SANFORD CANBY MEDICAL CENTER
Hospital
Procedure Prices at SANFORD CANBY MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$3
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$75
Therapeutic Activities
CPT 97530
$78.68
Therapeutic Exercises
CPT 97110
$79.4
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$88.19
Chest X-Ray (1 view)
CPT 71045
$104.54
Mechanical Traction
CPT 97012
$106.2
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$115.79
Screening Mammogram (bilateral)
CPT 77067
$134.59
EKG Tracing
CPT 93005
$169.33
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$177.37
CT Abdomen & Pelvis
CPT 74177
$202.5
Chest X-Ray (2 views)
CPT 71046
$238.73
Thoracic Spine X-Ray
CPT 72072
$280.6
ER Visit — Moderate Complexity
CPT 99284
$281.11
Abdominal Ultrasound — Limited
CPT 76705
$455.53
Upper GI Endoscopy w/ Biopsy
CPT 43239
$473.23
ER Visit — Low-Moderate Complexity
CPT 99283
$496.25
OB Ultrasound
CPT 76805
$522.41
Abdominal Ultrasound
CPT 76700
$616.51
Retroperitoneal Ultrasound
CPT 76770
$649.58
Colonoscopy w/ Biopsy
CPT 45380
$658.72
Echocardiogram w/ Doppler
CPT 93306
$722.5
ER Visit — High Complexity
CPT 99285
$1,103.43
Colonoscopy
CPT 45378
$1,145.6
CT Chest
CPT 71250
$1,444.86
MRI Brain w/o Contrast
CPT 70551
$1,892.4
MRI Brain w/ Contrast
CPT 70553
$2,015.31
MRI Joint of Lower Extremity
CPT 73721
$2,067.64
Recurrent Inguinal Hernia Repair
CPT 49520
$6,065.58
Inguinal Hernia Repair
CPT 49505
$6,767.15
Laparoscopic Cholecystectomy
CPT 47562
$10,566.3
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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.