Home › Hospitals › Caldwell Memorial Hospital Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,726.80
$2,878
2.0×
Transforaminal epidural injection, lumbar/sacral (64483) $2,956.20
$4,927
3.5×
CT head/brain without contrast (70450) $1,592.40
$2,654
15.9×
MRI brain without contrast (70551) $2,222.40
$3,704
9.7×
MRI brain with contrast (70552) $3,096.60
$5,161
9.3×
MRI brain without and with contrast (70553) $3,643.20
$6,072
10.9×
X-ray lower spine, 4+ views (72110) $677.40
$1,129
6.8×
MRI lumbar spine without contrast (72148) $2,709.60
$4,516
11.9×
CT pelvis with contrast (72193) $781.80
$1,303
4.7×
MRI lower-extremity joint without contrast (73721) $2,886
$4,810
12.7×
CT abdomen and pelvis with contrast (74177) $3,745.20
$6,242
11.2×
Ultrasound, abdomen complete (76700) $979.20
$1,632
9.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $594.60
$991
6.0×
Ultrasound, transvaginal (76830) $628.80
$1,048
6.3×
Mammography, one breast (diagnostic) (77065) range across 2 matching MRF lines $264–$316.80
$440–$528
varies
Mammography, both breasts (diagnostic) (77066) $480
$800
4.3×
Mammography, screening (bilateral) (77067) range across 2 matching MRF lines $280.20–$345.60
$467–$576
varies
Basic metabolic panel (80048) $72
$120
8.5×
Comprehensive metabolic panel (80053) $196.20
$327
18.6×
Lipid panel (80061) $80.40
$134
6.0×
Renal function panel (80069) $12.60
$21
1.5×
Hepatic function panel (80076) $228
$380
27.9×
Urinalysis, non-automated, without microscopy (81002) $30
$50
8.6×
PSA, total (84153) $30.60
$51
1.7×
Thyroid stimulating hormone (TSH) (84443) $69
$115
4.1×
CBC with automated differential (85025) $56.40
$94
7.3×
CBC, automated (85027) $8.40
$14
1.3×
Prothrombin time (PT) (85610) $9
$15
2.1×
Partial thromboplastin time (PTT) (85730) $24.60
$41
4.1×
Electrocardiogram (ECG), complete (93000) $288.60
$481
5.1×
Sleep study (attended polysomnography) (95810) $3,565.80
$5,943
4.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $82.20
$137
2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $357
$595
2.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $429
$715
3.4×
Office visit, new patient (high complexity, ~60 min) (99205) $574.20
$957
4.5×
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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