CENTRACARE HEALTH SYSTEM - SAUK CENTRE
Hospital
Procedure Prices at CENTRACARE HEALTH SYSTEM - SAUK CENTRE
Routine Venipuncture (rhc)
CPT 36415
$3.9
EKG Interpretation
CPT 93010
$5.11
EKG Tracing
CPT 93005
$21.37
Cbc With Differential And Platelet Count
CPT 85025
$24.44
Outreach Consult Established Level 3
CPT 99213
$32.49
Comprehensive Metabolic Panel
CPT 80053
$37.93
Mechanical Traction
CPT 97012
$41.62
Therapeutic Exercises
CPT 97110
$44.97
Therapeutic Activities
CPT 97530
$44.97
Psychotherapy, 60 Minutes With Patient (pbb)
CPT 90837
$72.04
ER Visit — Low-Moderate Complexity
CPT 99283
$77.44
Chest X-Ray (2 views)
CPT 71046
$78.45
EKG
CPT 93000
$80.77
Chest X-Ray (1 view)
CPT 71045
$80.9
Upper GI Endoscopy w/ Biopsy
CPT 43239
$85.46
Thoracic Spine X-Ray
CPT 72072
$134.04
ER Visit — Moderate Complexity
CPT 99284
$134.75
Screening Mammogram (bilateral)
CPT 77067
$166.34
Diagnostic Mammogram (unilateral)
CPT 77065
$166.86
Colonoscopy
CPT 45378
$200.14
Diagnostic Mammogram (bilateral)
CPT 77066
$200.4
Abdominal Ultrasound — Limited
CPT 76705
$202.57
Colonoscopy w/ Biopsy
CPT 45380
$217.8
OB Ultrasound
CPT 76805
$224.28
Retroperitoneal Ultrasound
CPT 76770
$232.11
Abdominal Ultrasound
CPT 76700
$266.78
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$320.58
CT Chest
CPT 71250
$445.67
Laparoscopic Hernia Repair
CPT 49650
$465.09
Xr Ct Foramin Inj Lumb Sacr Sngl Lvl W Guid
CPT 64483
$489
Inguinal Hernia Repair
CPT 49505
$560.19
Recurrent Inguinal Hernia Repair
CPT 49520
$676.09
CT Abdomen & Pelvis
CPT 74177
$686
Echocardiogram w/ Doppler
CPT 93306
$688.09
Laparoscopic Cholecystectomy
CPT 47562
$703.8
MRI Brain w/o Contrast
CPT 70551
$780.52
MRI Joint of Lower Extremity
CPT 73721
$899.35
MRI Brain w/ Contrast
CPT 70553
$914
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.