PROVIDENCE ST JOSEPH HOSPITAL

Critical Access Hospitals

500 EAST WEBSTER

CHEWELAH, WA, 99109

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(509) 935-8211

Emergency Services: Yes

Voluntary non-profit - Church

Procedure Prices at PROVIDENCE ST JOSEPH HOSPITAL

EKG Interpretation

CPT 93010

$17.5

HC ROUTINE VENIPUNCTURE - COLLECTION VENOUS BLD

CPT 36415

$28.7

Therapeutic Exercises

CPT 97110

$58.1

Therapeutic Activities

CPT 97530

$58.1

Mechanical Traction

CPT 97012

$79.1

HC CBC WITH DIFF AUTO

CPT 85025

$79.8

ESTAB PT VISIT - LEVEL 3

CPT 99213

$100.1

HC COMPREHEN METABOLIC PANEL

CPT 80053

$113.4

ER Visit — Low-Moderate Complexity

CPT 99283

$119.7

EKG Tracing

CPT 93005

$191.8

Chest X-Ray (1 view)

CPT 71045

$200.2

Screening Mammogram (bilateral)

CPT 77067

$220.5

Chest X-Ray (2 views)

CPT 71046

$259

ER Visit — High Complexity

CPT 99285

$326.9

Upper GI Endoscopy w/ Biopsy

CPT 43239

$350.7

Thoracic Spine X-Ray

CPT 72072

$385

Abdominal Ultrasound — Limited

CPT 76705

$412.3

Colonoscopy

CPT 45378

$443.1

Colonoscopy w/ Biopsy

CPT 45380

$529.9

Abdominal Ultrasound

CPT 76700

$606.9

Retroperitoneal Ultrasound

CPT 76770

$617.4

ER Visit — Moderate Complexity

CPT 99284

$653.1

OB Ultrasound

CPT 76805

$655.2

Echocardiogram

CPT 93307

$997.5

Echocardiogram w/ Doppler

CPT 93306

$1,097.6

CT Chest

CPT 71250

$1,307.6

MRI Joint of Lower Extremity

CPT 73721

$1,680.7

MRI Brain w/o Contrast

CPT 70551

$2,221.8

MRI Brain w/ Contrast

CPT 70553

$3,796.1

CT Abdomen & Pelvis

CPT 74177

$3,983.7

Compare Prices Nearby

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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.