Elmore Community Hospital

500 Hospital Drive, Wetumpka, AL 36092 · (334) 567-4311

Acute Care HospitalsProprietaryMontgomery, AL metro Website ↗

Price file

Prices published

File dated 2026-04-02

829 price rows for 38 procedures

Published prices

cash · negotiated range · list

Basic metabolic panel (blood test)

CPT 80048 · lowest of 2 lines · metro median $11

$10

cash

$95 to $750

12 negotiated rates

$25

list

CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $2,330

$442

cash

$95 to $750

6 negotiated rates

$1,105

list

CT scan of the head, no contrast

CPT 70450 · metro median $980

$128

cash

$95 to $750

6 negotiated rates

$321

list

CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,064

$216

cash

$95 to $750

6 negotiated rates

$541

list

Cataract surgery with lens implant

CPT 66984 · metro median $2,992

$2,992

cash

$95 to $750

6 negotiated rates

$7,480

list

Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $12

$12

cash

$95 to $750

42 negotiated rates

$31

list

Colonoscopy (diagnostic)

CPT 45378 · metro median $1,094

$1,094

cash

$95 to $750

6 negotiated rates

$2,735

list

Colonoscopy with biopsy

CPT 45380 · metro median $1,415

$1,415

cash

$95 to $750

6 negotiated rates

$3,537

list

Colonoscopy with polyp removal

CPT 45385 · metro median $1,415

$1,415

cash

$95 to $750

6 negotiated rates

$3,537

list

Complete blood count (CBC) with differential

CPT 85025 · lowest of 2 lines · metro median $11

cash

$95 to $750

12 negotiated rates

$23

list

Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 3 lines · metro median $14

$13

cash

$95 to $750

18 negotiated rates

$32

list

Diagnostic mammogram (both breasts)

CPT 77066 · metro median $131

$174

cash

$95 to $750

6 negotiated rates

$435

list

Gallbladder removal (laparoscopic)

CPT 47562 · metro median $7,001

$7,001

cash

$95 to $750

6 negotiated rates

$17,503

list

Gonorrhea test (DNA)

CPT 87591 · lowest of 6 lines · metro median $24

$42

cash

$95 to $750

36 negotiated rates

$105

list

Hospital stay for digestive disorders, no complications

MS-DRG 392 · metro median $5,200

$5,200

cash

$95 to $3,456

9 negotiated rates

$13,000

list

Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $4,235

$4,235

cash

$95 to $750

6 negotiated rates

$10,587

list

Lipid panel (cholesterol test)

CPT 80061 · lowest of 12 lines · metro median $18

cash

$95 to $750

72 negotiated rates

$13

list

Liver function panel

CPT 80076 · metro median $11

$10

cash

$95 to $750

6 negotiated rates

$25

list

MRI of the brain, with and without contrast

CPT 70553 · metro median $505

$442

cash

$95 to $750

6 negotiated rates

$1,105

list

MRI of the lower back (lumbar spine), no contrast

CPT 72148 · metro median $1,559

$280

cash

$95 to $750

6 negotiated rates

$701

list

MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,202

$280

cash

$95 to $750

6 negotiated rates

$701

list

PSA test (prostate)

CPT 84153 · lowest of 5 lines · metro median $25

$18

cash

$95 to $750

30 negotiated rates

$44

list

Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 2 lines · metro median $8

cash

$95 to $750

12 negotiated rates

$18

list

Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $34

$34

cash

$95 to $750

12 negotiated rates

$84

list

Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $440

$128

cash

$95 to $750

6 negotiated rates

$321

list

Prostate biopsy

CPT 55700 · metro median $1,170

$2,458

cash

$95 to $750

6 negotiated rates

$6,146

list

Prothrombin time (blood clotting test)

CPT 85610 · lowest of 2 lines · metro median $5

cash

$95 to $750

12 negotiated rates

$13

list

Removal of a breast lump (biopsy by excision)

CPT 19120 · metro median $325

$4,715

cash

$95 to $750

6 negotiated rates

$11,788

list

Screening mammogram (both breasts)

CPT 77067 · metro median $131

$141

cash

$95 to $750

6 negotiated rates

$352

list

Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines · metro median $249

$249

cash

$95 to $750

12 negotiated rates

$622

list

TSH test (thyroid)

CPT 84443 · lowest of 10 lines · metro median $23

cash

$95 to $750

66 negotiated rates

$17

list

Tonsils and adenoids removal (under age 12)

CPT 42820 · metro median $7,099

$7,099

cash

$95 to $750

6 negotiated rates

$17,747

list

Transvaginal ultrasound

CPT 76830 · metro median $415

$128

cash

$95 to $750

6 negotiated rates

$321

list

Ultrasound of the abdomen (complete)

CPT 76700 · metro median $488

$128

cash

$95 to $750

6 negotiated rates

$321

list

Upper endoscopy (EGD)

CPT 43235 · metro median $1,804

$1,804

cash

$95 to $750

6 negotiated rates

$4,510

list

Upper endoscopy with biopsy

CPT 43239 · metro median $2,112

$2,112

cash

$95 to $750

6 negotiated rates

$5,280

list

Urinalysis with microscope

CPT 81001 · lowest of 2 lines · metro median $5

cash

$95 to $750

12 negotiated rates

$10

list

X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $330

$128

cash

$95 to $750

6 negotiated rates

$321

list

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.

https://ivycreekhealth.com/wp-content/uploads/2026/04/631253446_elmore-community-hospital_standardcharges.csv
Elmore Community Hospital · parsed · tall v3.0.0 · file dated 2026-04-02 · 12 MB · 829 price rows read · read Nov 2026