F F THOMPSON HOSPITAL
Hospital
Procedure Prices at F F THOMPSON HOSPITAL
HB Collection Venous Blood Venipuncture
CPT 36415
$3.38
EKG Interpretation
CPT 93010
$7.58
Chest X-Ray (2 views)
CPT 71046
$10.29
HB Blood Count Complete Auto&Auto Difrntl Wbc
CPT 85025
$20
PR WMLC F/U PT VISIT
CPT 99213
$21.76
HB Comprehensive Metabolic Panel
CPT 80053
$21.98
ER Visit — Low-Moderate Complexity
CPT 99283
$24.41
Abdominal Ultrasound — Limited
CPT 76705
$40.31
Mechanical Traction
CPT 97012
$41.85
ER Visit — Moderate Complexity
CPT 99284
$45.02
Therapeutic Exercises
CPT 97110
$49.88
Therapeutic Activities
CPT 97530
$55.8
ER Visit — High Complexity
CPT 99285
$67.19
PR NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL
CPT 64483
$74.75
EKG Tracing
CPT 93005
$82
Colonoscopy
CPT 45378
$88.58
Upper GI Endoscopy w/ Biopsy
CPT 43239
$101
Chest X-Ray (1 view)
CPT 71045
$119.62
Thoracic Spine X-Ray
CPT 72072
$125.12
Colonoscopy w/ Biopsy
CPT 45380
$161.6
Laparoscopic Hernia Repair
CPT 49650
$193.57
OB Ultrasound
CPT 76805
$229.95
Abdominal Ultrasound
CPT 76700
$234.6
Diagnostic Mammogram (unilateral)
CPT 77065
$242
Diagnostic Mammogram (bilateral)
CPT 77066
$249.82
Screening Mammogram (bilateral)
CPT 77067
$263.5
Retroperitoneal Ultrasound
CPT 76770
$266.5
Laparoscopic Cholecystectomy
CPT 47562
$333.58
Inguinal Hernia Repair
CPT 49505
$335.59
CT Chest
CPT 71250
$505.5
Recurrent Inguinal Hernia Repair
CPT 49520
$536
MRI Brain w/o Contrast
CPT 70551
$833.99
Echocardiogram w/ Doppler
CPT 93306
$874.14
MRI Joint of Lower Extremity
CPT 73721
$986.5
Echocardiogram
CPT 93307
$1,082.11
CT Abdomen & Pelvis
CPT 74177
$1,115
MRI Brain w/ Contrast
CPT 70553
$1,277.82
Vaginal Delivery
CPT 59400
$1,720.75
VBAC Delivery
CPT 59610
$1,841.5
C-Section
CPT 59510
$1,948.09
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.