Top 40 services provided by BARAGA COUNTY MEMORIAL HOSPITAL
Services CPT Price Est. Cash Price
Repair of the shoulder generally called a shoulder arthroscopy 29826 $4,086.00 $0.00
Knee cartilage replacement surgery with an endoscope 29881 $2,959.00 $0.00
Removal of tonsils for children under 12 42820 $1,257.00 $0.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $2,389.00 $0.00
Epidural steroid injections for lower back pain 64483 $814.00 $0.00
Release and/or relocation of median nerve of hand 64721 $1,055.00 $0.00
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $989.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,141.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $993.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,044.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,278.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $299.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $615.00 $0.00
Basic Metabolic Panel 80048 $71.00 $0.00
Comprehensive Metabolic Panel 80053 $104.00 $0.00
Lipid Panel 80061 $55.00 $0.00
Lipid Panel 80061 $80.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $51.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $26.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $102.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $68.00 $0.00
Blood test that measures gases in the blood including the acidity, or pH, and the levels of oxygen (O2) and carbon dioxide (CO2) from an artery. 82805 $400.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $152.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $181.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $111.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $66.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $60.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $12.00 $0.00
Ultrasound of chest to examine the heart 93307 $755.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $118.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $92.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $337.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $168.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $123.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $477.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $856.00 $0.00