Home › Hospitals › Comanche County Hospital Posts prices for 30 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) $1,210
$1,210
1.5×
CT head/brain without contrast (70450) $1,200
$1,200
12.5×
MRI brain without contrast (70551) $1,716
$1,716
7.8×
MRI brain without and with contrast (70553) $1,716
$1,716
5.3×
X-ray lower spine, 4+ views (72110) $541
$541
5.6×
MRI lumbar spine without contrast (72148) $1,716
$1,716
7.8×
CT pelvis with contrast (72193) $1,200
$1,200
7.4×
MRI lower-extremity joint without contrast (73721) $1,172
$1,172
5.3×
CT abdomen and pelvis with contrast (74177) $1,200
$1,200
3.7×
Ultrasound, abdomen complete (76700) $265
$265
2.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $265
$265
2.8×
Ultrasound, transvaginal (76830) $265
$265
2.8×
Mammography, one breast (diagnostic) (77065) $170
$170
2.0×
Mammography, both breasts (diagnostic) (77066) $170
$170
1.5×
Mammography, screening (bilateral) (77067) $170
$170
1.9×
Basic metabolic panel (80048) $142
$142
16.8×
Comprehensive metabolic panel (80053) $249
$249
23.6×
Obstetric panel (80055) $70
$70
1.5×
Lipid panel (80061) $85
$85
6.3×
Renal function panel (80069) $178
$178
20.5×
Hepatic function panel (80076) $124
$124
15.2×
Urinalysis, non-automated, without microscopy (81002) $10
$10
2.9×
PSA, total (84153) $112
$112
6.1×
Thyroid stimulating hormone (TSH) (84443) $193
$193
11.5×
CBC with automated differential (85025) $65
$65
8.4×
CBC, automated (85027) $65
$65
10.0×
Prothrombin time (PT) (85610) $54
$54
12.6×
Partial thromboplastin time (PTT) (85730) $45
$45
7.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $162
$162
5.6×
Office visit, new patient (low complexity, ~30 min) (99203) $14.90
$14.90
0.1×
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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