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Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$825.30
$917
1.0×
Transforaminal epidural injection, lumbar/sacral (64483)
$2,295
$2,550
2.7×
CT head/brain without contrast (70450)
$914.40
$1,016
9.1×
MRI brain without contrast (70551)
$1,980.90
$2,201
8.6×
MRI brain with contrast (70552)
$2,275.20
$2,528
6.8×
MRI brain without and with contrast (70553)
$4,428
$4,920
13.2×
X-ray lower spine, 4+ views (72110)
$162.90
$181
1.6×
MRI lumbar spine without contrast (72148)
$1,958.40
$2,176
8.5×
CT pelvis with contrast (72193)
$2,120.40
$2,356
12.6×
MRI lower-extremity joint without contrast (73721)
$1,634.40
$1,816
7.1×
CT abdomen and pelvis with contrast (74177)
$4,007.70
$4,453
11.9×
Ultrasound, abdomen complete (76700)
$451.80
$502
4.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$459.90
$511
4.6×
Ultrasound, transvaginal (76830)
$374.40
$416
3.7×
Mammography, one breast (diagnostic) (77065)
$292.50
$325
3.4×
Mammography, both breasts (diagnostic) (77066)
$364.50
$405
3.3×
Mammography, screening (bilateral) (77067)
$313.20
$348
3.4×
Urinalysis, non-automated, without microscopy (81002)
$18.90
$21
5.4×
Thyroid stimulating hormone (TSH) (84443)
$109.80
$122
6.5×
Prothrombin time (PT) (85610)
$37.80
$42
8.8×
Psychotherapy, 30 minutes (90832)
$582.30
$647
3.4×
Psychotherapy, 45 minutes (90834)
$721.80
$802
4.2×
Psychotherapy, 60 minutes (90837)
$735.30
$817
4.3×
Group psychotherapy (90853)
$702
$780
7.2×
Electrocardiogram (ECG), complete (93000)
$97.20
$108
1.7×
Sleep study (attended polysomnography) (95810)
$3,586.50
$3,985
4.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$66.60
$74
2.3×
Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines
$64.80–$197.10
$72–$219
varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
$64.80
$72
0.5×
Office visit, new patient (high complexity, ~60 min) (99205)
$64.80
$72
0.5×
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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