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Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,460.76
$1,825.95
14.5×
MRI brain without contrast (70551)
$2,111.09
$2,638.86
9.2×
MRI brain with contrast (70552)
$1,992.46
$2,490.57
5.9×
MRI brain without and with contrast (70553)
$2,786.77
$3,483.46
8.3×
X-ray lower spine, 4+ views (72110)
$495.22
$619.03
4.9×
MRI lumbar spine without contrast (72148)
$1,978.42
$2,473.03
8.6×
CT pelvis with contrast (72193)
$1,694.02
$2,117.52
10.0×
MRI lower-extremity joint without contrast (73721)
$1,978.42
$2,473.03
8.6×
CT abdomen and pelvis with contrast (74177)
$2,767.76
$3,459.70
8.2×
Ultrasound, abdomen complete (76700)
$653.62
$817.02
6.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$645.60
$807
6.4×
Ultrasound, transvaginal (76830)
$627.89
$784.86
6.2×
Mammography, one breast (diagnostic) (77065)
$168.92
$211.15
2.0×
Mammography, both breasts (diagnostic) (77066)
$491.93
$614.91
4.4×
Mammography, screening (bilateral) (77067)
$370.80
$463.50
4.1×
Basic metabolic panel (80048)
$68.54
$85.68
8.1×
Comprehensive metabolic panel (80053)
$82.42
$103.02
7.8×
Obstetric panel (80055)
$760
$950
15.9×
Lipid panel (80061)
$106.30
$132.87
7.9×
Renal function panel (80069)
$83.20
$104
9.6×
Hepatic function panel (80076)
$67.39
$84.24
8.2×
Urinalysis, non-automated, with microscopy (81000)
$31.20
$39
7.8×
PSA, total (84153)
$148.10
$185.12
8.1×
Thyroid stimulating hormone (TSH) (84443)
$128.48
$160.60
7.6×
CBC with automated differential (85025)
$61.80
$77.25
8.0×
CBC, automated (85027)
$48.80
$61
7.5×
Prothrombin time (PT) (85610)
$41.40
$51.75
9.7×
Partial thromboplastin time (PTT) (85730)
$48
$60
8.0×
Electrocardiogram (ECG), complete (93000)
$112
$140
2.0×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$88.17
$110.21
3.0×
Office visit, new patient (low complexity, ~30 min) (99203)
$212.80
$266
1.7×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$318.40
$398
2.5×
Office visit, new patient (high complexity, ~60 min) (99205)
$406.40
$508
3.2×
Office consultation (low complexity, ~30 min) (99243)
$258.40
$323
2.0×
Office consultation (moderate complexity, ~40 min) (99244)
$382.40
$478
3.0×
Preventive visit, new patient (age 18–39) (99385)
$248.80
$311
—
Preventive visit, new patient (age 40–64) (99386)
$288.80
$361
—
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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