PIONEER MEMORIAL HOSPITAL
Critical Access Hospitals
16
Procedure Prices at PIONEER MEMORIAL HOSPITAL
VENIPUNCTURE BLOOD DRAW
CPT 36415
$2.1
LAB CBC with AUTO DIFF
CPT 85025
$5.44
EKG Interpretation
CPT 93010
$7.13
LAB COMPREHENSIVE PANEL
CPT 80053
$7.39
Chest X-Ray (1 view)
CPT 71045
$11.23
EKG Tracing
CPT 93005
$19.48
Retroperitoneal Ultrasound
CPT 76770
$50.15
Abdominal Ultrasound
CPT 76700
$56.72
ER Visit — Low-Moderate Complexity
CPT 99283
$73.32
Chest X-Ray (2 views)
CPT 71046
$95.94
MRI Joint of Lower Extremity
CPT 73721
$110.98
MRI Brain w/o Contrast
CPT 70551
$154.73
EKG
CPT 93000
$163.67
ER Visit — High Complexity
CPT 99285
$192.36
EST PT INTERMEDIATE
CPT 99213
$203.11
Abdominal Ultrasound — Limited
CPT 76705
$316.01
Thoracic Spine X-Ray
CPT 72072
$324.58
ER Visit — Moderate Complexity
CPT 99284
$433.19
CT Chest
CPT 71250
$621.7
CT Abdomen & Pelvis
CPT 74177
$895.5
Echocardiogram w/ Doppler
CPT 93306
$2,283.3
Upper GI Endoscopy w/ Biopsy
CPT 43239
$2,562.71
Colonoscopy
CPT 45378
$3,521.81
MRI Brain w/ Contrast
CPT 70553
$3,608.02
Colonoscopy w/ Biopsy
CPT 45380
$3,881.29
OB Ultrasound
CPT 76805
List: $908.24
PMC PSYCHOTHERAPY 60 MINUTES
CPT 90837
List: $168
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.