Home › Hospitals › Calhoun-Liberty Hospital
Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-13.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$577.50
$825
0.6×
Upper GI endoscopy (EGD) with biopsy (43239)
$616
$880
0.7×
Diagnostic colonoscopy (45378)
$555.56
$793.65
0.6×
Colonoscopy with biopsy (45380)
$847
$1,210
0.7×
Colonoscopy with lesion removal (45385)
$924
$1,320
0.7×
CT head/brain without contrast (70450)
$488.60
$698
4.5×
MRI brain without contrast (70551)
$1,134.70
$1,621
4.6×
X-ray lower spine, 4+ views (72110)
$273
$390
2.5×
MRI lumbar spine without contrast (72148)
$1,134.70
$1,621
4.6×
CT pelvis with contrast (72193)
$643.65
$919.50
3.5×
MRI lower-extremity joint without contrast (73721)
$1,134.70
$1,621
4.6×
CT abdomen and pelvis with contrast (74177)
$1,714.30
$2,449
4.7×
Ultrasound, abdomen complete (76700)
$257.25
$367.50
2.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$396.20
$566
3.6×
Ultrasound, transvaginal (76830)
$220.85
$315.50
2.0×
Mammography, one breast (diagnostic) (77065)
$196.70
$281
2.3×
Mammography, both breasts (diagnostic) (77066)
$273
$390
2.5×
Mammography, screening (bilateral) (77067)
$210
$300
2.3×
Basic metabolic panel (80048)
$71.18
$101.69
8.4×
Comprehensive metabolic panel (80053)
$99.44
$142.06
9.4×
Obstetric panel (80055)
$212.82
$304.03
4.5×
Lipid panel (80061)
$157.92
$225.61
11.8×
Renal function panel (80069)
$75.17
$107.38
8.7×
Hepatic function panel (80076)
$65.82
$94.03
8.1×
Urinalysis, non-automated, with microscopy (81000)
$40.95
$58.50
10.2×
Urinalysis, non-automated, without microscopy (81002)
$11.55
$16.50
3.3×
PSA, total (84153)
$95.63
$136.61
5.2×
Thyroid stimulating hormone (TSH) (84443)
$79.72
$113.88
4.7×
CBC with automated differential (85025)
$61.91
$88.44
8.0×
CBC, automated (85027)
$42.46
$60.66
6.6×
Prothrombin time (PT) (85610)
$47.60
$68
11.1×
Partial thromboplastin time (PTT) (85730)
$78.67
$112.38
13.1×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$37.10
$53
1.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$80.85
$115.50
0.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$154
$220
1.1×
Office visit, new patient (high complexity, ~60 min) (99205)
$196.35
$280.50
1.4×
Preventive visit, new patient (age 18–39) (99385)
$142.45
$203.50
—
Preventive visit, new patient (age 40–64) (99386)
$154
$220
—
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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