DEFIANCE REGIONAL MEDICAL CENTER
Critical Access Hospitals
Procedure Prices at DEFIANCE REGIONAL MEDICAL CENTER
Blood Draw From Vein Using Needle
CPT 36415
$2.72
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$10.2
EKG Tracing
CPT 93005
$19.01
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$24.33
Chest X-Ray (1 view)
CPT 71045
$43.59
Screening Mammogram (bilateral)
CPT 77067
$45.76
Mechanical Traction
CPT 97012
$46.08
Therapeutic Exercises
CPT 97110
$55.23
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$55.85
Thoracic Spine X-Ray
CPT 72072
$64.1
Chest X-Ray (2 views)
CPT 71046
$64.19
Individual Psychotherapy Session 60 Minutes
CPT 90837
$112.45
Retroperitoneal Ultrasound
CPT 76770
$120.23
Therapeutic Activities
CPT 97530
$131
Diagnostic Mammogram (unilateral)
CPT 77065
$134.75
Diagnostic Mammogram (bilateral)
CPT 77066
$144
ER Visit — Low-Moderate Complexity
CPT 99283
$168.67
Abdominal Ultrasound — Limited
CPT 76705
$197.4
ER Visit — Moderate Complexity
CPT 99284
$202.08
Upper GI Endoscopy w/ Biopsy
CPT 43239
$282.55
ER Visit — High Complexity
CPT 99285
$295.11
CT Chest
CPT 71250
$323.84
Colonoscopy w/ Biopsy
CPT 45380
$369.05
OB Ultrasound
CPT 76805
$406.7
CT Abdomen & Pelvis
CPT 74177
$535.65
Abdominal Ultrasound
CPT 76700
$572.54
MRI Brain w/o Contrast
CPT 70551
$578.75
MRI Joint of Lower Extremity
CPT 73721
$582.02
Echocardiogram w/ Doppler
CPT 93306
$742.65
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$756.23
Injection of Drug Into Lower Spinal Nerve Root With Imaging Guidance
CPT 64483
$874.26
MRI Brain w/ Contrast
CPT 70553
$897.96
Colonoscopy
CPT 45378
$918.04
Inguinal Hernia Repair
CPT 49505
$1,611.38
Laparoscopic Cholecystectomy
CPT 47562
$1,656.5
Laparoscopic Hernia Repair
CPT 49650
$1,852.03
Cataract Surgery
CPT 66984
$2,517.31
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,153.91
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$4,470.05
Knee Arthroscopy
CPT 29881
$13,752.7
Recurrent Inguinal Hernia Repair
CPT 49520
$27,469
Knee Replacement
CPT 27447
$41,848.3
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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.