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AVERA CREIGHTON HOSPITAL

Hospital

P O BOX 186, 1503 MAIN ST

CREIGHTON, NE, 68729

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Procedure Prices at AVERA CREIGHTON HOSPITAL

EKG Interpretation

CPT 93010

$10.2

OB CBC W/Auto Diff

CPT 85025

$37.05

Venipuncture

CPT 36415

$38.25

EKG Tracing

CPT 93005

$64.89

Est Patient Level 3 Low Comp

CPT 99213

$101.15

Mechanical Traction

CPT 97012

$108.8

Therapeutic Activities

CPT 97530

$108.8

Therapeutic Exercises

CPT 97110

$135.15

ER Visit — Low-Moderate Complexity

CPT 99283

$139.84

Comprehensive Metabolic Panel

CPT 80053

$229.5

ER Visit — Moderate Complexity

CPT 99284

$260.1

Chest X-Ray (1 view)

CPT 71045

$283.9

Screening Mammogram (bilateral)

CPT 77067

$325.55

ER Visit — High Complexity

CPT 99285

$353.6

Chest X-Ray (2 views)

CPT 71046

$365.5

Diagnostic Mammogram (unilateral)

CPT 77065

$383.35

Diagnostic Mammogram (bilateral)

CPT 77066

$446.25

Thoracic Spine X-Ray

CPT 72072

$494.7

Upper GI Endoscopy w/ Biopsy

CPT 43239

$639.2

Colonoscopy

CPT 45378

$731

Abdominal Ultrasound — Limited

CPT 76705

$767.76

Retroperitoneal Ultrasound

CPT 76770

$776.05

Inj Foramen Epidural L/S LT

CPT 64483

$838.95

Colonoscopy w/ Biopsy

CPT 45380

$877.2

Abdominal Ultrasound

CPT 76700

$895.05

Echocardiogram w/ Doppler

CPT 93306

$2,210.85

CT Chest

CPT 71250

$2,554.25

MRI Joint of Lower Extremity

CPT 73721

$2,732.75

MRI Brain w/o Contrast

CPT 70551

$3,923.6

MRI Brain w/ Contrast

CPT 70553

$4,577.25

CT Abdomen & Pelvis

CPT 74177

$5,081.3

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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.