Top 40 services provided by PHOEBE SUMTER MEDICAL CENTER
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $2,374.00 $474.80
MRI scan of the brain with and without contrast 70553 $5,753.00 $1,150.60
X-ray of the chest, 2 views 71046 $345.00 $69.00
CT scan of the pelvis with contrast or dye 72193 $3,264.00 $652.80
CT scan of the abdomen with contrast or dye 74160 $3,247.00 $649.40
Ultrasound of the abdomen 76700 $1,135.00 $227.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $753.00 $150.60
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $462.00 $92.40
Mammogram of both breasts 77067 $438.00 $87.60
Comprehensive Metabolic Panel 80053 $256.00 $51.20
Lipid Panel 80061 $86.00 $17.20
Lipid Panel 80061 $156.00 $31.20
Lipid Panel 80061 $176.00 $35.20
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $87.00 $17.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $31.00 $6.20
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $58.00 $11.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $30.00 $6.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $103.00 $20.60
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $51.00 $10.20
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $119.00 $23.80
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $155.00 $31.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $119.00 $23.80
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $84.00 $16.80
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $67.00 $13.40
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $36.00 $7.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $226.00 $45.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $146.00 $29.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $105.00 $21.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $141.00 $28.20
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $69.00 $13.80
Physical therapy evaluation session for 20 minutes 97161 $276.00 $55.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $125.00 $25.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $562.00 $112.40
Emergency department visit facility fees for a visit of moderate severity 99283 $447.00 $89.40
Emergency department visit facility fees for a visit of moderate severity 99283 $550.00 $110.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $734.00 $146.80
Emergency department visit facility fees for a visit of high to moderate severity 99284 $650.00 $130.00