Top 40 services provided by HURLEY MEDICAL CENTER
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $1,678.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,315.00 $0.00
X-ray of the chest, 2 views 71046 $127.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $326.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,299.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $2,599.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $1,299.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $2,599.00 $0.00
Ultrasound of the abdomen 76700 $846.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $537.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $931.00 $0.00
Mammogram of both breasts 77067 $350.00 $0.00
Mammogram of both breasts 77067 $175.00 $0.00
Basic Metabolic Panel 80048 $160.00 $0.00
Basic Metabolic Panel 80048 $57.00 $0.00
Comprehensive Metabolic Panel 80053 $282.00 $0.00
Comprehensive Metabolic Panel 80053 $102.00 $0.00
Lipid Panel 80061 $31.00 $0.00
Lipid Panel 80061 $87.00 $0.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $6.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $36.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $16.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $12.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $15.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $4.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $5.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $40.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $14.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $69.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $24.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $142.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $83.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $29.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $32.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $11.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $19.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $7.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $217.00 $0.00
Ultrasound of chest to examine the heart 93307 $426.00 $0.00
Ultrasound of chest to examine the heart 93307 $586.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $92.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $122.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $238.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $88.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $243.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $168.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $197.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $239.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $555.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $172.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $264.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $195.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $169.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $393.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $88.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $1,028.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,727.00 $0.00