Top 40 services provided by BRONSON SOUTH HAVEN 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 $1,031.00 $0.00
Repair of the shoulder generally called a shoulder arthroscopy 29826 $2,475.00 $0.00
Knee cartilage replacement surgery with an endoscope 29881 $2,348.00 $0.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $709.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $822.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,080.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,002.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,103.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,420.00 $0.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $2,952.00 $0.00
Repair of groin hernia patient age 5 years or older without mesh 49505 $1,655.00 $0.00
Injection of substance into the lower back or lumbar spine 62322 $1,412.00 $0.00
Injection of substance into the lower back or lumbar spine 62322 $1,412.00 $0.00
Injection into the lower back with help of imaging of some type 62323 $1,412.00 $0.00
Injection into the lower back with help of imaging of some type 62323 $1,412.00 $0.00
Epidural steroid injections for lower back pain 64483 $599.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,639.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,639.00 $0.00
Epidural steroid injections for lower back pain 64483 $599.00 $0.00
Release and/or relocation of median nerve of hand 64721 $2,210.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,055.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,055.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,258.00 $0.00
MRI scan of the brain with and without contrast 70553 $2,353.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,258.00 $0.00
MRI scan of the brain with and without contrast 70553 $2,353.00 $0.00
X-ray of the chest, 2 views 71046 $291.00 $0.00
X-ray of the chest, 2 views 71046 $88.00 $0.00
X-ray of the chest, 2 views 71046 $323.00 $0.00
X-ray of the chest, 2 views 71046 $88.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $101.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $420.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $101.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,898.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $2,018.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $2,018.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,748.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,748.00 $0.00
Ultrasound of the abdomen 76700 $932.00 $0.00
Ultrasound of the abdomen 76700 $629.00 $0.00
Ultrasound of the abdomen 76700 $629.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $697.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $559.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $697.00 $0.00
Mammogram of both breasts 77067 $360.00 $0.00
Mammogram of both breasts 77067 $360.00 $0.00
Basic Metabolic Panel 80048 $65.00 $0.00
Basic Metabolic Panel 80048 $65.00 $0.00
Basic Metabolic Panel 80048 $30.00 $0.00
Comprehensive Metabolic Panel 80053 $85.00 $0.00
Comprehensive Metabolic Panel 80053 $37.00 $0.00
Lipid Panel 80061 $111.00 $0.00
Lipid Panel 80061 $50.00 $0.00
Lipid Panel 80061 $66.00 $0.00
Lipid Panel 80061 $66.00 $0.00
Lipid Panel 80061 $111.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $17.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $17.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $39.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $39.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $20.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $13.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $13.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $39.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $39.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $51.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $111.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $111.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $105.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $100.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $100.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $65.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $65.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $37.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $37.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $36.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $36.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $18.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $18.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $48.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $208.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $42.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $178.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $155.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $155.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $42.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $178.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $65.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $65.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $90.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $247.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $266.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $149.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $199.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $115.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $149.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $199.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $675.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $266.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $115.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $868.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,363.00 $0.00