ROGER WILLIAMS MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at ROGER WILLIAMS MEDICAL CENTER
Blood Draw Using Needle
CPT 36415
$1.92
Lab Test - Complete Blood Cell Count
CPT 85025
$5.08
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$9.3
EKG
CPT 93000
$16.24
EKG Tracing
CPT 93005
$16.24
Chest X-Ray (1 view)
CPT 71045
$33
Chest X-Ray (2 views)
CPT 71046
$33
Thoracic Spine X-Ray
CPT 72072
$33
Outpatient Clinic Visit
CPT 99213
$41
Screening Mammogram (bilateral)
CPT 77067
$58
Therapeutic Exercises
CPT 97110
$61.74
Therapeutic Activities
CPT 97530
$61.74
Abdominal Ultrasound
CPT 76700
$82.75
Abdominal Ultrasound — Limited
CPT 76705
$82.75
Retroperitoneal Ultrasound
CPT 76770
$84.14
Individual Psychotherapy Session
CPT 90837
$117.61
CT Chest
CPT 71250
$123.43
Diagnostic Mammogram (unilateral)
CPT 77065
$123.95
ER Visit — Low-Moderate Complexity
CPT 99283
$124.44
ER Visit — Moderate Complexity
CPT 99284
$124.44
ER Visit — High Complexity
CPT 99285
$124.44
Diagnostic Mammogram (bilateral)
CPT 77066
$128.88
Upper GI Endoscopy w/ Biopsy
CPT 43239
$156.82
Mechanical Traction
CPT 97012
$175.3
Echocardiogram w/ Doppler
CPT 93306
$240
MRI Brain w/o Contrast
CPT 70551
$265.28
MRI Joint of Lower Extremity
CPT 73721
$271.14
CT Abdomen & Pelvis
CPT 74177
$279.28
OB Ultrasound
CPT 76805
$347
MRI Brain w/ Contrast
CPT 70553
$543.97
Colonoscopy w/ Biopsy
CPT 45380
$567.24
Colonoscopy
CPT 45378
$578.58
Injection of Drug Into Spinal Nerve Root With Imaging Guidance
CPT 64483
$693.24
Knee Arthroscopy
CPT 29881
$940.03
Cataract Surgery — Complex
CPT 66982
$974.09
Cataract Surgery
CPT 66984
$974.09
Recurrent Inguinal Hernia Repair
CPT 49520
$1,111.04
Inguinal Hernia Repair
CPT 49505
$1,173.36
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$1,368.88
Laparoscopic Cholecystectomy
CPT 47562
$1,505.28
Laparoscopic Hernia Repair
CPT 49650
$1,785.32
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,773.1
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,773.1
Knee Replacement
CPT 27447
$6,939.18
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.