Top 40 services provided by MYRTUE MEMORIAL HOSPITAL
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,484.00 $1,409.80
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,484.00 $74.20
Repair of the shoulder generally called a shoulder arthroscopy 29826 $203.00 $10.15
Repair of the shoulder generally called a shoulder arthroscopy 29826 $203.00 $192.85
Knee cartilage replacement surgery with an endoscope 29881 $4,736.00 $236.80
Knee cartilage replacement surgery with an endoscope 29881 $4,736.00 $4,499.20
Removal of tonsils for children under 12 42820 $483.00 $24.15
Removal of tonsils for children under 12 42820 $483.00 $458.85
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,267.00 $1,203.65
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,267.00 $63.35
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,433.00 $71.65
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,433.00 $1,361.35
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,477.00 $73.85
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,477.00 $1,403.15
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,085.00 $1,980.75
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,085.00 $104.25
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,085.00 $104.25
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,085.00 $1,980.75
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,590.00 $3,410.50
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,062.00 $2,908.90
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,590.00 $179.50
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,062.00 $153.10
Repair of groin hernia patient age 5 years or older without mesh 49505 $950.00 $47.50
Repair of groin hernia patient age 5 years or older without mesh 49505 $950.00 $902.50
Injection of substance into the lower back or lumbar spine 62322 $149.00 $141.55
Injection of substance into the lower back or lumbar spine 62322 $149.00 $7.45
Injection into the lower back with help of imaging of some type 62323 $302.00 $15.10
Injection into the lower back with help of imaging of some type 62323 $302.00 $286.90
Epidural steroid injections for lower back pain 64483 $342.00 $324.90
Epidural steroid injections for lower back pain 64483 $342.00 $17.10
Release and/or relocation of median nerve of hand 64721 $1,808.00 $1,717.60
Release and/or relocation of median nerve of hand 64721 $1,808.00 $90.40
Laser removal of cataracts in eyes 66821 $476.00 $23.80
Laser removal of cataracts in eyes 66821 $476.00 $452.20
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $264.00 $250.80
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $264.00 $13.20
CT scan of the head or brain without contrast or dye 70450 $1,427.00 $1,355.65
CT scan of the head or brain without contrast or dye 70450 $1,427.00 $71.35
MRI scan of the brain with and without contrast 70553 $2,928.00 $2,781.60
MRI scan of the brain with and without contrast 70553 $2,928.00 $146.40
X-ray of the lower spine with 4 or more views 72110 $340.00 $323.00
X-ray of the lower spine with 4 or more views 72110 $340.00 $17.00
CT scan of the pelvis with contrast or dye 72193 $1,951.00 $97.55
CT scan of the pelvis with contrast or dye 72193 $1,951.00 $1,853.45
CT scan of the abdomen with contrast or dye 74160 $2,199.00 $2,089.05
CT scan of the abdomen with contrast or dye 74160 $2,199.00 $109.95
Ultrasound of the abdomen 76700 $678.00 $33.90
Ultrasound of the abdomen 76700 $678.00 $644.10
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $678.00 $33.90
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $678.00 $644.10
Mammogram of both breasts 77067 $353.00 $335.35
Mammogram of both breasts 77067 $353.00 $17.65
Basic Metabolic Panel 80048 $134.00 $6.70
Basic Metabolic Panel 80048 $134.00 $127.30
Comprehensive Metabolic Panel 80053 $168.00 $159.60
Comprehensive Metabolic Panel 80053 $168.00 $8.40
Lipid Panel 80061 $94.00 $4.70
Lipid Panel 80061 $94.00 $89.30
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $72.00 $3.60
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $72.00 $68.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $36.00 $34.20
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $36.00 $1.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $98.00 $93.10
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $98.00 $4.90
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $135.00 $128.25
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $135.00 $6.75
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $220.00 $11.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $220.00 $209.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $93.00 $88.35
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $93.00 $4.65
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $67.00 $63.65
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $20.00 $19.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $20.00 $1.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $67.00 $3.35
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $165.00 $156.75
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $165.00 $8.25
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $63.00 $3.15
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $63.00 $59.85
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $93.00 $4.65
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $93.00 $88.35
Training for walking to 1 or more areas for 15 minutes 97116 $93.00 $88.35
Training for walking to 1 or more areas for 15 minutes 97116 $93.00 $4.65
Physical therapy evaluation session for 20 minutes 97161 $224.00 $11.20
Physical therapy evaluation session for 20 minutes 97161 $224.00 $212.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $206.00 $195.70
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $206.00 $10.30
Emergency department visit facility fees for a visit of moderate severity 99283 $263.00 $249.85
Emergency department visit facility fees for a visit of moderate severity 99283 $220.00 $11.00
Emergency department visit facility fees for a visit of moderate severity 99283 $263.00 $13.15
Emergency department visit facility fees for a visit of moderate severity 99283 $220.00 $209.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $369.00 $18.45
Emergency department visit facility fees for a visit of high to moderate severity 99284 $369.00 $350.55
Emergency department visit facility fees for a visit of high to moderate severity 99284 $296.00 $281.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $296.00 $14.80