PROVIDENCE MEDFORD MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at PROVIDENCE MEDFORD MEDICAL CENTER
HC ROUTINE VENIPUNCTURE - PERIPHERAL LAB
CPT 36415
$19.5
HC COMPLETE CBC W/AUTO DIFF WBC
CPT 85025
$24
HC COMPREHEN METABOLIC PANEL
CPT 80053
$27.75
Mechanical Traction
CPT 97012
$43.5
Therapeutic Activities
CPT 97530
$82.5
Therapeutic Exercises
CPT 97110
$90
EKG Interpretation
CPT 93010
$114.75
HC CRISIS PHONE 99213 LACTATION EDUCATION ESTAB PT VISIT CDM
CPT 99213
$121.5
Chest X-Ray (1 view)
CPT 71045
$194.25
Screening Mammogram (bilateral)
CPT 77067
$203.25
Diagnostic Mammogram (unilateral)
CPT 77065
$211.5
EKG
CPT 93000
$216.75
Abdominal Ultrasound — Limited
CPT 76705
$234
Chest X-Ray (2 views)
CPT 71046
$246
EKG Tracing
CPT 93005
$257.25
Diagnostic Mammogram (bilateral)
CPT 77066
$260.25
OB Ultrasound
CPT 76805
$310.5
Echocardiogram w/ Doppler
CPT 93306
$320.25
Thoracic Spine X-Ray
CPT 72072
$336
Retroperitoneal Ultrasound
CPT 76770
$600
Abdominal Ultrasound
CPT 76700
$613.5
ER Visit — Moderate Complexity
CPT 99284
$616.5
ER Visit — Low-Moderate Complexity
CPT 99283
$718.5
Upper GI Endoscopy w/ Biopsy
CPT 43239
$819.75
Echocardiogram
CPT 93307
$838.5
Colonoscopy
CPT 45378
$936
Colonoscopy w/ Biopsy
CPT 45380
$1,116
CT Chest
CPT 71250
$1,201.5
MRI Joint of Lower Extremity
CPT 73721
$1,226.25
MRI Brain w/o Contrast
CPT 70551
$1,282.5
ER Visit — High Complexity
CPT 99285
$1,672.5
CT Abdomen & Pelvis
CPT 74177
$2,457.75
HC PR 27245 TX FEMORAL FRACTURE W/INTRAMEDULARY TYPE IMPLANT
CPT 27245
$2,831.25
MRI Brain w/ Contrast
CPT 70553
$2,867.25
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,031.5
HC INJ FORAMEN EPIDURAL LUMBAR/SACRAL BILATERAL
CPT 64483
$3,696.75
Appendectomy
CPT 44950
$4,898.25
Laparoscopic Cholecystectomy
CPT 47562
$7,502.25
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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.