Procedure Prices at HOLLAND COMMUNITY HOSPITAL
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$0.12
Venous - Venipuncture Type
CPT 36415
$2.91
PN CBC With Diff Bill Only
CPT 85025
$7.55
EKG Interpretation
CPT 93010
$9.02
Comprehensive Chemistry Panel Bill Only
CPT 80053
$10.56
EKG
CPT 93000
$13.9
Mechanical Traction
CPT 97012
$14.08
Therapeutic Exercises
CPT 97110
$28.58
Chest X-Ray (1 view)
CPT 71045
$33.01
Therapeutic Activities
CPT 97530
$35.65
EKG Tracing
CPT 93005
$36.08
Chest X-Ray (2 views)
CPT 71046
$45.15
Thoracic Spine X-Ray
CPT 72072
$55.26
Facility Eval and Management Level 3 99213 (BBC)
CPT 99213
$64.68
CT Chest
CPT 71250
$100.39
Abdominal Ultrasound
CPT 76700
$100.39
Abdominal Ultrasound — Limited
CPT 76705
$100.39
Retroperitoneal Ultrasound
CPT 76770
$100.39
OB Ultrasound
CPT 76805
$100.39
ER Visit — Low-Moderate Complexity
CPT 99283
$102.6
Diagnostic Mammogram (unilateral)
CPT 77065
$118.8
Screening Mammogram (bilateral)
CPT 77067
$121.43
Individual Therapy 53+ minutes (90837)
CPT 90837
$136.85
Diagnostic Mammogram (bilateral)
CPT 77066
$149.63
Upper GI Endoscopy w/ Biopsy
CPT 43239
$196.69
Echocardiogram
CPT 93307
$203.7
MRI Brain w/o Contrast
CPT 70551
$219.34
MRI Joint of Lower Extremity
CPT 73721
$219.34
ER Visit — High Complexity
CPT 99285
$225.75
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$309
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$324
MRI Brain w/ Contrast
CPT 70553
$346.06
CT Abdomen & Pelvis
CPT 74177
$346.06
ER Visit — Moderate Complexity
CPT 99284
$358.44
Colonoscopy
CPT 45378
$394.8
Echocardiogram w/ Doppler
CPT 93306
$472.58
Laparoscopic Hernia Repair
CPT 49650
$480
Knee Arthroscopy
CPT 29881
$642.6
Laparoscopic Cholecystectomy
CPT 47562
$655.91
Inguinal Hernia Repair
CPT 49505
$675
Colonoscopy w/ Biopsy
CPT 45380
$708.3
Recurrent Inguinal Hernia Repair
CPT 49520
$750
Knee Replacement
CPT 27447
$1,581.6
Hip Replacement
CPT 27130
$1,840.5
Cataract Surgery
CPT 66984
$2,164.3
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.