OGALLALA COMMUNITY HOSPITAL
Hospital
Procedure Prices at OGALLALA COMMUNITY HOSPITAL
Therapeutic Activities
CPT 97530
$80
LAB HEMO PLT AUTO W AUTO SCAN
CPT 85025
$86
Mechanical Traction
CPT 97012
$91
Therapeutic Exercises
CPT 97110
$98
Screening Mammogram (bilateral)
CPT 77067
$160
PF DERM VISIT EST LVL 3/TIME 20-29M
CPT 99213
$169
LAB PANEL METAB COMP
CPT 80053
$182
Diagnostic Mammogram (unilateral)
CPT 77065
$203
Chest X-Ray (1 view)
CPT 71045
$231
EKG Tracing
CPT 93005
$277
Chest X-Ray (2 views)
CPT 71046
$293
ER Visit — Low-Moderate Complexity
CPT 99283
$293
Diagnostic Mammogram (bilateral)
CPT 77066
$307
Thoracic Spine X-Ray
CPT 72072
$384
PF ANES INJ/S EPID FRMN L/S 1LV RT
CPT 64483
$510
ER Visit — Moderate Complexity
CPT 99284
$537
Abdominal Ultrasound — Limited
CPT 76705
$555
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$597
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$623
OB Ultrasound
CPT 76805
$656
Retroperitoneal Ultrasound
CPT 76770
$681
Abdominal Ultrasound
CPT 76700
$744
Echocardiogram
CPT 93307
$942
ER Visit — High Complexity
CPT 99285
$1,458
CT Chest
CPT 71250
$1,642
MRI Brain w/o Contrast
CPT 70551
$1,974
MRI Joint of Lower Extremity
CPT 73721
$2,139
Echocardiogram w/ Doppler
CPT 93306
$2,192
MRI Brain w/ Contrast
CPT 70553
$3,236
CT Abdomen & Pelvis
CPT 74177
$3,376
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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.