HARDIN MEMORIAL HOSPITAL
Critical Access Hospitals
16
Procedure Prices at HARDIN MEMORIAL HOSPITAL
COLLECTION VENOUS BLOOD,VENIPUNCTURE
CPT 36415
$5.85
EKG Interpretation
CPT 93010
$11.7
Hc Cbc With Diff Amb
CPT 85025
$18.2
EKG
CPT 93000
$27.3
Hc Comprehensive Metabolic Panel
CPT 80053
$32.5
Thoracic Spine X-Ray
CPT 72072
$48.1
Mechanical Traction
CPT 97012
$50.7
Knee Replacement
CPT 27447
$58.5
EKG Tracing
CPT 93005
$79.95
OFFICE/OUTPATIENT ESTABLISHED LOW MDM 20-29 MIN
CPT 99213
$81.9
Therapeutic Activities
CPT 97530
$91
Therapeutic Exercises
CPT 97110
$92.95
Screening Mammogram (bilateral)
CPT 77067
$122.2
Abdominal Ultrasound — Limited
CPT 76705
$135.85
OB Ultrasound
CPT 76805
$183.3
PSYCHOTHERAPY W/PATIENT 60 MINUTES
CPT 90837
$189.8
ER Visit — Moderate Complexity
CPT 99284
$224.25
Chest X-Ray (1 view)
CPT 71045
$257.4
Chest X-Ray (2 views)
CPT 71046
$257.4
Echocardiogram w/ Doppler
CPT 93306
$293.8
CT Chest
CPT 71250
$308.75
ER Visit — High Complexity
CPT 99285
$327.6
NJX AA&/STRD TFRML EPI LUMBAR/SACRAL 1 LEVEL
CPT 64483
$457.6
Retroperitoneal Ultrasound
CPT 76770
$523.9
Abdominal Ultrasound
CPT 76700
$560.95
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$574.6
ER Visit — Low-Moderate Complexity
CPT 99283
$674.7
Colonoscopy
CPT 45378
$761.8
Diagnostic Mammogram (unilateral)
CPT 77065
$837.85
Diagnostic Mammogram (bilateral)
CPT 77066
$837.85
MRI Joint of Lower Extremity
CPT 73721
$1,085.5
CT Abdomen & Pelvis
CPT 74177
$1,212.9
MRI Brain w/o Contrast
CPT 70551
$1,269.45
MRI Brain w/ Contrast
CPT 70553
$1,269.45
Recurrent Inguinal Hernia Repair
CPT 49520
$2,459.6
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,495.35
Colonoscopy w/ Biopsy
CPT 45380
$3,151.85
Vaginal Delivery
CPT 59400
$3,782.35
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.