UH ST JOHN MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at UH ST JOHN MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$3
Lab Test - Complete Blood Cell Count
CPT 85025
$8.19
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$11.57
EKG Tracing
CPT 93005
$30.33
OB Ultrasound
CPT 76805
$37.11
Diagnostic Mammogram (unilateral)
CPT 77065
$43.64
Diagnostic Mammogram (bilateral)
CPT 77066
$43.64
Chest X-Ray (1 view)
CPT 71045
$60.36
Chest X-Ray (2 views)
CPT 71046
$60.36
Thoracic Spine X-Ray
CPT 72072
$68.52
Therapeutic Exercises
CPT 97110
$77.15
Therapeutic Activities
CPT 97530
$77.15
Screening Mammogram (bilateral)
CPT 77067
$93.03
Outpatient Clinic Visit
CPT 99213
$98.73
Retroperitoneal Ultrasound
CPT 76770
$106.69
Abdominal Ultrasound
CPT 76700
$107.93
Abdominal Ultrasound — Limited
CPT 76705
$107.93
CT Chest
CPT 71250
$130.84
ER Visit — Low-Moderate Complexity
CPT 99283
$204.79
ER Visit — Moderate Complexity
CPT 99284
$204.79
ER Visit — High Complexity
CPT 99285
$204.79
MRI Joint of Lower Extremity
CPT 73721
$219.99
MRI Brain w/o Contrast
CPT 70551
$278.49
CT Abdomen & Pelvis
CPT 74177
$332.16
MRI Brain w/ Contrast
CPT 70553
$338.45
Echocardiogram w/ Doppler
CPT 93306
$353.07
Echocardiogram
CPT 93307
$353.07
Colonoscopy
CPT 45378
$565.16
Injection Of Drug Into Spinal Nerve Root With Imaging Guidance
CPT 64483
$656.42
Upper GI Endoscopy w/ Biopsy
CPT 43239
$658.43
Colonoscopy w/ Biopsy
CPT 45380
$696.58
Knee Arthroscopy
CPT 29881
$1,524.88
Laparoscopic Cholecystectomy
CPT 47562
$2,658.7
Inguinal Hernia Repair
CPT 49505
$2,756.73
Recurrent Inguinal Hernia Repair
CPT 49520
$2,756.73
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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.