FHN MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at FHN MEMORIAL HOSPITAL
Blood Draw
CPT 36415
$1.59
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$6.31
EKG Interpretation
CPT 93010
$8.05
Blood test, comprehensive group of blood chemicals
CPT 80053
$8.52
Chest X-Ray (1 view)
CPT 71045
$8.7
Chest X-Ray (2 views)
CPT 71046
$10.36
Thoracic Spine X-Ray
CPT 72072
$10.7
Mechanical Traction
CPT 97012
$14.16
EKG Tracing
CPT 93005
$17.38
Abdominal Ultrasound — Limited
CPT 76705
$28.22
R-Est Office OP visit 15 MinPC
CPT 99213
$28.35
Therapeutic Exercises
CPT 97110
$28.66
Colonoscopy
CPT 45378
$31.84
ER Visit — Low-Moderate Complexity
CPT 99283
$32.2
Retroperitoneal Ultrasound
CPT 76770
$34.85
Therapeutic Activities
CPT 97530
$35.74
Screening Mammogram (bilateral)
CPT 77067
$36.15
Abdominal Ultrasound
CPT 76700
$38.15
Diagnostic Mammogram (unilateral)
CPT 77065
$38.15
Diagnostic Mammogram (bilateral)
CPT 77066
$46.63
OB Ultrasound
CPT 76805
$47.03
CT Chest
CPT 71250
$51.26
MRI Joint of Lower Extremity
CPT 73721
$64.24
MRI Brain w/o Contrast
CPT 70551
$70.32
ER Visit — Moderate Complexity
CPT 99284
$73.4
CT Abdomen & Pelvis
CPT 74177
$86.42
MRI Brain w/ Contrast
CPT 70553
$108.47
ER Visit — High Complexity
CPT 99285
$178.21
Echocardiogram w/ Doppler
CPT 93306
$327.47
Appendectomy
CPT 44950
$374.55
Colonoscopy w/ Biopsy
CPT 45380
$458.09
Upper GI Endoscopy w/ Biopsy
CPT 43239
$528.29
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$820.73
Cataract Surgery
CPT 66984
$1,110.41
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,261.52
Inguinal Hernia Repair
CPT 49505
$1,624.83
Knee Arthroscopy
CPT 29881
$1,635.88
Vaginal Delivery
CPT 59400
$2,444.11
VBAC Delivery
CPT 59610
$2,565.62
Laparoscopic Cholecystectomy
CPT 47562
$2,588.27
C-Section
CPT 59510
$2,707.89
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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.