NOVANT HEALTH MATTHEWS MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at NOVANT HEALTH MATTHEWS MEDICAL CENTER
HC VENIPUNCTURE
CPT 36415
$2
EKG Interpretation
CPT 93010
$4
Mechanical Traction
CPT 97012
$12
Therapeutic Exercises
CPT 97110
$12
Therapeutic Activities
CPT 97530
$12
HC CBC W/ CONFIRMATORY DIFF
CPT 85025
$19
HC COMPREHENSIVE METABOLIC PANEL
CPT 80053
$20
Diagnostic Mammogram (unilateral)
CPT 77065
$27
HC CL VISIT ESTAB LEVEL 3 WPROC
CPT 99213
$28
Diagnostic Mammogram (bilateral)
CPT 77066
$33
Screening Mammogram (bilateral)
CPT 77067
$34
Chest X-Ray (1 view)
CPT 71045
$36
EKG Tracing
CPT 93005
$41
Chest X-Ray (2 views)
CPT 71046
$42
Thoracic Spine X-Ray
CPT 72072
$51
OB Ultrasound
CPT 76805
$71
Abdominal Ultrasound — Limited
CPT 76705
$87
Retroperitoneal Ultrasound
CPT 76770
$102
CT Chest
CPT 71250
$106.88
Abdominal Ultrasound
CPT 76700
$106.88
Echocardiogram
CPT 93307
$199
MRI Brain w/o Contrast
CPT 70551
$233.52
MRI Joint of Lower Extremity
CPT 73721
$233.52
Echocardiogram w/ Doppler
CPT 93306
$256
MRI Brain w/ Contrast
CPT 70553
$368.43
CT Abdomen & Pelvis
CPT 74177
$368.43
Upper GI Endoscopy w/ Biopsy
CPT 43239
$825.51
Colonoscopy
CPT 45378
$831.04
Njx aa&/strd tfrm epi l/s 1
CPT 64483
$852.18
Colonoscopy w/ Biopsy
CPT 45380
$1,082.91
Cataract Surgery — Complex
CPT 66982
$2,159.44
Cataract Surgery
CPT 66984
$2,159.44
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,845.03
Knee Arthroscopy
CPT 29881
$2,976.66
Recurrent Inguinal Hernia Repair
CPT 49520
$3,541.93
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$5,339.67
Sho arthrs srg rt8tr cuf rpr
CPT 29827
$6,614.63
Hip Replacement
CPT 27130
$13,048.08
Knee Replacement
CPT 27447
$13,048.08
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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.