Top 40 services provided by BLANCHARD VALLEY HOSPITAL
Services CPT Price Est. Cash Price
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,477.00 $738.50
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,466.00 $733.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,797.00 $898.50
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,797.00 $898.50
Injection into the lower back with help of imaging of some type 62323 $43.00 $21.50
Injection into the lower back with help of imaging of some type 62323 $1,557.00 $778.50
Epidural steroid injections for lower back pain 64483 $1,157.00 $578.50
Epidural steroid injections for lower back pain 64483 $1,557.00 $778.50
Epidural steroid injections for lower back pain 64483 $1,946.00 $973.00
CT scan of the head or brain without contrast or dye 70450 $635.00 $317.50
MRI scan of the brain with and without contrast 70553 $1,655.00 $827.50
MRI scan of the brain with and without contrast 70553 $990.00 $495.00
X-ray of the chest, 2 views 71046 $192.00 $96.00
X-ray of the lower spine with 4 or more views 72110 $258.00 $129.00
X-ray of the lower spine with 4 or more views 72110 $213.00 $106.50
X-ray of the lower spine with 4 or more views 72110 $423.00 $211.50
CT scan of the pelvis with contrast or dye 72193 $635.00 $317.50
CT scan of the pelvis with contrast or dye 72193 $709.00 $354.50
CT scan of the abdomen with contrast or dye 74160 $709.00 $354.50
Ultrasound of the abdomen 76700 $625.00 $312.50
Ultrasound of the abdomen 76700 $450.00 $225.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $338.00 $169.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $625.00 $312.50
Basic Metabolic Panel 80048 $18.00 $9.00
Basic Metabolic Panel 80048 $73.00 $21.17
Comprehensive Metabolic Panel 80053 $96.00 $27.84
Comprehensive Metabolic Panel 80053 $25.00 $12.50
Lipid Panel 80061 $44.00 $22.00
Lipid Panel 80061 $99.00 $28.71
Lipid Panel 80061 $58.00 $29.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $5.00 $2.50
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $5.00 $2.50
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $34.00 $17.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $12.00 $6.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $42.00 $12.18
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $38.00 $19.00
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 $70.00 $35.00
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 $100.00 $50.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $40.00 $20.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $16.00 $8.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $142.00 $41.18
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $60.00 $30.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $66.00 $33.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $48.00 $24.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $443.00 $128.47
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $54.00 $15.66
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $19.00 $9.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $25.00 $12.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $37.00 $18.50
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $27.00 $13.50
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $76.00 $38.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $180.00 $90.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $200.00 $100.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $585.00 $169.65
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $139.00 $69.50
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $64.00 $32.00
Training for walking to 1 or more areas for 15 minutes 97116 $55.00 $27.50
Physical therapy evaluation session for 20 minutes 97161 $150.00 $75.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $105.00 $52.50
Emergency department visit facility fees for a visit of moderate severity 99283 $499.00 $249.50
Emergency department visit facility fees for a visit of high to moderate severity 99284 $860.00 $430.00