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NESHOBA COUNTY GENERAL HOSPITAL

Hospital

1001 HOLLAND AVENUE

PHILADELPHIA, MS, 39350

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Procedure Prices at NESHOBA COUNTY GENERAL HOSPITAL

.%fPSA Reflex LC

CPT 36415

$7.5

EKG Interpretation

CPT 93010

$11.9

Comp. Metabolic Panel (14) LC

CPT 80053

$13

Mechanical Traction

CPT 97012

$14.5

EKG Tracing

CPT 93005

$21

Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count

CPT 85025

$33.5

EKG

CPT 93000

$40.5

Therapeutic Activities

CPT 97530

$42

Chest X-Ray (1 view)

CPT 71045

$52

Therapeutic Exercises

CPT 97110

$58.8

Chest X-Ray (2 views)

CPT 71046

$68.5

Diagnostic Mammogram (unilateral)

CPT 77065

$82.32

99213 Telehealth Visit Level III Est patient 15 Min

CPT 99213

$97.3

90837 INDIVIDUAL THERAPY 1 HR (MSW) CHARGE

CPT 90837

$104.87

Diagnostic Mammogram (bilateral)

CPT 77066

$105.35

Retroperitoneal Ultrasound

CPT 76770

$107

Screening Mammogram (bilateral)

CPT 77067

$113.09

Abdominal Ultrasound — Limited

CPT 76705

$138

OB Ultrasound

CPT 76805

$142.22

ER Visit — Low-Moderate Complexity

CPT 99283

$145

ER Visit — Moderate Complexity

CPT 99284

$145

ER Visit — High Complexity

CPT 99285

$145

Echocardiogram w/ Doppler

CPT 93306

$160

Echocardiogram

CPT 93307

$160

Abdominal Ultrasound

CPT 76700

$165.5

CT Chest

CPT 71250

$181.08

MRI Brain w/o Contrast

CPT 70551

$395.63

MRI Joint of Lower Extremity

CPT 73721

$395.63

64483 INJ TRANFORM LUM/SAC SNG LEVEL

CPT 64483

$415

Upper GI Endoscopy w/ Biopsy

CPT 43239

$555

Colonoscopy

CPT 45378

$555

Colonoscopy w/ Biopsy

CPT 45380

$555

CT Abdomen & Pelvis

CPT 74177

$600

MRI Brain w/ Contrast

CPT 70553

$624.2

Knee Arthroscopy

CPT 29881

$705.63

Inguinal Hernia Repair

CPT 49505

$784

Laparoscopic Cholecystectomy

CPT 47562

$892

Recurrent Inguinal Hernia Repair

CPT 49520

$1,050

Cataract Surgery

CPT 66984

$1,226

29827 Arthroscopy, shoulder, surgical; with rotator cuff repair

CPT 29827

$1,390.59

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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.