SAINT THOMAS RUTHERFORD HOSPITAL
Acute Care Hospitals
29
Procedure Prices at SAINT THOMAS RUTHERFORD HOSPITAL
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$8.72
Therapeutic Activities
CPT 97530
$49.94
Therapeutic Exercises
CPT 97110
$65.68
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$70.27
ER Visit — Low-Moderate Complexity
CPT 99283
$87.77
EKG Tracing
CPT 93005
$90.1
Chest X-Ray (1 view)
CPT 71045
$125.34
ER Visit — Moderate Complexity
CPT 99284
$135.64
Chest X-Ray (2 views)
CPT 71046
$136.83
Diagnostic Mammogram (unilateral)
CPT 77065
$153.15
Thoracic Spine X-Ray
CPT 72072
$165.76
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$168.51
ER Visit — High Complexity
CPT 99285
$255.3
Abdominal Ultrasound
CPT 76700
$267.44
Abdominal Ultrasound — Limited
CPT 76705
$268.93
OB Ultrasound
CPT 76805
$299.2
Retroperitoneal Ultrasound
CPT 76770
$331.14
Echocardiogram
CPT 93307
$669.86
MRI Joint of Lower Extremity
CPT 73721
$869.57
Upper GI Endoscopy w/ Biopsy
CPT 43239
$921.81
CT Chest
CPT 71250
$965.54
Colonoscopy
CPT 45378
$1,063.6
Colonoscopy w/ Biopsy
CPT 45380
$1,063.6
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,111.09
Echocardiogram w/ Doppler
CPT 93306
$1,260.58
MRI Brain w/o Contrast
CPT 70551
$1,355.58
MRI Brain w/ Contrast
CPT 70553
$1,792.43
CT Abdomen & Pelvis
CPT 74177
$2,000.82
Hip Replacement
CPT 27130
$17,284
Knee Replacement
CPT 27447
$17,284
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
Knee Arthroscopy
CPT 29881
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
Appendectomy
CPT 44950
Laparoscopic Cholecystectomy
CPT 47562
Inguinal Hernia Repair
CPT 49505
Recurrent Inguinal Hernia Repair
CPT 49520
Laparoscopic Hernia Repair
CPT 49650
Vaginal Delivery
CPT 59400
C-Section
CPT 59510
VBAC Delivery
CPT 59610
Cataract Surgery — Complex
CPT 66982
Cataract Surgery
CPT 66984
Diagnostic Mammogram (bilateral)
CPT 77066
Screening Mammogram (bilateral)
CPT 77067
EKG
CPT 93000
EKG Interpretation
CPT 93010
Mechanical Traction
CPT 97012
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
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.