ELLSWORTH COUNTY MEDICAL CENTER
Critical Access Hospitals
Procedure Prices at ELLSWORTH COUNTY MEDICAL CENTER
Routine Venipuncture (36415)
CPT 36415
$8.7
No - Manual Differential?
CPT 85025
$9.57
Comprehensive Metabolic Panel
CPT 80053
$16.39
EKG
CPT 93000
$18.6
EKG Interpretation
CPT 93010
$18.6
Mechanical Traction
CPT 97012
$26.1
Therapeutic Activities
CPT 97530
$35.96
Diagnostic Mammogram (bilateral)
CPT 77066
$37.92
CL 64483 PAIN MGMT INJ FORAMIN EPI LS SGL
CPT 64483
$38
Therapeutic Exercises
CPT 97110
$40.02
TR 99213 EVAL LEVEL 3 or 20-29 min
CPT 99213
$48.72
Chest X-Ray (2 views)
CPT 71046
$60.32
EKG Tracing
CPT 93005
$69.02
Diagnostic Mammogram (unilateral)
CPT 77065
$88.6
Screening Mammogram (bilateral)
CPT 77067
$88.6
Chest X-Ray (1 view)
CPT 71045
$88.89
90837 Psychotherapy, 60 min.
CPT 90837
$110.78
Abdominal Ultrasound — Limited
CPT 76705
$116
Thoracic Spine X-Ray
CPT 72072
$145
Abdominal Ultrasound
CPT 76700
$150
Retroperitoneal Ultrasound
CPT 76770
$150
CT Chest
CPT 71250
$160.32
ER Visit — Low-Moderate Complexity
CPT 99283
$239.4
MRI Brain w/o Contrast
CPT 70551
$350.28
MRI Joint of Lower Extremity
CPT 73721
$350.28
ER Visit — Moderate Complexity
CPT 99284
$401.22
CT Abdomen & Pelvis
CPT 74177
$453
MRI Brain w/ Contrast
CPT 70553
$521
ER Visit — High Complexity
CPT 99285
$616.69
Echocardiogram w/ Doppler
CPT 93306
$754.7
Upper GI Endoscopy w/ Biopsy
CPT 43239
$829.55
Colonoscopy
CPT 45378
$950.19
Colonoscopy w/ Biopsy
CPT 45380
$980.78
Compare Prices Nearby
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.