VIDANT CHOWAN HOSPITAL
Critical Access Hospitals
Procedure Prices at VIDANT CHOWAN HOSPITAL
HB-CBC W/PIT AND DIFF
CPT 85025
$9.68
HB-COMP METABOLIC PANEL
CPT 80053
$10.53
Mechanical Traction
CPT 97012
$28.79
Therapeutic Exercises
CPT 97110
$40.71
Therapeutic Activities
CPT 97530
$40.71
HB-INJ TRNFRM EPID LUMB/SACR INIT-RT
CPT 64483
$48.89
Screening Mammogram (bilateral)
CPT 77067
$73.26
HB-PSYCHOTHERAPY W/ PT 60 MINS
CPT 90837
$78.23
Diagnostic Mammogram (unilateral)
CPT 77065
$85.2
Thoracic Spine X-Ray
CPT 72072
$102.07
EKG Tracing
CPT 93005
$105.56
Chest X-Ray (1 view)
CPT 71045
$129.41
Chest X-Ray (2 views)
CPT 71046
$148.02
Diagnostic Mammogram (bilateral)
CPT 77066
$170.12
ER Visit — Low-Moderate Complexity
CPT 99283
$174.48
Abdominal Ultrasound — Limited
CPT 76705
$204.14
OB Ultrasound
CPT 76805
$229.44
Retroperitoneal Ultrasound
CPT 76770
$268.41
ER Visit — Moderate Complexity
CPT 99284
$305.34
Abdominal Ultrasound
CPT 76700
$316.39
Echocardiogram
CPT 93307
$321.62
ER Visit — High Complexity
CPT 99285
$478.08
CT Chest
CPT 71250
$649.94
Echocardiogram w/ Doppler
CPT 93306
$672.04
MRI Joint of Lower Extremity
CPT 73721
$898.99
MRI Brain w/o Contrast
CPT 70551
$945.39
MRI Brain w/ Contrast
CPT 70553
$1,225.43
CT Abdomen & Pelvis
CPT 74177
$1,497.04
Compare Prices Nearby
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.