SANFORD WORTHINGTON MEDICAL CENTER
Hospital
Procedure Prices at SANFORD WORTHINGTON MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$2.88
EKG Tracing
CPT 93005
$6.49
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$7.45
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$10.13
Mechanical Traction
CPT 97012
$10.65
Chest X-Ray (1 view)
CPT 71045
$15.89
Therapeutic Exercises
CPT 97110
$22.46
Therapeutic Activities
CPT 97530
$27.96
Chest X-Ray (2 views)
CPT 71046
$65.49
Diagnostic Mammogram (unilateral)
CPT 77065
$67.24
Screening Mammogram (bilateral)
CPT 77067
$79.35
Diagnostic Mammogram (bilateral)
CPT 77066
$86.01
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$92.18
Retroperitoneal Ultrasound
CPT 76770
$109.9
Abdominal Ultrasound
CPT 76700
$111.4
Thoracic Spine X-Ray
CPT 72072
$111.88
Abdominal Ultrasound — Limited
CPT 76705
$111.88
OB Ultrasound
CPT 76805
$111.88
CT Chest
CPT 71250
$113.84
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$136.65
MRI Joint of Lower Extremity
CPT 73721
$200.76
ER Visit — Low-Moderate Complexity
CPT 99283
$210.63
MRI Brain w/o Contrast
CPT 70551
$211.95
Colonoscopy
CPT 45378
$259.7
CT Abdomen & Pelvis
CPT 74177
$376.79
MRI Brain w/ Contrast
CPT 70553
$379.31
ER Visit — Moderate Complexity
CPT 99284
$446.31
Echocardiogram w/ Doppler
CPT 93306
$453.77
ER Visit — High Complexity
CPT 99285
$455.57
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$796.96
Upper GI Endoscopy w/ Biopsy
CPT 43239
$832.17
Colonoscopy w/ Biopsy
CPT 45380
$956.24
Cataract Surgery
CPT 66984
$2,148.59
Cataract Surgery — Complex
CPT 66982
$2,257.88
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,147.82
Inguinal Hernia Repair
CPT 49505
$3,459.28
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,499.5
Knee Arthroscopy
CPT 29881
$4,203.37
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$4,589.35
Laparoscopic Cholecystectomy
CPT 47562
$5,212.59
Laparoscopic Hernia Repair
CPT 49650
$5,389.38
Recurrent Inguinal Hernia Repair
CPT 49520
$6,116.84
Knee Replacement
CPT 27447
$31,295.1
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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.