PROVIDENCE ST. JUDE MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at PROVIDENCE ST. JUDE MEDICAL CENTER
HC CBC WITH DIFF AUTO
CPT 85025
$3.02
HC COMPREHEN METABOLIC PANEL
CPT 80053
$4.11
HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD
CPT 36415
$13.6
Mechanical Traction
CPT 97012
$135.2
Therapeutic Exercises
CPT 97110
$165.6
Therapeutic Activities
CPT 97530
$176
EKG Tracing
CPT 93005
$284.8
Screening Mammogram (bilateral)
CPT 77067
$324
Diagnostic Mammogram (unilateral)
CPT 77065
$384
HC ESTAB PT VISIT - LEVEL 3
CPT 99213
$408
HC PSYCHOTHERAPY,INDIVID 1 HOUR
CPT 90837
$447.2
Diagnostic Mammogram (bilateral)
CPT 77066
$573.6
OB Ultrasound
CPT 76805
$853.6
Thoracic Spine X-Ray
CPT 72072
$1,045.6
Chest X-Ray (1 view)
CPT 71045
$1,104.8
Chest X-Ray (2 views)
CPT 71046
$1,186.4
Echocardiogram
CPT 93307
$1,200.8
HC INJ FORAMEN EPIDURAL L/S
CPT 64483
$1,388.8
CT Chest
CPT 71250
$1,636
Abdominal Ultrasound — Limited
CPT 76705
$1,966.4
ER Visit — Low-Moderate Complexity
CPT 99283
$2,042.4
Retroperitoneal Ultrasound
CPT 76770
$2,363.2
Echocardiogram w/ Doppler
CPT 93306
$2,405.6
Abdominal Ultrasound
CPT 76700
$3,054.4
ER Visit — Moderate Complexity
CPT 99284
$3,188
CT Abdomen & Pelvis
CPT 74177
$3,948
ER Visit — High Complexity
CPT 99285
$4,428
MRI Joint of Lower Extremity
CPT 73721
$7,209.6
MRI Brain w/o Contrast
CPT 70551
$9,518.4
MRI Brain w/ Contrast
CPT 70553
$11,987.2
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.