JONES MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at JONES MEMORIAL HOSPITAL
PR COLLECTION VENOUS BLOOD VENIPUNCTURE
CPT 36415
$4.16
EKG Interpretation
CPT 93010
$7.58
HB Blood Count Complete Auto&Auto Difrntl Wbc
CPT 85025
$10.75
EKG
CPT 93000
$14.01
HB Comprehensive Metabolic Panel
CPT 80053
$15.25
Mechanical Traction
CPT 97012
$18.81
Hip Replacement
CPT 27130
$20
Knee Arthroscopy
CPT 29881
$20
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$20
Appendectomy
CPT 44950
$20
Recurrent Inguinal Hernia Repair
CPT 49520
$20
Laparoscopic Hernia Repair
CPT 49650
$20
Vaginal Delivery
CPT 59400
$20
PR WMLC F/U PT VISIT
CPT 99213
$21.76
ER Visit — Low-Moderate Complexity
CPT 99283
$24.41
Therapeutic Exercises
CPT 97110
$27
Chest X-Ray (1 view)
CPT 71045
$35.5
EKG Tracing
CPT 93005
$39.25
Therapeutic Activities
CPT 97530
$39.6
Chest X-Ray (2 views)
CPT 71046
$41
Thoracic Spine X-Ray
CPT 72072
$45
ER Visit — Moderate Complexity
CPT 99284
$45.02
OB Ultrasound
CPT 76805
$55.75
ER Visit — High Complexity
CPT 99285
$67.19
Upper GI Endoscopy w/ Biopsy
CPT 43239
$81.5
Colonoscopy w/ Biopsy
CPT 45380
$81.5
Laparoscopic Cholecystectomy
CPT 47562
$81.5
Cataract Surgery — Complex
CPT 66982
$81.5
Cataract Surgery
CPT 66984
$81.5
Colonoscopy
CPT 45378
$88.58
Abdominal Ultrasound — Limited
CPT 76705
$99.75
Retroperitoneal Ultrasound
CPT 76770
$104.25
CT Chest
CPT 71250
$132.3
Abdominal Ultrasound
CPT 76700
$155.5
PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL
CPT 64483
$174.75
Echocardiogram w/ Doppler
CPT 93306
$225
Inguinal Hernia Repair
CPT 49505
$233.75
CT Abdomen & Pelvis
CPT 74177
$332.5
PR TX INTER/PR/SUBTRCHNTRIC FEM FX IMED IMPLTSCREW
CPT 27245
$341
MRI Joint of Lower Extremity
CPT 73721
$372.25
Knee Replacement
CPT 27447
$411
MRI Brain w/o Contrast
CPT 70551
$446.7
MRI Brain w/ Contrast
CPT 70553
$520
C-Section
CPT 59510
$1,967.57
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.