Top 40 services provided by HANSEN FAMILY HOSPITAL
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 $481.00 $384.80
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,487.00 $1,189.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $3,154.00 $2,523.20
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,412.00 $1,929.60
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,756.00 $2,204.80
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,903.00 $2,322.40
CT scan of the head or brain without contrast or dye 70450 $1,457.00 $1,165.60
CT scan of the head or brain without contrast or dye 70450 $1,597.00 $1,277.60
MRI scan of the brain with and without contrast 70553 $3,613.00 $2,890.40
MRI scan of the brain with and without contrast 70553 $2,797.00 $2,237.60
X-ray of the chest, 2 views 71046 $193.00 $154.40
X-ray of the chest, 2 views 71046 $205.00 $164.00
X-ray of the chest, 2 views 71046 $223.00 $178.40
X-ray of the lower spine with 4 or more views 72110 $376.00 $300.80
X-ray of the lower spine with 4 or more views 72110 $252.00 $201.60
X-ray of the lower spine with 4 or more views 72110 $265.00 $212.00
CT scan of the pelvis with contrast or dye 72193 $1,862.00 $1,489.60
CT scan of the pelvis with contrast or dye 72193 $1,590.00 $1,272.00
CT scan of the abdomen with contrast or dye 74160 $1,687.00 $1,349.60
CT scan of the abdomen with contrast or dye 74160 $2,162.00 $1,729.60
CT scan of the abdomen with contrast or dye 74160 $1,812.00 $1,449.60
Ultrasound of the abdomen 76700 $683.00 $546.40
Ultrasound of the abdomen 76700 $737.00 $589.60
Ultrasound of the abdomen 76700 $529.00 $423.20
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $540.00 $432.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $401.00 $320.80
Mammogram of both breasts 77067 $157.00 $125.60
Basic Metabolic Panel 80048 $137.00 $109.60
Comprehensive Metabolic Panel 80053 $206.00 $164.80
Lipid Panel 80061 $133.00 $106.40
Lipid Panel 80061 $95.00 $76.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $55.00 $44.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $51.00 $40.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $83.00 $66.40
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 $225.00 $180.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $105.00 $84.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $171.00 $136.80
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $100.00 $80.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $38.00 $30.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $26.00 $20.80
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $55.00 $44.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $80.00 $64.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $290.00 $232.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $114.00 $91.20
Ultrasound of chest to examine the heart 93307 $2,167.00 $1,733.60
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $122.00 $97.60
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $104.00 $83.20
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $92.00 $73.60
Training for walking to 1 or more areas for 15 minutes 97116 $104.00 $83.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $137.00 $109.60
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $197.00 $157.60
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $176.00 $140.80
Emergency department visit facility fees for a visit of moderate severity 99283 $464.00 $371.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $946.00 $756.80