SHERIDAN MEMORIAL HOSPTIAL
Hospital
Procedure Prices at SHERIDAN MEMORIAL HOSPTIAL
EKG Tracing
CPT 93005
$13.68
EKG Interpretation
CPT 93010
$13.68
Chest X-Ray (1 view)
CPT 71045
$17.16
Thoracic Spine X-Ray
CPT 72072
$19.07
Blood Draw With IV Start and Sent to Lab -> Nursery
CPT 36415
$22.41
WELL w/Direct LDL
CPT 80053
$25.2
Mechanical Traction
CPT 97012
$27.6
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$29.06
Screening Mammogram (bilateral)
CPT 77067
$42.75
Therapeutic Exercises
CPT 97110
$53.07
Chest X-Ray (2 views)
CPT 71046
$54.74
Diagnostic Mammogram (unilateral)
CPT 77065
$66.12
Abdominal Ultrasound
CPT 76700
$67.05
Retroperitoneal Ultrasound
CPT 76770
$68.64
Abdominal Ultrasound — Limited
CPT 76705
$83.48
99213 ED PROF OP Visit E&M 15 min
CPT 99213
$83.81
Therapeutic Activities
CPT 97530
$89.64
OB Ultrasound
CPT 76805
$93.06
Diagnostic Mammogram (bilateral)
CPT 77066
$108.78
CT Chest
CPT 71250
$116.55
Echocardiogram w/ Doppler
CPT 93306
$120.22
MRI Brain w/o Contrast
CPT 70551
$121.96
MRI Joint of Lower Extremity
CPT 73721
$126.72
CT Abdomen & Pelvis
CPT 74177
$174.6
MRI Brain w/ Contrast
CPT 70553
$185.25
90837 LCSW Psychotherapy 60 min Patient
CPT 90837
$189.45
EKG
CPT 93000
$252.56
ER Visit — High Complexity
CPT 99285
$279.87
ER Visit — Low-Moderate Complexity
CPT 99283
$543.6
ER Visit — Moderate Complexity
CPT 99284
$682.2
Transforaminal Epidural L/S Spine
CPT 64483
$1,721.42
Colonoscopy
CPT 45378
$2,045.11
Colonoscopy w/ Biopsy
CPT 45380
$2,838.54
Upper GI Endoscopy w/ Biopsy
CPT 43239
$3,074.85
VBAC Delivery
CPT 59610
$4,574.24
C-Section
CPT 59510
$4,973.76
Knee Arthroscopy
CPT 29881
$8,980.45
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$9,203.87
Inguinal Hernia Repair
CPT 49505
$13,089.74
Laparoscopic Cholecystectomy
CPT 47562
$16,817.96
Knee Replacement
CPT 27447
$34,933.02
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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.