Home › Hospitals › Bingham Memorial Hospital Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $1,013.60
$1,448
1.2×
CT head/brain without contrast (70450) $1,229.55
$1,756.50
11.9×
MRI brain without contrast (70551) $1,691.03
$2,415.75
7.2×
MRI brain with contrast (70552) $1,831.20
$2,616
5.3×
MRI brain without and with contrast (70553) $2,146.90
$3,067
6.2×
X-ray lower spine, 4+ views (72110) $271.25
$387.50
2.6×
MRI lumbar spine without contrast (72148) $1,691.03
$2,415.75
7.2×
CT pelvis with contrast (72193) $1,296.75
$1,852.50
7.5×
MRI lower-extremity joint without contrast (73721) $1,409.63
$2,013.75
6.0×
CT abdomen and pelvis with contrast (74177) $1,768.20
$2,526
5.1×
Ultrasound, abdomen complete (76700) $490.70
$701
4.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $427.18
$610.25
4.1×
Ultrasound, transvaginal (76830) $490.70
$701
4.8×
Mammography, one breast (diagnostic) (77065) $263.55
$376.50
3.1×
Mammography, both breasts (diagnostic) (77066) $327.08
$467.25
3.0×
Mammography, screening (bilateral) (77067) $258.66
$369.50
2.8×
Basic metabolic panel (80048) $23.45
$33.50
2.8×
Comprehensive metabolic panel (80053) $33.08
$47.25
3.1×
Obstetric panel (80055) $343.53
$490.75
7.2×
Lipid panel (80061) $93.45
$133.50
7.0×
Renal function panel (80069) $44.63
$63.75
5.1×
Hepatic function panel (80076) $46.03
$65.75
5.6×
PSA, total (84153) $91.88
$131.25
5.0×
Thyroid stimulating hormone (TSH) (84443) $53.73
$76.75
3.2×
CBC with automated differential (85025) $21
$30
2.7×
CBC, automated (85027) $21
$30
3.2×
Prothrombin time (PT) (85610) $25.99
$37.12
6.1×
Partial thromboplastin time (PTT) (85730) $53.20
$76
8.9×
Sleep study (attended polysomnography) (95810) $1,758.23
$2,511.75
2.1×
Physical therapy, therapeutic exercise (per 15 min) (97110) $72.45
$103.50
2.5×
Office visit, new patient (low complexity, ~30 min) (99203) $163.63
$233.75
1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $187.60
$268
1.4×
Office visit, new patient (high complexity, ~60 min) (99205) $231.35
$330.50
1.8×
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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