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DUKES MEMORIAL HOSPITAL

Hospital

275 W 12TH ST

PERU, IN, 46970

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Procedure Prices at DUKES MEMORIAL HOSPITAL

VENIPUNCTURE,ROUTINE

CPT 36415

$0.57

Diagnostic Mammogram (unilateral)

CPT 77065

$1.01

Thoracic Spine X-Ray

CPT 72072

$1.2

CBC W-PLT AUTO COMPD

CPT 85025

$2.93

OB Ultrasound

CPT 76805

$3.38

COMP METAB PANEL

CPT 80053

$3.38

ER Visit — High Complexity

CPT 99285

$3.38

Screening Mammogram (bilateral)

CPT 77067

$3.63

Therapeutic Exercises

CPT 97110

$3.76

Therapeutic Activities

CPT 97530

$4.85

Mechanical Traction

CPT 97012

$5.19

EKG Tracing

CPT 93005

$7.26

Chest X-Ray (1 view)

CPT 71045

$7.5

Diagnostic Mammogram (bilateral)

CPT 77066

$10.08

Chest X-Ray (2 views)

CPT 71046

$10.43

Retroperitoneal Ultrasound

CPT 76770

$16.24

Echocardiogram w/ Doppler

CPT 93306

$18.16

Abdominal Ultrasound — Limited

CPT 76705

$19.91

MRI Brain w/o Contrast

CPT 70551

$22.89

ER Visit — Low-Moderate Complexity

CPT 99283

$27.83

Abdominal Ultrasound

CPT 76700

$28.64

MRI Joint of Lower Extremity

CPT 73721

$29

ER Visit — Moderate Complexity

CPT 99284

$38.98

CT Chest

CPT 71250

$46.85

MRI Brain w/ Contrast

CPT 70553

$52.5

CT Abdomen & Pelvis

CPT 74177

$106.14

Colonoscopy

CPT 45378

$182.08

Colonoscopy w/ Biopsy

CPT 45380

$222.85

Upper GI Endoscopy w/ Biopsy

CPT 43239

$237.58

Recurrent Inguinal Hernia Repair

CPT 49520

$606.7

Inguinal Hernia Repair

CPT 49505

$630.18

Laparoscopic Cholecystectomy

CPT 47562

$645.14

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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.