ASANTE ASHLAND COMMUNITY HOSPITAL
Acute Care Hospitals
16
Procedure Prices at ASANTE ASHLAND COMMUNITY HOSPITAL
HC Venous Line Draw-Lab
CPT 36415
$3.6
HC Cbc Auto W/Plts
CPT 85025
$9.32
HC Compre Metabolic Panel
CPT 80053
$12.67
EKG Interpretation
CPT 93010
$20.04
Mechanical Traction
CPT 97012
$28.44
Therapeutic Exercises
CPT 97110
$45.6
Therapeutic Activities
CPT 97530
$56.16
Abdominal Ultrasound — Limited
CPT 76705
$73.92
HC P-Exp Prob Foc Mod Dm3 W/Proc
CPT 99213
$81.68
ER Visit — Low-Moderate Complexity
CPT 99283
$87.64
Echocardiogram w/ Doppler
CPT 93306
$104.72
EKG Tracing
CPT 93005
$129.92
OB Ultrasound
CPT 76805
$131.81
Chest X-Ray (1 view)
CPT 71045
$134.84
Chest X-Ray (2 views)
CPT 71046
$134.84
Diagnostic Mammogram (unilateral)
CPT 77065
$135.36
Screening Mammogram (bilateral)
CPT 77067
$144
Thoracic Spine X-Ray
CPT 72072
$165.84
Diagnostic Mammogram (bilateral)
CPT 77066
$175.56
ER Visit — Moderate Complexity
CPT 99284
$230.33
Upper GI Endoscopy w/ Biopsy
CPT 43239
$270.63
CT Chest
CPT 71250
$286.04
Echocardiogram
CPT 93307
$343.86
Abdominal Ultrasound
CPT 76700
$400.24
Retroperitoneal Ultrasound
CPT 76770
$414.61
ER Visit — High Complexity
CPT 99285
$432.32
Colonoscopy
CPT 45378
$459.46
MRI Brain w/o Contrast
CPT 70551
$527.84
HC Inj Proc Epidur Lum/Sac Rt,Sngl
CPT 64483
$719.88
Laparoscopic Cholecystectomy
CPT 47562
$823.28
MRI Brain w/ Contrast
CPT 70553
$843.2
MRI Joint of Lower Extremity
CPT 73721
$849.64
CT Abdomen & Pelvis
CPT 74177
$1,422.01
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$3,378.56
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$6,279.6
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.