Home › Hospitals › Bayside Community Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $3,014.50
$3,014.50
0.8×
Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure $982.50
$982.50
0.2×
Upper GI endoscopy (EGD), diagnostic (43235) $1,866
$1,866
2.0×
Upper GI endoscopy (EGD) with biopsy (43239) $1,825
$1,825
2.0×
Diagnostic colonoscopy (45378) $1,563
$1,563
1.7×
Colonoscopy with biopsy (45380) $2,005
$2,005
1.7×
Colonoscopy with lesion removal (45385) $1,797
$1,797
1.5×
Laparoscopic gallbladder removal (47562) $4,158
$4,158
0.7×
Inguinal hernia repair (age 5+) (49505) $4,780.50
$4,780.50
1.3×
CT head/brain without contrast (70450) $2,316
$2,316
22.1×
MRI brain without contrast (70551) $3,092
$3,092
12.9×
MRI brain with contrast (70552) $4,081
$4,081
11.6×
MRI brain without and with contrast (70553) $4,898
$4,898
14.0×
X-ray lower spine, 4+ views (72110) $788.50
$788.50
7.5×
MRI lumbar spine without contrast (72148) $3,235
$3,235
13.5×
CT pelvis with contrast (72193) $2,460
$2,460
14.0×
MRI lower-extremity joint without contrast (73721) $3,258
$3,258
13.6×
CT abdomen and pelvis with contrast (74177) $5,299
$5,299
15.1×
Ultrasound, abdomen complete (76700) $1,117
$1,117
10.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $592
$592
5.6×
Ultrasound, transvaginal (76830) $991
$991
9.4×
Basic metabolic panel (80048) $270
$270
31.9×
Comprehensive metabolic panel (80053) $401
$401
38.0×
Obstetric panel (80055) $92
$92
1.9×
Lipid panel (80061) $141
$141
10.5×
Renal function panel (80069) $295
$295
34.0×
Hepatic function panel (80076) $241
$241
29.5×
Urinalysis, non-automated, with microscopy (81000) $66
$66
16.4×
PSA, total (84153) $234
$234
12.7×
Thyroid stimulating hormone (TSH) (84443) $190
$190
11.3×
CBC with automated differential (85025) $212
$212
27.3×
Prothrombin time (PT) (85610) $93
$93
21.7×
Partial thromboplastin time (PTT) (85730) $143
$143
23.8×
Electrocardiogram (ECG), complete (93000) $159
$159
2.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $139
$139
4.8×
Office visit, new patient (low complexity, ~30 min) (99203) $313
$313
2.3×
Office visit, new patient (high complexity, ~60 min) (99205) $641
$641
4.8×
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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