GUTHRIE COUNTY HOSPITAL
Critical Access Hospitals
16
Procedure Prices at GUTHRIE COUNTY HOSPITAL
HANDLING FEE
CPT 36415
$14.3
EKG Interpretation
CPT 93010
$15.5
WELLNESS COMP PANEL
CPT 80053
$19.25
MEDICARE ONC EST PT LEVEL 3
CPT 99213
$20.67
Mechanical Traction
CPT 97012
$27.23
Therapeutic Activities
CPT 97530
$29.7
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$36.01
Therapeutic Exercises
CPT 97110
$57.6
Chest X-Ray (1 view)
CPT 71045
$59.52
Thoracic Spine X-Ray
CPT 72072
$65.47
Chest X-Ray (2 views)
CPT 71046
$87.45
EKG Tracing
CPT 93005
$91.39
EKG
CPT 93000
$124.85
Psychotherapy, 1 hour
CPT 90837
$147
ER Visit — Low-Moderate Complexity
CPT 99283
$149.6
OB Ultrasound
CPT 76805
$169.88
ER Visit — Moderate Complexity
CPT 99284
$210.1
Abdominal Ultrasound — Limited
CPT 76705
$210.74
Diagnostic Mammogram (unilateral)
CPT 77065
$221.34
Screening Mammogram (bilateral)
CPT 77067
$221.34
Upper GI Endoscopy w/ Biopsy
CPT 43239
$249
ER Visit — High Complexity
CPT 99285
$265
Abdominal Ultrasound
CPT 76700
$278.85
Retroperitoneal Ultrasound
CPT 76770
$302.56
Echocardiogram
CPT 93307
$308.92
Diagnostic Mammogram (bilateral)
CPT 77066
$341.55
Echocardiogram w/ Doppler
CPT 93306
$415.4
Colonoscopy
CPT 45378
$422
CT Chest
CPT 71250
$480.5
Inguinal Hernia Repair
CPT 49505
$907.5
Knee Arthroscopy
CPT 29881
$934
MRI Brain w/o Contrast
CPT 70551
$983.32
MRI Joint of Lower Extremity
CPT 73721
$983.32
Colonoscopy w/ Biopsy
CPT 45380
$1,050
CT Abdomen & Pelvis
CPT 74177
$1,050.19
LUMBAR/SACRAL TRANS
CPT 64483
$1,119.8
Laparoscopic Cholecystectomy
CPT 47562
$1,180
MRI Brain w/ Contrast
CPT 70553
$1,233.8
Appendectomy
CPT 44950
$1,480.05
ARTH SHOULD ROT CUFF PRO
CPT 29827
$1,850
Knee Replacement
CPT 27447
$2,344
Hip Replacement
CPT 27130
$2,361.15
TRTMT FEMORAL FRAC W/ INTRAMED IMPL
CPT 27245
$2,597.1
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.