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Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-08.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$440
$550
0.5×
CT head/brain without contrast (70450)
$392.40
$490.50
4.0×
X-ray lower spine, 4+ views (72110)
$121.20
$151.50
1.2×
CT pelvis with contrast (72193)
$441.30
$619
2.7×
CT abdomen and pelvis with contrast (74177)
$368.61
$460.76
1.1×
Ultrasound, abdomen complete (76700)
$364.40
$455.50
3.7×
Ultrasound, transvaginal (76830)
$202.40
$253
2.1×
Mammography, one breast (diagnostic) (77065)
$119.09
$148.86
1.4×
Mammography, both breasts (diagnostic) (77066)
$150.63
$188.29
1.4×
Mammography, screening (bilateral) (77067)
$132.84
$166.06
1.5×
Basic metabolic panel (80048)
$67.20
$84
7.9×
Comprehensive metabolic panel (80053)
$70.40
$88
6.7×
Lipid panel (80061)
$56.30
$70.37
4.2×
Renal function panel (80069)
$114.40
$143
13.2×
Hepatic function panel (80076)
$85.60
$107
10.5×
Urinalysis, non-automated, without microscopy (81002)
$17.20
$21.50
4.9×
PSA, total (84153)
$109.60
$137
6.0×
Thyroid stimulating hormone (TSH) (84443)
$67.20
$84
4.0×
CBC with automated differential (85025)
$38.40
$48
4.9×
CBC, automated (85027)
$33.60
$42
5.2×
Prothrombin time (PT) (85610)
$23.20
$29
5.4×
Partial thromboplastin time (PTT) (85730)
$35.20
$44
5.9×
Psychotherapy, 30 minutes (90832)
$226.40
$283
1.4×
Psychotherapy, 45 minutes (90834)
$336
$420
2.0×
Psychotherapy, 60 minutes (90837)
$452.80
$566
2.7×
Family psychotherapy, without patient (50 min) (90846)
$320.80
$401
1.9×
Family psychotherapy, with patient (50 min) (90847)
$240
$300
1.4×
Group psychotherapy (90853)
$116
$145
1.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$80.80
$101
2.8×
Office visit, new patient (low complexity, ~30 min) (99203)
$103.20
$129
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$176
$220
1.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$227.20
$284
1.8×
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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