GIRARD MEDICAL CENTER
Critical Access Hospitals
Procedure Prices at GIRARD MEDICAL CENTER
BLOOD COLLECTION VENIPUNCTURE
CPT 36415
$5.62
EKG Interpretation
CPT 93010
$20.4
CBC WITH AUTO DIFF
CPT 85025
$29.95
EKG
CPT 93000
$43.2
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$47.73
OFFICE VISIT L3 EST SPECIALIST PRO
CPT 99213
$52.59
Therapeutic Exercises
CPT 97110
$54
Therapeutic Activities
CPT 97530
$54
EKG Tracing
CPT 93005
$72.98
Mechanical Traction
CPT 97012
$79.2
Chest X-Ray (1 view)
CPT 71045
$114.6
Diagnostic Mammogram (unilateral)
CPT 77065
$135
Diagnostic Mammogram (bilateral)
CPT 77066
$135
Screening Mammogram (bilateral)
CPT 77067
$135
Chest X-Ray (2 views)
CPT 71046
$150
ER Visit — Low-Moderate Complexity
CPT 99283
$154.2
Retroperitoneal Ultrasound
CPT 76770
$186.31
Thoracic Spine X-Ray
CPT 72072
$200.4
Abdominal Ultrasound — Limited
CPT 76705
$359.4
ER Visit — Moderate Complexity
CPT 99284
$385.77
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$388.8
OB Ultrasound
CPT 76805
$392.4
ER Visit — High Complexity
CPT 99285
$396.17
Abdominal Ultrasound
CPT 76700
$477
Upper GI Endoscopy w/ Biopsy
CPT 43239
$489.6
MRI Brain w/o Contrast
CPT 70551
$648.77
MRI Brain w/ Contrast
CPT 70553
$649.59
Colonoscopy
CPT 45378
$673.2
Colonoscopy w/ Biopsy
CPT 45380
$734.4
Inguinal Hernia Repair
CPT 49505
$918
Laparoscopic Hernia Repair
CPT 49650
$918
Knee Arthroscopy
CPT 29881
$933.6
Echocardiogram w/ Doppler
CPT 93306
$962.79
ARTHROSCOPY, ROTATOR CUFF RPR
CPT 29827
$1,002
Appendectomy
CPT 44950
$1,071
CT Chest
CPT 71250
$1,333.8
MRI Joint of Lower Extremity
CPT 73721
$1,588.8
Laparoscopic Cholecystectomy
CPT 47562
$1,683
Hip Replacement
CPT 27130
$2,059.2
Knee Replacement
CPT 27447
$2,278.2
CT Abdomen & Pelvis
CPT 74177
$2,628
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.