PROVIDENCE REDWOOD MEMORIAL HOSPITAL
Critical Access Hospitals
Procedure Prices at PROVIDENCE REDWOOD MEMORIAL HOSPITAL
HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD
CPT 36415
$27.95
Mechanical Traction
CPT 97012
$110.5
Therapeutic Activities
CPT 97530
$110.5
Therapeutic Exercises
CPT 97110
$112.45
HC LACTATION CONSULT LEVEL 3
CPT 99213
$155.35
HC CBC WITH DIFF AUTO
CPT 85025
$157.3
HC COMPREHEN METABOLIC PANEL
CPT 80053
$291.85
EKG Tracing
CPT 93005
$364.65
Screening Mammogram (bilateral)
CPT 77067
$456.95
Diagnostic Mammogram (unilateral)
CPT 77065
$525.85
Diagnostic Mammogram (bilateral)
CPT 77066
$645.45
Chest X-Ray (1 view)
CPT 71045
$817.05
Chest X-Ray (2 views)
CPT 71046
$929.5
Thoracic Spine X-Ray
CPT 72072
$1,302.6
ER Visit — Low-Moderate Complexity
CPT 99283
$1,482
Echocardiogram w/ Doppler
CPT 93306
$1,691.95
Retroperitoneal Ultrasound
CPT 76770
$1,702.35
Abdominal Ultrasound — Limited
CPT 76705
$1,730.95
MRI Brain w/o Contrast
CPT 70551
$2,100.15
ER Visit — Moderate Complexity
CPT 99284
$2,156.7
Abdominal Ultrasound
CPT 76700
$2,255.5
CT Chest
CPT 71250
$2,258.75
OB Ultrasound
CPT 76805
$2,334.8
ER Visit — High Complexity
CPT 99285
$3,904.55
MRI Brain w/ Contrast
CPT 70553
$4,135.95
CT Abdomen & Pelvis
CPT 74177
$6,570.85
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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.