LINDSBORG COMMUNITY HOSPITAL
Critical Access Hospitals
16
Procedure Prices at LINDSBORG COMMUNITY HOSPITAL
VENIPUNCTURE
CPT 36415
$11.93
EKG Interpretation
CPT 93010
$12.82
CBC W/ AUTO DIFFERENTIAL
CPT 85025
$13.23
EKG
CPT 93000
$22.24
COMPLETE METABOLIC PANEL
CPT 80053
$22.46
Mechanical Traction
CPT 97012
$36
Therapeutic Exercises
CPT 97110
$45.5
Therapeutic Activities
CPT 97530
$49
OUTPT VISIT EST LEVEL III
CPT 99213
$67
OB Ultrasound
CPT 76805
$75.74
Echocardiogram w/ Doppler
CPT 93306
$108.62
Abdominal Ultrasound — Limited
CPT 76705
$116
Diagnostic Mammogram (unilateral)
CPT 77065
$122
Diagnostic Mammogram (bilateral)
CPT 77066
$122
Screening Mammogram (bilateral)
CPT 77067
$122
Chest X-Ray (1 view)
CPT 71045
$122.36
EKG Tracing
CPT 93005
$145.81
PSYTX W PT 60 MINUTES
CPT 90837
$146.3
Chest X-Ray (2 views)
CPT 71046
$149.28
Abdominal Ultrasound
CPT 76700
$150
Retroperitoneal Ultrasound
CPT 76770
$150
Laparoscopic Hernia Repair
CPT 49650
$168.7
ER Visit — Low-Moderate Complexity
CPT 99283
$168.7
INJECT FORAMIN, LUMB/SACRAL
CPT 64483
$198.45
Thoracic Spine X-Ray
CPT 72072
$199.64
Upper GI Endoscopy w/ Biopsy
CPT 43239
$211.71
Laparoscopic Cholecystectomy
CPT 47562
$275.8
Colonoscopy
CPT 45378
$282.23
Colonoscopy w/ Biopsy
CPT 45380
$307.18
Knee Arthroscopy
CPT 29881
$433.3
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$452.74
CT Chest
CPT 71250
$453
CT Abdomen & Pelvis
CPT 74177
$453
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$473.63
MRI Brain w/o Contrast
CPT 70551
$521
MRI Brain w/ Contrast
CPT 70553
$521
MRI Joint of Lower Extremity
CPT 73721
$521
Inguinal Hernia Repair
CPT 49505
$523.6
Recurrent Inguinal Hernia Repair
CPT 49520
$636.3
ER Visit — Moderate Complexity
CPT 99284
$688.36
Appendectomy
CPT 44950
$971.16
ER Visit — High Complexity
CPT 99285
$1,069.84
Hip Replacement
CPT 27130
$1,368.5
Assist Arthroscop rotator cuff
CPT 29827
$1,637.77
TREAT THIGH FRACTURE
CPT 27245
$1,873.1
Knee Replacement
CPT 27447
$1,957.15
Vaginal Delivery
CPT 59400
$2,538.2
C-Section
CPT 59510
$2,615.9
VBAC Delivery
CPT 59610
$3,065.3
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.