Pricing

St. Mary’s is committed to providing high-quality, affordable health care. To help you make decisions about your healthcare needs, we have compiled a list of common imaging procedures and their respective pricing. Always double check with your care provider to ensure your expected costs.

For Financial Counseling, the phone numbers are:
970.298.7070 local
855.232.0307 toll free

Imaging/Radiology

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016

Procedure

CPT Code
 Price

CT HEAD/BRAIN W/O CONTRAST

70450

$1,415

CT ABDOMEN WITHOUT CONTRAST

74176

$2,825

CT ABDOMEN WITH CONTRAST

74160

$1,930

MRI ABDOMEN WITHOUT CONTRAST

74181

$2,700

MRI LUMBAR WITHOUT CONTRAST

72148

$2,700

MRI LOWER JOINT BILATERAL W/O CONTRAST

73721

$2,700

ULTRASOUND BREAST UNILATERAL 1 OR MORE ELEMENTS

76642

$400

ULTRASOUND ABDOMEN LIMITED

76705

$732

ULTRASOUND OB 14 WEEKS OR MORE ABDOMINAL

76805

$880

MAMMOGRAPHY 3D SCREEN INCLUDING CAD

77052 & G0202

$262

XRAY CHEST 1 VIEW

71010

$263

XRAY CHEST 2 VIEWS

71020

$263

XRAY WRIST 2 VIEW

73100

$181

XRAY ANKLE 2 VIEW

73600

$181

BONE DENSITY-DEXA

77080

$409

     

Laboratory Procedures

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016

 Procedure CPT Code
Price

BASIC METABOLIC PANEL

80048

$48

CBC/PLT AUTO DIFFERENTIAL

85027

$36

COMPREHENSIVE METABOLIC PANEL

80053

$62

GLUCOSE; BLOOD

82947

$31

THYROID STIMULATING HORMONE

84443

$66

LIPID PANEL

80061

$56

PROTHROMBIN TIME

85610

$31

TROPONIN

84484

$83

URINALYSIS W/MICROSCOPY

81001

$40

VENIPUNCTURE (LAB DRAW)

36415

$20

     

 

Diagnostic Procedures (EKG,Colonoscopy,Therapy Evaluations)

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016

Procedure
CPT Code
Price

EKG 12 LEAD TRACING ONLY

93005

$195

COLONOSCOPY SCREEN NO COMPLICATIONS

45378

$2,200

OCCUPATIONAL THERAPY EVALUATION

97003

$208

PHYSICAL THERAPY EVALUATION

97001

$208

     

 

Outpatient Surgery

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016 

 Procedure CPT Code
Price

GALLBLADDER REMOVAL BY SURGICAL LAPAROSCOPY

47562

$18,951

     

 

 

 

Labor and Delivery

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016 

Procedure
CPT Code
Price

VAGINAL DELIVERY WITHOUT COMPLICATIONS

775

$13,635

CESAREAN SECTION W/O COMPLICATIONS

766

$18,798

NORMAL NEWBORN CARE

795

$2,841

     

 

Inpatient Procedures

If you do not have insurance and can pay cash we will discount prices by 56%

Prices are effective as of 9/30/2016

Procedure
CPT Code
Price

JOINT REPLACEMENT KNEE/HIP

468

$49,885

ALCOHOL/DRUG DEPENDENCE -NO REHAB THERAPY NO COMPLICATIONS

897

$20,696

OR PROCEDURE FOR OBESITY WITHOUT COMPLICATIONS

621

$53,622