PEKIN MEMORIAL HOSPITAL
Acute Care Hospitals
Procedure Prices at PEKIN MEMORIAL HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$2.98
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$4.6
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$6.77
Mechanical Traction
CPT 97012
$10.87
EKG Tracing
CPT 93005
$16.97
Therapeutic Exercises
CPT 97110
$22.09
Diagnostic Mammogram (bilateral)
CPT 77066
$25.04
Therapeutic Activities
CPT 97530
$30.45
Thoracic Spine X-Ray
CPT 72072
$33.35
Chest X-Ray (2 views)
CPT 71046
$36.1
Chest X-Ray (1 view)
CPT 71045
$36.68
Diagnostic Mammogram (unilateral)
CPT 77065
$42.34
Screening Mammogram (bilateral)
CPT 77067
$49.31
OB Ultrasound
CPT 76805
$64.87
Abdominal Ultrasound
CPT 76700
$75.18
ER Visit — Low-Moderate Complexity
CPT 99283
$87.96
Abdominal Ultrasound — Limited
CPT 76705
$96.72
Retroperitoneal Ultrasound
CPT 76770
$97.85
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$143.84
MRI Joint of Lower Extremity
CPT 73721
$154.09
ER Visit — Moderate Complexity
CPT 99284
$179.64
CT Chest
CPT 71250
$208.34
MRI Brain w/o Contrast
CPT 70551
$212.64
Echocardiogram
CPT 93307
$213.75
ER Visit — High Complexity
CPT 99285
$232.58
CT Abdomen & Pelvis
CPT 74177
$245.99
MRI Brain w/ Contrast
CPT 70553
$256.31
Echocardiogram w/ Doppler
CPT 93306
$319.73
Colonoscopy w/ Biopsy
CPT 45380
$392.17
Upper GI Endoscopy w/ Biopsy
CPT 43239
$405.43
Colonoscopy
CPT 45378
$409.75
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$754.41
Knee Arthroscopy
CPT 29881
$865.32
Cataract Surgery
CPT 66984
$1,044.69
Cataract Surgery — Complex
CPT 66982
$1,069.62
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,187.68
Inguinal Hernia Repair
CPT 49505
$1,537.64
Laparoscopic Cholecystectomy
CPT 47562
$2,415.96
Laparoscopic Hernia Repair
CPT 49650
$2,525.34
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$4,690.94
Recurrent Inguinal Hernia Repair
CPT 49520
$5,357.11
Knee Replacement
CPT 27447
$5,965.16
Hip Replacement
CPT 27130
$11,553.36
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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.