SANFORD USD MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at SANFORD USD MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$3
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$5.96
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$8.1
EKG Tracing
CPT 93005
$10.46
Mechanical Traction
CPT 97012
$12.16
Chest X-Ray (2 views)
CPT 71046
$14.85
Therapeutic Exercises
CPT 97110
$21.83
Therapeutic Activities
CPT 97530
$27.33
Thoracic Spine X-Ray
CPT 72072
$29.24
ER Visit — Low-Moderate Complexity
CPT 99283
$35
ER Visit — Moderate Complexity
CPT 99284
$50
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$54.26
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$62.97
ER Visit — High Complexity
CPT 99285
$68.18
Chest X-Ray (1 view)
CPT 71045
$70.58
Screening Mammogram (bilateral)
CPT 77067
$74.11
Diagnostic Mammogram (unilateral)
CPT 77065
$75.58
Abdominal Ultrasound
CPT 76700
$75.99
Abdominal Ultrasound — Limited
CPT 76705
$75.99
OB Ultrasound
CPT 76805
$75.99
Retroperitoneal Ultrasound
CPT 76770
$82.32
Diagnostic Mammogram (bilateral)
CPT 77066
$86.01
EKG
CPT 93000
$86.4
CT Chest
CPT 71250
$111.86
MRI Brain w/o Contrast
CPT 70551
$179.03
MRI Joint of Lower Extremity
CPT 73721
$201.21
Echocardiogram w/ Doppler
CPT 93306
$203.29
MRI Brain w/ Contrast
CPT 70553
$321.29
Colonoscopy
CPT 45378
$347.33
CT Abdomen & Pelvis
CPT 74177
$356.41
Colonoscopy w/ Biopsy
CPT 45380
$445.73
Upper GI Endoscopy w/ Biopsy
CPT 43239
$561.53
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$861.88
Cataract Surgery — Complex
CPT 66982
$2,141.53
Inguinal Hernia Repair
CPT 49505
$2,148.21
Cataract Surgery
CPT 66984
$2,163.28
Knee Arthroscopy
CPT 29881
$2,456.55
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,817.96
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,052.72
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$3,300.56
Vaginal Delivery
CPT 59400
$3,916.29
C-Section
CPT 59510
$3,917.25
Laparoscopic Cholecystectomy
CPT 47562
$5,135
Laparoscopic Hernia Repair
CPT 49650
$5,267.49
Recurrent Inguinal Hernia Repair
CPT 49520
$6,030.16
Hip Replacement
CPT 27130
$12,799.39
Knee Replacement
CPT 27447
$13,163.59
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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.