PLATTE VALLEY MEDICAL CENTER
Acute Care Hospitals
Procedure Prices at PLATTE VALLEY MEDICAL CENTER
Insertion of needle into vein for collection of blood sample
CPT 36415
$9.2
Chest X-Ray (2 views)
CPT 71046
$18
Thoracic Spine X-Ray
CPT 72072
$18
EKG Interpretation
CPT 93010
$25.8
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$28.2
Mechanical Traction
CPT 97012
$30.67
Established patient office or other outpatient visit, 20-29 minutes
CPT 99213
$36.6
Blood test, comprehensive group of blood chemicals
CPT 80053
$43.8
Retroperitoneal Ultrasound
CPT 76770
$48
Therapeutic Exercises
CPT 97110
$84.7
ER Visit — Low-Moderate Complexity
CPT 99283
$85.8
Therapeutic Activities
CPT 97530
$90.98
EKG Tracing
CPT 93005
$108.68
Psychotherapy, 1 hour
CPT 90837
$132
Chest X-Ray (1 view)
CPT 71045
$152.4
ER Visit — Moderate Complexity
CPT 99284
$157.8
Diagnostic Mammogram (unilateral)
CPT 77065
$169.86
Echocardiogram w/ Doppler
CPT 93306
$187.5
Echocardiogram
CPT 93307
$190.2
Screening Mammogram (bilateral)
CPT 77067
$211.4
ER Visit — High Complexity
CPT 99285
$220.8
Diagnostic Mammogram (bilateral)
CPT 77066
$232.02
CT Chest
CPT 71250
$356.85
Abdominal Ultrasound
CPT 76700
$356.85
Abdominal Ultrasound — Limited
CPT 76705
$356.85
OB Ultrasound
CPT 76805
$356.85
Laparoscopic Hernia Repair
CPT 49650
$641.9
Inguinal Hernia Repair
CPT 49505
$676.9
Recurrent Inguinal Hernia Repair
CPT 49520
$712.8
MRI Brain w/o Contrast
CPT 70551
$724.28
MRI Joint of Lower Extremity
CPT 73721
$724.28
Colonoscopy
CPT 45378
$744.6
Appendectomy
CPT 44950
$792
Knee Arthroscopy
CPT 29881
$900
Laparoscopic Cholecystectomy
CPT 47562
$966
Repair of shoulder rotator cuff using an endoscope
CPT 29827
$1,200
Treatment of broken neck of thigh bone with bone implant
CPT 27245
$1,380
MRI Brain w/ Contrast
CPT 70553
$1,422.83
CT Abdomen & Pelvis
CPT 74177
$1,575.94
Knee Replacement
CPT 27447
$1,620
Cataract Surgery
CPT 66984
$1,668.6
Hip Replacement
CPT 27130
$1,680
Cataract Surgery — Complex
CPT 66982
$2,058.6
Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level
CPT 64483
$2,072.53
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$2,670
Colonoscopy w/ Biopsy
CPT 45380
$2,916.9
Vaginal Delivery
CPT 59400
$3,229.2
Upper GI Endoscopy w/ Biopsy
CPT 43239
$3,472.2
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$3,700
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.