SILVER CROSS HOSPITAL AND MEDICAL CENTERS
Acute Care Hospitals
Procedure Prices at SILVER CROSS HOSPITAL AND MEDICAL CENTERS
HGLAB PHLEBOTOMY COLLECTION
CPT 36415
$2.61
LAB CBC WITH DIFF
CPT 85025
$6.76
HGLAB COMP METABOLIC PANEL
CPT 80053
$9.19
Mechanical Traction
CPT 97012
$13.14
Therapeutic Exercises
CPT 97110
$27.32
Chest X-Ray (1 view)
CPT 71045
$29.26
Therapeutic Activities
CPT 97530
$34.7
Chest X-Ray (2 views)
CPT 71046
$38.37
EKG Tracing
CPT 93005
$41.38
Thoracic Spine X-Ray
CPT 72072
$46.86
PROF VISIT EST PT LEVEL 3
CPT 99213
$77
Diagnostic Mammogram (unilateral)
CPT 77065
$83.91
Screening Mammogram (bilateral)
CPT 77067
$88.38
CT Chest
CPT 71250
$98.63
Abdominal Ultrasound
CPT 76700
$98.63
Abdominal Ultrasound — Limited
CPT 76705
$98.63
Retroperitoneal Ultrasound
CPT 76770
$98.63
OB Ultrasound
CPT 76805
$98.63
Diagnostic Mammogram (bilateral)
CPT 77066
$106.93
MRI Brain w/o Contrast
CPT 70551
$208.45
MRI Joint of Lower Extremity
CPT 73721
$208.45
Echocardiogram
CPT 93307
$208.45
ER Visit — Low-Moderate Complexity
CPT 99283
$209.65
ER Visit — Moderate Complexity
CPT 99284
$329.54
MRI Brain w/ Contrast
CPT 70553
$333.6
CT Abdomen & Pelvis
CPT 74177
$333.6
Echocardiogram w/ Doppler
CPT 93306
$437.73
ER Visit — High Complexity
CPT 99285
$473.02
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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.