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Johnson Memorial Hospital

201 Chestnut Hill Road, Stafford Springs, CT 06076 · (860) 684-4251

Acute Care HospitalsVoluntary non-profit - PrivateCMS rating 3/5Part of Trinity Health · 52 hospitalsWebsite ↗

Price file

Prices published

File dated 2026-03-31

46,322 price rows for 42 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · lowest of 4 lines

$34
cash
$897
cash
CT scan of the head, no contrast

CPT 70450 · lowest of 4 lines

$755
cash
CT scan of the pelvis, with contrast

CPT 72193 · lowest of 2 lines

$870
cash
Cataract surgery with lens implant

CPT 66984 · lowest of 2 lines

$3,669
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 6 lines

$46
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines

$2,616
cash
Colonoscopy with biopsy

CPT 45380 · lowest of 2 lines

$2,928
cash
Colonoscopy with polyp removal

CPT 45385 · lowest of 2 lines

$3,645
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines

$22
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · lowest of 4 lines

$41
cash
Diagnostic mammogram (both breasts)

CPT 77066 · lowest of 2 lines

$637
cash
$358
cash
Gallbladder removal (laparoscopic)

CPT 47562 · lowest of 6 lines

$1,305
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 4 lines

$93
cash
$10,450
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · lowest of 6 lines

$1,032
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 2 lines

$52
cash
Liver function panel

CPT 80076 · lowest of 2 lines

$26
cash
MRI of the brain, with and without contrast

CPT 70553 · lowest of 2 lines

$1,965
cash
$1,227
cash
$1,157
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · lowest of 2 lines

$1,157
cash
$413
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 4 lines

$162
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 4 lines

$315
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 4 lines

$449
cash
PSA test (prostate)

CPT 84153 · lowest of 6 lines

$69
cash
$28
cash
$90
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 4 lines

$15
cash
Psychotherapy, 30 minutes

CPT 90832 · lowest of 6 lines

$169
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 4 lines

$259
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 2 lines

$2,887
cash
$1,862
cash
$305
cash
TSH test (thyroid)

CPT 84443 · lowest of 2 lines

$79
cash
Transvaginal ultrasound

CPT 76830 · lowest of 6 lines

$276
cash
Ultrasound of the abdomen (complete)

CPT 76700 · lowest of 2 lines

$504
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines

$4,273
cash
Urinalysis with microscope

CPT 81001 · lowest of 4 lines

$8
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · lowest of 2 lines

$309
cash

Source files

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