ADVENTIST HEALTH HOWARD MEMORIAL
Critical Access Hospitals
Procedure Prices at ADVENTIST HEALTH HOWARD MEMORIAL
CBC AUTO W/AUTO DIFF 1.1
CPT 85025
$5.02
EKG Interpretation
CPT 93010
$5.44
COMP METABOLIC PNL 1.1
CPT 80053
$6.57
Thoracic Spine X-Ray
CPT 72072
$9.41
Chest X-Ray (2 views)
CPT 71046
$9.67
Chest X-Ray (1 view)
CPT 71045
$10.48
EKG Tracing
CPT 93005
$11.35
EKG
CPT 93000
$18.24
COLLECTION: Venous Draw
CPT 36415
$22.7
Abdominal Ultrasound — Limited
CPT 76705
$33.84
Diagnostic Mammogram (bilateral)
CPT 77066
$33.95
Diagnostic Mammogram (unilateral)
CPT 77065
$34.46
Mechanical Traction
CPT 97012
$35.2
MRI Brain w/o Contrast
CPT 70551
$38.72
Retroperitoneal Ultrasound
CPT 76770
$42.31
Screening Mammogram (bilateral)
CPT 77067
$42.34
CT Chest
CPT 71250
$44.14
Abdominal Ultrasound
CPT 76700
$46.34
99213-25 Office Visit EST or 20-29 total mins per DOS
CPT 99213
$49.6
Therapeutic Exercises
CPT 97110
$50.56
Echocardiogram
CPT 93307
$51.57
90837 Psychotherapy w/ Pt - 60 mins
CPT 90837
$54.08
OB Ultrasound
CPT 76805
$57.89
Therapeutic Activities
CPT 97530
$61.44
ER Visit — Low-Moderate Complexity
CPT 99283
$69.41
MRI Joint of Lower Extremity
CPT 73721
$78.16
ER Visit — Moderate Complexity
CPT 99284
$80.64
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$92.75
Echocardiogram w/ Doppler
CPT 93306
$96.53
CT Abdomen & Pelvis
CPT 74177
$122.9
Upper GI Endoscopy w/ Biopsy
CPT 43239
$127.04
PF AS TX FEM FX W/IM IMP
CPT 27245
$130.24
MRI Brain w/ Contrast
CPT 70553
$130.95
Hip Replacement
CPT 27130
$167.68
ER Visit — High Complexity
CPT 99285
$197.03
Colonoscopy
CPT 45378
$206.46
Colonoscopy w/ Biopsy
CPT 45380
$234.7
Laparoscopic Hernia Repair
CPT 49650
$354.88
Inguinal Hernia Repair
CPT 49505
$427.84
Knee Arthroscopy
CPT 29881
$449.6
Recurrent Inguinal Hernia Repair
CPT 49520
$516.48
Laparoscopic Cholecystectomy
CPT 47562
$537.92
Cataract Surgery
CPT 66984
$628.58
29827 Arthroscopy, Shoulder, Surgical; w/Rotator Cuff Repair
CPT 29827
$702.4
Knee Replacement
CPT 27447
$1,047.36
Prices sourced from federally mandated hospital price transparency files. Cash prices reflect self-pay discounted rates. Negotiated rates vary by insurance plan. Data may not reflect current pricing — always confirm with the hospital before scheduling.