CODY REGIONAL HEALTH
Critical Access Hospitals
Procedure Prices at CODY REGIONAL HEALTH
COMP BLOOD COUNT - DIRECT ACCE
CPT 85025
$12.6
VENIPUNCTURE
CPT 36415
$20.4
HEALTH PANEL CHEM SCREEN WOMEN
CPT 80053
$49.3
Therapeutic Exercises
CPT 97110
$84.15
Therapeutic Activities
CPT 97530
$84.15
Mechanical Traction
CPT 97012
$98.1
LEVEL 3 ESTABLISHED PT
CPT 99213
$117.3
EKG Interpretation
CPT 93010
$138.6
Screening Mammogram (bilateral)
CPT 77067
$157.25
Diagnostic Mammogram (unilateral)
CPT 77065
$161.5
EKG
CPT 93000
$161.5
ER Visit — Low-Moderate Complexity
CPT 99283
$169.2
INDIVIDUAL CNSLG 60MIN
CPT 90837
$170
Chest X-Ray (1 view)
CPT 71045
$190.4
EKG Tracing
CPT 93005
$196.2
Diagnostic Mammogram (bilateral)
CPT 77066
$263.7
Chest X-Ray (2 views)
CPT 71046
$265.5
NERVE BLOCK, LUMBAR
CPT 64483
$291.55
ER Visit — Moderate Complexity
CPT 99284
$320.4
Thoracic Spine X-Ray
CPT 72072
$340
Echocardiogram
CPT 93307
$442.85
Abdominal Ultrasound — Limited
CPT 76705
$454.5
ER Visit — High Complexity
CPT 99285
$489.6
Retroperitoneal Ultrasound
CPT 76770
$530.4
OB Ultrasound
CPT 76805
$531
Abdominal Ultrasound
CPT 76700
$695.7
Laparoscopic Hernia Repair
CPT 49650
$729.9
Echocardiogram w/ Doppler
CPT 93306
$760.5
CT Chest
CPT 71250
$1,287.9
MRI Brain w/o Contrast
CPT 70551
$1,517.76
Inguinal Hernia Repair
CPT 49505
$1,539.95
Colonoscopy
CPT 45378
$1,566.9
Laparoscopic Cholecystectomy
CPT 47562
$1,634
MRI Joint of Lower Extremity
CPT 73721
$1,683.85
Colonoscopy w/ Biopsy
CPT 45380
$1,723.3
Appendectomy
CPT 44950
$1,953.3
CT Abdomen & Pelvis
CPT 74177
$2,645.2
MRI Brain w/ Contrast
CPT 70553
$2,907
Upper GI Endoscopy w/ Biopsy
CPT 43239
$3,100.54
Recurrent Inguinal Hernia Repair
CPT 49520
$3,508.8
Knee Arthroscopy
CPT 29881
$4,747.25
ARTHRO SH ROTATOR CUFF REPAIR
CPT 29827
$5,326.1
TX HIP FRACTURE
CPT 27245
$5,386.45
Vaginal Delivery
CPT 59400
$6,120
C-Section
CPT 59510
$6,747.3
Hip Replacement
CPT 27130
$8,389.5
Knee Replacement
CPT 27447
$54,567.02
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.