PROCTOR HOSPITAL
Acute Care Hospitals
Procedure Prices at PROCTOR HOSPITAL
Blood Draw From Vein Using Needle
CPT 36415
$2.8
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$4.61
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$6.74
Mechanical Traction
CPT 97012
$11.84
EKG Tracing
CPT 93005
$16.97
Therapeutic Exercises
CPT 97110
$21.89
Diagnostic Mammogram (unilateral)
CPT 77065
$22.76
Thoracic Spine X-Ray
CPT 72072
$27.51
Therapeutic Activities
CPT 97530
$28.67
Chest X-Ray (2 views)
CPT 71046
$36.21
Chest X-Ray (1 view)
CPT 71045
$36.68
Screening Mammogram (bilateral)
CPT 77067
$45.53
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$46.8
Diagnostic Mammogram (bilateral)
CPT 77066
$47.12
OB Ultrasound
CPT 76805
$64.87
Abdominal Ultrasound
CPT 76700
$90.22
Abdominal Ultrasound — Limited
CPT 76705
$93.4
Retroperitoneal Ultrasound
CPT 76770
$100
CT Chest
CPT 71250
$101.14
ER Visit — Low-Moderate Complexity
CPT 99283
$111.17
MRI Joint of Lower Extremity
CPT 73721
$154.09
ER Visit — Moderate Complexity
CPT 99284
$188.23
MRI Brain w/o Contrast
CPT 70551
$209.75
ER Visit — High Complexity
CPT 99285
$230.76
CT Abdomen & Pelvis
CPT 74177
$242.27
MRI Brain w/ Contrast
CPT 70553
$248.1
Echocardiogram w/ Doppler
CPT 93306
$319.73
Laparoscopic Cholecystectomy
CPT 47562
$355
Cataract Surgery
CPT 66984
$1,038.2
Cataract Surgery — Complex
CPT 66982
$1,069.62
Knee Arthroscopy
CPT 29881
$1,125.53
Repair of Shoulder Rotator Cuff Using Arthroscope
CPT 29827
$1,241.49
Knee Replacement
CPT 27447
$8,514.32
Hip Replacement
CPT 27130
$9,148.43
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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.