Top 40 services provided by SAINT ALPHONSUS REGIONAL MEDICAL CENTER
Services CPT Price Est. Cash Price
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,812.00 $1,268.40
Release and/or relocation of median nerve of hand 64721 $936.00 $655.20
CT scan of the head or brain without contrast or dye 70450 $1,547.00 $1,082.90
MRI scan of the brain with and without contrast 70553 $3,128.00 $2,189.60
X-ray of the chest, 2 views 71046 $63.00 $44.10
X-ray of the lower spine with 4 or more views 72110 $534.00 $373.80
CT scan of the pelvis with contrast or dye 72193 $1,912.00 $1,338.40
CT scan of the abdomen with contrast or dye 74160 $2,010.00 $1,407.00
Ultrasound of the abdomen 76700 $0.00 $0.00
Ultrasound of the abdomen 76700 $623.00 $436.10
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $411.00 $287.70
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $306.00 $214.20
Mammogram of both breasts 77067 $286.00 $200.20
Basic Metabolic Panel 80048 $59.00 $41.30
Comprehensive Metabolic Panel 80053 $68.00 $47.60
Lipid Panel 80061 $73.00 $51.10
Lipid Panel 80061 $43.65 $30.56
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $15.00 $10.50
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $44.00 $30.80
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $18.00 $12.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $25.00 $17.50
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $98.40 $68.88
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $52.00 $36.40
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $32.00 $22.40
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $88.55 $61.98
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $59.00 $41.30
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $168.00 $117.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $105.00 $73.50
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $120.00 $84.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $65.00 $45.50
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $40.00 $28.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $50.00 $35.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $16.00 $11.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $97.00 $67.90
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $55.35 $38.74
Ultrasound of chest to examine the heart 93307 $890.00 $623.00
Ultrasound of chest to examine the heart 93307 $693.00 $485.10
Ultrasound of chest to examine the heart 93307 $304.00 $212.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $45.00 $31.50
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $21.00 $14.70
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $77.00 $53.90
Training for walking to 1 or more areas for 15 minutes 97116 $82.00 $57.40
Physical therapy evaluation session for 20 minutes 97161 $69.00 $48.30
Physical therapy evaluation session for 20 minutes 97161 $187.00 $130.90
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $184.00 $128.80
Emergency department visit facility fees for a visit of moderate severity 99283 $741.00 $518.70
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,163.00 $814.10