KIOWA COUNTY MEMORIAL HOSPITAL
Critical Access Hospitals
16
Procedure Prices at KIOWA COUNTY MEMORIAL HOSPITAL
Routine Venipuncture (36415)
CPT 36415
$3
EKG Interpretation
CPT 93010
$7.77
No - Manual Differential?
CPT 85025
$13.36
Comprehensive Metabolic Panel
CPT 80053
$22.68
Mechanical Traction
CPT 97012
$36.36
Therapeutic Exercises
CPT 97110
$49.49
Therapeutic Activities
CPT 97530
$49.49
99213 Office visit for the E/M of an established pt low or 20-29 min
CPT 99213
$62.65
ER Visit — Low-Moderate Complexity
CPT 99283
$68.02
EKG Tracing
CPT 93005
$86.22
ER Visit — Moderate Complexity
CPT 99284
$114.94
Abdominal Ultrasound — Limited
CPT 76705
$117.16
Diagnostic Mammogram (bilateral)
CPT 77066
$123.22
Screening Mammogram (bilateral)
CPT 77067
$123.22
Chest X-Ray (1 view)
CPT 71045
$123.58
Chest X-Ray (2 views)
CPT 71046
$130.32
OB Ultrasound
CPT 76805
$132.31
Diagnostic Mammogram (unilateral)
CPT 77065
$139.22
Abdominal Ultrasound
CPT 76700
$151.5
Retroperitoneal Ultrasound
CPT 76770
$151.5
CT Chest
CPT 71250
$160.32
Thoracic Spine X-Ray
CPT 72072
$160.32
ER Visit — High Complexity
CPT 99285
$166.93
MRI Brain w/o Contrast
CPT 70551
$350.28
MRI Joint of Lower Extremity
CPT 73721
$350.28
Echocardiogram
CPT 93307
$350.28
CT Abdomen & Pelvis
CPT 74177
$457.53
MRI Brain w/ Contrast
CPT 70553
$535.71
Echocardiogram w/ Doppler
CPT 93306
$754.7
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,153.42
Colonoscopy
CPT 45378
$1,246.56
Colonoscopy w/ Biopsy
CPT 45380
$1,363.5
Compare Prices Nearby
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.