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Cost Estimator
Mid-Valley Hospital
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Common Procedure
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Select a Service
Select a service.
You may need to get a specific service code from your provider.
Code
Description
11044
Radiologic examination, hand; minimum of 3 views
20680
CT - abdomen and pelvis; without contrast
23430
Noninvasive ear or pulse oximetry for oxygen saturation; sin
23472
LABOR CARE 1 - 2 HRS (Out Patient)
25565
Radiologic examination, chest; 2 views
25609
CT - , thorax, diagnostic; with contrast
26055
Radiologic examination, ankle; complete, minimum of 3 views
27130
LABOR CARE 0 - 1 HR (Out Patient)
27447
CT - head or brain; without contrast
27447
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed, with Screening digital breast tomosynthesis, bilateral
29827
Screening mammography, bilateral (2-view study of each breast), including computer-aided detection (CAD) when performed
36415
PROSTATE CANCER SCREEN:PSA
36561
Urinalysis Dipstick POC Auto w/ Micro
43239
Urine Dipstick Auto w/o Micro
44970
LABOR CARE 4+ HRS (Out Patient)
45385
LABOR CARE 3 - 4 HRS (Out Patient)
47562
LABOR CARE 2 - 3 HRS (Out Patient)
49650
Hematocrit
58571
ROUTINE VENIPUNCTURE
58661
Urinalysis Dipstick POC Auto w/ Micro
59409
Blood Glucose Monitoring POC
59514
COLLECTION CAPILLARY BLD SPECI
64721
Radiologic examination, wrist; complete, minimum of 3 views
70450
Pfizer-BioNTech Vaccine (12 yr +) Admin
71045
IMMUNIZATION ADMINISTRATION
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