Procedure Prices at MEMORIAL HOSPITAL EAST
Insertion Of Needle Into Vein For Collection Of Blood Sample
CPT 36415
$2.77
Complete Blood Cell Count, Differential White Blood Cells, Automated
CPT 85025
$6.71
Blood Test, Comprehensive Group Of Blood Chemicals
CPT 80053
$9.77
Chest X-Ray (1 view)
CPT 71045
$11.22
Mechanical Traction
CPT 97012
$11.83
Established Patient Office Or Other Outpatient Visit, Typically 15 Minutes
CPT 99213
$13.12
Therapeutic Activities
CPT 97530
$19.21
EKG Tracing
CPT 93005
$24.69
Therapeutic Exercises
CPT 97110
$25.41
Diagnostic Mammogram (unilateral)
CPT 77065
$33.11
Diagnostic Mammogram (bilateral)
CPT 77066
$33.11
Chest X-Ray (2 views)
CPT 71046
$34.24
Thoracic Spine X-Ray
CPT 72072
$39.1
Screening Mammogram (bilateral)
CPT 77067
$66.22
OB Ultrasound
CPT 76805
$94.35
CT Chest
CPT 71250
$103.03
Abdominal Ultrasound
CPT 76700
$103.03
Abdominal Ultrasound — Limited
CPT 76705
$103.03
Retroperitoneal Ultrasound
CPT 76770
$103.03
MRI Brain w/o Contrast
CPT 70551
$140.19
ER Visit — Low-Moderate Complexity
CPT 99283
$143.37
Echocardiogram w/ Doppler
CPT 93306
$200.61
MRI Joint of Lower Extremity
CPT 73721
$217.77
ER Visit — Moderate Complexity
CPT 99284
$226.99
CT Abdomen & Pelvis
CPT 74177
$301.1
ER Visit — High Complexity
CPT 99285
$314.29
MRI Brain w/ Contrast
CPT 70553
$348.52
Colonoscopy
CPT 45378
$650.56
Lower Spine Injection Of Steriod Using Imaging Guidance
CPT 64483
$779.1
Upper GI Endoscopy w/ Biopsy
CPT 43239
$934.39
Colonoscopy w/ Biopsy
CPT 45380
$981.43
Knee Arthroscopy
CPT 29881
$2,778.93
Inguinal Hernia Repair
CPT 49505
$3,011.19
Recurrent Inguinal Hernia Repair
CPT 49520
$3,011.19
Laparoscopic Hernia Repair
CPT 49650
$4,984.51
Repair Of Shoulder Rotator Cuff Using An Endoscope
CPT 29827
$5,026.67
Laparoscopic Cholecystectomy
CPT 47562
$5,142.17
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$5,226
Knee Replacement
CPT 27447
$11,225.93
Hip Replacement
CPT 27130
$12,156.55
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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.