ST MARY & ELIZABETH MED CTR-CLAREMONT CAMPUS
Hospital
Procedure Prices at ST MARY & ELIZABETH MED CTR-CLAREMONT CAMPUS
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$22.4
Therapeutic Activities
CPT 97530
$77.7
Therapeutic Exercises
CPT 97110
$91.7
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$96.25
Thoracic Spine X-Ray
CPT 72072
$146.3
PSYCHOTHERAPY PATIENT &/ FAMILY 60 MINUTES
CPT 90837
$149.8
Chest X-Ray (1 view)
CPT 71045
$173.95
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$188.65
EKG Tracing
CPT 93005
$189.35
Chest X-Ray (2 views)
CPT 71046
$191.45
Diagnostic Mammogram (unilateral)
CPT 77065
$204.75
OFFICE OUTPATIENT VISIT 15 MINUTES
CPT 99213
$214.55
Screening Mammogram (bilateral)
CPT 77067
$227.85
Diagnostic Mammogram (bilateral)
CPT 77066
$277.2
Echocardiogram
CPT 93307
$437.15
ER Visit — Low-Moderate Complexity
CPT 99283
$437.15
OB Ultrasound
CPT 76805
$549.5
Abdominal Ultrasound — Limited
CPT 76705
$550.9
Retroperitoneal Ultrasound
CPT 76770
$565.6
CT Chest
CPT 71250
$577.5
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$796.25
ER Visit — Moderate Complexity
CPT 99284
$822.15
MRI Brain w/o Contrast
CPT 70551
$902.3
Abdominal Ultrasound
CPT 76700
$926.1
ER Visit — High Complexity
CPT 99285
$1,273.3
MRI Brain w/ Contrast
CPT 70553
$1,346.45
Echocardiogram w/ Doppler
CPT 93306
$1,514.45
MRI Joint of Lower Extremity
CPT 73721
$1,885.1
CT Abdomen & Pelvis
CPT 74177
$2,020.55
Hip Replacement
CPT 27130
TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
Knee Replacement
CPT 27447
ARTHROSCOPY SHOULDER ROTATOR CUFF REPAIR
CPT 29827
Knee Arthroscopy
CPT 29881
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
Upper GI Endoscopy w/ Biopsy
CPT 43239
Appendectomy
CPT 44950
Colonoscopy
CPT 45378
Colonoscopy w/ Biopsy
CPT 45380
Laparoscopic Cholecystectomy
CPT 47562
Inguinal Hernia Repair
CPT 49505
Recurrent Inguinal Hernia Repair
CPT 49520
Laparoscopic Hernia Repair
CPT 49650
Cataract Surgery — Complex
CPT 66982
Cataract Surgery
CPT 66984
EKG
CPT 93000
EKG Interpretation
CPT 93010
Mechanical Traction
CPT 97012
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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.