PRESENCE HOLY FAMILY MEDICAL CENTER
Hospital
Procedure Prices at PRESENCE HOLY FAMILY MEDICAL CENTER
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$3
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$7.77
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$10.56
Mechanical Traction
CPT 97012
$60.9
Therapeutic Activities
CPT 97530
$77.7
Therapeutic Exercises
CPT 97110
$91.7
Thoracic Spine X-Ray
CPT 72072
$146.3
Chest X-Ray (1 view)
CPT 71045
$173.95
Chest X-Ray (2 views)
CPT 71046
$182.03
Diagnostic Mammogram (unilateral)
CPT 77065
$204.75
Screening Mammogram (bilateral)
CPT 77067
$217.46
CT Chest
CPT 71250
$245.18
Abdominal Ultrasound
CPT 76700
$245.18
Abdominal Ultrasound — Limited
CPT 76705
$245.18
Retroperitoneal Ultrasound
CPT 76770
$245.18
OB Ultrasound
CPT 76805
$245.18
Diagnostic Mammogram (bilateral)
CPT 77066
$263
MRI Brain w/o Contrast
CPT 70551
$517.79
MRI Joint of Lower Extremity
CPT 73721
$517.79
MRI Brain w/ Contrast
CPT 70553
$828.27
CT Abdomen & Pelvis
CPT 74177
$828.27
ER Visit — Low-Moderate Complexity
CPT 99283
$886
ER Visit — Moderate Complexity
CPT 99284
$1,430
ER Visit — High Complexity
CPT 99285
$1,430
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,761
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,135
Colonoscopy
CPT 45378
$2,135
Colonoscopy w/ Biopsy
CPT 45380
$2,135
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,025
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,025
Cataract Surgery — Complex
CPT 66982
$3,025
Cataract Surgery
CPT 66984
$3,025
Knee Arthroscopy
CPT 29881
$3,823
Appendectomy
CPT 44950
$3,823
Inguinal Hernia Repair
CPT 49505
$3,823
Recurrent Inguinal Hernia Repair
CPT 49520
$3,823
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$5,195
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$5,993
Laparoscopic Cholecystectomy
CPT 47562
$5,993
Laparoscopic Hernia Repair
CPT 49650
$5,993
Hip Replacement
CPT 27130
$6,791
Knee Replacement
CPT 27447
$6,791
Compare Prices Nearby
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.