LECOM HEALTH CORRY MEMORIAL HOSPITAL
Critical Access Hospitals
16
Procedure Prices at LECOM HEALTH CORRY MEMORIAL HOSPITAL
OH VENIPUNCTURE
CPT 36415
$0.2
OH CBC
CPT 85025
$2.32
Chest X-Ray (1 view)
CPT 71045
$4.46
LSO CMP WITH GFR
CPT 80053
$5.1
EKG Tracing
CPT 93005
$10.46
EKG Interpretation
CPT 93010
$14.38
Chest X-Ray (2 views)
CPT 71046
$14.85
Mechanical Traction
CPT 97012
$16.92
ER Visit — Moderate Complexity
CPT 99284
$18.33
Therapeutic Exercises
CPT 97110
$20.94
CT Abdomen & Pelvis
CPT 74177
$28.67
ER Visit — High Complexity
CPT 99285
$30.56
Therapeutic Activities
CPT 97530
$33.94
ER Visit — Low-Moderate Complexity
CPT 99283
$38.5
Abdominal Ultrasound — Limited
CPT 76705
$39.78
OB Ultrasound
CPT 76805
$51.15
Retroperitoneal Ultrasound
CPT 76770
$53.9
Abdominal Ultrasound
CPT 76700
$63.25
Diagnostic Mammogram (unilateral)
CPT 77065
$78.11
Screening Mammogram (bilateral)
CPT 77067
$82.52
Thoracic Spine X-Ray
CPT 72072
$90
CT Chest
CPT 71250
$91.41
Echocardiogram w/ Doppler
CPT 93306
$98.14
Diagnostic Mammogram (bilateral)
CPT 77066
$99.91
OUTPATIENT VISIT DR 15MIN
CPT 99213
$120
Upper GI Endoscopy w/ Biopsy
CPT 43239
$154.53
Colonoscopy w/ Biopsy
CPT 45380
$224.99
MRI Brain w/ Contrast
CPT 70553
$230.78
MRI Joint of Lower Extremity
CPT 73721
$295.9
MRI Brain w/o Contrast
CPT 70551
$302.34
Colonoscopy
CPT 45378
$354.6
Inguinal Hernia Repair
CPT 49505
$435.6
Recurrent Inguinal Hernia Repair
CPT 49520
$462
Knee Arthroscopy
CPT 29881
$522.6
Laparoscopic Cholecystectomy
CPT 47562
$579
PRO FEE ARTHRO ROTATOR CUFF REPAIR
CPT 29827
$900
PRO FEE HIP FX IM RAD REPAIR
CPT 27245
$1,034.4
Hip Replacement
CPT 27130
$1,312.8
Knee Replacement
CPT 27447
$1,397.4
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.