ASANTE THREE RIVERS MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at ASANTE THREE RIVERS MEDICAL CENTER
HC Blood Draw Venous
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
$83.16
Echocardiogram w/ Doppler
CPT 93306
$104.72
EKG Tracing
CPT 93005
$118.87
HC Outpatient Visit Lvl III
CPT 99213
$125
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
$135.44
Thoracic Spine X-Ray
CPT 72072
$165.84
Upper GI Endoscopy w/ Biopsy
CPT 43239
$174.88
ER Visit — Low-Moderate Complexity
CPT 99283
$175.28
Diagnostic Mammogram (bilateral)
CPT 77066
$175.56
CT Chest
CPT 71250
$184.84
Echocardiogram
CPT 93307
$186.88
Abdominal Ultrasound
CPT 76700
$232.49
Retroperitoneal Ultrasound
CPT 76770
$232.49
OB Ultrasound
CPT 76805
$232.49
Colonoscopy
CPT 45378
$234.12
ER Visit — High Complexity
CPT 99285
$282.2
ER Visit — Moderate Complexity
CPT 99284
$305.12
MRI Brain w/o Contrast
CPT 70551
$491.38
MRI Joint of Lower Extremity
CPT 73721
$491.38
MRI Brain w/ Contrast
CPT 70553
$786.39
CT Abdomen & Pelvis
CPT 74177
$786.39
Laparoscopic Cholecystectomy
CPT 47562
$823.28
HC Inj Transforam Lum/Sac Lt,Sngl
CPT 64483
$1,124.11
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,839.76
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,442.8
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.