Procedure Prices at Big South Fork Medical Center
Mechanical Traction
CPT 97012
$11.8
Therapeutic Exercises
CPT 97110
$23.6
Therapeutic Activities
CPT 97530
$30
EKG Interpretation
CPT 93010
$31.89
EKG Tracing
CPT 93005
$44
Diagnostic Mammogram (unilateral)
CPT 77065
$67.8
Screening Mammogram (bilateral)
CPT 77067
$71.6
Upper GI Endoscopy w/ Biopsy
CPT 43239
$83.94
Diagnostic Mammogram (bilateral)
CPT 77066
$86.4
Chest X-Ray (1 view)
CPT 71045
$95.8
Chest X-Ray (2 views)
CPT 71046
$95.8
Thoracic Spine X-Ray
CPT 72072
$134.4
CT Chest
CPT 71250
$157
Abdominal Ultrasound
CPT 76700
$157
Abdominal Ultrasound — Limited
CPT 76705
$157
Retroperitoneal Ultrasound
CPT 76770
$157
OB Ultrasound
CPT 76805
$157
ER Visit — Low-Moderate Complexity
CPT 99283
$223.4
MRI Brain w/o Contrast
CPT 70551
$326.2
MRI Joint of Lower Extremity
CPT 73721
$326.2
CT Abdomen & Pelvis
CPT 74177
$350
ER Visit — Moderate Complexity
CPT 99284
$351.8
ER Visit — High Complexity
CPT 99285
$450
Echocardiogram w/ Doppler
CPT 93306
$483
MRI Brain w/ Contrast
CPT 70553
$534.6
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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.