SANFORD JACKSON MEDICAL CENTER
Hospital
Procedure Prices at SANFORD JACKSON MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$5.05
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$10.99
Chest X-Ray (1 view)
CPT 71045
$17.65
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$21.76
Therapeutic Exercises
CPT 97110
$42.8
Therapeutic Activities
CPT 97530
$44.43
Chest X-Ray (2 views)
CPT 71046
$58.89
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$78.98
EKG Tracing
CPT 93005
$114.37
Screening Mammogram (bilateral)
CPT 77067
$192.54
Thoracic Spine X-Ray
CPT 72072
$210.97
Abdominal Ultrasound — Limited
CPT 76705
$272.27
ER Visit — Low-Moderate Complexity
CPT 99283
$356.84
Retroperitoneal Ultrasound
CPT 76770
$390.56
Abdominal Ultrasound
CPT 76700
$393.78
ER Visit — Moderate Complexity
CPT 99284
$693.15
CT Chest
CPT 71250
$772.73
MRI Joint of Lower Extremity
CPT 73721
$1,010.18
Echocardiogram w/ Doppler
CPT 93306
$1,019.81
MRI Brain w/o Contrast
CPT 70551
$1,117.01
ER Visit — High Complexity
CPT 99285
$1,188.08
Colonoscopy
CPT 45378
$1,589.53
MRI Brain w/ Contrast
CPT 70553
$1,687.87
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,856.59
CT Abdomen & Pelvis
CPT 74177
$1,875.14
Colonoscopy w/ Biopsy
CPT 45380
$1,992.14
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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.