Top 40 services provided by KANE COMMUNITY 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 $1,261.00 $252.20
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,144.00 $228.80
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,705.00 $341.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $983.00 $196.60
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $1,436.00 $287.20
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $356.00 $71.20
Injection into the lower back with help of imaging of some type 62323 $1,334.00 $266.80
Epidural steroid injections for lower back pain 64483 $1,194.00 $238.80
Ear tube surgery (myringotomy) is the insertion of tube into the incision in the eardrum to allow fluid to drain out of the ear. 69436 $655.00 $131.00
CT scan of the head or brain without contrast or dye 70450 $1,258.00 $251.60
CT scan of the pelvis with contrast or dye 72193 $298.00 $59.60
CT scan of the pelvis with contrast or dye 72193 $1,508.00 $301.60
CT scan of the abdomen with contrast or dye 74160 $1,462.00 $292.40
Ultrasound of the abdomen 76700 $668.00 $133.60
Mammogram of both breasts 77067 $41.00 $8.20
Mammogram of both breasts 77067 $230.00 $46.00
Basic Metabolic Panel 80048 $167.00 $33.40
Comprehensive Metabolic Panel 80053 $215.00 $43.00
Lipid Panel 80061 $120.00 $24.00
Lipid Panel 80061 $160.00 $32.00
Lipid Panel 80061 $181.00 $36.20
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $128.00 $25.60
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $102.00 $20.40
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $65.00 $13.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $128.00 $25.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $55.00 $11.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $15.00 $3.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $164.00 $32.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $115.00 $23.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $58.00 $11.60
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $79.00 $15.80
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $257.00 $51.40
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 $111.00 $22.20
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $137.00 $27.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $60.00 $12.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $133.00 $26.60
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $55.00 $11.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $100.00 $20.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $52.00 $10.40
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $64.00 $12.80
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $73.00 $14.60
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $188.00 $37.60
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $129.00 $25.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $195.00 $39.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $115.00 $23.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $0.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $120.00 $24.00
Training for walking to 1 or more areas for 15 minutes 97116 $87.00 $17.40
Physical therapy evaluation session for 20 minutes 97161 $220.00 $44.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $144.00 $28.80
Emergency department visit facility fees for a visit of moderate severity 99283 $214.00 $42.80
Emergency department visit facility fees for a visit of moderate severity 99283 $260.00 $52.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $396.00 $79.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $235.00 $47.00