MERCYONE OELWEIN MEDICAL CENTER
Critical Access Hospitals
16
Procedure Prices at MERCYONE OELWEIN MEDICAL CENTER
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$5.68
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED TEST AND AUTOMATED DIFFERENTIAL WHITE BLOOD CELL COUNT
CPT 85025
$23.86
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$38.85
Therapeutic Activities
CPT 97530
$49.86
Chest X-Ray (2 views)
CPT 71046
$55.01
Therapeutic Exercises
CPT 97110
$55.08
Thoracic Spine X-Ray
CPT 72072
$59.45
EKG Tracing
CPT 93005
$61.29
Chest X-Ray (1 view)
CPT 71045
$65.42
ER Visit — Low-Moderate Complexity
CPT 99283
$69.06
Screening Mammogram (bilateral)
CPT 77067
$86.66
Diagnostic Mammogram (unilateral)
CPT 77065
$113.19
Diagnostic Mammogram (bilateral)
CPT 77066
$113.19
ER Visit — Moderate Complexity
CPT 99284
$116.7
Abdominal Ultrasound — Limited
CPT 76705
$156.6
Retroperitoneal Ultrasound
CPT 76770
$223.72
Echocardiogram w/ Doppler
CPT 93306
$243.54
CT Chest
CPT 71250
$311.63
Abdominal Ultrasound
CPT 76700
$333.69
ER Visit — High Complexity
CPT 99285
$456.81
CT Abdomen & Pelvis
CPT 74177
$874.6
MRI Joint of Lower Extremity
CPT 73721
$887.88
MRI Brain w/o Contrast
CPT 70551
$890.95
MRI Brain w/ Contrast
CPT 70553
$1,165.6
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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.