SISTERS OF CHARITY HOSPITAL
Acute Care Hospitals
Procedure Prices at SISTERS OF CHARITY HOSPITAL
Routine venipuncture
CPT 36415
$0.59
Chest X-Ray (1 view)
CPT 71045
$14.84
Chest X-Ray (2 views)
CPT 71046
$23.19
Thoracic Spine X-Ray
CPT 72072
$24.66
INJECT ANES/STEROID FORAMEN LUMBAR/SACRAL W IMG GUIDE 1 LEVEL
CPT 64483
$51.19
Upper GI Endoscopy w/ Biopsy
CPT 43239
$101.04
Colonoscopy
CPT 45378
$103.71
Abdominal Ultrasound
CPT 76700
$106.85
CT Chest
CPT 71250
$128.95
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$144.3
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$148.33
Colonoscopy w/ Biopsy
CPT 45380
$155.46
MRI Joint of Lower Extremity
CPT 73721
$178.1
MRI Brain w/o Contrast
CPT 70551
$179.07
Laparoscopic Hernia Repair
CPT 49650
$196.73
CT Abdomen & Pelvis
CPT 74177
$206.95
Inguinal Hernia Repair
CPT 49505
$239.72
Recurrent Inguinal Hernia Repair
CPT 49520
$287.2
MRI Brain w/ Contrast
CPT 70553
$297.46
Appendectomy
CPT 44950
$299.37
Knee Arthroscopy
CPT 29881
$308.08
Laparoscopic Cholecystectomy
CPT 47562
$341.99
SHLDR ARTHROSCOPSURGW/ROTAT CUFF REPR
CPT 29827
$540.99
Cataract Surgery
CPT 66984
$541.86
OPEN FIX INTER/SUBTROCH FXIMPLNT
CPT 27245
$689.74
Hip Replacement
CPT 27130
$698.41
Knee Replacement
CPT 27447
$752.17
VBAC Delivery
CPT 59610
$1,466.07
Vaginal Delivery
CPT 59400
$1,515.55
C-Section
CPT 59510
$1,537.76
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.