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Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$709.28
$1,418.55
0.9×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,102.76
$2,205.52
1.4×
CT head/brain without contrast (70450)
$606.38
$1,212.75
6.6×
MRI brain without contrast (70551)
$868.35
$1,736.70
4.2×
MRI brain with contrast (70552)
$1,033.73
$2,067.45
3.4×
MRI brain without and with contrast (70553)
$1,088.85
$2,177.70
3.6×
X-ray lower spine, 4+ views (72110)
$247.80
$495.60
2.7×
MRI lumbar spine without contrast (72148)
$826.88
$1,653.75
4.0×
CT pelvis with contrast (72193)
$992.25
$1,984.50
6.5×
MRI lower-extremity joint without contrast (73721)
$882
$1,764
4.2×
CT abdomen and pelvis with contrast (74177)
$1,088.85
$2,177.70
3.6×
Ultrasound, abdomen complete (76700)
$399.53
$799.05
4.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$299
$598
3.3×
Ultrasound, transvaginal (76830)
$249.50
$499
2.7×
Basic metabolic panel (80048)
$41
$82
4.8×
Comprehensive metabolic panel (80053)
$65
$130
6.2×
Lipid panel (80061)
$34
$68
2.5×
Renal function panel (80069)
$41
$82
4.7×
Hepatic function panel (80076)
$48.50
$97
5.9×
Urinalysis, non-automated, with microscopy (81000)
$31.05
$62.10
7.7×
PSA, total (84153)
$42.50
$85
2.3×
Thyroid stimulating hormone (TSH) (84443)
$42.50
$85
2.5×
CBC with automated differential (85025)
$35.50
$71
4.6×
CBC, automated (85027)
$35.50
$71
5.5×
Prothrombin time (PT) (85610)
$35.50
$71
8.3×
Partial thromboplastin time (PTT) (85730)
$38
$76
6.3×
Psychotherapy, 30 minutes (90832)
$67.58
$135.15
0.4×
Psychotherapy, 45 minutes (90834)
$191
$382
1.2×
Psychotherapy, 60 minutes (90837)
$191
$382
1.2×
Family psychotherapy, without patient (50 min) (90846)
$204.50
$409
1.3×
Family psychotherapy, with patient (50 min) (90847)
$204.50
$409
1.3×
Group psychotherapy (90853)
$31.10
$62.19
0.3×
Electrocardiogram (ECG), complete (93000)
$122.48
$244.95
2.4×
Sleep study (attended polysomnography) (95810)
$1,348.05
$2,696.10
1.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$25
$50
0.9×
Office visit, new patient (low complexity, ~30 min) (99203)
$206
$412
1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$275
$550
2.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$343.50
$687
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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