Procedure Prices at SIERRA VISTA HOSPITAL
.CBC W AUTO COMPLETE DIFF
CPT 85025
$9.71
Chest X-Ray (1 view)
CPT 71045
$9.94
Chest X-Ray (2 views)
CPT 71046
$10.3
Thoracic Spine X-Ray
CPT 72072
$12.24
VENIPUNCTURE
CPT 36415
$12.3
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$13.2
Abdominal Ultrasound — Limited
CPT 76705
$28
Retroperitoneal Ultrasound
CPT 76770
$34.61
Mechanical Traction
CPT 97012
$34.83
Abdominal Ultrasound
CPT 76700
$37.9
Diagnostic Mammogram (unilateral)
CPT 77065
$43.59
OB Ultrasound
CPT 76805
$46.75
Therapeutic Activities
CPT 97530
$47.8
Therapeutic Exercises
CPT 97110
$48.66
CT Chest
CPT 71250
$50.9
Screening Mammogram (bilateral)
CPT 77067
$50.98
Diagnostic Mammogram (bilateral)
CPT 77066
$55.78
MRI Joint of Lower Extremity
CPT 73721
$63.8
Echocardiogram w/ Doppler
CPT 93306
$66.65
ER Visit — Low-Moderate Complexity
CPT 99283
$82.86
CT Abdomen & Pelvis
CPT 74177
$85.81
MRI Brain w/o Contrast
CPT 70551
$101.25
MRI Brain w/ Contrast
CPT 70553
$107.73
PF - INJECTION, ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE; LUMBAR OR SACRAL, SINGLE LEVEL
CPT 64483
$107.89
ER Visit — Moderate Complexity
CPT 99284
$120.97
EKG Tracing
CPT 93005
$145.87
Upper GI Endoscopy w/ Biopsy
CPT 43239
$154.86
ER Visit — High Complexity
CPT 99285
$176.33
Colonoscopy w/ Biopsy
CPT 45380
$195.84
Colonoscopy
CPT 45378
$216.36
Appendectomy
CPT 44950
$645.45
Laparoscopic Cholecystectomy
CPT 47562
$661.92
Knee Replacement
CPT 27447
$1,272.86
Hip Replacement
CPT 27130
$1,274.18
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.