Top 40 services provided by MEMORIAL HOSPITAL ASSOCIATION
Services CPT Price Est. Cash Price
Knee cartilage replacement surgery with an endoscope 29881 $5,901.00 $3,009.51
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,369.00 $670.81
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,675.00 $820.75
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,027.00 $993.23
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,202.00 $1,123.02
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,962.00 $1,510.62
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $5,580.00 $2,845.80
Repair of groin hernia patient age 5 years or older without mesh 49505 $3,261.00 $1,663.11
Injection of substance into the lower back or lumbar spine 62322 $445.00 $218.05
Injection into the lower back with help of imaging of some type 62323 $445.00 $218.05
Removal of one cataracts from an eye 66984 $4,840.00 $2,468.40
CT scan of the head or brain without contrast or dye 70450 $2,282.00 $1,163.82
MRI scan of the brain with and without contrast 70553 $5,101.00 $2,601.51
X-ray of the chest, 2 views 71046 $325.00 $159.25
X-ray of the lower spine with 4 or more views 72110 $660.00 $323.40
CT scan of the pelvis with contrast or dye 72193 $3,139.00 $1,600.89
CT scan of the abdomen with contrast or dye 74160 $3,139.00 $1,600.89
Ultrasound of the abdomen 76700 $874.00 $428.26
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $113.00 $55.37
Mammogram of both breasts 77067 $194.00 $95.06
Mammogram of both breasts 77067 $254.00 $124.46
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $23.00 $11.27
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $217.00 $106.33
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $45.00 $22.05
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $111.00 $54.39
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $138.00 $67.62
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $102.00 $49.98
Training for walking to 1 or more areas for 15 minutes 97116 $102.00 $52.02
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $31.00 $15.81
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $213.00 $104.37