Top 40 services provided by GRANITE COUNTY MEDICAL CENTER
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $1,650.00 $0.00
X-ray of the chest, 2 views 71046 $170.00 $0.00
X-ray of the chest, 2 views 71046 $180.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $266.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $2,000.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $2,800.00 $0.00
Ultrasound of the abdomen 76700 $427.00 $0.00
Basic Metabolic Panel 80048 $126.00 $0.00
Comprehensive Metabolic Panel 80053 $173.00 $0.00
Lipid Panel 80061 $125.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $60.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $22.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $42.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $88.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $94.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $55.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $156.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $100.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $62.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $55.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $113.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $225.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $300.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $400.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $350.00 $0.00