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Top 40 services provided by WAYNE HOSPITAL
Services CPT Price Est. Cash Price
CT scan of the head or brain without contrast or dye 70450 $1,817.00 $0.00
MRI scan of the brain with and without contrast 70553 $3,718.00 $0.00
X-ray of the chest, 2 views 71046 $351.00 $0.00
X-ray of the lower spine with 4 or more views 72110 $529.00 $0.00
CT scan of the pelvis with contrast or dye 72193 $1,891.00 $0.00
CT scan of the abdomen with contrast or dye 74160 $2,236.00 $0.00
Ultrasound of the abdomen 76700 $938.00 $0.00
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $613.00 $0.00
Mammogram of both breasts 77067 $154.00 $0.00
Basic Metabolic Panel 80048 $147.00 $0.00
Basic Metabolic Panel 80048 $30.00 $0.00
Comprehensive Metabolic Panel 80053 $50.00 $0.00
Comprehensive Metabolic Panel 80053 $254.00 $0.00
Lipid Panel 80061 $147.00 $0.00
Lipid Panel 80061 $15.00 $0.00
Lipid Panel 80061 $25.00 $0.00
Lipid Panel 80061 $66.00 $0.00
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $84.00 $0.00
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $91.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $151.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $163.00 $0.00
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $35.00 $0.00
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $134.00 $0.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $77.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $107.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $48.00 $0.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $58.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $37.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $219.00 $0.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $21.00 $0.00
Ultrasound of chest to examine the heart 93307 $1,514.00 $0.00
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $156.00 $0.00
Physical therapy evaluation session for 20 minutes 97161 $241.00 $0.00
Office visit for an established patient (moderate severity) typically 15 minutes 99213 $322.00 $0.00
Emergency department visit facility fees for a visit of moderate severity 99283 $713.00 $0.00
Emergency department visit facility fees for a visit of high to moderate severity 99284 $1,188.00 $0.00