Procedure Prices at MADISON HOSPITAL
Blood Alcohol Collection-Er (Bill Only)
CPT 36415
$15.82
EKG Interpretation
CPT 93010
$45
Therapeutic Exercises
CPT 97110
$47.38
Therapeutic Activities
CPT 97530
$47.38
Cbc With Differential And Platelet Count
CPT 85025
$63.26
Mechanical Traction
CPT 97012
$90
EKG Tracing
CPT 93005
$95.45
Comprehensive Metabolic Panel
CPT 80053
$124.53
Chest X-Ray (2 views)
CPT 71046
$125.63
Clinical Nursing Level 3 (Ep)
CPT 99213
$135
Chest X-Ray (1 view)
CPT 71045
$180
Screening Mammogram (bilateral)
CPT 77067
$229.9
Thoracic Spine X-Ray
CPT 72072
$233.97
ER Visit — Low-Moderate Complexity
CPT 99283
$315
Diagnostic Mammogram (unilateral)
CPT 77065
$409.5
Abdominal Ultrasound — Limited
CPT 76705
$427.23
Retroperitoneal Ultrasound
CPT 76770
$442.8
ER Visit — Moderate Complexity
CPT 99284
$447.79
Abdominal Ultrasound
CPT 76700
$466.2
Diagnostic Mammogram (bilateral)
CPT 77066
$499.5
OB Ultrasound
CPT 76805
$539.1
Cataract Surgery
CPT 66984
$630
CT Chest
CPT 71250
$760.39
Echocardiogram w/ Doppler
CPT 93306
$769.07
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$945
Colonoscopy w/ Biopsy
CPT 45380
$1,072.8
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,080
Colonoscopy
CPT 45378
$1,154.7
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,305
ER Visit — High Complexity
CPT 99285
$1,440
CT Abdomen & Pelvis
CPT 74177
$1,563.54
MRI Brain w/o Contrast
CPT 70551
$1,890
Inguinal Hernia Repair
CPT 49505
$2,028.6
MRI Joint of Lower Extremity
CPT 73721
$2,159.1
Xr Ct Foramin Inj Lumb Sacr Sngl Lvl W Guid
CPT 64483
$2,160
MRI Brain w/ Contrast
CPT 70553
$2,222.1
Knee Arthroscopy
CPT 29881
$3,240
Cataract Surgery — Complex
CPT 66982
$3,420
Knee Replacement
CPT 27447
$6,417
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.