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Top 40 services provided by GLENDALE MEM HOSPITAL AND HEALTH CENTER
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 $9,345.00 $6,541.50
CT scan of the head or brain without contrast or dye 70450 $6,414.00 $4,489.80
MRI scan of the brain with and without contrast 70553 $8,321.00 $5,824.70
X-ray of the chest, 2 views 71046 $790.00 $553.00
X-ray of the chest, 2 views 71046 $518.00 $362.60
X-ray of the lower spine with 4 or more views 72110 $1,173.00 $821.10
X-ray of the lower spine with 4 or more views 72110 $1,370.00 $959.00
CT scan of the pelvis with contrast or dye 72193 $5,563.00 $3,894.10
CT scan of the abdomen with contrast or dye 74160 $3,225.00 $2,257.50
CT scan of the abdomen with contrast or dye 74160 $6,204.00 $4,342.80
Ultrasound of the abdomen 76700 $1,571.00 $1,099.70
Ultrasound of the abdomen 76700 $2,493.00 $1,745.10
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,008.00 $705.60
Mammogram of both breasts 77067 $423.00 $296.10
Mammogram of both breasts 77067 $444.00 $310.80
Basic Metabolic Panel 80048 $535.00 $374.50
Basic Metabolic Panel 80048 $379.00 $265.30
Comprehensive Metabolic Panel 80053 $1,046.00 $732.20
Comprehensive Metabolic Panel 80053 $417.00 $291.90
Lipid Panel 80061 $288.00 $201.60
Lipid Panel 80061 $430.00 $301.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $126.00 $88.20
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $311.00 $217.70
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $60.00 $42.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $266.00 $186.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $8.00 $5.60
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 $1,479.00 $1,035.30
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $409.00 $286.30
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $18.25 $12.78
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $181.00 $126.70
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $573.00 $401.10
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $614.00 $429.80
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $217.00 $151.90
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $174.00 $121.80
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $3.53 $2.47
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $270.00 $189.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $520.00 $364.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $818.00 $572.60
Ultrasound of chest to examine the heart 93307 $1,200.00 $840.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $404.00 $282.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $332.00 $232.40
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $251.00 $175.70
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $283.00 $198.10
Training for walking to 1 or more areas for 15 minutes 97116 $255.00 $178.50
Training for walking to 1 or more areas for 15 minutes 97116 $232.00 $162.40
Physical therapy evaluation session for 20 minutes 97161 $364.00 $254.80
Physical therapy evaluation session for 20 minutes 97161 $451.00 $315.70
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $217.00 $151.90
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $590.00 $413.00
Emergency department visit facility fees for a visit of moderate severity 99283 $2,129.00 $1,490.30
Emergency department visit facility fees for a visit of moderate severity 99283 $1,308.00 $915.60
Emergency department visit facility fees for a visit of high to moderate severity 99284 $3,689.00 $2,582.30
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,021.00 $1,414.70