MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Hospital
Procedure Prices at MUNSON HEALTHCARE OTSEGO MEMORIAL HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$1.79
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$4.62
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$6.28
Therapeutic Exercises
CPT 97110
$13.53
Therapeutic Activities
CPT 97530
$20.94
EKG Tracing
CPT 93005
$33.12
Diagnostic Mammogram (unilateral)
CPT 77065
$46.1
Chest X-Ray (1 view)
CPT 71045
$48.14
Chest X-Ray (2 views)
CPT 71046
$48.14
Screening Mammogram (bilateral)
CPT 77067
$48.74
Diagnostic Mammogram (bilateral)
CPT 77066
$58.94
CT Chest
CPT 71250
$64.84
Abdominal Ultrasound — Limited
CPT 76705
$64.84
Retroperitoneal Ultrasound
CPT 76770
$64.84
OB Ultrasound
CPT 76805
$64.84
ER Visit — Low-Moderate Complexity
CPT 99283
$72.51
Mechanical Traction
CPT 97012
$75.06
Thoracic Spine X-Ray
CPT 72072
$106.22
Abdominal Ultrasound
CPT 76700
$106.22
MRI Joint of Lower Extremity
CPT 73721
$136.93
ER Visit — Moderate Complexity
CPT 99284
$216.43
MRI Brain w/ Contrast
CPT 70553
$219.03
MRI Brain w/o Contrast
CPT 70551
$224.32
CT Abdomen & Pelvis
CPT 74177
$250.04
Colonoscopy w/ Biopsy
CPT 45380
$252.69
Echocardiogram w/ Doppler
CPT 93306
$287.32
ER Visit — High Complexity
CPT 99285
$310.66
Upper GI Endoscopy w/ Biopsy
CPT 43239
$421.5
Colonoscopy
CPT 45378
$770.79
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,628.15
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$1,668.76
Cataract Surgery — Complex
CPT 66982
$2,026.64
Cataract Surgery
CPT 66984
$2,026.64
Laparoscopic Cholecystectomy
CPT 47562
$3,010.96
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,026.2
Laparoscopic Hernia Repair
CPT 49650
$4,932.6
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$5,405.19
Knee Arthroscopy
CPT 29881
$5,545.73
Knee Replacement
CPT 27447
$7,364.83
Hip Replacement
CPT 27130
$7,441.86
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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.