SHENANDOAH MEDICAL CENTER
Critical Access Hospitals
16
Procedure Prices at SHENANDOAH MEDICAL CENTER
VENIPUNCTURE - ROUTINE
CPT 36415
$20.14
Mechanical Traction
CPT 97012
$47.7
Therapeutic Activities
CPT 97530
$49.82
Therapeutic Exercises
CPT 97110
$64.66
E/M LEVEL 3 ESTABLISHED
CPT 99213
$69.43
Chest X-Ray (1 view)
CPT 71045
$94
Diagnostic Mammogram (unilateral)
CPT 77065
$98.8
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$103.35
TELEHEALTH PSYCHOTHER 60
CPT 90837
$114.48
EKG
CPT 93000
$120.31
Blood test, comprehensive group of blood chemicals
CPT 80053
$131.97
EKG Tracing
CPT 93005
$147.55
Chest X-Ray (2 views)
CPT 71046
$149.46
Diagnostic Mammogram (bilateral)
CPT 77066
$154.63
Thoracic Spine X-Ray
CPT 72072
$186.12
Screening Mammogram (bilateral)
CPT 77067
$213.2
ER Visit — Moderate Complexity
CPT 99284
$246.35
Abdominal Ultrasound — Limited
CPT 76705
$266.06
OB Ultrasound
CPT 76805
$304.09
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$344.5
Abdominal Ultrasound
CPT 76700
$344.51
ER Visit — Low-Moderate Complexity
CPT 99283
$345.56
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$357.5
ER Visit — High Complexity
CPT 99285
$414.72
Retroperitoneal Ultrasound
CPT 76770
$469.58
L-SPINE STERIOD TRANSFORA
CPT 64483
$482.22
Colonoscopy w/ Biopsy
CPT 45380
$901.55
CT Chest
CPT 71250
$968.67
Echocardiogram w/ Doppler
CPT 93306
$1,023.96
Colonoscopy
CPT 45378
$1,070.4
Inguinal Hernia Repair
CPT 49505
$1,177.15
MRI Brain w/o Contrast
CPT 70551
$1,232.81
Knee Arthroscopy
CPT 29881
$1,424.15
Recurrent Inguinal Hernia Repair
CPT 49520
$1,425.45
Appendectomy
CPT 44950
$1,435.85
Laparoscopic Hernia Repair
CPT 49650
$1,450.15
MRI Joint of Lower Extremity
CPT 73721
$1,481.35
MRI Brain w/ Contrast
CPT 70553
$1,842.87
CT Abdomen & Pelvis
CPT 74177
$1,950.97
Revision of knee joint
CPT 27245
$1,963
Vaginal Delivery
CPT 59400
$2,559.7
Hip Replacement
CPT 27130
$2,658.5
Knee Replacement
CPT 27447
$2,787.2
VBAC Delivery
CPT 59610
$2,999.1
Cataract Surgery
CPT 66984
$3,127.47
Laparoscopic Cholecystectomy
CPT 47562
$3,144
C-Section
CPT 59510
$3,196.05
Upper GI Endoscopy w/ Biopsy
CPT 43239
$5,752.89
Repair of shoulder rotator cuff using an endoscope
CPT 29827
$15,709.07
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.