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Providence Mount Carmel Hospital

982 East Columbia, Colville, WA 99114 · (509) 684-2561

Critical Access HospitalsVoluntary non-profit - ChurchCMS rating 3/5Spokane, WA metro

Price file

Prices published

File dated 2026-04-01

218 price rows for 42 procedures

Published prices

cash · negotiated range · list
Basic metabolic panel (blood test)

CPT 80048 · metro median $52

$52
cash
CT scan of the abdomen and pelvis, with contrast

CPT 74177 · metro median $1,159

$3,385
cash
CT scan of the head, no contrast

CPT 70450 · metro median $764

$1,033
cash
CT scan of the pelvis, with contrast

CPT 72193 · metro median $1,104

$1,275
cash
Chlamydia test (DNA)

CPT 87491 · lowest of 7 lines · metro median $34

$41
cash
Colonoscopy (diagnostic)

CPT 45378 · lowest of 2 lines · metro median $443

$443
cash
Colonoscopy with biopsy

CPT 45380 · metro median $291

$530
cash
Colonoscopy with polyp removal

CPT 45385 · metro median $370

$629
cash
Complete blood count (CBC) with differential

CPT 85025 · lowest of 4 lines · metro median $36

$96
cash
Comprehensive metabolic panel (blood test)

CPT 80053 · metro median $27

$61
cash
Diagnostic mammogram (both breasts)

CPT 77066 · metro median $314

$585
cash
Electrocardiogram (ECG) with interpretation

CPT 93000 · metro median $22

$28
cash
Established patient office visit (about 40 minutes)

CPT 99215 · lowest of 3 lines · metro median $211

$185
cash
Gonorrhea test (DNA)

CPT 87591 · lowest of 9 lines · metro median $34

$34
cash
Inguinal hernia repair (age 5 and up)

CPT 49505 · metro median $6,199

$6,199
cash
Lipid panel (cholesterol test)

CPT 80061 · lowest of 7 lines · metro median $38

$88
cash
Liver function panel

CPT 80076 · metro median $62

$151
cash
MRI of the brain, with and without contrast

CPT 70553 · metro median $2,817

$3,644
cash
$2,190
cash
MRI of the lower back (lumbar spine), no contrast

CPT 72148 · lowest of 2 lines · metro median $1,184

$1,184
cash
MRI of the neck (cervical spine), no contrast

CPT 72141 · metro median $1,691

$2,022
cash
$834
cash
New patient office visit (about 30 minutes)

CPT 99203 · lowest of 2 lines · metro median $128

$128
cash
New patient office visit (about 45 minutes)

CPT 99204 · lowest of 2 lines · metro median $219

$219
cash
New patient office visit (about 60 minutes)

CPT 99205 · lowest of 2 lines · metro median $281

$281
cash
PSA test (prostate)

CPT 84153 · lowest of 7 lines · metro median $35

$38
cash
Partial thromboplastin time (blood clotting test)

CPT 85730 · lowest of 7 lines · metro median $15

$15
cash
Physical therapy, therapeutic exercise (15 minutes)

CPT 97110 · lowest of 2 lines · metro median $55

$59
cash
Pregnancy ultrasound (after first trimester)

CPT 76805 · metro median $205

$1,030
cash
Prostate biopsy

CPT 55700 · lowest of 2 lines · metro median $358

$230
cash
Prothrombin time (blood clotting test)

CPT 85610 · lowest of 6 lines · metro median $11

$11
cash
Screening mammogram (both breasts)

CPT 77067 · lowest of 2 lines · metro median $326

$391
cash
Sleep study (overnight, attended)

CPT 95810 · lowest of 3 lines · metro median $1,698

$2,177
cash
Spinal injection, lower back, no imaging guidance

CPT 62322 · lowest of 3 lines · metro median $176

$176
cash
Spinal injection, lower back, with imaging guidance

CPT 62323 · lowest of 2 lines · metro median $1,128

$1,128
cash
TSH test (thyroid)

CPT 84443 · lowest of 9 lines · metro median $27

$27
cash
Transvaginal ultrasound

CPT 76830 · metro median $205

$1,069
cash
Ultrasound of the abdomen (complete)

CPT 76700 · metro median $431

$1,067
cash
Upper endoscopy (EGD)

CPT 43235 · lowest of 2 lines · metro median $298

$298
cash
Upper endoscopy with biopsy

CPT 43239 · lowest of 2 lines · metro median $351

$351
cash
Urinalysis with microscope

CPT 81001 · lowest of 3 lines · metro median $23

$26
cash
X-ray of the lower spine (4 or more views)

CPT 72110 · metro median $198

$911
cash

Source files

The machine-readable files this hospital lists in its cms-hpt.txt. Every price above comes from one of them.