Top 40 services provided by ST JOSEPH MERCY CHELSEA
Services CPT Price Est. Cash Price
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,016.00 $504.00
CT scan of the head or brain without contrast or dye 70450 $1,822.00 $455.50
MRI scan of the brain with and without contrast 70553 $5,595.00 $1,398.75
X-ray of the chest, 2 views 71046 $259.00 $194.25
X-ray of the lower spine with 4 or more views 72110 $335.00 $251.25
CT scan of the pelvis with contrast or dye 72193 $1,627.00 $406.75
CT scan of the abdomen with contrast or dye 74160 $2,421.00 $605.25
Ultrasound of the abdomen 76700 $968.00 $726.00
Ultrasound of the abdomen 76700 $715.00 $178.75
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $454.00 $340.50
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $675.00 $506.25
Mammogram of both breasts 77067 $396.00 $297.00
Basic Metabolic Panel 80048 $59.00 $44.25
Basic Metabolic Panel 80048 $89.00 $66.75
Comprehensive Metabolic Panel 80053 $73.00 $54.75
Lipid Panel 80061 $51.00 $38.25
Lipid Panel 80061 $5.00 $3.75
Lipid Panel 80061 $84.00 $63.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $33.00 $24.75
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $29.00 $21.75
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $37.00 $27.75
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $34.00 $25.50
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $35.00 $26.25
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $22.00 $16.50
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 $124.00 $93.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $57.00 $42.75
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $45.00 $11.25
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $107.00 $26.75
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $100.00 $75.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $66.00 $49.50
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $36.00 $27.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $22.00 $5.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $5.00 $3.75
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $20.00 $15.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $30.00 $22.50
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $67.00 $16.75
Ultrasound of chest to examine the heart 93307 $1,080.00 $810.00
Ultrasound of chest to examine the heart 93307 $407.00 $305.25
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $54.00 $40.50
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $134.00 $100.50
Training for walking to 1 or more areas for 15 minutes 97116 $89.00 $22.25
Physical therapy evaluation session for 20 minutes 97161 $203.00 $152.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $43.00 $32.25
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $1.00 $0.75
Emergency department visit facility fees for a visit of moderate severity 99283 $589.00 $441.75
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,437.00 $359.25