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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD) with biopsy (43239)
$805.80
$1,343
0.9×
Diagnostic colonoscopy (45378)
$776.10
$1,293.50
0.8×
Colonoscopy with biopsy (45380)
$805.80
$1,343
0.7×
Colonoscopy with lesion removal (45385)
$846.60
$1,411
0.7×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,476.60
$2,461
1.7×
CT head/brain without contrast (70450)
$1,940.40
$3,234
18.5×
MRI brain without contrast (70551)
$1,687.20
$2,812
7.1×
MRI brain with contrast (70552)
$2,268
$3,780
6.5×
MRI brain without and with contrast (70553)
$2,854.20
$4,757
8.2×
X-ray lower spine, 4+ views (72110)
$354.60
$591
3.4×
MRI lumbar spine without contrast (72148)
$1,687.20
$2,812
7.1×
CT pelvis with contrast (72193)
$2,157
$3,595
12.3×
MRI lower-extremity joint without contrast (73721)
$1,687.20
$2,812
7.1×
CT abdomen and pelvis with contrast (74177)
$2,157
$3,595
6.2×
Ultrasound, abdomen complete (76700)
$593.40
$989
5.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$535.80
$893
5.1×
Ultrasound, transvaginal (76830)
$509.10
$848.50
4.9×
Mammography, one breast (diagnostic) (77065)
$202.80
$338
2.4×
Mammography, both breasts (diagnostic) (77066)
$278.70
$464.50
2.5×
Mammography, screening (bilateral) (77067)
$218.40
$364
2.4×
Basic metabolic panel (80048)
$55.20
$92
6.5×
Comprehensive metabolic panel (80053)
$90
$150
8.5×
Obstetric panel (80055)
$344.40
$574
7.2×
Lipid panel (80061)
$81.60
$136
6.1×
Renal function panel (80069)
$64.80
$108
7.5×
Hepatic function panel (80076)
$58.20
$97
7.1×
Urinalysis, non-automated, without microscopy (81002)
$19.80
$33
5.7×
PSA, total (84153)
$54.60
$91
3.0×
Thyroid stimulating hormone (TSH) (84443)
$77.10
$128.50
4.6×
CBC with automated differential (85025)
$36
$60
4.6×
CBC, automated (85027)
$53.40
$89
8.3×
Prothrombin time (PT) (85610)
$64.20
$107
15.0×
Partial thromboplastin time (PTT) (85730)
$49.20
$82
8.2×
Psychotherapy, 30 minutes (90832)
$522
$870
2.9×
Sleep study (attended polysomnography) (95810)
$2,300.40
$3,834
2.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$144
$240
5.0×
Office visit, new patient (low complexity, ~30 min) (99203)
$63
$105
0.5×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$99.60
$166
0.7×
Office visit, new patient (high complexity, ~60 min) (99205)
$128.40
$214
1.0×
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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