Home › Hospitals › Bsa Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $276.30
$2,763
0.3×
Upper GI endoscopy (EGD) with biopsy (43239) $519.90
$5,199
0.6×
Diagnostic colonoscopy (45378) $619.80
$6,198
0.7×
Colonoscopy with biopsy (45380) $681.60
$6,816
0.6×
Colonoscopy with lesion removal (45385) $756.50
$7,565
0.6×
Colonoscopy with endoscopic ultrasound (45391) $681.60
$6,816
0.6×
Epidural injection, lumbar/sacral (with imaging) (62322) $213.90
$2,139
0.2×
Transforaminal epidural injection, lumbar/sacral (64483) $250.60
$2,506
0.3×
CT head/brain without contrast (70450) $242
$2,420
2.3×
MRI brain without contrast (70551) $634.40
$6,344
2.6×
MRI brain with contrast (70552) $729.60
$7,296
2.1×
MRI brain without and with contrast (70553) $839.20
$8,392
2.4×
X-ray lower spine, 4+ views (72110) $138.20
$1,382
1.3×
MRI lumbar spine without contrast (72148) $766.50
$7,665
3.2×
CT pelvis with contrast (72193) $189.30
$1,893
1.1×
MRI lower-extremity joint without contrast (73721) range across 2 matching MRF lines $662.60–$993.90
$6,626–$9,939
varies
CT abdomen and pelvis with contrast (74177) $893.40
$8,934
2.5×
Ultrasound, abdomen complete (76700) $273.60
$2,736
2.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $132.70
$1,327
1.3×
Ultrasound, transvaginal (76830) $224.30
$2,243
2.1×
Mammography, one breast (diagnostic) (77065) $98
$980
1.1×
Mammography, both breasts (diagnostic) (77066) $129.80
$1,298
1.2×
Mammography, screening (bilateral) (77067) $87.20
$872
1.0×
Basic metabolic panel (80048) $18.50
$185
2.2×
Comprehensive metabolic panel (80053) $27.70
$277
2.6×
Lipid panel (80061) $15.60
$156
1.2×
Renal function panel (80069) $29.70
$297
3.4×
Hepatic function panel (80076) $18.50
$185
2.3×
Urinalysis, non-automated, with microscopy (81000) $5
$50
1.2×
Urinalysis, non-automated, without microscopy (81002) $7.20
$72
2.1×
PSA, total (84153) $19.60
$196
1.1×
Thyroid stimulating hormone (TSH) (84443) $35.20
$352
2.1×
CBC with automated differential (85025) $13.40
$134
1.7×
CBC, automated (85027) $8.90
$89
1.4×
Prothrombin time (PT) (85610) $5.10
$51
1.2×
Partial thromboplastin time (PTT) (85730) $10.90
$109
1.8×
Sleep study (attended polysomnography) (95810) $864.90
$8,649
1.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $21.80
$218
0.8×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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