PROVIDENCE ST MARY MEDICAL CENTER

Acute Care Hospitals

3 out of 5 (CMS)

401 W POPLAR ST

WALLA WALLA, WA, 99362

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(509) 522-5900

Emergency Services: Yes

Voluntary non-profit - Private

Procedure Prices at PROVIDENCE ST MARY MEDICAL CENTER

HC ESTAB PT VISIT - LEVEL 3

CPT 99213

$0.7

EKG Interpretation

CPT 93010

$14.7

Mechanical Traction

CPT 97012

$32.9

HC ROUTINE VENIPUNCTURE - REFERRAL SHIPPING

CPT 36415

$37.1

HC COMPL CBC W PLT W AUTOM DIFF (RL)

CPT 85025

$49

Therapeutic Exercises

CPT 97110

$58.8

Therapeutic Activities

CPT 97530

$63

EKG

CPT 93000

$72.8

HC COMPREHEN METABOLIC PANEL

CPT 80053

$91

ER Visit — Low-Moderate Complexity

CPT 99283

$107.1

EKG Tracing

CPT 93005

$160.3

Chest X-Ray (1 view)

CPT 71045

$172.9

ER Visit — Moderate Complexity

CPT 99284

$205.8

Chest X-Ray (2 views)

CPT 71046

$227.5

Thoracic Spine X-Ray

CPT 72072

$275.8

Screening Mammogram (bilateral)

CPT 77067

$312.2

Abdominal Ultrasound — Limited

CPT 76705

$333.2

Diagnostic Mammogram (unilateral)

CPT 77065

$356.3

Diagnostic Mammogram (bilateral)

CPT 77066

$396.9

Retroperitoneal Ultrasound

CPT 76770

$400.4

Abdominal Ultrasound

CPT 76700

$482.3

OB Ultrasound

CPT 76805

$496.3

Echocardiogram

CPT 93307

$1,052.1

CT Chest

CPT 71250

$1,064

MRI Joint of Lower Extremity

CPT 73721

$1,082.9

MRI Brain w/o Contrast

CPT 70551

$1,302

Echocardiogram w/ Doppler

CPT 93306

$1,400

ER Visit — High Complexity

CPT 99285

$1,733.2

MRI Brain w/ Contrast

CPT 70553

$2,073.4

CT Abdomen & Pelvis

CPT 74177

$2,664.9

HC INJ FORAMEN EPIDURAL L/S

CPT 64483

$3,009.3

Compare Prices Nearby

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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.