NEMAHA VALLEY COMMUNITY HOSPITAL
Critical Access Hospitals
16
Procedure Prices at NEMAHA VALLEY COMMUNITY HOSPITAL
CBC w/Diff Standard
CPT 85025
$7.65
Bill Venipuncture
CPT 36415
$8.8
Comprehensive Metabolic Panel Standard
CPT 80053
$9.36
EKG Interpretation
CPT 93010
$19.36
Mechanical Traction
CPT 97012
$36
99213 ESTAB PAT LEVEL 3
CPT 99213
$36.96
Therapeutic Activities
CPT 97530
$41.36
Therapeutic Exercises
CPT 97110
$49
Diagnostic Mammogram (unilateral)
CPT 77065
$87.12
Screening Mammogram (bilateral)
CPT 77067
$87.12
Psychotherapy, 1 hour
CPT 90837
$94.6
EKG Tracing
CPT 93005
$99.44
Chest X-Ray (1 view)
CPT 71045
$106.92
Diagnostic Mammogram (bilateral)
CPT 77066
$106.92
Abdominal Ultrasound — Limited
CPT 76705
$116
EKG
CPT 93000
$118.8
Chest X-Ray (2 views)
CPT 71046
$122.32
OB Ultrasound
CPT 76805
$131
Upper GI Endoscopy w/ Biopsy
CPT 43239
$143.39
Abdominal Ultrasound
CPT 76700
$150
Retroperitoneal Ultrasound
CPT 76770
$150
ER Visit — Low-Moderate Complexity
CPT 99283
$178.2
ER Visit — Moderate Complexity
CPT 99284
$190.96
ER Visit — High Complexity
CPT 99285
$221.32
Colonoscopy
CPT 45378
$267.86
Vaginal Delivery
CPT 59400
$267.86
Laparoscopic Hernia Repair
CPT 49650
$422.86
Colonoscopy w/ Biopsy
CPT 45380
$440
CT Chest
CPT 71250
$453
CT Abdomen & Pelvis
CPT 74177
$458
Inguinal Hernia Repair
CPT 49505
$510.91
MRI Brain w/o Contrast
CPT 70551
$521
MRI Joint of Lower Extremity
CPT 73721
$521
MRI Brain w/ Contrast
CPT 70553
$521.29
Recurrent Inguinal Hernia Repair
CPT 49520
$618.57
Appendectomy
CPT 44950
$626.23
Laparoscopic Cholecystectomy
CPT 47562
$644.28
Echocardiogram w/ Doppler
CPT 93306
$1,095.16
Cataract Surgery
CPT 66984
$2,088.79
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.