Top 40 services provided by TRIOS WOMENS AND CHILDRENS HOSPITAL
Services CPT Price Est. Cash Price
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $359.00 $287.20
Injection into the lower back with help of imaging of some type 62323 $1,228.00 $982.40
CT scan of the head or brain without contrast or dye 70450 $2,080.00 $416.00
MRI scan of the brain with and without contrast 70553 $4,674.00 $934.80
MRI scan of the brain with and without contrast 70553 $3,545.00 $709.00
X-ray of the chest, 2 views 71046 $425.00 $340.00
CT scan of the pelvis with contrast or dye 72193 $2,503.00 $500.60
CT scan of the abdomen with contrast or dye 74160 $2,799.00 $559.80
Ultrasound of the abdomen 76700 $854.00 $683.20
Mammogram of both breasts 77067 $425.00 $85.00
Basic Metabolic Panel 80048 $455.00 $364.00
Basic Metabolic Panel 80048 $133.00 $106.40
Comprehensive Metabolic Panel 80053 $197.00 $157.60
Lipid Panel 80061 $141.00 $28.20
Lipid Panel 80061 $64.00 $12.80
Lipid Panel 80061 $110.00 $88.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $40.00 $32.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $53.00 $10.60
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $40.00 $32.00
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $33.00 $26.40
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $65.00 $13.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $124.00 $99.20
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $80.00 $64.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $108.00 $86.40
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 $322.00 $257.60
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $176.00 $140.80
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $98.00 $78.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $208.00 $166.40
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $582.00 $465.60
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $124.00 $99.20
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $95.00 $76.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $83.00 $66.40
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $138.00 $110.40
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $295.00 $236.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $77.00 $61.60
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $225.00 $180.00
Training for walking to 1 or more areas for 15 minutes 97116 $113.00 $90.40
Physical therapy evaluation session for 20 minutes 97161 $218.00 $174.40
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $254.00 $50.80
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $206.00 $164.80
Emergency department visit facility fees for a visit of moderate severity 99283 $795.00 $636.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,313.00 $262.60