ONTARIO MEDICAL CENTER
Hospital
Procedure Prices at ONTARIO MEDICAL CENTER
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$7
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$7.03
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$9
Therapeutic Exercises
CPT 97110
$39.96
Therapeutic Activities
CPT 97530
$40.33
Mechanical Traction
CPT 97012
$46.99
Chest X-Ray (1 view)
CPT 71045
$70
Chest X-Ray (2 views)
CPT 71046
$70
Diagnostic Mammogram (unilateral)
CPT 77065
$74
Screening Mammogram (bilateral)
CPT 77067
$78
Thoracic Spine X-Ray
CPT 72072
$94
Abdominal Ultrasound
CPT 76700
$94
Abdominal Ultrasound — Limited
CPT 76705
$94
Retroperitoneal Ultrasound
CPT 76770
$94
OB Ultrasound
CPT 76805
$94
Diagnostic Mammogram (bilateral)
CPT 77066
$94
PSYCHOTHERAPY W/PATIENT 60 MINUTES
CPT 90837
$94.53
EKG Tracing
CPT 93005
$105.27
CT Chest
CPT 71250
$117
MRI Brain w/o Contrast
CPT 70551
$198
MRI Joint of Lower Extremity
CPT 73721
$204
MRI Brain w/ Contrast
CPT 70553
$316
CT Abdomen & Pelvis
CPT 74177
$326
Echocardiogram
CPT 93307
$472.12
ER Visit — Low-Moderate Complexity
CPT 99283
$540
NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL
CPT 64483
$659.71
Cataract Surgery — Complex
CPT 66982
$694.75
Colonoscopy
CPT 45378
$799
Upper GI Endoscopy w/ Biopsy
CPT 43239
$815
ER Visit — Moderate Complexity
CPT 99284
$849
Echocardiogram w/ Doppler
CPT 93306
$849.34
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$914.9
Colonoscopy w/ Biopsy
CPT 45380
$1,044
ER Visit — High Complexity
CPT 99285
$1,219
Cataract Surgery
CPT 66984
$2,091
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,780.05
Knee Arthroscopy
CPT 29881
$2,851
Appendectomy
CPT 44950
$3,203
Inguinal Hernia Repair
CPT 49505
$3,203
Recurrent Inguinal Hernia Repair
CPT 49520
$3,203
Laparoscopic Cholecystectomy
CPT 47562
$5,094
Laparoscopic Hernia Repair
CPT 49650
$5,094
SURGICAL ARTHROSCOPY SHOULDER W/ROTATOR CUFF RPR
CPT 29827
$6,270.95
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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.