NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL
Critical Access Hospitals
Procedure Prices at NORTHWESTERN MEDICINE VALLEY WEST HOSPITAL
INSERTION OF NEEDLE INTO VEIN FOR COLLECTION OF BLOOD SAMPLE
CPT 36415
$3.8
COMPLETE BLOOD CELL COUNT (RED CELLS, WHITE BLOOD CELL, PLATELETS), AUTOMATED
CPT 85025
$17.55
BLOOD TEST, COMPREHENSIVE GROUP OF BLOOD CHEMICALS
CPT 80053
$24.12
Chest X-Ray (1 view)
CPT 71045
$34.24
Chest X-Ray (2 views)
CPT 71046
$45.2
Thoracic Spine X-Ray
CPT 72072
$55.44
Therapeutic Exercises
CPT 97110
$72.04
Therapeutic Activities
CPT 97530
$73.08
Mechanical Traction
CPT 97012
$74.47
PSYTX W PT 60 MINUTES
CPT 90837
$89.26
EKG Tracing
CPT 93005
$121.45
OFFICE O/P EST LOW 20-29 MIN
CPT 99213
$126.67
Abdominal Ultrasound — Limited
CPT 76705
$127.82
Retroperitoneal Ultrasound
CPT 76770
$157.81
Abdominal Ultrasound
CPT 76700
$169.51
OB Ultrasound
CPT 76805
$186.32
Diagnostic Mammogram (unilateral)
CPT 77065
$192.17
Screening Mammogram (bilateral)
CPT 77067
$203.15
Diagnostic Mammogram (bilateral)
CPT 77066
$223.07
CT Chest
CPT 71250
$300
CT Abdomen & Pelvis
CPT 74177
$300
ER Visit — Low-Moderate Complexity
CPT 99283
$556.8
MRI Brain w/o Contrast
CPT 70551
$565
MRI Brain w/ Contrast
CPT 70553
$565
MRI Joint of Lower Extremity
CPT 73721
$565
Echocardiogram
CPT 93307
$818.15
ER Visit — Moderate Complexity
CPT 99284
$1,044
Colonoscopy
CPT 45378
$1,096.2
NJX AA&/STRD TFRM EPI L/S 1
CPT 64483
$1,445.24
ER Visit — High Complexity
CPT 99285
$1,461.6
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,552.78
Colonoscopy w/ Biopsy
CPT 45380
$1,777.58
Echocardiogram w/ Doppler
CPT 93306
$1,810.64
Laparoscopic Cholecystectomy
CPT 47562
$7,633.73
Compare Prices Nearby
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.