MADISON COUNTY MEMORIAL HOSPITAL
Hospital
Procedure Prices at MADISON COUNTY MEMORIAL HOSPITAL
Thoracic Spine X-Ray
CPT 72072
$11.66
Bill Venipuncture
CPT 36415
$11.88
EKG Interpretation
CPT 93010
$13.06
EKG Tracing
CPT 93005
$16.15
EKG
CPT 93000
$26
Differential Automated DMCL
CPT 85025
$36.15
Comprehensive Metabolic Panel DMCL
CPT 80053
$52.08
99213 VST EST PAT EXPANDED/STRGHTFWD ProFee
CPT 99213
$53.01
Mechanical Traction
CPT 97012
$62.1
Therapeutic Activities
CPT 97530
$62.64
Chest X-Ray (1 view)
CPT 71045
$65.47
ER Visit — Low-Moderate Complexity
CPT 99283
$72.18
Therapeutic Exercises
CPT 97110
$80.6
Diagnostic Mammogram (unilateral)
CPT 77065
$134.46
Screening Mammogram (bilateral)
CPT 77067
$134.46
ER Visit — Moderate Complexity
CPT 99284
$135.49
Chest X-Ray (2 views)
CPT 71046
$187.38
Abdominal Ultrasound — Limited
CPT 76705
$191.58
Diagnostic Mammogram (bilateral)
CPT 77066
$201.5
Psychotherapy, 1 hour
CPT 90837
$207.7
Abdominal Ultrasound
CPT 76700
$302.56
ER Visit — High Complexity
CPT 99285
$319.2
Retroperitoneal Ultrasound
CPT 76770
$332.82
Echocardiogram w/ Doppler
CPT 93306
$415.4
Laparoscopic Hernia Repair
CPT 49650
$552.56
Recurrent Inguinal Hernia Repair
CPT 49520
$824.67
Knee Arthroscopy
CPT 29881
$847.52
Colonoscopy
CPT 45378
$963.3
Laparoscopic Cholecystectomy
CPT 47562
$968.69
MRI Brain w/o Contrast
CPT 70551
$983.32
CT Chest
CPT 71250
$1,002.78
CT Abdomen & Pelvis
CPT 74177
$1,042.22
64483 INJ FORAMEN EPIDURAL L/S CHARGE
CPT 64483
$1,143.35
Inguinal Hernia Repair
CPT 49505
$1,149
MRI Brain w/ Contrast
CPT 70553
$1,233.8
Colonoscopy w/ Biopsy
CPT 45380
$1,240.7
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,799.2
MRI Joint of Lower Extremity
CPT 73721
$1,812.78
Knee Replacement
CPT 27447
$2,091.34
29827 ARTHROSCOPY, SHOULDER, SURGICAL; WITH ROTATOR CUFF REPAIR ProFee
CPT 29827
$2,195
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,543.94
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,543.94
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.