SOUTH LINCOLN MEDICAL CENTER - CAH
Hospital
Procedure Prices at SOUTH LINCOLN MEDICAL CENTER - CAH
EKG Tracing
CPT 93005
$7.64
VENIPUNCTURE FOR APPS LIFE INSURANCE
CPT 36415
$7.88
EKG Interpretation
CPT 93010
$12.01
EKG
CPT 93000
$14.43
CBC AUTO DIFF
CPT 85025
$57.33
Therapeutic Exercises
CPT 97110
$59.8
Therapeutic Activities
CPT 97530
$66.61
ER Visit — Low-Moderate Complexity
CPT 99283
$70.9
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$92.82
PSYTX PT&/FAMILY 60 MINUTES
CPT 90837
$107.89
EVAN CLIN OFFICE VISIT 99213
CPT 99213
$110.29
Diagnostic Mammogram (unilateral)
CPT 77065
$116.84
ER Visit — Moderate Complexity
CPT 99284
$119.39
Chest X-Ray (1 view)
CPT 71045
$121.16
Screening Mammogram (bilateral)
CPT 77067
$121.68
Chest X-Ray (2 views)
CPT 71046
$149.76
Upper GI Endoscopy w/ Biopsy
CPT 43239
$162.62
ER Visit — High Complexity
CPT 99285
$173.56
Colonoscopy
CPT 45378
$180.68
Thoracic Spine X-Ray
CPT 72072
$208.52
Diagnostic Mammogram (bilateral)
CPT 77066
$209.56
Colonoscopy w/ Biopsy
CPT 45380
$246
INJECTION(S), ANESTHETIC AGENT AND/OR STEROID, TRANSFORAMINAL EPIDURAL, WITH IMAGING GUIDANCE (FLUOROSCOPY OR CT); LUMBAR OR SACRAL, SINGLE LEVEL
CPT 64483
$246
Abdominal Ultrasound — Limited
CPT 76705
$272.45
Abdominal Ultrasound
CPT 76700
$359.27
OB Ultrasound
CPT 76805
$400.22
Inguinal Hernia Repair
CPT 49505
$622.02
Recurrent Inguinal Hernia Repair
CPT 49520
$626.35
Knee Arthroscopy
CPT 29881
$652.44
ARTHROSCOPY, SHOULDER, SURGICAL, WITH ROTATOR CUFF REPAIR
CPT 29827
$1,064.66
CT Chest
CPT 71250
$1,095.12
MRI Joint of Lower Extremity
CPT 73721
$1,184.82
Knee Replacement
CPT 27447
$1,271.61
Laparoscopic Cholecystectomy
CPT 47562
$1,565.27
MRI Brain w/o Contrast
CPT 70551
$1,622.4
CT Abdomen & Pelvis
CPT 74177
$2,009.28
MRI Brain w/ Contrast
CPT 70553
$2,242.76
Vaginal Delivery
CPT 59400
$2,365.93
VBAC Delivery
CPT 59610
$2,470.1
C-Section
CPT 59510
$2,609.87
Appendectomy
CPT 44950
$3,218.67
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.