FLAGET MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at FLAGET MEMORIAL HOSPITAL
HC VENIPUNCTURE
CPT 36415
$3
HC LAB CBC W/AUTO DIFF
CPT 85025
$6.61
HC LAB COMP METABOLIC PANEL
CPT 80053
$7.15
EKG Tracing
CPT 93005
$52.34
Thoracic Spine X-Ray
CPT 72072
$56.89
Therapeutic Exercises
CPT 97110
$69.99
Therapeutic Activities
CPT 97530
$70.96
Chest X-Ray (1 view)
CPT 71045
$76.05
Chest X-Ray (2 views)
CPT 71046
$76.05
Screening Mammogram (bilateral)
CPT 77067
$89.43
CT Chest
CPT 71250
$97.89
Abdominal Ultrasound
CPT 76700
$97.89
Abdominal Ultrasound — Limited
CPT 76705
$97.89
Retroperitoneal Ultrasound
CPT 76770
$97.89
OB Ultrasound
CPT 76805
$97.89
Mechanical Traction
CPT 97012
$108.38
Diagnostic Mammogram (unilateral)
CPT 77065
$137
Diagnostic Mammogram (bilateral)
CPT 77066
$137
HC CLINIC VISIT LEVEL 3 EST
CPT 99213
$181.77
MRI Brain w/o Contrast
CPT 70551
$213.88
MRI Joint of Lower Extremity
CPT 73721
$213.88
Echocardiogram
CPT 93307
$213.88
ER Visit — Low-Moderate Complexity
CPT 99283
$217.59
MRI Brain w/ Contrast
CPT 70553
$337.44
CT Abdomen & Pelvis
CPT 74177
$337.44
ER Visit — Moderate Complexity
CPT 99284
$342.03
Echocardiogram w/ Doppler
CPT 93306
$454.31
ER Visit — High Complexity
CPT 99285
$490.94
Colonoscopy
CPT 45378
$746.14
Upper GI Endoscopy w/ Biopsy
CPT 43239
$756.07
HC INJ(S) FORAMEN LUMB/SAC
CPT 64483
$773.99
Colonoscopy w/ Biopsy
CPT 45380
$974.99
Laparoscopic Hernia Repair
CPT 49650
$1,167.86
Cataract Surgery — Complex
CPT 66982
$1,952.51
Cataract Surgery
CPT 66984
$1,952.51
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,572.19
Knee Arthroscopy
CPT 29881
$2,662.69
Appendectomy
CPT 44950
$2,991.42
Inguinal Hernia Repair
CPT 49505
$2,991.42
Recurrent Inguinal Hernia Repair
CPT 49520
$2,991.42
Laparoscopic Cholecystectomy
CPT 47562
$4,757.48
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$4,781.95
ARTHROSCOP ROTATOR CUFF REPR
CPT 29827
$5,889.25
Hip Replacement
CPT 27130
$11,593.63
Knee Replacement
CPT 27447
$11,593.63
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.