Top 40 services provided by ST. ALEXIUS HOSPITAL BROADWAY CAMPUS
Services CPT Price Est. Cash Price
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $830.00 $1,279.10
CT scan of the head or brain without contrast or dye 70450 $417.00 $112.51
MRI scan of the brain with and without contrast 70553 $1,627.00 $385.88
X-ray of the chest, 2 views 71046 $190.00 $62.30
CT scan of the pelvis with contrast or dye 72193 $417.00 $201.74
Ultrasound of the abdomen 76700 $183.00 $112.51
Ultrasound of the abdomen 76700 $445.00 $112.51
Basic Metabolic Panel 80048 $790.00 $0.00
Basic Metabolic Panel 80048 $552.00 $0.00
Lipid Panel 80061 $129.00 $0.00
Lipid Panel 80061 $471.00 $0.00
Lipid Panel 80061 $17.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $120.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $137.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $81.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $120.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $90.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $250.00 $0.00
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 $319.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $137.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $160.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $237.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $249.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $102.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $38.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $280.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $184.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $215.00 $0.00
Ultrasound of chest to examine the heart 93307 $1,380.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $150.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $195.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $192.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $186.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $934.00 $250.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,116.00 $300.00