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Top 40 services provided by PROVIDENCE CENTRALIA HOSPITAL
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $1,378.00 $895.70
MRI scan of the brain with and without contrast 70553 $2,197.00 $1,428.05
X-ray of the chest, 2 views 71046 $267.00 $173.55
X-ray of the lower spine with 4 or more views 72110 $356.00 $231.40
CT scan of the pelvis with contrast or dye 72193 $2,080.00 $1,352.00
CT scan of the abdomen with contrast or dye 74160 $2,080.00 $1,352.00
Ultrasound of the abdomen 76700 $572.00 $371.80
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $572.00 $371.80
Mammogram of both breasts 77067 $456.00 $296.40
Basic Metabolic Panel 80048 $144.00 $93.60
Comprehensive Metabolic Panel 80053 $186.00 $120.90
Lipid Panel 80061 $253.00 $164.45
Lipid Panel 80061 $281.00 $182.65
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $100.00 $65.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $53.00 $34.45
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $192.00 $124.80
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 $663.00 $430.95
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $375.00 $243.75
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $266.00 $172.90
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $156.00 $101.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $245.00 $159.25
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $171.00 $111.15
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $74.00 $48.10
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $126.00 $81.90
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $245.00 $159.25
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $67.00 $43.55
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $122.00 $79.30
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $270.00 $175.50
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $421.00 $273.65
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $697.00 $453.05
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $801.00 $520.65
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $156.00 $101.40
Training for walking to 1 or more areas for 15 minutes 97116 $128.00 $83.20
Physical therapy evaluation session for 20 minutes 97161 $503.00 $326.95
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $281.00 $182.65
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $276.00 $179.40
Emergency department visit facility fees for a visit of moderate severity 99283 $1,005.00 $653.25
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,761.00 $1,144.65