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FAYETTE COUNTY HOSPITAL

Hospital

7TH AND TAYLOR

VANDALIA, IL, 62471

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Procedure Prices at FAYETTE COUNTY HOSPITAL

PCW CBC W/ DIFFERENTIAL/PLATELET

CPT 85025

$3.68

VENIPUNCTURE QUEST DIAGNOSTICS

CPT 36415

$3.7

PCW COMP METABOLIC PANEL

CPT 80053

$7.6

EKG Tracing

CPT 93005

$32.73

Mechanical Traction

CPT 97012

$43.44

CM - EST PT DETAILED EXAM LOW MDM

CPT 99213

$50.4

Therapeutic Activities

CPT 97530

$50.75

EKG

CPT 93000

$55

Therapeutic Exercises

CPT 97110

$56

Chest X-Ray (1 view)

CPT 71045

$87.57

Chest X-Ray (2 views)

CPT 71046

$87.57

Thoracic Spine X-Ray

CPT 72072

$87.57

Diagnostic Mammogram (unilateral)

CPT 77065

$108.7

Diagnostic Mammogram (bilateral)

CPT 77066

$108.7

Screening Mammogram (bilateral)

CPT 77067

$108.7

EKG Interpretation

CPT 93010

$130.1

OB Ultrasound

CPT 76805

$154.87

PSYCHOTHERAPY (60 MIN)

CPT 90837

$165.9

ER Visit — Low-Moderate Complexity

CPT 99283

$171.5

Abdominal Ultrasound — Limited

CPT 76705

$239.32

Abdominal Ultrasound

CPT 76700

$315.01

Retroperitoneal Ultrasound

CPT 76770

$315.01

MRI Brain w/o Contrast

CPT 70551

$367.9

MRI Joint of Lower Extremity

CPT 73721

$367.9

CT Chest

CPT 71250

$449.62

CT Abdomen & Pelvis

CPT 74177

$494.23

Echocardiogram

CPT 93307

$607.6

MRI Brain w/ Contrast

CPT 70553

$749.34

Echocardiogram w/ Doppler

CPT 93306

$763.36

Colonoscopy

CPT 45378

$780.48

Colonoscopy w/ Biopsy

CPT 45380

$884.99

ER Visit — Moderate Complexity

CPT 99284

$1,135.68

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

CPT 64483

$1,162.06

Upper GI Endoscopy w/ Biopsy

CPT 43239

$1,406.24

Laparoscopic Hernia Repair

CPT 49650

$1,956.5

Appendectomy

CPT 44950

$2,275.5

Cataract Surgery

CPT 66984

$2,553.76

Inguinal Hernia Repair

CPT 49505

$2,622.5

Recurrent Inguinal Hernia Repair

CPT 49520

$2,720.5

Knee Arthroscopy

CPT 29881

$3,137.49

Laparoscopic Cholecystectomy

CPT 47562

$4,911.38

Knee Replacement

CPT 27447

$5,408

Hip Replacement

CPT 27130

$5,860.5

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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.