PRESENCE SAINT JOSEPH MEDICAL CENTER
Acute Care Hospitals
29
Procedure Prices at PRESENCE SAINT JOSEPH MEDICAL CENTER
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$22.75
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$85.4
Mechanical Traction
CPT 97012
$92.4
Therapeutic Exercises
CPT 97110
$96.6
Therapeutic Activities
CPT 97530
$98.7
EKG Tracing
CPT 93005
$191.1
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$219.8
Screening Mammogram (bilateral)
CPT 77067
$233.1
Diagnostic Mammogram (unilateral)
CPT 77065
$243.6
Chest X-Ray (1 view)
CPT 71045
$248.15
Chest X-Ray (2 views)
CPT 71046
$273
Diagnostic Mammogram (bilateral)
CPT 77066
$282.8
Thoracic Spine X-Ray
CPT 72072
$357.7
OB Ultrasound
CPT 76805
$588.35
Retroperitoneal Ultrasound
CPT 76770
$686.7
Abdominal Ultrasound — Limited
CPT 76705
$717.85
CT Chest
CPT 71250
$894.25
Abdominal Ultrasound
CPT 76700
$1,056.3
MRI Joint of Lower Extremity
CPT 73721
$1,349.6
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,543.5
Echocardiogram w/ Doppler
CPT 93306
$1,547
MRI Brain w/o Contrast
CPT 70551
$2,295.65
MRI Brain w/ Contrast
CPT 70553
$2,992.15
CT Abdomen & Pelvis
CPT 74177
$3,165.4
Hip Replacement
CPT 27130
$4,534
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$4,534
Knee Replacement
CPT 27447
$4,534
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
$4,534
Knee Arthroscopy
CPT 29881
$4,534
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$4,534
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$4,534
Upper GI Endoscopy w/ Biopsy
CPT 43239
$4,534
Appendectomy
CPT 44950
$4,534
Colonoscopy
CPT 45378
$4,534
Colonoscopy w/ Biopsy
CPT 45380
$4,534
Laparoscopic Cholecystectomy
CPT 47562
$4,534
Inguinal Hernia Repair
CPT 49505
$4,534
Recurrent Inguinal Hernia Repair
CPT 49520
$4,534
Laparoscopic Hernia Repair
CPT 49650
$4,534
Vaginal Delivery
CPT 59400
$4,534
C-Section
CPT 59510
$4,534
VBAC Delivery
CPT 59610
$4,534
Cataract Surgery — Complex
CPT 66982
$4,534
Cataract Surgery
CPT 66984
$4,534
EKG
CPT 93000
EKG Interpretation
CPT 93010
Echocardiogram
CPT 93307
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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.