OUR LADY OF FATIMA HOSPITAL
Acute Care Hospitals
Procedure Prices at OUR LADY OF FATIMA HOSPITAL
Blood Draw Using Needle
CPT 36415
$1.43
Lab Test - Complete Blood Cell Count
CPT 85025
$8.01
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$12.67
Mechanical Traction
CPT 97012
$22.08
EKG
CPT 93000
$28.19
EKG Tracing
CPT 93005
$28.19
Outpatient Clinic Visit
CPT 99213
$35.41
Diagnostic Mammogram (unilateral)
CPT 77065
$41.98
Diagnostic Mammogram (bilateral)
CPT 77066
$43.48
Screening Mammogram (bilateral)
CPT 77067
$44.53
Retroperitoneal Ultrasound
CPT 76770
$54.85
Abdominal Ultrasound
CPT 76700
$58.09
Abdominal Ultrasound — Limited
CPT 76705
$58.09
Chest X-Ray (1 view)
CPT 71045
$62.79
Chest X-Ray (2 views)
CPT 71046
$62.79
Therapeutic Exercises
CPT 97110
$80.53
Therapeutic Activities
CPT 97530
$80.53
CT Chest
CPT 71250
$105.7
OB Ultrasound
CPT 76805
$106.09
CT Abdomen & Pelvis
CPT 74177
$214.8
MRI Joint of Lower Extremity
CPT 73721
$251.73
Echocardiogram w/ Doppler
CPT 93306
$282
MRI Brain w/o Contrast
CPT 70551
$297.34
ER Visit — Low-Moderate Complexity
CPT 99283
$297.91
ER Visit — Moderate Complexity
CPT 99284
$297.91
ER Visit — High Complexity
CPT 99285
$297.91
Colonoscopy
CPT 45378
$472.13
MRI Brain w/ Contrast
CPT 70553
$598.13
Upper GI Endoscopy w/ Biopsy
CPT 43239
$617.56
Inguinal Hernia Repair
CPT 49505
$617.66
Recurrent Inguinal Hernia Repair
CPT 49520
$617.66
Colonoscopy w/ Biopsy
CPT 45380
$634.74
Cataract Surgery — Complex
CPT 66982
$662.76
Cataract Surgery
CPT 66984
$662.76
Knee Arthroscopy
CPT 29881
$730.5
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$1,224.75
Appendectomy
CPT 44950
$1,306.57
Laparoscopic Cholecystectomy
CPT 47562
$1,432.8
Knee Replacement
CPT 27447
$10,422.52
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.