CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL
Hospital
Procedure Prices at CENTRACARE HEALTH SYSTEM - MELROSE HOSPITAL
Routine Venipuncture (rhc)
CPT 36415
$2.9
EKG Interpretation
CPT 93010
$5.11
EKG Tracing
CPT 93005
$8.46
Cbc With Differential And Platelet Count
CPT 85025
$17.41
Comprehensive Metabolic Panel
CPT 80053
$23.56
Mechanical Traction
CPT 97012
$33
Therapeutic Exercises
CPT 97110
$36.75
Therapeutic Activities
CPT 97530
$36.75
EKG
CPT 93000
$51.84
Psychotherapy, 60 Minutes With Patient (pbb)
CPT 90837
$53.59
Chest X-Ray (1 view)
CPT 71045
$65.62
Chest X-Ray (2 views)
CPT 71046
$65.62
Thoracic Spine X-Ray
CPT 72072
$65.62
Outreach Consult Established Level 3
CPT 99213
$75.45
ER Visit — Low-Moderate Complexity
CPT 99283
$79.51
Diagnostic Mammogram (unilateral)
CPT 77065
$95.57
Diagnostic Mammogram (bilateral)
CPT 77066
$95.57
Screening Mammogram (bilateral)
CPT 77067
$95.57
ER Visit — Moderate Complexity
CPT 99284
$134.75
Abdominal Ultrasound — Limited
CPT 76705
$138.96
OB Ultrasound
CPT 76805
$148.59
Upper GI Endoscopy w/ Biopsy
CPT 43239
$150.51
Abdominal Ultrasound
CPT 76700
$174.72
Retroperitoneal Ultrasound
CPT 76770
$174.72
CT Chest
CPT 71250
$175.63
ER Visit — High Complexity
CPT 99285
$195.33
Colonoscopy
CPT 45378
$200.14
Colonoscopy w/ Biopsy
CPT 45380
$217.8
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$320.58
MRI Brain w/o Contrast
CPT 70551
$365.17
MRI Joint of Lower Extremity
CPT 73721
$365.17
CT Abdomen & Pelvis
CPT 74177
$412.97
Laparoscopic Hernia Repair
CPT 49650
$431.28
Echocardiogram w/ Doppler
CPT 93306
$512.78
Inguinal Hernia Repair
CPT 49505
$560.19
MRI Brain w/ Contrast
CPT 70553
$567.1
Xr Ct Foramin Inj Lumb Sacr Sngl Lvl W Guid
CPT 64483
$614.26
Recurrent Inguinal Hernia Repair
CPT 49520
$676.09
Laparoscopic Cholecystectomy
CPT 47562
$703.8
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.