Top 40 services provided by FAIRVIEW SOUTHDALE HOSPITAL
Services CPT Price Est. Cash Price
Removal of tonsils for children under 12 42820 $10,621.00 $3,080.09
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,518.00 $730.22
Laser removal of cataracts in eyes 66821 $2,533.00 $734.57
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 $5,424.00 $1,572.96
CT scan of the head or brain without contrast or dye 70450 $888.00 $630.48
MRI scan of the brain with and without contrast 70553 $1,670.00 $484.30
X-ray of the lower spine with 4 or more views 72110 $1,613.00 $467.77
X-ray of the lower spine with 4 or more views 72110 $431.00 $306.01
CT scan of the pelvis with contrast or dye 72193 $952.00 $675.92
CT scan of the abdomen with contrast or dye 74160 $949.00 $673.79
Ultrasound of the abdomen 76700 $443.00 $314.53
Ultrasound of the abdomen 76700 $716.00 $508.36
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $513.00 $148.77
Basic Metabolic Panel 80048 $150.00 $106.50
Comprehensive Metabolic Panel 80053 $262.00 $186.02
Lipid Panel 80061 $118.00 $83.78
Lipid Panel 80061 $170.00 $120.70
Lipid Panel 80061 $76.00 $53.96
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $45.00 $31.95
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $70.00 $49.70
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $39.00 $27.69
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $36.00 $25.56
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $60.00 $42.60
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 $190.00 $55.10
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 $158.00 $112.18
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 $69.00 $48.99
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $111.00 $78.81
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $97.00 $28.13
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $45.00 $31.95
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $54.00 $38.34
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $96.00 $68.16
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $198.00 $140.58
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $71.00 $50.41
Physical therapy evaluation session for 20 minutes 97161 $233.00 $165.43
Emergency department visit facility fees for a visit of moderate severity 99283 $587.00 $170.23
Emergency department visit facility fees for a visit of high to moderate severity 99284 $990.00 $702.90