ST VINCENT'S CHILTON
Acute Care Hospitals
16
Procedure Prices at ST VINCENT'S CHILTON
COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$2.36
BLOOD COUNT COMPLETE AUTO&AUTO DIFRNTL WBC
CPT 85025
$6.11
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$8.3
Mechanical Traction
CPT 97012
$15.96
Chest X-Ray (1 view)
CPT 71045
$22.79
Chest X-Ray (2 views)
CPT 71046
$31.16
Therapeutic Exercises
CPT 97110
$33.71
Therapeutic Activities
CPT 97530
$36.44
Thoracic Spine X-Ray
CPT 72072
$38.13
EKG Tracing
CPT 93005
$74.88
Abdominal Ultrasound — Limited
CPT 76705
$85.07
Retroperitoneal Ultrasound
CPT 76770
$105.06
Abdominal Ultrasound
CPT 76700
$112.96
Diagnostic Mammogram (unilateral)
CPT 77065
$121.79
OB Ultrasound
CPT 76805
$125.51
Screening Mammogram (bilateral)
CPT 77067
$128.76
Diagnostic Mammogram (bilateral)
CPT 77066
$155.29
CT Chest
CPT 71250
$168.68
MRI Brain w/o Contrast
CPT 70551
$263.26
MRI Joint of Lower Extremity
CPT 73721
$286.64
ER Visit — Low-Moderate Complexity
CPT 99283
$297.05
Echocardiogram
CPT 93307
$299.46
Upper GI Endoscopy w/ Biopsy
CPT 43239
$388.29
Colonoscopy
CPT 45378
$399.42
Colonoscopy w/ Biopsy
CPT 45380
$399.42
MRI Brain w/ Contrast
CPT 70553
$442.66
ER Visit — Moderate Complexity
CPT 99284
$453.18
CT Abdomen & Pelvis
CPT 74177
$459.52
Echocardiogram w/ Doppler
CPT 93306
$522.17
ER Visit — High Complexity
CPT 99285
$522.17
NJX ANES&/STRD W/IMG TFRML EDRL LMBR/SAC 1 LVL
CPT 64483
$1,509
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,601
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,031
Cataract Surgery — Complex
CPT 66982
$3,031
Cataract Surgery
CPT 66984
$3,031
Knee Arthroscopy
CPT 29881
$3,705
Appendectomy
CPT 44950
$3,705
Inguinal Hernia Repair
CPT 49505
$3,705
Recurrent Inguinal Hernia Repair
CPT 49520
$3,705
Hip Replacement
CPT 27130
$12,731
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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.