Top 40 services provided by SOUTHWEST WASHINGTON MEDICAL CENTER MEMORIAL CAMPUS
Services CPT Price Est. Cash Price
Injection into the lower back with help of imaging of some type 62323 $4,402.00 $2,861.30
Removal of one cataracts from an eye 66984 $2,726.00 $1,771.90
CT scan of the head or brain without contrast or dye 70450 $1,629.00 $1,058.85
MRI scan of the brain with and without contrast 70553 $2,890.00 $1,878.50
MRI scan of the brain with and without contrast 70553 $5,561.00 $3,614.65
X-ray of the chest, 2 views 71046 $404.00 $262.60
X-ray of the lower spine with 4 or more views 72110 $591.00 $384.15
CT scan of the pelvis with contrast or dye 72193 $1,629.00 $1,058.85
CT scan of the pelvis with contrast or dye 72193 $2,482.00 $1,613.30
CT scan of the abdomen with contrast or dye 74160 $2,921.00 $1,898.65
CT scan of the abdomen with contrast or dye 74160 $1,873.00 $1,217.45
Ultrasound of the abdomen 76700 $670.00 $435.50
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $670.00 $435.50
Mammogram of both breasts 77067 $685.00 $445.25
Comprehensive Metabolic Panel 80053 $149.00 $96.85
Lipid Panel 80061 $274.00 $178.10
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $69.00 $44.85
Physical therapy evaluation session for 20 minutes 97161 $367.00 $238.55
Emergency department visit facility fees for a visit of moderate severity 99283 $1,264.00 $821.60
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,213.00 $1,438.45