WHITE MEMORIAL MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at WHITE MEMORIAL MEDICAL CENTER
CBC AUTO W/AUTO DIFF 1.1
CPT 85025
$0.81
COMP METABOLIC PNL 1.1
CPT 80053
$1.11
L&D Venipuncture Routine
CPT 36415
$4.49
Knee Arthroscopy
CPT 29881
$25.68
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$54.72
EKG Tracing
CPT 93005
$75.72
Psychotherapy, 1 hour
CPT 90837
$89.04
Chest X-Ray (1 view)
CPT 71045
$92.68
Thoracic Spine X-Ray
CPT 72072
$114.01
Abdominal Ultrasound — Limited
CPT 76705
$114.01
Chest X-Ray (2 views)
CPT 71046
$114.49
Diagnostic Mammogram (unilateral)
CPT 77065
$118.19
Screening Mammogram (bilateral)
CPT 77067
$124.96
Retroperitoneal Ultrasound
CPT 76770
$125.78
OB Ultrasound
CPT 76805
$129
CT Chest
CPT 71250
$134.13
Abdominal Ultrasound
CPT 76700
$135
Diagnostic Mammogram (bilateral)
CPT 77066
$140.67
MRI Brain w/o Contrast
CPT 70551
$249.11
MRI Joint of Lower Extremity
CPT 73721
$307.72
CT Abdomen & Pelvis
CPT 74177
$363
MRI Brain w/ Contrast
CPT 70553
$393.02
Colonoscopy
CPT 45378
$566.31
Colonoscopy w/ Biopsy
CPT 45380
$755.5
Upper GI Endoscopy w/ Biopsy
CPT 43239
$846.56
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,381.6
Cataract Surgery
CPT 66984
$2,487.2
Inguinal Hernia Repair
CPT 49505
$3,848.71
Laparoscopic Cholecystectomy
CPT 47562
$4,427.34
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.