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ROCHELLE COMMUNITY HOSPITAL

Critical Access Hospitals

16

900 N 2ND ST

ROCHELLE, IL, 61068

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Emergency Services: Yes
Voluntary non-profit - Private
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Procedure Prices at ROCHELLE COMMUNITY HOSPITAL

ROUTINE VENIPUNCTURE

CPT 36415

$3.9

COMP METABOLIC PANEL REF LAB

CPT 80053

$5.04

EKG Tracing

CPT 93005

$7.5

CBC REF LAB

CPT 85025

$10.2

EKG

CPT 93000

$13.96

Mechanical Traction

CPT 97012

$47.46

Therapeutic Activities

CPT 97530

$52.08

Therapeutic Exercises

CPT 97110

$59.64

URG PROF FEE EST LV3

CPT 99213

$76.41

ER Visit — Low-Moderate Complexity

CPT 99283

$78.4

Screening Mammogram (bilateral)

CPT 77067

$107.52

Upper GI Endoscopy w/ Biopsy

CPT 43239

$137.31

Diagnostic Mammogram (unilateral)

CPT 77065

$139.02

ER Visit — Moderate Complexity

CPT 99284

$141.82

Chest X-Ray (1 view)

CPT 71045

$163.8

Chest X-Ray (2 views)

CPT 71046

$163.8

ER Visit — High Complexity

CPT 99285

$179.28

Diagnostic Mammogram (bilateral)

CPT 77066

$198.66

Thoracic Spine X-Ray

CPT 72072

$204.54

Colonoscopy

CPT 45378

$239.32

Abdominal Ultrasound — Limited

CPT 76705

$526.68

OB Ultrasound

CPT 76805

$533.82

Abdominal Ultrasound

CPT 76700

$536.34

Retroperitoneal Ultrasound

CPT 76770

$536.34

Knee Arthroscopy

CPT 29881

$543.34

CT Chest

CPT 71250

$895.02

Echocardiogram w/ Doppler

CPT 93306

$1,157.94

OPEN INTERTROCHANTERIC

CPT 27245

$1,237.27

MRI Joint of Lower Extremity

CPT 73721

$1,396.5

Hip Replacement

CPT 27130

$1,491.67

MRI Brain w/o Contrast

CPT 70551

$1,532.16

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

CPT 64483

$1,616.95

Knee Replacement

CPT 27447

$1,684.46

MRI Brain w/ Contrast

CPT 70553

$2,061.78

CT Abdomen & Pelvis

CPT 74177

$2,360.4

Colonoscopy w/ Biopsy

CPT 45380

$2,660.81

Cataract Surgery

CPT 66984

$3,487.01

Inguinal Hernia Repair

CPT 49505

$4,543.99

Laparoscopic Hernia Repair

CPT 49650

$9,415.62

Laparoscopic Cholecystectomy

CPT 47562

$13,716.09

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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.