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Top 40 services provided by SANFORD WESTBROOK MEDICAL CENTER
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $2,080.00 $1,664.00
MRI scan of the brain with and without contrast 70553 $3,522.00 $2,817.60
X-ray of the chest, 2 views 71046 $370.00 $296.00
X-ray of the lower spine with 4 or more views 72110 $597.00 $477.60
CT scan of the abdomen with contrast or dye 74160 $2,462.00 $1,969.60
Ultrasound of the abdomen 76700 $1,075.00 $860.00
Mammogram of both breasts 77067 $360.00 $288.00
Basic Metabolic Panel 80048 $171.00 $136.80
Comprehensive Metabolic Panel 80053 $227.00 $181.60
Lipid Panel 80061 $168.00 $134.40
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $82.00 $65.60
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $147.00 $117.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $164.00 $131.20
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $258.00 $206.40
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $162.00 $129.60
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $86.00 $68.80
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $265.00 $212.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $112.00 $89.60
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $107.00 $85.60
Training for walking to 1 or more areas for 15 minutes 97116 $100.00 $80.00
Physical therapy evaluation session for 20 minutes 97161 $199.00 $159.20
Emergency department visit facility fees for a visit of moderate severity 99283 $565.00 $452.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,036.00 $828.80