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SENECA DISTRICT HOSPITAL

Critical Access Hospitals

16

130 BRENTWOOD DRIVE

CHESTER, CA, 96020

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Emergency Services: Yes
Government - Hospital District or Authority
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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.