Top 40 services provided by COGDELL MEMORIAL 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 $1,632.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,632.00 $0.00
Laser removal of cataracts in eyes 66821 $971.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $910.00 $0.00
MRI scan of the brain with and without contrast 70553 $1,057.00 $0.00
MRI scan of the brain with and without contrast 70553 $2,892.00 $0.00
X-ray of the chest, 2 views 71046 $127.00 $0.00
X-ray of the chest, 2 views 71046 $324.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $274.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,221.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,153.00 $0.00
Ultrasound of the abdomen 76700 $427.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $292.00 $0.00
Mammogram of both breasts 77067 $50.00 $0.00
Mammogram of both breasts 77067 $450.00 $0.00
Basic Metabolic Panel 80048 $70.00 $0.00
Comprehensive Metabolic Panel 80053 $144.00 $0.00
Comprehensive Metabolic Panel 80053 $36.00 $0.00
Lipid Panel 80061 $10.00 $0.00
Lipid Panel 80061 $45.00 $0.00
Lipid Panel 80061 $0.00 $0.00
Lipid Panel 80061 $85.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $44.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $21.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $23.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $32.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $95.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $79.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $72.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $0.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $109.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $57.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $71.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $10.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $43.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $43.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $131.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $327.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $79.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $74.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $70.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $236.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $344.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $715.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $717.00 $0.00