ER Visit — Moderate Complexity
CPT 99284
$540
Colonoscopy
CPT 45378
$567
CT Chest
CPT 71250
$586.44
CT Abdomen & Pelvis
CPT 74177
$600
NJX AA&/STRD TFRM EPI L/S 1
CPT 64483
$703.8
Upper GI Endoscopy w/ Biopsy
CPT 43239
$803.16
MRI Joint of Lower Extremity
CPT 73721
$861.48
MRI Brain w/o Contrast
CPT 70551
$900
MRI Brain w/ Contrast
CPT 70553
$900
Colonoscopy w/ Biopsy
CPT 45380
$919.44
Echocardiogram w/ Doppler
CPT 93306
$936.54
ER Visit — High Complexity
CPT 99285
$1,029
Laparoscopic Cholecystectomy
CPT 47562
$4,716.24
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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.