BIGFORK VALLEY HOSPITAL
Critical Access Hospitals
16
Procedure Prices at BIGFORK VALLEY HOSPITAL
COLLECTION VENIPUNCTURE
CPT 36415
$3
EKG Tracing
CPT 93005
$6.97
COMPLETE BLOOD COUNT XP300
CPT 85025
$8.09
COMP PANEL
CPT 80053
$10.99
OFFICE OUTPT EST 15
CPT 99213
$23.43
Screening Mammogram (bilateral)
CPT 77067
$39.77
Therapeutic Activities
CPT 97530
$60.96
Therapeutic Exercises
CPT 97110
$64.39
Chest X-Ray (2 views)
CPT 71046
$67.93
Mechanical Traction
CPT 97012
$74.68
Chest X-Ray (1 view)
CPT 71045
$86.3
Diagnostic Mammogram (bilateral)
CPT 77066
$108.76
Diagnostic Mammogram (unilateral)
CPT 77065
$119.96
Upper GI Endoscopy w/ Biopsy
CPT 43239
$151.39
Abdominal Ultrasound — Limited
CPT 76705
$209.25
Colonoscopy w/ Biopsy
CPT 45380
$218.95
ER Visit — Low-Moderate Complexity
CPT 99283
$238.43
THERAPY PT&/OR FAMILY 60 MIN
CPT 90837
$274.74
OB Ultrasound
CPT 76805
$283.29
Abdominal Ultrasound
CPT 76700
$291.15
ER Visit — Moderate Complexity
CPT 99284
$333.13
CT Abdomen & Pelvis
CPT 74177
$340.21
CT Chest
CPT 71250
$358.9
MRI Brain w/ Contrast
CPT 70553
$423.03
ER Visit — High Complexity
CPT 99285
$551.69
MRI Brain w/o Contrast
CPT 70551
$588.45
MRI Joint of Lower Extremity
CPT 73721
$588.45
Colonoscopy
CPT 45378
$628.6
Laparoscopic Cholecystectomy
CPT 47562
$702.98
Echocardiogram w/ Doppler
CPT 93306
$865.05
LUMBAR OR SACRAL SINGLE LEVEL
CPT 64483
$1,211.47
Cataract Surgery
CPT 66984
$1,453.4
Appendectomy
CPT 44950
$1,606.59
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,730.52
Recurrent Inguinal Hernia Repair
CPT 49520
$1,962.36
Inguinal Hernia Repair
CPT 49505
$2,018.31
Knee Arthroscopy
CPT 29881
$2,178.02
ARTHROSCOPY SHOULDER
CPT 29827
$4,055.55
Knee Replacement
CPT 27447
$4,749.83
Hip Replacement
CPT 27130
$4,811.5
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.