SONOMA SPECIALTY HOSPITAL
Hospital
Procedure Prices at SONOMA SPECIALTY HOSPITAL
RL CBC WITH DIFFERENTIAL/PLATELET
CPT 85025
$2.01
RL COMP. METABOLIC PANEL (14)
CPT 80053
$2.08
ROUTINE VENIPUNCTURE
CPT 36415
$6
Therapeutic Exercises
CPT 97110
$15.72
Therapeutic Activities
CPT 97530
$15.98
EKG Tracing
CPT 93005
$23.52
Chest X-Ray (1 view)
CPT 71045
$25.35
Established patient office or other outpatient visit, 20-29 minutes
CPT 99213
$34.43
Chest X-Ray (2 views)
CPT 71046
$39.42
Thoracic Spine X-Ray
CPT 72072
$44.22
Abdominal Ultrasound — Limited
CPT 76705
$87.13
Retroperitoneal Ultrasound
CPT 76770
$115.78
Abdominal Ultrasound
CPT 76700
$119.34
OB Ultrasound
CPT 76805
$135.29
Diagnostic Mammogram (unilateral)
CPT 77065
$175.07
Screening Mammogram (bilateral)
CPT 77067
$179.73
Echocardiogram
CPT 93307
$215.3
Diagnostic Mammogram (bilateral)
CPT 77066
$221.97
CT Chest
CPT 71250
$233.36
Echocardiogram w/ Doppler
CPT 93306
$343.91
CT Abdomen & Pelvis
CPT 74177
$404.21
MRI Brain w/o Contrast
CPT 70551
$439.07
MRI Joint of Lower Extremity
CPT 73721
$560.1
MRI Brain w/ Contrast
CPT 70553
$594.39
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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.