Top 40 services provided by GLEN ROSE MEDICAL CENTER
Services CPT Price Est. Cash Price
Removal of tonsils for children under 12 42820 $6,764.00 $0.00
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $2,660.00 $0.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $2,712.00 $0.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,873.00 $0.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $3,335.00 $0.00
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $3,335.00 $0.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $15,961.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,586.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $1,444.00 $0.00
MRI scan of the brain with and without contrast 70553 $2,727.00 $0.00
X-ray of the chest, 2 views 71046 $284.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $468.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,601.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,590.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,786.00 $0.00
Ultrasound of the abdomen 76700 $529.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $489.00 $0.00
Mammogram of both breasts 77067 $360.00 $0.00
Mammogram of both breasts 77067 $110.00 $0.00
Basic Metabolic Panel 80048 $78.00 $0.00
Basic Metabolic Panel 80048 $154.00 $0.00
Basic Metabolic Panel 80048 $0.00 $0.00
Comprehensive Metabolic Panel 80053 $140.00 $0.00
Comprehensive Metabolic Panel 80053 $0.00 $0.00
Comprehensive Metabolic Panel 80053 $98.00 $0.00
Lipid Panel 80061 $228.00 $0.00
Lipid Panel 80061 $169.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $29.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $23.00 $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 $153.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $553.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $156.00 $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 $173.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $91.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $78.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $72.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $72.00 $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 $105.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $207.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $285.00 $0.00
Ultrasound of chest to examine the heart 93307 $1,554.00 $0.00
Ultrasound of chest to examine the heart 93307 $1,026.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $598.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $284.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $51.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $764.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,274.00 $0.00