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SOUTH PENINSULA HOSPITAL

Hospital

4300 BARTLETT ST

HOMER, AK, 99603

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Procedure Prices at SOUTH PENINSULA HOSPITAL

OFFICE OUTPATIENT,FAC OB

CPT 99213

$39.84

VENIPUNCTURE

CPT 36415

$42.3

COUNSELING 60 MINUTES,SP,FAC

CPT 90837

$62.11

Mechanical Traction

CPT 97012

$110.89

Therapeutic Exercises

CPT 97110

$110.89

Therapeutic Activities

CPT 97530

$110.89

CBC

CPT 85025

$119

Blood test, comprehensive group of blood chemicals

CPT 80053

$127.55

EKG Tracing

CPT 93005

$190.8

EKG

CPT 93000

$222.6

Diagnostic Mammogram (unilateral)

CPT 77065

$230.1

Screening Mammogram (bilateral)

CPT 77067

$245

Chest X-Ray (1 view)

CPT 71045

$315.44

Diagnostic Mammogram (bilateral)

CPT 77066

$362.67

Chest X-Ray (2 views)

CPT 71046

$441.87

Echocardiogram w/ Doppler

CPT 93306

$462.35

Thoracic Spine X-Ray

CPT 72072

$511.07

Abdominal Ultrasound — Limited

CPT 76705

$573.19

ER Visit — Low-Moderate Complexity

CPT 99283

$589.89

OB Ultrasound

CPT 76805

$694.07

Retroperitoneal Ultrasound

CPT 76770

$703.89

Abdominal Ultrasound

CPT 76700

$788.7

CT Chest

CPT 71250

$1,903.36

ER Visit — Moderate Complexity

CPT 99284

$1,925

MRI Joint of Lower Extremity

CPT 73721

$2,472.79

MRI Brain w/o Contrast

CPT 70551

$2,674.17

ER Visit — High Complexity

CPT 99285

$2,797.1

CT INJ LUMB TRANSFORAMINAL

CPT 64483

$2,812.94

MRI Brain w/ Contrast

CPT 70553

$3,293.16

CT Abdomen & Pelvis

CPT 74177

$3,766.23

Colonoscopy

CPT 45378

$3,862.3

Vaginal Delivery

CPT 59400

$4,514.76

VBAC Delivery

CPT 59610

$4,699.79

C-Section

CPT 59510

$4,965.66

Colonoscopy w/ Biopsy

CPT 45380

$5,081.25

Cataract Surgery

CPT 66984

$5,215.7

Upper GI Endoscopy w/ Biopsy

CPT 43239

$5,588.17

Tonsillectomy & Adenoidectomy (under 12)

CPT 42820

$8,691.43

Knee Arthroscopy

CPT 29881

$11,878.68

Inguinal Hernia Repair

CPT 49505

$24,084.74

Laparoscopic Cholecystectomy

CPT 47562

$34,255.08

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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.