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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$1,764.76
$2,521.08
2.0×
CT head/brain without contrast (70450)
$3,299.10
$4,713
31.5×
MRI brain without contrast (70551)
$4,454.80
$6,364
18.6×
MRI brain with contrast (70552)
$4,744.60
$6,778
13.6×
MRI brain without and with contrast (70553)
$5,034.40
$7,192
14.4×
X-ray lower spine, 4+ views (72110)
$814.80
$1,164
7.8×
MRI lumbar spine without contrast (72148)
$4,031.30
$5,759
16.9×
CT pelvis with contrast (72193)
$2,863
$4,090
16.3×
MRI lower-extremity joint without contrast (73721)
$3,971.80
$5,674
16.6×
CT abdomen and pelvis with contrast (74177)
$3,117.80
$4,454
8.9×
Ultrasound, abdomen complete (76700)
$967.40
$1,382
9.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$528.85
$755.50
5.1×
Ultrasound, transvaginal (76830)
$528.85
$755.50
5.1×
Mammography, one breast (diagnostic) (77065)
$402.50
$575
4.7×
Mammography, both breasts (diagnostic) (77066)
$425.60
$608
3.8×
Mammography, screening (bilateral) (77067)
$388.50
$555
4.3×
Basic metabolic panel (80048)
$165.20
$236
19.5×
Comprehensive metabolic panel (80053)
$531.30
$759
50.3×
Lipid panel (80061)
$192.50
$275
14.4×
Renal function panel (80069)
$143.50
$205
16.5×
Hepatic function panel (80076)
$124.60
$178
15.3×
PSA, total (84153)
$169.40
$242
9.2×
Thyroid stimulating hormone (TSH) (84443)
$154.70
$221
9.2×
CBC with automated differential (85025)
$156.10
$223
20.1×
CBC, automated (85027)
$165.20
$236
25.5×
Prothrombin time (PT) (85610)
$36.40
$52
8.5×
Partial thromboplastin time (PTT) (85730)
$55.30
$79
9.2×
Sleep study (attended polysomnography) (95810)
$4,566.80
$6,524
5.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$192.50
$275
6.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$280.63
$400.90
2.1×
Office visit, new patient (high complexity, ~60 min) (99205)
$383.95
$548.50
2.9×
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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