Home › Hospitals › Benson Hospital Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $580.80
$1,210
5.2×
MRI brain without contrast (70551) $1,020.63
$2,126.30
4.0×
MRI brain with contrast (70552) $1,220.21
$2,542.10
3.3×
MRI brain without and with contrast (70553) $1,453.06
$3,027.20
3.9×
X-ray lower spine, 4+ views (72110) $179.08
$373.07
1.6×
MRI lumbar spine without contrast (72148) $1,162.13
$2,421.10
4.6×
CT pelvis with contrast (72193) $861.12
$1,794
4.6×
MRI lower-extremity joint without contrast (73721) $1,019.57
$2,124.10
4.0×
CT abdomen and pelvis with contrast (74177) $1,421.40
$2,961.25
3.8×
Ultrasound, abdomen complete (76700) $163.68
$341
1.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $192
$400
1.7×
Ultrasound, transvaginal (76830) $120
$250
1.1×
Basic metabolic panel (80048) $6.46
$13.45
0.8×
Comprehensive metabolic panel (80053) $8.07
$16.80
0.8×
Obstetric panel (80055) $84
$175
1.8×
Lipid panel (80061) $39.36
$82
2.9×
Renal function panel (80069) $6.63
$13.80
0.8×
Hepatic function panel (80076) $29.76
$61.99
3.6×
PSA, total (84153) $51.84
$108
2.8×
Thyroid stimulating hormone (TSH) (84443) $19.92
$41.50
1.2×
CBC with automated differential (85025) $20.88
$43.50
2.7×
Prothrombin time (PT) (85610) $5.76
$12
1.3×
Partial thromboplastin time (PTT) (85730) $7.68
$16
1.3×
Electrocardiogram (ECG), complete (93000) $26.20
$54.58
0.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $48
$100
1.7×
Office visit, new patient (low complexity, ~30 min) (99203) $41.76
$87
0.3×
Office visit, new patient (moderate complexity, ~45 min) (99204) $67.44
$140.50
0.5×
Office visit, new patient (high complexity, ~60 min) (99205) $82.32
$171.50
0.6×
Office consultation (low complexity, ~30 min) (99243) $65.76
$137
0.5×
Office consultation (moderate complexity, ~40 min) (99244) $88.32
$184
0.6×
Preventive visit, new patient (age 18–39) (99385) $48
$100
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Preventive visit, new patient (age 40–64) (99386) $48
$100
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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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