SKYLINE HOSPITAL
Critical Access Hospitals
16
Procedure Prices at SKYLINE HOSPITAL
VENIPUNCTURE
CPT 36415
$3
No - Add Manual Diff
CPT 85025
$10.66
EKG Tracing
CPT 93005
$11.16
EKG Interpretation
CPT 93010
$11.16
CMP 2
CPT 80053
$11.7
Chest X-Ray (1 view)
CPT 71045
$13.95
Mechanical Traction
CPT 97012
$15.34
EKG
CPT 93000
$22.32
Chest X-Ray (2 views)
CPT 71046
$25.58
Therapeutic Exercises
CPT 97110
$30.68
Thoracic Spine X-Ray
CPT 72072
$30.69
Therapeutic Activities
CPT 97530
$33.02
Office/OP Established Visit Level 3 99213
CPT 99213
$55.8
Abdominal Ultrasound — Limited
CPT 76705
$81.84
ER Visit — Low-Moderate Complexity
CPT 99283
$85.75
Retroperitoneal Ultrasound
CPT 76770
$100.91
Abdominal Ultrasound
CPT 76700
$108.35
OB Ultrasound
CPT 76805
$121.83
Diagnostic Mammogram (unilateral)
CPT 77065
$123.23
Screening Mammogram (bilateral)
CPT 77067
$130.2
Transforaminal Epidural Steroid Injection Lumbar / Sacral Single
CPT 64483
$149.27
Psychotherapy, 53+ min with patient 90837
CPT 90837
$156.2
Diagnostic Mammogram (bilateral)
CPT 77066
$157.64
ER Visit — Moderate Complexity
CPT 99284
$162.68
CT Chest
CPT 71250
$169.26
Upper GI Endoscopy w/ Biopsy
CPT 43239
$189.72
MRI Brain w/o Contrast
CPT 70551
$205.07
Echocardiogram w/ Doppler
CPT 93306
$215.76
MRI Joint of Lower Extremity
CPT 73721
$220.88
ER Visit — High Complexity
CPT 99285
$240.1
CT Abdomen & Pelvis
CPT 74177
$288.2
MRI Brain w/ Contrast
CPT 70553
$343.64
Colonoscopy w/ Biopsy
CPT 45380
$366
Cataract Surgery
CPT 66984
$843.51
Cataract Surgery — Complex
CPT 66982
$1,048.11
Compare Prices Nearby
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.