HANCOCK COUNTY HEALTH SYSTEM
Critical Access Hospitals
16
Procedure Prices at HANCOCK COUNTY HEALTH SYSTEM
EKG
CPT 93000
$16.83
Complete Blood Count with Differential
CPT 85025
$17
COLLECTION: Venous Draw
CPT 36415
$24.3
Office or other outpatient visit for the evaluation and management of an established patient, lvl 3
CPT 99213
$26.33
Therapeutic Activities
CPT 97530
$60.2
Therapeutic Exercises
CPT 97110
$64.5
Mechanical Traction
CPT 97012
$82.35
Psychotherapy, 60 minutes with patient
CPT 90837
$88.2
ER Visit — Low-Moderate Complexity
CPT 99283
$89
EKG Tracing
CPT 93005
$114.75
ER Visit — Moderate Complexity
CPT 99284
$120
ER Visit — High Complexity
CPT 99285
$170
Diagnostic Mammogram (unilateral)
CPT 77065
$192.38
Chest X-Ray (1 view)
CPT 71045
$202.5
Screening Mammogram (bilateral)
CPT 77067
$216.75
Thoracic Spine X-Ray
CPT 72072
$233.55
Comp Metabolic Pnl TMCL
CPT 80053
$255.15
Chest X-Ray (2 views)
CPT 71046
$292.28
Diagnostic Mammogram (bilateral)
CPT 77066
$305.25
Cataract Surgery — Complex
CPT 66982
$364.6
Abdominal Ultrasound — Limited
CPT 76705
$405
OB Ultrasound
CPT 76805
$477.9
Retroperitoneal Ultrasound
CPT 76770
$488.7
Abdominal Ultrasound
CPT 76700
$629.78
Injection Spinal Lumbar/Sacral
CPT 64483
$743.18
Upper GI Endoscopy w/ Biopsy
CPT 43239
$870.75
Colonoscopy w/ Biopsy
CPT 45380
$1,113.29
Inguinal Hernia Repair
CPT 49505
$1,219.18
CT Chest
CPT 71250
$1,356
Echocardiogram w/ Doppler
CPT 93306
$1,584.23
Laparoscopic Cholecystectomy
CPT 47562
$1,779.1
Colonoscopy
CPT 45378
$2,045.19
MRI Joint of Lower Extremity
CPT 73721
$2,178.9
MRI Brain w/o Contrast
CPT 70551
$2,363.85
MRI Brain w/ Contrast
CPT 70553
$3,258.23
CT Abdomen & Pelvis
CPT 74177
$3,361.5
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$4,481.97
Cataract Surgery
CPT 66984
$4,558.35
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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.