SANFORD MEDICAL CENTER HILLSBORO
Critical Access Hospitals
16
Procedure Prices at SANFORD MEDICAL CENTER HILLSBORO
Blood Draw From Vein Using Needle
CPT 36415
$16.81
Mechanical Traction
CPT 97012
$45.29
Lab Test - Complete Blood Cell Count With White Blood Cell Percentage
CPT 85025
$48.49
Outpatient Clinic Visit Established Patient Level III
CPT 99213
$73.54
Therapeutic Exercises
CPT 97110
$74.21
Chest X-Ray (1 view)
CPT 71045
$77.67
Therapeutic Activities
CPT 97530
$80.73
Lab Test - Comprehensive Metabolic Panel
CPT 80053
$82.49
EKG Tracing
CPT 93005
$85.63
Chest X-Ray (2 views)
CPT 71046
$107.04
Screening Mammogram (bilateral)
CPT 77067
$131.56
OB Ultrasound
CPT 76805
$259.69
Abdominal Ultrasound — Limited
CPT 76705
$311.63
Thoracic Spine X-Ray
CPT 72072
$319.9
Individual Psychotherapy Session for 60 Minutes
CPT 90837
$344.7
Retroperitoneal Ultrasound
CPT 76770
$386.29
Abdominal Ultrasound
CPT 76700
$403.27
ER Visit — Low-Moderate Complexity
CPT 99283
$419.4
ER Visit — Moderate Complexity
CPT 99284
$606.41
CT Chest
CPT 71250
$628.69
Echocardiogram w/ Doppler
CPT 93306
$704.27
ER Visit — High Complexity
CPT 99285
$946.79
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,042.85
MRI Brain w/o Contrast
CPT 70551
$1,164.6
MRI Joint of Lower Extremity
CPT 73721
$1,282.33
CT Abdomen & Pelvis
CPT 74177
$1,680.34
Colonoscopy
CPT 45378
$1,995.02
MRI Brain w/ Contrast
CPT 70553
$2,055.74
Cataract Surgery
CPT 66984
$2,866.98
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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.