SENECA DISTRICT HOSPITAL
Critical Access Hospitals
16
Procedure Prices at SENECA DISTRICT HOSPITAL
.CBC WITH DIFFERENTIAL/PLATELET
CPT 85025
$2.21
Blood test, comprehensive group of blood chemicals
CPT 80053
$12.71
Therapeutic Exercises
CPT 97110
$15.04
.VENIPUNCTURE
CPT 36415
$15.2
Mechanical Traction
CPT 97012
$16.78
Therapeutic Activities
CPT 97530
$16.78
EKG Tracing
CPT 93005
$24.7
Chest X-Ray (1 view)
CPT 71045
$26.61
OFFICE VISIT EXPANDED;ESTABLISHED PT
CPT 99213
$36.15
Chest X-Ray (2 views)
CPT 71046
$41.39
EKG
CPT 93000
$43.23
Thoracic Spine X-Ray
CPT 72072
$46.43
Abdominal Ultrasound — Limited
CPT 76705
$91.48
Screening Mammogram (bilateral)
CPT 77067
$118.94
Retroperitoneal Ultrasound
CPT 76770
$121.57
Psychotherapy, 1 hour
CPT 90837
$124
Abdominal Ultrasound
CPT 76700
$125.31
OB Ultrasound
CPT 76805
$142.06
Diagnostic Mammogram (unilateral)
CPT 77065
$171.38
Diagnostic Mammogram (bilateral)
CPT 77066
$197.6
INJ TRANSFORAMINAL LUMBAR/SACRAL SINGLE
CPT 64483
$215.89
CT Chest
CPT 71250
$245.03
Upper GI Endoscopy w/ Biopsy
CPT 43239
$352.7
CT Abdomen & Pelvis
CPT 74177
$424.42
MRI Brain w/o Contrast
CPT 70551
$461.02
MRI Joint of Lower Extremity
CPT 73721
$588.11
Inguinal Hernia Repair
CPT 49505
$613.46
MRI Brain w/ Contrast
CPT 70553
$624.11
Colonoscopy
CPT 45378
$640.63
Colonoscopy w/ Biopsy
CPT 45380
$1,222.84
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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.