PROVIDENCE SAINT JOSEPH MEDICAL CTR
Acute Care Hospitals
Procedure Prices at PROVIDENCE SAINT JOSEPH MEDICAL CTR
HC BLOOD DRAW VENIPUNCTURE
CPT 36415
$14.75
Mechanical Traction
CPT 97012
$57.75
Therapeutic Exercises
CPT 97110
$57.75
Therapeutic Activities
CPT 97530
$57.75
HC BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC #
CPT 85025
$68.25
Screening Mammogram (bilateral)
CPT 77067
$79.5
Diagnostic Mammogram (unilateral)
CPT 77065
$153.5
EKG Tracing
CPT 93005
$186.75
Chest X-Ray (1 view)
CPT 71045
$212.25
Diagnostic Mammogram (bilateral)
CPT 77066
$220.25
Chest X-Ray (2 views)
CPT 71046
$247.75
ER Visit — Low-Moderate Complexity
CPT 99283
$271.25
HC COMPREHEN METABOLIC PANEL
CPT 80053
$308.5
HC L&D TRIAGE ESTAB PATIENT LVL 3 CDM
CPT 99213
$315.5
Thoracic Spine X-Ray
CPT 72072
$371.5
Retroperitoneal Ultrasound
CPT 76770
$410.5
OB Ultrasound
CPT 76805
$480
HC INJ FORAMEN EPIDURAL L/S
CPT 64483
$493.5
Echocardiogram
CPT 93307
$561
CT Chest
CPT 71250
$659.25
Abdominal Ultrasound — Limited
CPT 76705
$705
ER Visit — Moderate Complexity
CPT 99284
$744.5
Abdominal Ultrasound
CPT 76700
$1,057.75
MRI Joint of Lower Extremity
CPT 73721
$1,330.75
ER Visit — High Complexity
CPT 99285
$1,339.5
MRI Brain w/o Contrast
CPT 70551
$1,471.75
Echocardiogram w/ Doppler
CPT 93306
$1,577.25
MRI Brain w/ Contrast
CPT 70553
$1,687.25
CT Abdomen & Pelvis
CPT 74177
$1,939.25
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.