Top 40 services provided by BOX BUTTE GENERAL HOSPITAL
Services CPT Price Est. Cash Price
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $850.00 $680.00
Repair of the shoulder generally called a shoulder arthroscopy 29826 $2,288.00 $1,830.40
Knee cartilage replacement surgery with an endoscope 29881 $2,225.00 $1,780.00
Removal of tonsils for children under 12 42820 $683.00 $546.40
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $804.00 $643.20
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $960.00 $768.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,125.00 $900.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,323.00 $1,058.40
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,212.00 $969.60
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $1,820.00 $1,456.00
Repair of groin hernia patient age 5 years or older without mesh 49505 $1,137.00 $909.60
Injection into the lower back with help of imaging of some type 62323 $693.00 $554.40
Injection into the lower back with help of imaging of some type 62323 $1,357.00 $1,085.60
Epidural steroid injections for lower back pain 64483 $1,171.00 $936.80
Epidural steroid injections for lower back pain 64483 $890.00 $712.00
Release and/or relocation of median nerve of hand 64721 $1,115.00 $892.00
Laser removal of cataracts in eyes 66821 $1,000.00 $800.00
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 $456.00 $364.80
CT scan of the head or brain without contrast or dye 70450 $2,053.00 $1,642.40
MRI scan of the brain with and without contrast 70553 $3,908.00 $3,126.40
MRI scan of the brain with and without contrast 70553 $3,921.00 $3,136.80
X-ray of the chest, 2 views 71046 $327.00 $261.60
X-ray of the chest, 2 views 71046 $347.00 $277.60
X-ray of the lower spine with 4 or more views 72110 $513.00 $410.40
CT scan of the pelvis with contrast or dye 72193 $2,382.00 $1,905.60
CT scan of the abdomen with contrast or dye 74160 $2,667.00 $2,133.60
Ultrasound of the abdomen 76700 $855.00 $684.00
Ultrasound of the abdomen 76700 $252.00 $201.60
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $829.00 $663.20
Mammogram of both breasts 77067 $439.00 $351.20
Basic Metabolic Panel 80048 $146.00 $116.80
Comprehensive Metabolic Panel 80053 $160.00 $128.00
Lipid Panel 80061 $189.00 $151.20
Lipid Panel 80061 $159.00 $127.20
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $75.00 $60.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $49.00 $39.20
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $18.00 $14.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $14.00 $11.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $100.00 $80.00
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 $175.00 $140.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $120.00 $96.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $127.00 $101.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $11.00 $8.80
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $269.00 $215.20
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $112.00 $89.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $83.00 $66.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $33.00 $26.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $67.00 $53.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $25.00 $20.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $308.00 $246.40
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $145.00 $116.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $59.00 $47.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $238.00 $190.40
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $117.00 $93.60
Training for walking to 1 or more areas for 15 minutes 97116 $106.00 $84.80
Physical therapy evaluation session for 20 minutes 97161 $146.00 $116.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $166.00 $132.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $144.00 $115.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $129.00 $103.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $106.00 $84.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $125.00 $100.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $89.00 $71.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $118.00 $94.40
Emergency department visit facility fees for a visit of moderate severity 99283 $290.00 $232.00
Emergency department visit facility fees for a visit of moderate severity 99283 $207.00 $165.60
Emergency department visit facility fees for a visit of moderate severity 99283 $514.00 $411.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $331.00 $264.80
Emergency department visit facility fees for a visit of high to moderate severity 99284 $809.00 $647.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $442.00 $353.60