ORCHARD HOSPITAL
Critical Access Hospitals
16
Procedure Prices at ORCHARD HOSPITAL
CBC INCLUDES
CPT 85025
$1.96
COMPREHENSIVE
CPT 80053
$3.16
VENIPUNCTURE
CPT 36415
$18.35
EKG Tracing
CPT 93005
$58.73
Therapeutic Activities
CPT 97530
$61.12
Therapeutic Exercises
CPT 97110
$63.47
Mechanical Traction
CPT 97012
$70.38
Echocardiogram w/ Doppler
CPT 93306
$83.26
Chest X-Ray (1 view)
CPT 71045
$135.31
Diagnostic Mammogram (unilateral)
CPT 77065
$160.48
Screening Mammogram (bilateral)
CPT 77067
$170.82
Diagnostic Mammogram (bilateral)
CPT 77066
$187.22
Chest X-Ray (2 views)
CPT 71046
$256.94
Abdominal Ultrasound — Limited
CPT 76705
$386.86
Retroperitoneal Ultrasound
CPT 76770
$459.35
53-67MIN INDI
CPT 90837
$585
Thoracic Spine X-Ray
CPT 72072
$604.56
ER Visit — Low-Moderate Complexity
CPT 99283
$606.39
Abdominal Ultrasound
CPT 76700
$787.34
OB Ultrasound
CPT 76805
$787.34
ER Visit — Moderate Complexity
CPT 99284
$984.21
Laparoscopic Cholecystectomy
CPT 47562
$1,062.38
Inguinal Hernia Repair
CPT 49505
$1,127.2
ER Visit — High Complexity
CPT 99285
$1,190.43
CT Chest
CPT 71250
$1,887.01
MRI Joint of Lower Extremity
CPT 73721
$1,981.67
MRI Brain w/o Contrast
CPT 70551
$2,176.67
MRI Brain w/ Contrast
CPT 70553
$2,192
CT Abdomen & Pelvis
CPT 74177
$2,192
Colonoscopy
CPT 45378
$2,694.91
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,798.09
Colonoscopy w/ Biopsy
CPT 45380
$2,826.33
Knee Arthroscopy
CPT 29881
$4,632
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.