BRODSTONE MEMORIAL HOSPITAL
Hospital
Procedure Prices at BRODSTONE MEMORIAL HOSPITAL
EKG
CPT 93000
$8.16
EKG Interpretation
CPT 93010
$13.16
LEGAL BLOOD ALCOHOL COLL.
CPT 36415
$14.1
BEHAVIORAL HEALTH - LEVEL 3
CPT 99213
$18.44
EKG Tracing
CPT 93005
$23.5
Knee Arthroscopy
CPT 29881
$25.38
ER Visit — Low-Moderate Complexity
CPT 99283
$26.97
Mechanical Traction
CPT 97012
$37.6
ER Visit — Moderate Complexity
CPT 99284
$43.5
Therapeutic Exercises
CPT 97110
$46.53
Appendectomy
CPT 44950
$48.15
Therapeutic Activities
CPT 97530
$48.88
CBC w Auto Diff/RPS
CPT 85025
$55.93
INJ ANES/STER TRANS EPI W GUI LUM/SACR
CPT 64483
$70.52
ER Visit — High Complexity
CPT 99285
$71.77
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$82.25
Hip Replacement
CPT 27130
$101.65
PSYCH TX 60 MIN IND OP (53+ Min)
CPT 90837
$120.32
Upper GI Endoscopy w/ Biopsy
CPT 43239
$123.41
Chest X-Ray (1 view)
CPT 71045
$141
Screening Mammogram (bilateral)
CPT 77067
$168.73
Diagnostic Mammogram (unilateral)
CPT 77065
$171.08
Chest X-Ray (2 views)
CPT 71046
$177.19
Diagnostic Mammogram (bilateral)
CPT 77066
$203.04
Colonoscopy w/ Biopsy
CPT 45380
$239.78
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$251.92
Colonoscopy
CPT 45378
$306.45
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$318.94
Abdominal Ultrasound — Limited
CPT 76705
$348.74
Laparoscopic Cholecystectomy
CPT 47562
$370.25
OB Ultrasound
CPT 76805
$407.02
Retroperitoneal Ultrasound
CPT 76770
$428.17
Abdominal Ultrasound
CPT 76700
$449.79
ARTHROSCOPY DECOMPRESSION W/ROTATOR CUFF
CPT 29827
$905.05
Echocardiogram
CPT 93307
$912.74
Echocardiogram w/ Doppler
CPT 93306
$1,157.61
CT Chest
CPT 71250
$1,206.96
MRI Joint of Lower Extremity
CPT 73721
$1,338.56
Knee Replacement
CPT 27447
$1,468.88
Vaginal Delivery
CPT 59400
$1,794.46
MRI Brain w/o Contrast
CPT 70551
$1,794.46
C-Section
CPT 59510
$2,005.49
MRI Brain w/ Contrast
CPT 70553
$2,024.76
CT Abdomen & Pelvis
CPT 74177
$2,233.44
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.