SUTTER TRACY COMMUNITY HOSPITAL
Acute Care Hospitals
Procedure Prices at SUTTER TRACY COMMUNITY HOSPITAL
Routine venipuncture
CPT 36415
$3
HCHG COMPREHENSIVE METABOLIC PANEL
CPT 80053
$10.56
Chest X-Ray (1 view)
CPT 71045
$18.66
Chest X-Ray (2 views)
CPT 71046
$34.82
Thoracic Spine X-Ray
CPT 72072
$57.89
Abdominal Ultrasound — Limited
CPT 76705
$91.49
Abdominal Ultrasound
CPT 76700
$125.3
Retroperitoneal Ultrasound
CPT 76770
$129.68
Diagnostic Mammogram (unilateral)
CPT 77065
$137.84
Screening Mammogram (bilateral)
CPT 77067
$141.25
OB Ultrasound
CPT 76805
$142.05
CT Chest
CPT 71250
$146.62
Diagnostic Mammogram (bilateral)
CPT 77066
$174.58
MRI Brain w/o Contrast
CPT 70551
$309.39
MRI Joint of Lower Extremity
CPT 73721
$309.39
CT Abdomen & Pelvis
CPT 74177
$369.86
MRI Brain w/ Contrast
CPT 70553
$494.03
Colonoscopy
CPT 45378
$1,063.99
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,085.69
All Services for Outpatient Surgery for Njx aa&/strd tfrm epi l/s 1
CPT 64483
$1,100.74
Colonoscopy w/ Biopsy
CPT 45380
$1,388.13
Cataract Surgery — Complex
CPT 66982
$2,775.97
Cataract Surgery
CPT 66984
$2,775.97
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,654.77
Knee Arthroscopy
CPT 29881
$3,793.57
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,996
Appendectomy
CPT 44950
$4,273.48
Inguinal Hernia Repair
CPT 49505
$4,273.48
Recurrent Inguinal Hernia Repair
CPT 49520
$4,273.48
Laparoscopic Cholecystectomy
CPT 47562
$6,776.55
Laparoscopic Hernia Repair
CPT 49650
$6,776.55
All Services for Outpatient Surgery for Treat thigh fracture
CPT 27245
$8,382.71
All Services for Outpatient Surgery for Arthroscop rotator cuff repr
CPT 29827
$8,382.71
Hip Replacement
CPT 27130
$16,530.33
Knee Replacement
CPT 27447
$16,530.33
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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.