Top 40 services provided by THEDACARE MEDICAL CENTER SHAWANO
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 $4,669.00 $2,801.40
Repair of the shoulder generally called a shoulder arthroscopy 29826 $2,000.00 $1,200.00
Knee cartilage replacement surgery with an endoscope 29881 $4,800.00 $2,880.00
Removal of tonsils for children under 12 42820 $4,619.00 $2,771.40
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $1,600.00 $960.00
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $1,600.00 $960.00
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,472.00 $1,483.20
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,696.00 $1,617.60
Colonoscopy, flexible; with removal of tumor(s), polyp(s), or other lesion(s) by snare technique 45385 $2,833.00 $1,699.80
Surgical removal of the gallbladder called a laparoscopic cholecystectomy 47562 $7,400.00 $4,440.00
Repair of groin hernia patient age 5 years or older without mesh 49505 $6,200.00 $3,720.00
Injection of substance into the lower back or lumbar spine 62322 $319.00 $191.40
Injection into the lower back with help of imaging of some type 62323 $1,270.00 $762.00
Epidural steroid injections for lower back pain 64483 $1,452.86 $871.72
Release and/or relocation of median nerve of hand 64721 $3,259.00 $1,955.40
Removal of one cataracts from an eye 66984 $3,775.00 $2,265.00
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 $5,066.29 $3,039.77
CT scan of the head or brain without contrast or dye 70450 $1,470.00 $882.00
MRI scan of the brain with and without contrast 70553 $2,524.00 $1,514.40
X-ray of the chest, 2 views 71046 $160.00 $96.00
X-ray of the lower spine with 4 or more views 72110 $170.00 $102.00
CT scan of the pelvis with contrast or dye 72193 $1,470.00 $882.00
CT scan of the abdomen with contrast or dye 74160 $1,470.00 $882.00
Ultrasound of the abdomen 76700 $773.00 $463.80
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $731.00 $438.60
Mammogram of both breasts 77067 $347.00 $208.20
Basic Metabolic Panel 80048 $57.50 $34.50
Lipid Panel 80061 $76.19 $45.71
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $16.50 $9.90
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $37.05 $22.23
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 $161.49 $96.89
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $95.63 $57.38
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $66.91 $40.15
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $52.87 $31.72
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $19.70 $11.82
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $72.00 $43.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $57.00 $34.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $62.00 $37.20
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $78.00 $46.80
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $87.00 $52.20
Training for walking to 1 or more areas for 15 minutes 97116 $63.00 $37.80
Physical therapy evaluation session for 20 minutes 97161 $173.00 $103.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $220.00 $132.00
Emergency department visit facility fees for a visit of moderate severity 99283 $344.00 $206.40
Emergency department visit facility fees for a visit of moderate severity 99283 $293.00 $175.80
Emergency department visit facility fees for a visit of high to moderate severity 99284 $452.00 $271.20
Emergency department visit facility fees for a visit of high to moderate severity 99284 $781.00 $468.60