Procedure Prices at PONDERA MEDICAL CENTER
VENIPUNCTURE COLLECTION OF VENOUS BLOOD
CPT 36415
$4.05
CBC WITH AUTOMATED DIFF
CPT 85025
$10.49
EKG Tracing
CPT 93005
$14
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$14.26
Thoracic Spine X-Ray
CPT 72072
$43.74
Mechanical Traction
CPT 97012
$67.15
Therapeutic Exercises
CPT 97110
$94.35
Therapeutic Activities
CPT 97530
$99.45
Abdominal Ultrasound — Limited
CPT 76705
$101.48
ER Visit — Low-Moderate Complexity
CPT 99283
$102.59
Retroperitoneal Ultrasound
CPT 76770
$125.39
PT DRESSING CHG EST 30 MIN
CPT 99213
$127.5
OB Ultrasound
CPT 76805
$148.13
Echocardiogram
CPT 93307
$158.05
Screening Mammogram (bilateral)
CPT 77067
$161.55
CT Chest
CPT 71250
$163.88
ER Visit — Moderate Complexity
CPT 99284
$194.62
Diagnostic Mammogram (bilateral)
CPT 77066
$194.79
Chest X-Ray (1 view)
CPT 71045
$219.3
Echocardiogram w/ Doppler
CPT 93306
$220.45
MRI Brain w/o Contrast
CPT 70551
$243.19
Chest X-Ray (2 views)
CPT 71046
$259.25
MRI Joint of Lower Extremity
CPT 73721
$263.61
ER Visit — High Complexity
CPT 99285
$286.65
Diagnostic Mammogram (unilateral)
CPT 77065
$304.3
CT Abdomen & Pelvis
CPT 74177
$386.08
MRI Brain w/ Contrast
CPT 70553
$409.41
Abdominal Ultrasound
CPT 76700
$704.65
Upper GI Endoscopy w/ Biopsy
CPT 43239
$761.9
Colonoscopy
CPT 45378
$905.35
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$915.8
Colonoscopy w/ Biopsy
CPT 45380
$995.6
Laparoscopic Hernia Repair
CPT 49650
$1,263.1
Recurrent Inguinal Hernia Repair
CPT 49520
$1,485.8
Appendectomy
CPT 44950
$1,498.55
Cataract Surgery
CPT 66984
$2,164.1
Laparoscopic Cholecystectomy
CPT 47562
$2,396.1
Inguinal Hernia Repair
CPT 49505
$2,511.8
Cataract Surgery — Complex
CPT 66982
$2,595.05
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$4,531.35
Vaginal Delivery
CPT 59400
$5,003.1
VBAC Delivery
CPT 59610
$5,230.05
C-Section
CPT 59510
$5,523.3
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.