HODGEMAN COUNTY HEALTH CENTER
Critical Access Hospitals
16
Procedure Prices at HODGEMAN COUNTY HEALTH CENTER
EKG Interpretation
CPT 93010
$8.16
VENIPUNCTURE
CPT 36415
$11.22
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$23.9
Mechanical Traction
CPT 97012
$31.98
Blood test, comprehensive group of blood chemicals
CPT 80053
$32.67
Therapeutic Activities
CPT 97530
$37.03
Therapeutic Exercises
CPT 97110
$41.51
WC TX ROOM LEVEL III EST PT PROVIDER
CPT 99213
$56.66
ER Visit — Low-Moderate Complexity
CPT 99283
$71.42
Chest X-Ray (1 view)
CPT 71045
$106.59
Abdominal Ultrasound — Limited
CPT 76705
$110.2
Diagnostic Mammogram (unilateral)
CPT 77065
$115.9
EKG Tracing
CPT 93005
$123.98
OB Ultrasound
CPT 76805
$124.45
Chest X-Ray (2 views)
CPT 71046
$126.79
Diagnostic Mammogram (bilateral)
CPT 77066
$139.69
Abdominal Ultrasound
CPT 76700
$142.5
Retroperitoneal Ultrasound
CPT 76770
$142.5
Thoracic Spine X-Ray
CPT 72072
$167.74
ER Visit — High Complexity
CPT 99285
$175.28
Screening Mammogram (bilateral)
CPT 77067
$199.2
ER Visit — Moderate Complexity
CPT 99284
$278.4
CT Chest
CPT 71250
$430.35
CT Abdomen & Pelvis
CPT 74177
$435.1
MRI Brain w/o Contrast
CPT 70551
$494.95
MRI Joint of Lower Extremity
CPT 73721
$494.95
MRI Brain w/ Contrast
CPT 70553
$503.89
TRANSFORAMINAL LUMBAR OR SACRAL 1ST BILATERAL
CPT 64483
$545.3
Upper GI Endoscopy w/ Biopsy
CPT 43239
$960.99
Colonoscopy
CPT 45378
$1,100.68
Echocardiogram w/ Doppler
CPT 93306
$1,276.84
Colonoscopy w/ Biopsy
CPT 45380
$1,282.5
Inguinal Hernia Repair
CPT 49505
$3,175.82
Recurrent Inguinal Hernia Repair
CPT 49520
$3,737.38
Laparoscopic Cholecystectomy
CPT 47562
$4,061.08
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.