SANFORD HOSPITAL LUVERNE
Hospital
Procedure Prices at SANFORD HOSPITAL LUVERNE
Blood Draw From Vein Using Needle
CPT 36415
$8.75
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$15.24
Chest X-Ray (1 view)
CPT 71045
$27.54
Mechanical Traction
CPT 97012
$32.02
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$36.11
Chest X-Ray (2 views)
CPT 71046
$49.36
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$51.22
Therapeutic Exercises
CPT 97110
$58.24
EKG Tracing
CPT 93005
$62.57
Therapeutic Activities
CPT 97530
$63.24
Thoracic Spine X-Ray
CPT 72072
$79.26
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$112.57
Screening Mammogram (bilateral)
CPT 77067
$133.56
Diagnostic Mammogram (unilateral)
CPT 77065
$216.51
Diagnostic Mammogram (bilateral)
CPT 77066
$265.1
Abdominal Ultrasound — Limited
CPT 76705
$269.51
Retroperitoneal Ultrasound
CPT 76770
$329.45
Abdominal Ultrasound
CPT 76700
$369.35
OB Ultrasound
CPT 76805
$396.55
ER Visit — Low-Moderate Complexity
CPT 99283
$621.31
Colonoscopy w/ Biopsy
CPT 45380
$710.2
ER Visit — Moderate Complexity
CPT 99284
$739.7
ER Visit — High Complexity
CPT 99285
$816.09
Upper GI Endoscopy w/ Biopsy
CPT 43239
$886.51
Colonoscopy
CPT 45378
$1,149.39
Echocardiogram w/ Doppler
CPT 93306
$1,158.6
CT Chest
CPT 71250
$1,170.18
MRI Joint of Lower Extremity
CPT 73721
$1,230.67
MRI Brain w/o Contrast
CPT 70551
$1,330.86
CT Abdomen & Pelvis
CPT 74177
$1,970.16
MRI Brain w/ Contrast
CPT 70553
$2,138.92
Inguinal Hernia Repair
CPT 49505
$2,536.47
Cataract Surgery
CPT 66984
$4,263.31
Laparoscopic Cholecystectomy
CPT 47562
$5,892.28
Recurrent Inguinal Hernia Repair
CPT 49520
$6,054.93
Cataract Surgery — Complex
CPT 66982
$8,665.28
Laparoscopic Hernia Repair
CPT 49650
$8,995.23
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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.