AVERA MISSOURI RIVER HEALTH CENTER
Critical Access Hospitals
16
Procedure Prices at AVERA MISSOURI RIVER HEALTH CENTER
EKG Interpretation
CPT 93010
$9.35
OB CBC W/Auto Diff
CPT 85025
$34.73
Venipuncture
CPT 36415
$39.9
Office Visit Level 3
CPT 99213
$50.15
EKG Tracing
CPT 93005
$59.5
Therapeutic Exercises
CPT 97110
$128.35
Therapeutic Activities
CPT 97530
$128.35
Mechanical Traction
CPT 97012
$130.9
Chest X-Ray (2 views)
CPT 71046
$256.7
Chest X-Ray (1 view)
CPT 71045
$278.8
Comprehensive Metabolic Panel
CPT 80053
$334.05
ER Visit — Low-Moderate Complexity
CPT 99283
$470.25
ER Visit — Moderate Complexity
CPT 99284
$511.7
ER Visit — High Complexity
CPT 99285
$561.85
Screening Mammogram (bilateral)
CPT 77067
$605.2
Thoracic Spine X-Ray
CPT 72072
$699.55
CT Chest
CPT 71250
$2,057.85
CT Abdomen & Pelvis
CPT 74177
$5,749.4
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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.