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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$737.10
$1,053
0.9×
CT head/brain without contrast (70450)
$958.30
$1,369
10.0×
MRI brain without contrast (70551)
$1,226.05
$1,751.50
5.6×
MRI brain with contrast (70552)
$1,365.70
$1,951
4.3×
MRI brain without and with contrast (70553)
$1,506.40
$2,152
4.7×
X-ray lower spine, 4+ views (72110)
$294
$420
3.1×
MRI lumbar spine without contrast (72148)
$1,226.40
$1,752
5.6×
CT pelvis with contrast (72193)
$1,094.10
$1,563
6.8×
MRI lower-extremity joint without contrast (73721)
$1,533.35
$2,190.50
7.0×
CT abdomen and pelvis with contrast (74177)
$1,993.60
$2,848
6.2×
Ultrasound, abdomen complete (76700)
$431.20
$616
4.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$288.40
$412
3.0×
Ultrasound, transvaginal (76830)
$406
$580
4.2×
Mammography, one breast (diagnostic) (77065)
$219.10
$313
2.5×
Mammography, both breasts (diagnostic) (77066)
$283.85
$405.50
2.6×
Mammography, screening (bilateral) (77067)
$219.10
$313
2.4×
Basic metabolic panel (80048)
$88.20
$126
10.4×
Comprehensive metabolic panel (80053)
$108.50
$155
10.3×
Lipid panel (80061)
$91.70
$131
6.8×
Renal function panel (80069)
$104.30
$149
12.0×
Hepatic function panel (80076)
$101.50
$145
12.4×
Urinalysis, non-automated, with microscopy (81000)
$16.80
$24
4.2×
Urinalysis, non-automated, without microscopy (81002)
$18.90
$27
5.4×
PSA, total (84153)
$94.50
$135
5.1×
Thyroid stimulating hormone (TSH) (84443)
$112.70
$161
6.7×
CBC with automated differential (85025)
$57.40
$82
7.4×
CBC, automated (85027)
$33.60
$48
5.2×
Prothrombin time (PT) (85610)
$30.10
$43
7.0×
Partial thromboplastin time (PTT) (85730)
$50.40
$72
8.4×
Electrocardiogram (ECG), complete (93000)
$263.90
$377
4.9×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$63
$90
2.2×
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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