Top 40 services provided by SPARTA COMMUNITY HOSPITAL
Services CPT Price Est. Cash Price
Injection of substance into the lower back or lumbar spine 62322 $283.00 $226.40
Injection of substance into the lower back or lumbar spine 62322 $1,012.00 $809.60
CT scan of the head or brain without contrast or dye 70450 $2,216.00 $1,772.80
MRI scan of the brain with and without contrast 70553 $3,902.00 $3,121.60
X-ray of the chest, 2 views 71046 $255.00 $204.00
CT scan of the pelvis with contrast or dye 72193 $3,186.00 $2,548.80
CT scan of the abdomen with contrast or dye 74160 $3,668.00 $2,934.40
Ultrasound of the abdomen 76700 $1,111.00 $888.80
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $1,167.00 $933.60
Mammogram of both breasts 77067 $615.00 $492.00
Basic Metabolic Panel 80048 $185.00 $148.00
Basic Metabolic Panel 80048 $123.00 $98.40
Comprehensive Metabolic Panel 80053 $246.00 $196.80
Lipid Panel 80061 $223.00 $178.40
Lipid Panel 80061 $234.00 $187.20
Lipid Panel 80061 $183.00 $146.40
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $34.00 $27.20
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $44.00 $35.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $87.00 $69.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $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 $252.00 $201.60
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $172.00 $137.60
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $278.00 $222.40
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $41.00 $32.80
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $115.00 $92.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $220.00 $176.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $49.00 $39.20
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $76.00 $60.80
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $160.00 $128.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $189.00 $151.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $59.00 $47.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $44.00 $35.20
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $182.00 $145.60
Training for walking to 1 or more areas for 15 minutes 97116 $165.00 $132.00
Physical therapy evaluation session for 20 minutes 97161 $229.00 $183.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $534.00 $427.20
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $106.00 $84.80
Emergency department visit facility fees for a visit of moderate severity 99283 $373.00 $298.40
Emergency department visit facility fees for a visit of moderate severity 99283 $386.00 $308.80
Emergency department visit facility fees for a visit of high to moderate severity 99284 $665.00 $532.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $771.00 $616.80