NORTHWEST HEALTH- PORTER
Acute Care Hospitals
Procedure Prices at NORTHWEST HEALTH- PORTER
VENIPUNCTURE,ROUTINE
CPT 36415
$8.28
Therapeutic Exercises
CPT 97110
$21.76
Therapeutic Activities
CPT 97530
$24.18
EKG Tracing
CPT 93005
$27.34
CBC W-PLT AUTO COMPD
CPT 85025
$31.06
Mechanical Traction
CPT 97012
$33.85
Chest X-Ray (1 view)
CPT 71045
$45.2
Diagnostic Mammogram (unilateral)
CPT 77065
$53.29
COMP METAB PANEL
CPT 80053
$54.22
Screening Mammogram (bilateral)
CPT 77067
$76.82
Diagnostic Mammogram (bilateral)
CPT 77066
$78.12
Thoracic Spine X-Ray
CPT 72072
$80.07
Chest X-Ray (2 views)
CPT 71046
$83.33
Abdominal Ultrasound — Limited
CPT 76705
$136.52
Office o/p est low 20-29 min
CPT 99213
$153.89
ER Visit — Low-Moderate Complexity
CPT 99283
$187.3
Abdominal Ultrasound
CPT 76700
$202.93
Retroperitoneal Ultrasound
CPT 76770
$202.93
OB Ultrasound
CPT 76805
$204.69
Echocardiogram w/ Doppler
CPT 93306
$259.19
CT Chest
CPT 71250
$362.05
MRI Joint of Lower Extremity
CPT 73721
$370.79
MRI Brain w/o Contrast
CPT 70551
$454.86
Njx aa&/strd tfrm epi l/s 1
CPT 64483
$678.99
MRI Brain w/ Contrast
CPT 70553
$713.5
Colonoscopy
CPT 45378
$957.33
CT Abdomen & Pelvis
CPT 74177
$975.94
Colonoscopy w/ Biopsy
CPT 45380
$1,238.45
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,293.71
Cataract Surgery
CPT 66984
$1,325.33
Cataract Surgery — Complex
CPT 66982
$1,333.55
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$2,308.4
Inguinal Hernia Repair
CPT 49505
$2,966.65
Recurrent Inguinal Hernia Repair
CPT 49520
$3,723.61
Knee Arthroscopy
CPT 29881
$3,754.3
Laparoscopic Hernia Repair
CPT 49650
$5,672.77
Laparoscopic Cholecystectomy
CPT 47562
$5,704.18
Sho arthrs srg rt8tr cuf rpr
CPT 29827
$7,787.64
Hip Replacement
CPT 27130
$12,762.31
Knee Replacement
CPT 27447
$12,791.92
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.