AVERA ST BENEDICT HEALTH CENTER - CAH
Critical Access Hospitals
Procedure Prices at AVERA ST BENEDICT HEALTH CENTER - CAH
OB CBC W/Auto Diff
CPT 85025
$31.92
Venipuncture
CPT 36415
$32.01
EKG Interpretation
CPT 93010
$52.08
Est Patient Level 3 Low Comp
CPT 99213
$116.76
Mechanical Traction
CPT 97012
$129.36
Therapeutic Activities
CPT 97530
$130.7
Therapeutic Exercises
CPT 97110
$136.08
Comprehensive Metabolic Panel
CPT 80053
$171.36
ER Visit — Low-Moderate Complexity
CPT 99283
$185.64
EKG Tracing
CPT 93005
$208.32
ER Visit — Moderate Complexity
CPT 99284
$284.25
ER Visit — High Complexity
CPT 99285
$305.76
Chest X-Ray (1 view)
CPT 71045
$338.52
Screening Mammogram (bilateral)
CPT 77067
$514.25
Chest X-Ray (2 views)
CPT 71046
$536.76
Diagnostic Mammogram (unilateral)
CPT 77065
$541.8
Diagnostic Mammogram (bilateral)
CPT 77066
$552.72
Thoracic Spine X-Ray
CPT 72072
$654.36
OB Ultrasound
CPT 76805
$1,163.4
Abdominal Ultrasound — Limited
CPT 76705
$1,164.24
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,250.76
Colonoscopy
CPT 45378
$1,286.88
Colonoscopy w/ Biopsy
CPT 45380
$1,380.12
Abdominal Ultrasound
CPT 76700
$1,582.56
Retroperitoneal Ultrasound
CPT 76770
$1,672.44
Echocardiogram w/ Doppler
CPT 93306
$2,225.16
Laparoscopic Hernia Repair
CPT 49650
$2,381.4
CT Chest
CPT 71250
$3,067.68
MRI Brain w/o Contrast
CPT 70551
$3,896.76
MRI Joint of Lower Extremity
CPT 73721
$4,104.24
MRI Brain w/ Contrast
CPT 70553
$4,741.8
CT Abdomen & Pelvis
CPT 74177
$5,216.4
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.