SANFORD WESTBROOK HOSPITAL
Hospital
Procedure Prices at SANFORD WESTBROOK HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$5.4
Mechanical Traction
CPT 97012
$66.1
Therapeutic Exercises
CPT 97110
$73.74
Therapeutic Activities
CPT 97530
$76.2
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$92.26
EKG Tracing
CPT 93005
$101.95
Screening Mammogram (bilateral)
CPT 77067
$132.78
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$132.84
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$139.35
Chest X-Ray (1 view)
CPT 71045
$196.08
Chest X-Ray (2 views)
CPT 71046
$251.94
Thoracic Spine X-Ray
CPT 72072
$402.59
Abdominal Ultrasound — Limited
CPT 76705
$415.93
ER Visit — Low-Moderate Complexity
CPT 99283
$552.98
Retroperitoneal Ultrasound
CPT 76770
$561.75
ER Visit — Moderate Complexity
CPT 99284
$615.13
ER Visit — High Complexity
CPT 99285
$1,020.71
Abdominal Ultrasound
CPT 76700
$1,109.7
CT Chest
CPT 71250
$1,150.6
MRI Joint of Lower Extremity
CPT 73721
$1,588.09
Echocardiogram w/ Doppler
CPT 93306
$1,595.32
MRI Brain w/o Contrast
CPT 70551
$1,726.01
CT Abdomen & Pelvis
CPT 74177
$2,281.57
MRI Brain w/ Contrast
CPT 70553
$2,456.02
Colonoscopy
CPT 45378
$2,922.61
Colonoscopy w/ Biopsy
CPT 45380
$3,504.49
Upper GI Endoscopy w/ Biopsy
CPT 43239
$4,194.16
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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.