Top 40 services provided by WHITE COUNTY MEDICAL CENTER NORTH CAMPUS
Services CPT Price Est. Cash Price
Upper endoscopy; diagnostic exam to diagnose or treat conditions in the upper part of your digestive tract. 43235 $2,171.00 $1,628.25
Biopsy (or surgical procedure to remove tissue) for the upper digestive tract 43239 $2,358.00 $1,768.50
Diagnostic colonoscopy; used to diagnose abnormalities in the large intestines and rectum 45378 $2,128.00 $1,596.00
Colonoscopy, flexible; with biopsy, single or multiple 45380 $2,289.00 $1,716.75
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 $449.00 $336.75
CT scan of the head or brain without contrast or dye 70450 $2,311.00 $1,733.25
X-ray of the chest, 2 views 71046 $347.00 $260.25
CT scan of the pelvis with contrast or dye 72193 $2,165.00 $1,623.75
CT scan of the pelvis with contrast or dye 72193 $2,399.00 $1,799.25
CT scan of the abdomen with contrast or dye 74160 $3,450.00 $2,587.50
Ultrasound of the abdomen 76700 $906.00 $679.50
Ultrasound of the abdomen 76700 $659.00 $494.25
Ultrasound of the abdomen 76700 $699.00 $524.25
Ultrasound for pregnancy after 1st trimester or after 14 weeks for a single baby or first baby for multiples 76805 $421.00 $315.75
Mammogram of both breasts 77067 $126.00 $94.50
Basic Metabolic Panel 80048 $370.00 $277.50
Comprehensive Metabolic Panel 80053 $416.00 $312.00
Comprehensive Metabolic Panel 80053 $433.00 $324.75
Lipid Panel 80061 $307.00 $230.25
Lipid Panel 80061 $102.00 $76.50
Lipid Panel 80061 $44.00 $33.00
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $81.00 $60.75
Urinalysis, by dipstick or tablet reagent automated with microscopy 81000 $35.00 $26.25
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $81.00 $60.75
Urinalysis, by dipstick or tablet reagent not automated without a microscope 81001 $57.00 $42.75
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $35.00 $26.25
Urinalysis, by dipstick or tablet reagent non-automated with microscopy 81002 $57.00 $42.75
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $187.00 $140.25
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $98.00 $73.50
Blood test for creatine kinase level; test for heart attack, stroke and for skeletal muscular damage 82550 $134.00 $100.50
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 $189.00 $141.75
Blood test that measures the amount of thyroid stimulating hormone (TSH). It helps determine how well your thyroid is functioning. 84443 $99.00 $74.25
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $202.00 $151.50
Blood test used to test Troponin levels in the blood; generally used to diagnose heart attacks 84484 $98.00 $73.50
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $60.00 $45.00
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $110.00 $82.50
Complete blood cell count (red cells, white blood cell, platelets), automated test 85025 $72.00 $54.00
Blood test for the amount of time it takes to form clots; called a Prothrombin Time (PT) test. 85610 $68.00 $51.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $148.00 $111.00
Routine electrocardiogram (EKG) with tracing using at least 12 leads 93005 $170.00 $127.50
Ultrasound of chest to examine the heart 93307 $2,005.00 $1,503.75
Insertion of catheter into left heart for diagnosis 93452 $10,977.00 $8,232.75
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $65.00 $48.75
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $114.00 $85.50
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $87.00 $65.25
Treatment to relieve airway obstruction or for sputum specimen; used to relieve conditions of COPD 94640 $71.00 $53.25
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $250.00 $187.50
Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes 97110 $83.00 $62.25
Training for walking to 1 or more areas for 15 minutes 97116 $89.00 $66.75
Physical therapy evaluation session for 20 minutes 97161 $180.00 $135.00