WICHITA COUNTY HEALTH CENTER
Critical Access Hospitals
16
Procedure Prices at WICHITA COUNTY HEALTH CENTER
COLLECTION: Venous Draw
CPT 36415
$16
Blood test, comprehensive group of blood chemicals
CPT 80053
$16
Mechanical Traction
CPT 97012
$36.8
Therapeutic Exercises
CPT 97110
$52
Therapeutic Activities
CPT 97530
$52
Complete blood cell count (red cells, white blood cell, platelets), automated test and automated differential white blood cell count
CPT 85025
$56
EKG Tracing
CPT 93005
$60
TR 99213 EVAL LEVEL 3 or 20-29 min
CPT 99213
$92
Diagnostic Mammogram (unilateral)
CPT 77065
$157.6
Diagnostic Mammogram (bilateral)
CPT 77066
$157.6
Screening Mammogram (bilateral)
CPT 77067
$157.6
Colonoscopy
CPT 45378
$184.26
Colonoscopy w/ Biopsy
CPT 45380
$200.42
Chest X-Ray (1 view)
CPT 71045
$257.6
Chest X-Ray (2 views)
CPT 71046
$267.2
Thoracic Spine X-Ray
CPT 72072
$312.8
Abdominal Ultrasound
CPT 76700
$379.2
Abdominal Ultrasound — Limited
CPT 76705
$379.2
Retroperitoneal Ultrasound
CPT 76770
$379.2
OB Ultrasound
CPT 76805
$379.2
ER Visit — Low-Moderate Complexity
CPT 99283
$412
ER Visit — Moderate Complexity
CPT 99284
$700
MRI Brain w/o Contrast
CPT 70551
$765.6
MRI Joint of Lower Extremity
CPT 73721
$765.6
MRI Brain w/ Contrast
CPT 70553
$825.6
CT Chest
CPT 71250
$836
CT Abdomen & Pelvis
CPT 74177
$848
ER Visit — High Complexity
CPT 99285
$1,088
Upper GI Endoscopy w/ Biopsy
CPT 43239
$1,160
Cataract Surgery
CPT 66984
$1,520
Echocardiogram w/ Doppler
CPT 93306
$1,957.6
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.