WILSON MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at WILSON MEDICAL CENTER
TR VENIPUNCTURE Charge
CPT 36415
$11.93
.Automated Differential
CPT 85025
$13.23
EKG Interpretation
CPT 93010
$14
Comprehensive Metabolic Panel
CPT 80053
$22.46
Mechanical Traction
CPT 97012
$36
EKG
CPT 93000
$48.75
Therapeutic Exercises
CPT 97110
$49
Therapeutic Activities
CPT 97530
$49
99213 Treatment Room Established Patient Level 3
CPT 99213
$67
Abdominal Ultrasound — Limited
CPT 76705
$116
Diagnostic Mammogram (unilateral)
CPT 77065
$122
Diagnostic Mammogram (bilateral)
CPT 77066
$122
Screening Mammogram (bilateral)
CPT 77067
$122
Chest X-Ray (1 view)
CPT 71045
$122.36
OB Ultrasound
CPT 76805
$131
EKG Tracing
CPT 93005
$141
Chest X-Ray (2 views)
CPT 71046
$146.25
Abdominal Ultrasound
CPT 76700
$150
Retroperitoneal Ultrasound
CPT 76770
$150
Thoracic Spine X-Ray
CPT 72072
$151.5
ER Visit — Low-Moderate Complexity
CPT 99283
$246.75
ER Visit — Moderate Complexity
CPT 99284
$336
ER Visit — High Complexity
CPT 99285
$435
CT Chest
CPT 71250
$453
CT Abdomen & Pelvis
CPT 74177
$453
MRI Brain w/o Contrast
CPT 70551
$521
MRI Brain w/ Contrast
CPT 70553
$521
MRI Joint of Lower Extremity
CPT 73721
$521
WLKS PC 64483 Lumbar Transforminal
CPT 64483
$574
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,142
Colonoscopy
CPT 45378
$1,308
Colonoscopy w/ Biopsy
CPT 45380
$1,350
Echocardiogram w/ Doppler
CPT 93306
$1,517
Inguinal Hernia Repair
CPT 49505
$3,774
Laparoscopic Cholecystectomy
CPT 47562
$4,826
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.