MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM
Hospital
Procedure Prices at MEMORIAL COMMUNITY HOSPITAL & HEALTH SYSTEM
Chest X-Ray (1 view)
CPT 71045
$14.93
CHG METABOLIC PANEL,COMPREHENSIVE
CPT 80053
$15.25
PR COLLECTION VENOUS BLOOD,VENIPUNCTURE
CPT 36415
$15.85
EKG Tracing
CPT 93005
$16.24
CHG COMPLETE CBC & AUTO DIFF WBC
CPT 85025
$22.3
Chest X-Ray (2 views)
CPT 71046
$65.55
Hip Replacement
CPT 27130
$67.5
PR OPEN FIX INTER/SUBTROCH FX,IMPLNT
CPT 27245
$67.5
Knee Replacement
CPT 27447
$67.5
PC SHLDR ARTHROSCOP SURG W ROTAT CUFF REPAIR
CPT 29827
$67.5
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$67.5
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$67.5
Appendectomy
CPT 44950
$67.5
Colonoscopy
CPT 45378
$67.5
Colonoscopy w/ Biopsy
CPT 45380
$67.5
Laparoscopic Cholecystectomy
CPT 47562
$67.5
Inguinal Hernia Repair
CPT 49505
$67.5
Recurrent Inguinal Hernia Repair
CPT 49520
$67.5
Laparoscopic Hernia Repair
CPT 49650
$67.5
Vaginal Delivery
CPT 59400
$67.5
C-Section
CPT 59510
$67.5
VBAC Delivery
CPT 59610
$67.5
PC INJ TRANSFORM LUMBAR SINGLE W IMAGE
CPT 64483
$67.5
PR OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
CPT 99213
$67.5
ER Visit — High Complexity
CPT 99285
$67.5
Therapeutic Activities
CPT 97530
$80.1
Mechanical Traction
CPT 97012
$83.7
Therapeutic Exercises
CPT 97110
$83.72
Diagnostic Mammogram (unilateral)
CPT 77065
$122.4
Screening Mammogram (bilateral)
CPT 77067
$153.9
Diagnostic Mammogram (bilateral)
CPT 77066
$170.1
ER Visit — Low-Moderate Complexity
CPT 99283
$191.4
ER Visit — Moderate Complexity
CPT 99284
$229.63
Upper GI Endoscopy w/ Biopsy
CPT 43239
$256.83
HC SP NEUPSY 60 MIN PSYCHOTHERAPY
CPT 90837
$351
Thoracic Spine X-Ray
CPT 72072
$353.7
Abdominal Ultrasound — Limited
CPT 76705
$504
OB Ultrasound
CPT 76805
$580.5
Retroperitoneal Ultrasound
CPT 76770
$621
Abdominal Ultrasound
CPT 76700
$659.7
Knee Arthroscopy
CPT 29881
$918.12
Echocardiogram
CPT 93307
$1,025.1
MRI Joint of Lower Extremity
CPT 73721
$1,455.39
CT Chest
CPT 71250
$1,726.2
Echocardiogram w/ Doppler
CPT 93306
$1,732.5
CT Abdomen & Pelvis
CPT 74177
$2,667.7
MRI Brain w/o Contrast
CPT 70551
$2,742.3
MRI Brain w/ Contrast
CPT 70553
$3,420
Cataract Surgery
CPT 66984
$4,101.84
Cataract Surgery — Complex
CPT 66982
$4,823.26
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.