ST ELIZABETH MEDICAL CENTER
Hospital
Procedure Prices at ST ELIZABETH MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$1.29
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$1.9
EKG Tracing
CPT 93005
$7.5
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$9.99
Chest X-Ray (2 views)
CPT 71046
$15
Therapeutic Exercises
CPT 97110
$17.63
Thoracic Spine X-Ray
CPT 72072
$21.38
Therapeutic Activities
CPT 97530
$26.32
Abdominal Ultrasound — Limited
CPT 76705
$28.76
OB Ultrasound
CPT 76805
$33
Abdominal Ultrasound
CPT 76700
$36
Retroperitoneal Ultrasound
CPT 76770
$59.02
Chest X-Ray (1 view)
CPT 71045
$59.59
Screening Mammogram (bilateral)
CPT 77067
$67.78
CT Chest
CPT 71250
$84
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$92.73
Individual Psychotherapy Session 60 Minutes
CPT 90837
$116.5
ER Visit — Low-Moderate Complexity
CPT 99283
$131.34
ER Visit — Moderate Complexity
CPT 99284
$190.56
CT Abdomen & Pelvis
CPT 74177
$191.39
ER Visit — High Complexity
CPT 99285
$225.55
Echocardiogram w/ Doppler
CPT 93306
$260.09
Upper GI Endoscopy w/ Biopsy
CPT 43239
$894.5
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,150.72
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,389.61
Knee Arthroscopy
CPT 29881
$1,439.38
Inguinal Hernia Repair
CPT 49505
$1,826.54
Laparoscopic Cholecystectomy
CPT 47562
$2,278.29
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$2,489.1
Appendectomy
CPT 44950
$2,549
Laparoscopic Hernia Repair
CPT 49650
$2,651.97
Hip Replacement
CPT 27130
$3,132.45
Knee Replacement
CPT 27447
$4,280.96
Treatment of Broken Thigh Bone Near Hip With Nail or Rod Implant
CPT 27245
$6,220.98
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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.