FREDONIA REGIONAL HOSPITAL
Hospital
Procedure Prices at FREDONIA REGIONAL HOSPITAL
.Automated Differential
CPT 85025
$7.77
EKG Interpretation
CPT 93010
$7.77
36415 Venipuncture
CPT 36415
$8.57
Blood test, comprehensive group of blood chemicals
CPT 80053
$19.13
Mechanical Traction
CPT 97012
$48.36
99213 Office visit for the E/M of an established pt low or 20-29 min
CPT 99213
$49
CL 64483 PAIN MGMT INJ FORAMIN EPI LS SGL
CPT 64483
$51.72
Therapeutic Exercises
CPT 97110
$57.66
Therapeutic Activities
CPT 97530
$57.66
ER Visit — Low-Moderate Complexity
CPT 99283
$68.02
EKG Tracing
CPT 93005
$79.36
Chest X-Ray (1 view)
CPT 71045
$102.3
Diagnostic Mammogram (unilateral)
CPT 77065
$108.5
Chest X-Ray (2 views)
CPT 71046
$119.04
Abdominal Ultrasound — Limited
CPT 76705
$119.04
Diagnostic Mammogram (bilateral)
CPT 77066
$124
Screening Mammogram (bilateral)
CPT 77067
$124
90837 Psychotherapy, 60 min.
CPT 90837
$126.74
OB Ultrasound
CPT 76805
$151.9
ER Visit — High Complexity
CPT 99285
$166.93
Retroperitoneal Ultrasound
CPT 76770
$175.46
Abdominal Ultrasound
CPT 76700
$181.04
Thoracic Spine X-Ray
CPT 72072
$185.38
ER Visit — Moderate Complexity
CPT 99284
$217
CT Chest
CPT 71250
$378.2
MRI Joint of Lower Extremity
CPT 73721
$497.86
MRI Brain w/o Contrast
CPT 70551
$518.32
MRI Brain w/ Contrast
CPT 70553
$553.66
CT Abdomen & Pelvis
CPT 74177
$623.33
Upper GI Endoscopy w/ Biopsy
CPT 43239
$961
Colonoscopy
CPT 45378
$1,109.8
Colonoscopy w/ Biopsy
CPT 45380
$1,122.2
Echocardiogram w/ Doppler
CPT 93306
$1,277.2
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,624.4
Cataract Surgery
CPT 66984
$1,860
Cataract Surgery — Complex
CPT 66982
$1,922
Inguinal Hernia Repair
CPT 49505
$3,053.5
Laparoscopic Cholecystectomy
CPT 47562
$3,868.8
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.