TAHOE FOREST HOSPITAL
Critical Access Hospitals
Procedure Prices at TAHOE FOREST HOSPITAL
Chest X-Ray (1 view)
CPT 71045
$12.12
Thoracic Spine X-Ray
CPT 72072
$14.96
CHG VENIPUNCTURE
CPT 36415
$32.64
Retroperitoneal Ultrasound
CPT 76770
$48.45
Screening Mammogram (bilateral)
CPT 77067
$50.38
Chest X-Ray (2 views)
CPT 71046
$50.4
Abdominal Ultrasound — Limited
CPT 76705
$132.88
CHG COMPREHENSIVE METABOLIC PANEL
CPT 80053
$149.47
MRI Brain w/ Contrast
CPT 70553
$151.11
Abdominal Ultrasound
CPT 76700
$181.28
Diagnostic Mammogram (unilateral)
CPT 77065
$185.4
Upper GI Endoscopy w/ Biopsy
CPT 43239
$187.43
Diagnostic Mammogram (bilateral)
CPT 77066
$224.4
OB Ultrasound
CPT 76805
$227.7
CT Chest
CPT 71250
$241.12
Colonoscopy
CPT 45378
$249.28
Colonoscopy w/ Biopsy
CPT 45380
$271.23
MRI Joint of Lower Extremity
CPT 73721
$303.6
MRI Brain w/o Contrast
CPT 70551
$336.6
CT Abdomen & Pelvis
CPT 74177
$408.32
HCHG INJ EPI/LUMB/SACRAL SNGL LEVEL PF
CPT 64483
$409.5
Tonsillectomy & Adenoidectomy (12+)
CPT 42821
$426.94
Laparoscopic Hernia Repair
CPT 49650
$589.14
Knee Arthroscopy
CPT 29881
$756.31
Cataract Surgery
CPT 66984
$757.22
Recurrent Inguinal Hernia Repair
CPT 49520
$855.1
Appendectomy
CPT 44950
$861.79
Laparoscopic Cholecystectomy
CPT 47562
$889.06
Tonsillectomy & Adenoidectomy (under 12)
CPT 42820
$975.92
Cataract Surgery — Complex
CPT 66982
$1,035.72
HCHG ARTHR SHOULDER W ROTATOR CUFF REPAIR MLP
CPT 29827
$1,471.82
HCHG TX FEMORAL FX W INTRAMEDULARY IMPLANT PF
CPT 27245
$1,680.49
Inguinal Hernia Repair
CPT 49505
$1,688.72
Knee Replacement
CPT 27447
$1,751.13
Hip Replacement
CPT 27130
$1,752.87
Vaginal Delivery
CPT 59400
$3,226.45
C-Section
CPT 59510
$3,544.78
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.