Top 40 services provided by CLARK FORK VALLEY 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 $1,769.00 $0.00
Removal of one or more growth from the breast; a surgical procedure on a female or male also called a mastectomy 19120 $1,565.00 $0.00
Removal of tonsils for children under 12 42820 $1,058.00 $0.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $971.00 $0.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $666.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $749.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,180.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,120.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,368.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,469.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,428.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,530.00 $0.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $3,249.00 $0.00
Repair of groin hernia patient age 5 years or older without mesh 49505 $1,958.00 $0.00
Injection into the lower back with help of imaging of some type 62323 $916.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,250.00 $0.00
Release and/or relocation of median nerve of hand 64721 $1,993.00 $0.00
Removal of one cataracts from an eye 66984 $4,932.00 $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 $585.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $986.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,287.00 $0.00
X-ray of the chest, 2 views 71046 $155.00 $0.00
X-ray of the chest, 2 views 71046 $158.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $279.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,390.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,390.00 $0.00
Ultrasound of the abdomen 76700 $502.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $480.00 $0.00
Mammogram of both breasts 77067 $220.00 $0.00
Mammogram of both breasts 77067 $185.00 $0.00
Basic Metabolic Panel 80048 $123.00 $0.00
Comprehensive Metabolic Panel 80053 $204.00 $0.00
Lipid Panel 80061 $73.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $32.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $26.00 $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 $55.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $44.00 $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 $152.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $98.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $67.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $89.00 $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 $98.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $97.00 $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 $229.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $106.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $55.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $184.00 $0.00
Ultrasound of chest to examine the heart 93307 $939.00 $0.00
Ultrasound of chest to examine the heart 93307 $1,775.00 $0.00
Ultrasound of chest to examine the heart 93307 $326.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $84.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $74.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $102.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $89.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $147.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $45.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $79.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $87.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $76.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $200.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $357.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $133.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $277.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $211.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $523.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $304.00 $0.00