Home › Hospitals › Athol Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-30.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $1,449
$1,449
1.4×
CT head/brain without contrast (70450) $1,251
$1,251
10.0×
X-ray lower spine, 4+ views (72110) $258
$258
2.1×
CT pelvis with contrast (72193) $1,325
$1,325
6.3×
CT abdomen and pelvis with contrast (74177) $2,771
$2,771
6.6×
Ultrasound, abdomen complete (76700) $1,659
$1,659
13.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,311
$1,311
10.5×
Ultrasound, transvaginal (76830) $1,659
$1,659
13.2×
Mammography, one breast (diagnostic) (77065) $364
$364
4.2×
Mammography, both breasts (diagnostic) (77066) $767
$767
6.9×
Mammography, screening (bilateral) (77067) $767
$767
8.4×
Basic metabolic panel (80048) $133
$133
15.7×
Comprehensive metabolic panel (80053) $143
$143
13.5×
Lipid panel (80061) $212
$212
15.8×
Renal function panel (80069) $98
$98
11.3×
Hepatic function panel (80076) $128
$128
15.7×
Urinalysis, non-automated, with microscopy (81000) $30
$30
7.5×
Urinalysis, non-automated, without microscopy (81002) $13
$13
3.7×
PSA, total (84153) $305
$305
16.6×
Thyroid stimulating hormone (TSH) (84443) $160
$160
9.5×
CBC with automated differential (85025) $170
$170
21.9×
CBC, automated (85027) $61
$61
9.4×
Prothrombin time (PT) (85610) $66
$66
15.4×
Partial thromboplastin time (PTT) (85730) $124
$124
20.6×
Psychotherapy, 30 minutes (90832) $97
$97
0.5×
Psychotherapy, 45 minutes (90834) $169
$169
0.8×
Psychotherapy, 60 minutes (90837) $514
$514
2.4×
Family psychotherapy, without patient (50 min) (90846) $175.50
$175.50
0.8×
Family psychotherapy, with patient (50 min) (90847) $920
$920
4.3×
Group psychotherapy (90853) $121.50
$121.50
1.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $128
$128
4.4×
Office visit, new patient (low complexity, ~30 min) (99203) $305
$305
1.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $437
$437
2.7×
Office visit, new patient (high complexity, ~60 min) (99205) $571
$571
3.6×
Office consultation (low complexity, ~30 min) (99243) $219.50
$219.50
1.4×
Office consultation (moderate complexity, ~40 min) (99244) $360
$360
2.3×
Preventive visit, new patient (age 18–39) (99385) $239.50
$239.50
—
Preventive visit, new patient (age 40–64) (99386) $271.50
$271.50
—
As a Critical Access Hospital, Medicare pays this facility about 101% of its own costs. The × Medicare column compares the cash price against that cost-based benchmark, not a standard rate.
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