Procedure Prices at MEMORIAL HOSPITAL LOS BANOS
HCHG CBC AUTOMATED W/ AUTOMATED DIFFERENTIAL
CPT 85025
$13.21
Chest X-Ray (1 view)
CPT 71045
$16.52
HCHG CORE COMPR MET PNL
CPT 80053
$17.95
HCHG VENIPUNCTURE
CPT 36415
$25.2
Therapeutic Exercises
CPT 97110
$26.73
Therapeutic Activities
CPT 97530
$27.16
EKG Interpretation
CPT 93010
$29.99
Chest X-Ray (2 views)
CPT 71046
$30.83
EKG Tracing
CPT 93005
$39.99
Thoracic Spine X-Ray
CPT 72072
$58.75
Abdominal Ultrasound — Limited
CPT 76705
$102.2
CT Chest
CPT 71250
$129.12
Abdominal Ultrasound
CPT 76700
$129.12
Retroperitoneal Ultrasound
CPT 76770
$129.12
OB Ultrasound
CPT 76805
$129.12
Diagnostic Mammogram (unilateral)
CPT 77065
$143.31
Screening Mammogram (bilateral)
CPT 77067
$150.27
Diagnostic Mammogram (bilateral)
CPT 77066
$183.71
HCHG RHC LEVEL 3 ESTABLISHED PATIENT
CPT 99213
$184.26
Echocardiogram
CPT 93307
$219.61
MRI Brain w/o Contrast
CPT 70551
$272.89
MRI Joint of Lower Extremity
CPT 73721
$272.89
Echocardiogram w/ Doppler
CPT 93306
$301.62
CT Abdomen & Pelvis
CPT 74177
$344.92
MRI Brain w/ Contrast
CPT 70553
$436.72
Colonoscopy
CPT 45378
$941.15
Upper GI Endoscopy w/ Biopsy
CPT 43239
$959.62
All Services for Outpatient Surgery for Njx aa&/strd tfrm epi l/s 1
CPT 64483
$976.27
Colonoscopy w/ Biopsy
CPT 45380
$1,229.8
Cataract Surgery — Complex
CPT 66982
$2,462.79
Cataract Surgery
CPT 66984
$2,462.79
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,244.43
Knee Arthroscopy
CPT 29881
$3,358.57
Appendectomy
CPT 44950
$3,773.21
Inguinal Hernia Repair
CPT 49505
$3,773.21
Recurrent Inguinal Hernia Repair
CPT 49520
$3,773.21
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$4,115.88
Laparoscopic Cholecystectomy
CPT 47562
$6,000.83
Laparoscopic Hernia Repair
CPT 49650
$6,000.83
All Services for Outpatient Surgery for Arthroscop rotator cuff repr
CPT 29827
$7,428.38
Hip Replacement
CPT 27130
$14,623.58
Knee Replacement
CPT 27447
$14,623.58
Compare Prices Nearby
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.