Top 40 services provided by CLINTON MEMORIAL HOSPITAL
Services CPT Price Est. Cash Price
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $444.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,093.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,264.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,445.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,264.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,538.00 $0.00
X-ray of the chest, 2 views 71046 $300.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $2,088.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,576.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,699.00 $0.00
Ultrasound of the abdomen 76700 $850.00 $0.00
Ultrasound of the abdomen 76700 $700.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $365.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $752.00 $0.00
Basic Metabolic Panel 80048 $93.00 $0.00
Basic Metabolic Panel 80048 $343.00 $0.00
Comprehensive Metabolic Panel 80053 $184.00 $0.00
Lipid Panel 80061 $64.00 $0.00
Lipid Panel 80061 $65.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $31.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $6.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $36.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $60.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $32.00 $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 $124.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $100.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $80.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $120.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $59.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $29.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $23.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $185.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $298.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $299.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $298.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $45.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $383.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $678.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,121.00 $0.00