Trinity Hospital
Critical Access Hospitals
16
Procedure Prices at Trinity Hospital
EKG Tracing
CPT 93005
$6.54
.COMPLETE CBC W/AUTO DIFF
CPT 85025
$6.75
Chest X-Ray (1 view)
CPT 71045
$7.5
EKG Interpretation
CPT 93010
$7.75
QUEST DRAW FEE
CPT 36415
$9
Chest X-Ray (2 views)
CPT 71046
$9
COMPREHENSIVE METABOLIC PANEL
CPT 80053
$9.19
Thoracic Spine X-Ray
CPT 72072
$9.5
Colonoscopy w/ Biopsy
CPT 45380
$12
Mechanical Traction
CPT 97012
$14.62
EKG
CPT 93000
$15.51
Abdominal Ultrasound — Limited
CPT 76705
$18.83
ER Visit — Moderate Complexity
CPT 99284
$27
Upper GI Endoscopy w/ Biopsy
CPT 43239
$29
Retroperitoneal Ultrasound
CPT 76770
$29.5
Therapeutic Exercises
CPT 97110
$29.86
Abdominal Ultrasound
CPT 76700
$32
Therapeutic Activities
CPT 97530
$36.35
OB Ultrasound
CPT 76805
$39.5
CT Chest
CPT 71250
$42.5
Echocardiogram w/ Doppler
CPT 93306
$57
ER Visit — Low-Moderate Complexity
CPT 99283
$57.09
LEVEL 3 INTERMEDIATE OFFICE VISIT- ESTAB
CPT 99213
$65
CT Abdomen & Pelvis
CPT 74177
$72.5
PSYCHOTHERAPY60 MIN W/ PATIENT
CPT 90837
$116
ER Visit — High Complexity
CPT 99285
$160.05
Colonoscopy
CPT 45378
$390.37
Inguinal Hernia Repair
CPT 49505
$488.02
Recurrent Inguinal Hernia Repair
CPT 49520
$581.18
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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.