Top 40 services provided by KIOWA DISTRICT HOSPITAL
Services CPT Price Est. Cash Price
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $5,795.00 $1,159.00
Release and/or relocation of median nerve of hand 64721 $1,935.00 $387.00
CT scan of the head or brain without contrast or dye 70450 $785.00 $628.00
MRI scan of the brain with and without contrast 70553 $938.00 $750.40
X-ray of the chest, 2 views 71046 $240.00 $192.00
X-ray of the chest, 2 views 71046 $220.00 $176.00
X-ray of the lower spine with 4 or more views 72110 $443.00 $354.40
X-ray of the lower spine with 4 or more views 72110 $239.00 $191.20
CT scan of the pelvis with contrast or dye 72193 $785.00 $628.00
Ultrasound of the abdomen 76700 $260.00 $208.00
Ultrasound of the abdomen 76700 $320.00 $256.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $180.00 $144.00
Basic Metabolic Panel 80048 $80.00 $64.00
Comprehensive Metabolic Panel 80053 $95.00 $76.00
Lipid Panel 80061 $77.00 $15.40
Lipid Panel 80061 $60.00 $48.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $15.00 $12.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $34.00 $27.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $70.00 $56.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $35.00 $28.00
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 $110.00 $88.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $85.00 $68.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $193.00 $154.40
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $45.00 $9.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $33.00 $26.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $40.00 $32.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $35.00 $28.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $96.00 $76.80
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $89.00 $71.20
Training for walking to 1 or more areas for 15 minutes 97116 $83.00 $66.40
Physical therapy evaluation session for 20 minutes 97161 $215.00 $172.00
Emergency department visit facility fees for a visit of moderate severity 99283 $390.00 $312.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $455.00 $364.00