Stewart Memorial Community Hospital
Critical Access Hospitals
16
Procedure Prices at Stewart Memorial Community Hospital
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1
Colonoscopy w/ Biopsy
CPT 45380
$1
Chest X-Ray (2 views)
CPT 71046
$63
EKG Tracing
CPT 93005
$66
Thoracic Spine X-Ray
CPT 72072
$73
Chest X-Ray (1 view)
CPT 71045
$76
EKG Interpretation
CPT 93010
$104
Screening Mammogram (bilateral)
CPT 77067
$144
Diagnostic Mammogram (unilateral)
CPT 77065
$190
Abdominal Ultrasound — Limited
CPT 76705
$210
EKG
CPT 93000
$212
Diagnostic Mammogram (bilateral)
CPT 77066
$223
OB Ultrasound
CPT 76805
$231
Retroperitoneal Ultrasound
CPT 76770
$347
Abdominal Ultrasound
CPT 76700
$358
CT Chest
CPT 71250
$385
MRI Brain w/ Contrast
CPT 70553
$592
Echocardiogram w/ Doppler
CPT 93306
$653
MRI Brain w/o Contrast
CPT 70551
$758
MRI Joint of Lower Extremity
CPT 73721
$840
CT Abdomen & Pelvis
CPT 74177
$940
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$1,162
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$1,353
Cataract Surgery — Complex
CPT 66982
$1,699
Cataract Surgery
CPT 66984
$1,829
Colonoscopy
CPT 45378
$1,968
Inguinal Hernia Repair
CPT 49505
$2,386
Knee Arthroscopy
CPT 29881
$2,485
Recurrent Inguinal Hernia Repair
CPT 49520
$3,384
Laparoscopic Cholecystectomy
CPT 47562
$3,565
Knee Replacement
CPT 27447
$4,301
Hip Replacement
CPT 27130
$5,031
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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.