ST MARY MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at ST MARY MEDICAL CENTER
HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD
CPT 36415
$13.2
HC COMPREHEN METABOLIC PANEL
CPT 80053
$123.6
HC CBC WITH DIFF AUTO
CPT 85025
$158.4
Therapeutic Activities
CPT 97530
$271.2
Therapeutic Exercises
CPT 97110
$306.6
Mechanical Traction
CPT 97012
$307.2
Echocardiogram
CPT 93307
$311.4
Chest X-Ray (1 view)
CPT 71045
$318.6
HC ESTAB PT VISIT - LEVEL 3
CPT 99213
$408.6
EKG Tracing
CPT 93005
$469.2
Chest X-Ray (2 views)
CPT 71046
$505.8
Thoracic Spine X-Ray
CPT 72072
$516
Diagnostic Mammogram (unilateral)
CPT 77065
$603.6
Screening Mammogram (bilateral)
CPT 77067
$603.6
Echocardiogram w/ Doppler
CPT 93306
$637.2
Diagnostic Mammogram (bilateral)
CPT 77066
$745.8
MRI Joint of Lower Extremity
CPT 73721
$810
MRI Brain w/o Contrast
CPT 70551
$915.6
Abdominal Ultrasound — Limited
CPT 76705
$1,063.8
Retroperitoneal Ultrasound
CPT 76770
$1,076.4
Abdominal Ultrasound
CPT 76700
$1,116.6
OB Ultrasound
CPT 76805
$1,264.2
MRI Brain w/ Contrast
CPT 70553
$1,628.4
CT Chest
CPT 71250
$1,668.6
ER Visit — Low-Moderate Complexity
CPT 99283
$2,001.6
ER Visit — Moderate Complexity
CPT 99284
$2,598.6
CT Abdomen & Pelvis
CPT 74177
$3,513
ER Visit — High Complexity
CPT 99285
$3,637.2
Compare Prices Nearby
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.