BINGHAM MEMORIAL HOSPITAL
Critical Access Hospitals
16
Procedure Prices at BINGHAM MEMORIAL HOSPITAL
VENIPUNCTURE
CPT 36415
$6.3
Therapeutic Activities
CPT 97530
$6.35
AUTO DIFF CBC
CPT 85025
$11.66
Therapeutic Exercises
CPT 97110
$13.11
UC CHEM 14 PANEL
CPT 80053
$14.5
Mechanical Traction
CPT 97012
$27.97
Chest X-Ray (1 view)
CPT 71045
$68.15
EKG Tracing
CPT 93005
$81
Chest X-Ray (2 views)
CPT 71046
$83.81
Screening Mammogram (bilateral)
CPT 77067
$86.4
Diagnostic Mammogram (unilateral)
CPT 77065
$102.15
Thoracic Spine X-Ray
CPT 72072
$113.68
Diagnostic Mammogram (bilateral)
CPT 77066
$136.8
Abdominal Ultrasound — Limited
CPT 76705
$181.25
Retroperitoneal Ultrasound
CPT 76770
$197.2
OB Ultrasound
CPT 76805
$200.97
ER Visit — Low-Moderate Complexity
CPT 99283
$212.24
Abdominal Ultrasound
CPT 76700
$241.86
CT Chest
CPT 71250
$250.18
ER Visit — Moderate Complexity
CPT 99284
$255.78
Echocardiogram
CPT 93307
$293.48
ER Visit — High Complexity
CPT 99285
$374.1
MRI Brain w/o Contrast
CPT 70551
$480.82
INJ TRANSFORMINAL EPIDURAL-LUMBAR/SACRAL
CPT 64483
$625.82
CT Abdomen & Pelvis
CPT 74177
$628.18
MRI Joint of Lower Extremity
CPT 73721
$653.4
Cataract Surgery
CPT 66984
$714.27
Echocardiogram w/ Doppler
CPT 93306
$875.5
MRI Brain w/ Contrast
CPT 70553
$931.26
Upper GI Endoscopy w/ Biopsy
CPT 43239
$936.45
Colonoscopy
CPT 45378
$957
Colonoscopy w/ Biopsy
CPT 45380
$1,312.5
Cataract Surgery — Complex
CPT 66982
$1,505.39
Hip Replacement
CPT 27130
$2,413.38
Appendectomy
CPT 44950
$3,012.75
REPAIR OF SHOULDER ROTATOR CUFF W ENDO
CPT 29827
$3,151.8
TREAT THIGH FRACTURE
CPT 27245
$3,770
Knee Arthroscopy
CPT 29881
$3,850
Laparoscopic Hernia Repair
CPT 49650
$4,350
Inguinal Hernia Repair
CPT 49505
$5,099.19
Laparoscopic Cholecystectomy
CPT 47562
$6,031.54
Knee Replacement
CPT 27447
$6,952.5
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.