POWER COUNTY HOSPITAL DISTRICT
Critical Access Hospitals
16
Procedure Prices at POWER COUNTY HOSPITAL DISTRICT
VENIPUNCTURE-OUTSIDE LABS
CPT 36415
$17.15
CBC
CPT 85025
$48.58
EKG Tracing
CPT 93005
$49
EKG Interpretation
CPT 93010
$49
Therapeutic Exercises
CPT 97110
$49.68
Therapeutic Activities
CPT 97530
$52.71
Mechanical Traction
CPT 97012
$59
COMP METABOLIC PANEL
CPT 80053
$82.13
EKG
CPT 93000
$90
ESTAB PT LEVEL 3
CPT 99213
$109.46
Chest X-Ray (2 views)
CPT 71046
$153.81
PSYCH THERAPY PT 60MIN
CPT 90837
$165
ER Visit — Low-Moderate Complexity
CPT 99283
$185
Chest X-Ray (1 view)
CPT 71045
$215
Abdominal Ultrasound — Limited
CPT 76705
$313.95
Thoracic Spine X-Ray
CPT 72072
$328
Abdominal Ultrasound
CPT 76700
$420.9
Retroperitoneal Ultrasound
CPT 76770
$513.36
OB Ultrasound
CPT 76805
$559
ER Visit — Moderate Complexity
CPT 99284
$600
Echocardiogram w/ Doppler
CPT 93306
$654.37
CT Chest
CPT 71250
$759.69
ER Visit — High Complexity
CPT 99285
$900
Echocardiogram
CPT 93307
$928
CT Abdomen & Pelvis
CPT 74177
$1,479.85
Vaginal Delivery
CPT 59400
$3,500
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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.