PERKINS COUNTY HEALTH SERVICES
Critical Access Hospitals
16
Procedure Prices at PERKINS COUNTY HEALTH SERVICES
EKG Interpretation
CPT 93010
$14.26
CT Abdomen & Pelvis
CPT 74177
$15
Phlebotomy, Venous
CPT 36415
$15.68
CLN CMP
CPT 80053
$18.9
Chest X-Ray (2 views)
CPT 71046
$20.7
Upper GI Endoscopy w/ Biopsy
CPT 43239
$30
Colonoscopy w/ Biopsy
CPT 45380
$34
Therapeutic Activities
CPT 97530
$35
EKG Tracing
CPT 93005
$37
Therapeutic Exercises
CPT 97110
$40.67
Screening Mammogram (bilateral)
CPT 77067
$41
OP VISIT-LEVEL 3
CPT 99213
$41.2
CBC w/ Auto Differential
CPT 85025
$43.61
EKG
CPT 93000
$60
ER Visit — Low-Moderate Complexity
CPT 99283
$70.88
Colonoscopy
CPT 45378
$75
Mechanical Traction
CPT 97012
$80.84
Hip Replacement
CPT 27130
$95
Knee Replacement
CPT 27447
$95
Knee Arthroscopy
CPT 29881
$95
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$95
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$95
Appendectomy
CPT 44950
$95
Laparoscopic Cholecystectomy
CPT 47562
$95
Inguinal Hernia Repair
CPT 49505
$95
Recurrent Inguinal Hernia Repair
CPT 49520
$95
Laparoscopic Hernia Repair
CPT 49650
$95
Vaginal Delivery
CPT 59400
$95
C-Section
CPT 59510
$95
MRI Brain w/o Contrast
CPT 70551
$95
MRI Brain w/ Contrast
CPT 70553
$95
Chest X-Ray (1 view)
CPT 71045
$95
CT Chest
CPT 71250
$95
Thoracic Spine X-Ray
CPT 72072
$95
MRI Joint of Lower Extremity
CPT 73721
$95
Abdominal Ultrasound
CPT 76700
$95
Abdominal Ultrasound — Limited
CPT 76705
$95
Retroperitoneal Ultrasound
CPT 76770
$95
OB Ultrasound
CPT 76805
$95
Diagnostic Mammogram (unilateral)
CPT 77065
$95
Diagnostic Mammogram (bilateral)
CPT 77066
$95
Echocardiogram w/ Doppler
CPT 93306
$95
ER Visit — Moderate Complexity
CPT 99284
$95
ER Visit — High Complexity
CPT 99285
$95
Injection Foramen Lumbr/Sac w image
CPT 64483
$1,276.8
ProFeeG: Rotator Cuff Rep Arthroscopy
CPT 29827
List: $2,242
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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.