Top 40 services provided by PROVIDENCE HOOD RIVER MEMORIAL 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 $1,673.00 $1,003.80
Repair of the shoulder generally called a shoulder arthroscopy 29826 $608.00 $364.80
Repair of the shoulder generally called a shoulder arthroscopy 29826 $620.00 $372.00
Knee cartilage replacement surgery with an endoscope 29881 $1,854.00 $1,112.40
Removal of tonsils for children under 12 42820 $982.00 $589.20
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $934.00 $560.40
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,408.00 $844.80
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,226.00 $735.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,156.00 $693.60
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $1,878.00 $1,126.80
Colonoscopy, flexible; with biopsy, single or multiple 45380 $1,439.00 $863.40
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $1,555.00 $933.00
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $2,258.00 $1,354.80
Repair of groin hernia patient age 5 years or older without mesh 49505 $1,785.00 $1,071.00
Injection of substance into the lower back or lumbar spine 62322 $1,604.00 $962.40
Injection into the lower back with help of imaging of some type 62323 $2,151.00 $1,290.60
Release and/or relocation of median nerve of hand 64721 $1,463.00 $877.80
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 $540.00 $324.00
CT scan of the head or brain without contrast or dye 70450 $1,034.00 $620.40
CT scan of the head or brain without contrast or dye 70450 $4,341.00 $2,604.60
MRI scan of the brain with and without contrast 70553 $3,006.00 $1,803.60
MRI scan of the brain with and without contrast 70553 $7,267.00 $4,360.20
X-ray of the chest, 2 views 71046 $868.00 $520.80
X-ray of the chest, 2 views 71046 $724.00 $434.40
X-ray of the chest, 2 views 71046 $206.00 $123.60
X-ray of the lower spine with 4 or more views 72110 $479.00 $287.40
X-ray of the lower spine with 4 or more views 72110 $166.00 $99.60
CT scan of the pelvis with contrast or dye 72193 $1,452.00 $871.20
CT scan of the pelvis with contrast or dye 72193 $4,664.00 $2,798.40
CT scan of the abdomen with contrast or dye 74160 $1,410.00 $846.00
CT scan of the abdomen with contrast or dye 74160 $5,220.00 $3,132.00
Ultrasound of the abdomen 76700 $591.00 $354.60
Ultrasound of the abdomen 76700 $1,278.00 $766.80
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $743.00 $445.80
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $487.00 $292.20
Mammogram of both breasts 77067 $442.00 $265.20
Basic Metabolic Panel 80048 $187.00 $112.20
Basic Metabolic Panel 80048 $38.00 $22.80
Comprehensive Metabolic Panel 80053 $206.00 $123.60
Comprehensive Metabolic Panel 80053 $52.00 $31.20
Lipid Panel 80061 $362.00 $217.20
Lipid Panel 80061 $60.00 $36.00
Lipid Panel 80061 $61.00 $36.60
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $36.00 $21.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $33.00 $19.80
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $20.00 $12.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $59.00 $35.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $55.00 $33.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $70.00 $42.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $49.00 $29.40
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $15.00 $9.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $178.00 $106.80
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $79.00 $47.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $131.00 $78.60
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $37.00 $22.20
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $216.00 $129.60
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $34.00 $20.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $10.00 $6.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $24.00 $14.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $127.00 $76.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $162.00 $97.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $92.00 $55.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $182.00 $109.20
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $612.00 $367.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $133.00 $79.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $109.00 $65.40
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $163.00 $97.80
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $70.00 $42.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $271.00 $162.60
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $37.00 $22.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $151.00 $90.60
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $479.00 $287.40
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $308.00 $184.80
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $74.00 $44.40
Training for walking to 1 or more areas for 15 minutes 97116 $74.00 $44.40
Training for walking to 1 or more areas for 15 minutes 97116 $210.00 $126.00
Physical therapy evaluation session for 20 minutes 97161 $328.00 $196.80
Physical therapy evaluation session for 20 minutes 97161 $503.00 $301.80
Physical therapy evaluation session for 20 minutes 97161 $168.00 $100.80
Physical therapy evaluation session for 20 minutes 97161 $454.00 $272.40
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $223.00 $133.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $478.00 $286.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $257.00 $154.20
Emergency department visit facility fees for a visit of moderate severity 99283 $750.00 $450.00
Emergency department visit facility fees for a visit of moderate severity 99283 $207.00 $124.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $392.00 $235.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,081.00 $648.60
Emergency department visit facility fees for a visit of high to moderate severity 99284 $534.00 $320.40