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WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL

Acute Care Hospitals

2 out of 5 (CMS)

161 MOUNT PELIA RD

MARTIN, TN, 38237

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Emergency Services: Yes
Proprietary
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Procedure Prices at WEST TENNESSEE HEALTHCARE VOLUNTEER HOSPITAL

COLLECTION: VENOUS DRAW

CPT 36415

$1.26

CBC WITH WBC (DIFF)

CPT 85025

$4.45

COMP METABOLIC PANEL (NEO)

CPT 80053

$6.03

Chest X-Ray (1 view)

CPT 71045

$10.66

EKG Tracing

CPT 93005

$13.38

Mechanical Traction

CPT 97012

$13.62

Chest X-Ray (2 views)

CPT 71046

$19.66

Thoracic Spine X-Ray

CPT 72072

$22.79

Therapeutic Exercises

CPT 97110

$27.36

Therapeutic Activities

CPT 97530

$35.09

Diagnostic Mammogram (unilateral)

CPT 77065

$48.9

Abdominal Ultrasound

CPT 76700

$49

Abdominal Ultrasound — Limited

CPT 76705

$49

Retroperitoneal Ultrasound

CPT 76770

$49

OB Ultrasound

CPT 76805

$49

Screening Mammogram (bilateral)

CPT 77067

$51.65

PSYCH THERAPY 60 MINS

CPT 90837

$55.08

Diagnostic Mammogram (bilateral)

CPT 77066

$62.45

CT Chest

CPT 71250

$86.83

MRI Brain w/o Contrast

CPT 70551

$172.17

MRI Joint of Lower Extremity

CPT 73721

$172.17

Echocardiogram w/ Doppler

CPT 93306

$196.39

CT Abdomen & Pelvis

CPT 74177

$235.2

MRI Brain w/ Contrast

CPT 70553

$271.69

Colonoscopy

CPT 45378

$680.03

Upper GI Endoscopy w/ Biopsy

CPT 43239

$693.7

TRANSFORAM, L SINGLE RIGHT 64483

CPT 64483

$704.72

Colonoscopy w/ Biopsy

CPT 45380

$711.2

Appendectomy

CPT 44950

$980.06

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$1,357

Tonsillectomy & Adenoidectomy (12+)

CPT 42821

$1,357

Cataract Surgery — Complex

CPT 66982

$1,357

Cataract Surgery

CPT 66984

$1,357

Hip Replacement

CPT 27130

$1,507.57

Knee Arthroscopy

CPT 29881

$1,670

Inguinal Hernia Repair

CPT 49505

$1,670

Recurrent Inguinal Hernia Repair

CPT 49520

$1,670

ARTHROSCOP ROTATOR CUFF REPR

CPT 29827

$1,949.34

Knee Replacement

CPT 27447

$2,026.96

Laparoscopic Hernia Repair

CPT 49650

$2,115.43

Laparoscopic Cholecystectomy

CPT 47562

$2,491

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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.