Top 40 services provided by STONE COUNTY HOSPITAL
Services CPT Price Est. Cash Price
Injection into the lower back with help of imaging of some type 62323 $4,989.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,493.00 $0.00
Epidural steroid injections for lower back pain 64483 $1,493.00 $0.00
CT scan of the head or brain without contrast or dye 70450 $6,844.00 $0.00
MRI scan of the brain with and without contrast 70553 $1,839.00 $0.00
MRI scan of the brain with and without contrast 70553 $13,457.00 $0.00
X-ray of the chest, 2 views 71046 $1,251.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $1,608.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $8,207.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $7,206.00 $0.00
Ultrasound of the abdomen 76700 $3,349.00 $0.00
Mammogram of both breasts 77067 $50.00 $0.00
Mammogram of both breasts 77067 $767.00 $0.00
Mammogram of both breasts 77067 $693.00 $0.00
Mammogram of both breasts 77067 $72.00 $0.00
Basic Metabolic Panel 80048 $792.00 $0.00
Comprehensive Metabolic Panel 80053 $1,111.00 $0.00
Comprehensive Metabolic Panel 80053 $46.00 $0.00
Comprehensive Metabolic Panel 80053 $77.00 $0.00
Lipid Panel 80061 $417.00 $0.00
Lipid Panel 80061 $152.00 $0.00
Lipid Panel 80061 $102.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $554.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $176.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $255.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $62.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $333.00 $0.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $124.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $475.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $457.00 $0.00
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 $906.00 $0.00
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 $824.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $935.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $227.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $519.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $702.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $211.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $144.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $276.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $90.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $1,186.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $462.00 $0.00
Ultrasound of chest to examine the heart 93307 $2,788.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $294.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $332.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $510.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $225.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $318.00 $0.00
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $684.00 $0.00
Training for walking to 1 or more areas for 15 minutes 97116 $584.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $1,106.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $150.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $577.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $867.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $445.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $1,829.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $2,744.00 $0.00