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Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$2,484
$2,484
24.8×
MRI brain without contrast (70551)
$4,075.50
$4,075.50
17.8×
MRI brain with contrast (70552)
$4,193
$4,193
12.5×
MRI brain without and with contrast (70553)
$4,426
$4,426
13.2×
X-ray lower spine, 4+ views (72110)
$381
$381
3.8×
MRI lumbar spine without contrast (72148)
$3,743
$3,743
16.4×
CT pelvis with contrast (72193)
$2,193
$2,193
13.0×
MRI lower-extremity joint without contrast (73721)
$2,377
$2,377
10.4×
CT abdomen and pelvis with contrast (74177)
$4,308
$4,308
12.9×
Ultrasound, abdomen complete (76700)
$1,256
$1,256
12.5×
Ultrasound, transvaginal (76830)
$1,651
$1,651
16.5×
Mammography, one breast (diagnostic) (77065)
$169
$169
2.0×
Mammography, both breasts (diagnostic) (77066)
$260.50
$260.50
2.4×
Mammography, screening (bilateral) (77067)
$163.50
$163.50
1.8×
Basic metabolic panel (80048)
$170
$170
20.1×
Comprehensive metabolic panel (80053)
$301
$301
28.5×
Lipid panel (80061)
$149
$149
11.1×
Renal function panel (80069)
$171
$171
19.7×
Hepatic function panel (80076)
$326
$326
39.9×
Urinalysis, non-automated, without microscopy (81002)
$113
$113
32.5×
PSA, total (84153)
$129
$129
7.0×
Thyroid stimulating hormone (TSH) (84443)
$348
$348
20.7×
CBC with automated differential (85025)
$123
$123
15.8×
CBC, automated (85027)
$119
$119
18.4×
Prothrombin time (PT) (85610)
$93
$93
21.7×
Partial thromboplastin time (PTT) (85730)
$417
$417
69.4×
Psychotherapy, 30 minutes (90832)
$761
$761
4.5×
Psychotherapy, 45 minutes (90834)
$834.50
$834.50
4.9×
Psychotherapy, 60 minutes (90837)
$851
$851
5.0×
Family psychotherapy, without patient (50 min) (90846)
$889.50
$889.50
5.2×
Family psychotherapy, with patient (50 min) (90847)
$933.50
$933.50
5.5×
Group psychotherapy (90853)
$812.50
$812.50
8.3×
Sleep study (attended polysomnography) (95810)
$3,821
$3,821
4.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$218
$218
7.5×
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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