Community Memorial Hospital
Critical Access Hospitals
16
Procedure Prices at Community Memorial Hospital
EKG Interpretation
CPT 93010
$2.2
Chest X-Ray (1 view)
CPT 71045
$7.42
Chest X-Ray (2 views)
CPT 71046
$9.01
EKG
CPT 93000
$12.31
Thoracic Spine X-Ray
CPT 72072
$14.66
Laparoscopic Hernia Repair
CPT 49650
$23
Abdominal Ultrasound
CPT 76700
$24
OB Ultrasound
CPT 76805
$27
Diagnostic Mammogram (unilateral)
CPT 77065
$29.55
Abdominal Ultrasound — Limited
CPT 76705
$29.69
Retroperitoneal Ultrasound
CPT 76770
$33.41
ER Visit — Low-Moderate Complexity
CPT 99283
$35.16
EKG Tracing
CPT 93005
$36.81
Laparoscopic Cholecystectomy
CPT 47562
$42
CT Chest
CPT 71250
$43.85
Upper GI Endoscopy w/ Biopsy
CPT 43239
$48.1
ER Visit — Moderate Complexity
CPT 99284
$55.76
Diagnostic Mammogram (bilateral)
CPT 77066
$57.27
MRI Brain w/o Contrast
CPT 70551
$58.42
Screening Mammogram (bilateral)
CPT 77067
$64
MRI Joint of Lower Extremity
CPT 73721
$66.59
Knee Arthroscopy
CPT 29881
$67
Colonoscopy w/ Biopsy
CPT 45380
$68.94
Hip Replacement
CPT 27130
$82
Knee Replacement
CPT 27447
$82
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$82
Appendectomy
CPT 44950
$82
Colonoscopy
CPT 45378
$82
Inguinal Hernia Repair
CPT 49505
$82
Recurrent Inguinal Hernia Repair
CPT 49520
$82
Vaginal Delivery
CPT 59400
$82
C-Section
CPT 59510
$82
VBAC Delivery
CPT 59610
$82
MRI Brain w/ Contrast
CPT 70553
$82
CT Abdomen & Pelvis
CPT 74177
$82
Echocardiogram w/ Doppler
CPT 93306
$82
ER Visit — High Complexity
CPT 99285
$82
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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.