DUBLIN METHODIST HOSPITAL
Acute Care Hospitals
Procedure Prices at DUBLIN METHODIST HOSPITAL
PRE-ADMISSION TESTING VENIPUNCTURE
CPT 36415
$9.75
EKG Interpretation
CPT 93010
$11.7
EKG Tracing
CPT 93005
$13.65
Hc Cbc With Diff Amb
CPT 85025
$18.2
EKG
CPT 93000
$27.3
Hc Comprehensive Metabolic Panel
CPT 80053
$32.5
Chest X-Ray (2 views)
CPT 71046
$37.7
Therapeutic Exercises
CPT 97110
$38.25
Thoracic Spine X-Ray
CPT 72072
$48.1
Knee Replacement
CPT 27447
$58.5
Mechanical Traction
CPT 97012
$61.75
OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
CPT 99213
$81.9
Therapeutic Activities
CPT 97530
$111.15
ER Visit — Low-Moderate Complexity
CPT 99283
$117
Abdominal Ultrasound — Limited
CPT 76705
$135.85
Chest X-Ray (1 view)
CPT 71045
$137.8
Screening Mammogram (bilateral)
CPT 77067
$162.5
OB Ultrasound
CPT 76805
$183.3
PSYCHOTHERAPY W/PATIENT 60 MINUTES
CPT 90837
$189.8
ER Visit — Moderate Complexity
CPT 99284
$224.25
CT Chest
CPT 71250
$308.75
Diagnostic Mammogram (unilateral)
CPT 77065
$467.35
Diagnostic Mammogram (bilateral)
CPT 77066
$523.9
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$574.6
Retroperitoneal Ultrasound
CPT 76770
$595.4
Abdominal Ultrasound
CPT 76700
$640.25
Upper GI Endoscopy w/ Biopsy
CPT 43239
$661.7
Colonoscopy
CPT 45378
$761.8
Colonoscopy w/ Biopsy
CPT 45380
$910
Hc Injection Anes Trnsfrmnl Epi Lumb Or Sacr W Img Sgl
CPT 64483
$960.05
MRI Joint of Lower Extremity
CPT 73721
$1,181.7
CT Abdomen & Pelvis
CPT 74177
$1,339.65
MRI Brain w/o Contrast
CPT 70551
$1,430
MRI Brain w/ Contrast
CPT 70553
$1,430
Echocardiogram w/ Doppler
CPT 93306
$1,558.7
ER Visit — High Complexity
CPT 99285
$2,183.35
Recurrent Inguinal Hernia Repair
CPT 49520
$2,459.6
Vaginal Delivery
CPT 59400
$3,782.35
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.