ST LUKE'S PATIENTS MEDICAL CENTER
Hospital
Procedure Prices at ST LUKE'S PATIENTS MEDICAL CENTER
VENIPUNCTURE
CPT 36415
$3
Chest X-Ray (1 view)
CPT 71045
$23.81
Chest X-Ray (2 views)
CPT 71046
$31.11
Thoracic Spine X-Ray
CPT 72072
$36.19
Abdominal Ultrasound — Limited
CPT 76705
$84.75
CT Chest
CPT 71250
$103.52
Abdominal Ultrasound
CPT 76700
$103.52
Retroperitoneal Ultrasound
CPT 76770
$103.52
OB Ultrasound
CPT 76805
$103.52
Diagnostic Mammogram (unilateral)
CPT 77065
$128.86
Colonoscopy
CPT 45378
$139.41
Upper GI Endoscopy w/ Biopsy
CPT 43239
$143.43
INJ FORAMEN EPIDURAL L/S
CPT 64483
$148.2
Colonoscopy w/ Biopsy
CPT 45380
$183.27
MRI Brain w/o Contrast
CPT 70551
$200.62
MRI Joint of Lower Extremity
CPT 73721
$207.6
TREAT THIGH FRACTURE
CPT 27245
$233.42
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$308.25
CT Abdomen & Pelvis
CPT 74177
$308.54
MRI Brain w/ Contrast
CPT 70553
$329.8
Cataract Surgery — Complex
CPT 66982
$368.99
Cataract Surgery
CPT 66984
$368.99
Knee Arthroscopy
CPT 29881
$382
Appendectomy
CPT 44950
$382
Inguinal Hernia Repair
CPT 49505
$382
Recurrent Inguinal Hernia Repair
CPT 49520
$382
Laparoscopic Hernia Repair
CPT 49650
$382
Vaginal Delivery
CPT 59400
$397.46
VBAC Delivery
CPT 59610
$417.06
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$433
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$433
Laparoscopic Cholecystectomy
CPT 47562
$433
C-Section
CPT 59510
$440.67
Hip Replacement
CPT 27130
$499.25
Knee Replacement
CPT 27447
$499.25
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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.