Carroll County Memorial Hospital

Carrollton, MO · Critical Access Hospital

Posts prices for 52 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$918.75 $1,225–$5,360 0.2×
Shoulder arthroscopy with decompression (29826) $408.75 $545 —
Knee arthroscopy with meniscectomy (29881)
range across 2 matching MRF lines
$1,530 $2,040–$8,460 0.5×
Tonsillectomy and adenoidectomy (under age 12) (42820)
range across 2 matching MRF lines
likely a partial charge, not the full procedure
$558.75 $745–$10,275 0.1×
Upper GI endoscopy (EGD), diagnostic (43235)
range across 2 matching MRF lines
$348.75 $465–$1,855 0.4×
Upper GI endoscopy (EGD) with biopsy (43239)
range across 4 matching MRF lines
$348.75 $465–$1,960 0.4×
Diagnostic colonoscopy (45378)
range across 4 matching MRF lines
$588.75 $785–$2,060 0.6×
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$588.75 $785–$2,165 0.5×
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$588.75 $785–$2,165 0.5×
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines
likely a partial charge, not the full procedure
$1,507.50 $2,010–$14,935 0.2×
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$1,158.75 $1,545–$9,840 0.3×
Epidural injection, lumbar/sacral (with imaging) (62322)
range across 2 matching MRF lines
$183.75 $245–$1,960 0.2×
Transforaminal epidural injection, lumbar/sacral (64483)
range across 2 matching MRF lines
$217.50 $290–$1,445 0.2×
CT head/brain without contrast (70450)
range across 4 matching MRF lines
$93.75 $125–$2,165 0.9×
MRI brain without contrast (70551)
range across 4 matching MRF lines
$165 $220–$2,990 0.7×
MRI brain with contrast (70552)
range across 2 matching MRF lines
$195 $260–$3,710 0.6×
MRI brain without and with contrast (70553)
range across 2 matching MRF lines
$247.50 $330–$4,330 0.7×
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$33.75 $45–$620 0.3×
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$165 $220–$2,990 0.7×
CT pelvis with contrast (72193)
range across 2 matching MRF lines
$127.50 $170–$2,785 0.7×
MRI lower-extremity joint without contrast (73721)
range across 12 matching MRF lines
$153.75 $205–$2,680 0.6×
CT abdomen and pelvis with contrast (74177)
range across 4 matching MRF lines
$202.50 $270–$5,150 0.6×
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$90 $120–$1,240 0.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$108.75 $145–$500 1.0×
Ultrasound, transvaginal (76830)
range across 3 matching MRF lines
$78.75 $105–$825 0.8×
Mammography, one breast (diagnostic) (77065)
range across 12 matching MRF lines
$90 $120–$370 1.0×
Mammography, both breasts (diagnostic) (77066)
range across 6 matching MRF lines
$108.75 $145–$465 1.0×
Mammography, screening (bilateral) (77067)
range across 12 matching MRF lines
$86.25 $100–$385 0.9×
Basic metabolic panel (80048)
range across 3 matching MRF lines
— $130–$260 —
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
— $260–$365 —
Lipid panel (80061) — $205 —
Renal function panel (80069)
range across 3 matching MRF lines
— $140–$440 —
Hepatic function panel (80076) — $260 —
PSA, total (84153)
range across 5 matching MRF lines
— $79–$210 —
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
— $155–$235 —
CBC with automated differential (85025)
range across 4 matching MRF lines
— $103–$210 —
CBC, automated (85027) — $62 —
Prothrombin time (PT) (85610)
range across 4 matching MRF lines
— $13–$115 —
Partial thromboplastin time (PTT) (85730)
range across 4 matching MRF lines
— $112–$115 —
Psychotherapy, 30 minutes (90832) — $620 —
Psychotherapy, 45 minutes (90834) — $670 —
Psychotherapy, 60 minutes (90837) — $725 —
Family psychotherapy, without patient (50 min) (90846) — $825 —
Family psychotherapy, with patient (50 min) (90847) — $850 —
Group psychotherapy (90853) — $725 —
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$273.75 $365–$3,760 0.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 6 matching MRF lines
— $16.25–$140 —
Office visit, new patient (low complexity, ~30 min) (99203)
range across 3 matching MRF lines
$176.25 $235–$260 1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 3 matching MRF lines
$273.75 $260–$365 2.1×
Office visit, new patient (high complexity, ~60 min) (99205)
range across 5 matching MRF lines
$330 $260–$440 2.5×
Office consultation (low complexity, ~30 min) (99243) $221.25 $295 1.7×
Office consultation (moderate complexity, ~40 min) (99244) $330 $440 2.5×

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.

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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Download the machine-readable file (CSV, 2.4 MB) ↓ — captured 2026-08-15

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