CARIBOU MEDICAL CENTER
Critical Access Hospitals
16
Procedure Prices at CARIBOU MEDICAL CENTER
EKG Interpretation
CPT 93010
$12.23
EKG Tracing
CPT 93005
$13.43
VENIPUNCTURE
CPT 36415
$15.47
Mechanical Traction
CPT 97012
$46.24
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$47.06
Therapeutic Exercises
CPT 97110
$54.32
Therapeutic Activities
CPT 97530
$77.04
ER Visit — Low-Moderate Complexity
CPT 99283
$89.9
OFFICE/OUTPATIENT VISIT EST 15 MINUTES
CPT 99213
$94
Blood test, comprehensive group of blood chemicals
CPT 80053
$98.21
Chest X-Ray (1 view)
CPT 71045
$158.83
ER Visit — Moderate Complexity
CPT 99284
$170.6
INJ ANESTHETIC DIAGNOSTIC OR THERAPEUTIC
CPT 64483
$176.8
Chest X-Ray (2 views)
CPT 71046
$193.76
PSYTX PT&/FAMILY 60 MINUTES
CPT 90837
$206.71
ER Visit — High Complexity
CPT 99285
$251.19
Upper GI Endoscopy w/ Biopsy
CPT 43239
$258.24
Colonoscopy
CPT 45378
$291.35
Colonoscopy w/ Biopsy
CPT 45380
$316.98
Abdominal Ultrasound — Limited
CPT 76705
$413.28
Retroperitoneal Ultrasound
CPT 76770
$447.34
OB Ultrasound
CPT 76805
$489.44
Abdominal Ultrasound
CPT 76700
$504.07
Laparoscopic Hernia Repair
CPT 49650
$671.59
Inguinal Hernia Repair
CPT 49505
$811.87
CT Chest
CPT 71250
$1,060.78
Echocardiogram w/ Doppler
CPT 93306
$1,282.82
Laparoscopic Cholecystectomy
CPT 47562
$1,410.47
MRI Joint of Lower Extremity
CPT 73721
$1,619.07
MRI Brain w/o Contrast
CPT 70551
$1,677.41
CT Abdomen & Pelvis
CPT 74177
$1,834.63
MRI Brain w/ Contrast
CPT 70553
$2,451.33
Vaginal Delivery
CPT 59400
$3,231.12
C-Section
CPT 59510
$3,568.57
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.