ST LUKES HOSPITAL
Acute Care Hospitals
Procedure Prices at ST LUKES HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$2.85
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$5.86
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$7.38
Mechanical Traction
CPT 97012
$11.25
Therapeutic Exercises
CPT 97110
$22.92
EKG
CPT 93000
$23.11
Therapeutic Activities
CPT 97530
$29.22
Chest X-Ray (1 view)
CPT 71045
$35.06
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$35.89
Thoracic Spine X-Ray
CPT 72072
$45.3
EKG Tracing
CPT 93005
$47.87
Chest X-Ray (2 views)
CPT 71046
$48.75
Abdominal Ultrasound — Limited
CPT 76705
$49.96
Echocardiogram w/ Doppler
CPT 93306
$58.1
Screening Mammogram (bilateral)
CPT 77067
$62.08
Diagnostic Mammogram (unilateral)
CPT 77065
$81.44
CT Chest
CPT 71250
$98.96
OB Ultrasound
CPT 76805
$100.19
Abdominal Ultrasound
CPT 76700
$100.27
Retroperitoneal Ultrasound
CPT 76770
$100.9
Diagnostic Mammogram (bilateral)
CPT 77066
$103.11
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$113.87
ER Visit — High Complexity
CPT 99285
$116.53
ER Visit — Low-Moderate Complexity
CPT 99283
$148.73
ER Visit — Moderate Complexity
CPT 99284
$159.26
MRI Joint of Lower Extremity
CPT 73721
$211.83
MRI Brain w/o Contrast
CPT 70551
$215.5
Colonoscopy
CPT 45378
$242.38
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$328.52
MRI Brain w/ Contrast
CPT 70553
$341.62
CT Abdomen & Pelvis
CPT 74177
$365.14
Upper GI Endoscopy w/ Biopsy
CPT 43239
$431.06
Colonoscopy w/ Biopsy
CPT 45380
$604.46
Hip Replacement
CPT 27130
$1,668.53
Knee Arthroscopy
CPT 29881
$1,959.83
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,519.58
Inguinal Hernia Repair
CPT 49505
$2,936.75
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$2,966.43
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,373.78
Laparoscopic Cholecystectomy
CPT 47562
$4,148.74
Laparoscopic Hernia Repair
CPT 49650
$4,660.18
Recurrent Inguinal Hernia Repair
CPT 49520
$5,506.4
Knee Replacement
CPT 27447
$11,444.51
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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.