Home › Hospitals › Coulee Medical Center Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $1,355.13
$1,505.70
0.3×
Shoulder arthroscopy with decompression (29826) $578.34
$642.60
—
Knee arthroscopy with meniscectomy (29881) $1,781.33
$1,979.25
0.5×
Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure $944.06
$1,048.95
0.1×
Upper GI endoscopy (EGD), diagnostic (43235) $414.86
$460.95
0.4×
Upper GI endoscopy (EGD) with biopsy (43239) $464.94
$516.60
0.5×
Diagnostic colonoscopy (45378) $635.99
$706.65
0.6×
Colonoscopy with biopsy (45380) $674.73
$749.70
0.5×
Colonoscopy with lesion removal (45385) $854.28
$949.20
0.6×
Laparoscopic gallbladder removal (47562) unusually low: confirm this is the full procedure $2,162.16
$2,402.40
0.3×
Inguinal hernia repair (age 5+) (49505) $1,709.51
$1,899.45
0.4×
Obstetric care, vaginal delivery (global) (59400) $6,804
$7,560
—
Obstetric care, cesarean delivery (global) (59510) $7,540.16
$8,377.95
—
Obstetric care, VBAC delivery (global) (59610) $7,156.49
$7,951.65
—
Epidural injection, lumbar/sacral (with imaging) (62322) $286.34
$318.15
0.3×
Transforaminal epidural injection, lumbar/sacral (64483) $798.06
$886.72
0.8×
CT abdomen and pelvis with contrast (74177) $3,462.48
$3,847.20
8.9×
Mammography, screening (bilateral) (77067) $376.58
$418.42
4.1×
Comprehensive metabolic panel (80053) $198.45
$220.50
18.8×
Lipid panel (80061) $157.82
$175.35
11.8×
Renal function panel (80069) $320.36
$355.95
36.9×
Hepatic function panel (80076) $199.40
$221.55
24.4×
Urinalysis, non-automated, without microscopy (81002) $49.62
$55.12
14.3×
PSA, total (84153) $155.93
$173.25
8.5×
Thyroid stimulating hormone (TSH) (84443) $154.98
$172.20
9.2×
CBC with automated differential (85025) $127.58
$141.75
16.4×
CBC, automated (85027) $123.80
$137.55
19.1×
Prothrombin time (PT) (85610) $95.45
$106.05
22.2×
Partial thromboplastin time (PTT) (85730) $147.42
$163.80
24.5×
Psychotherapy, 45 minutes (90834) $642.60
$714
3.2×
Electrocardiogram (ECG), complete (93000) $199.40
$221.55
3.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $71.22
$79.13
2.5×
Office visit, new patient (low complexity, ~30 min) (99203) $350.60
$389.55
2.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $532.04
$591.15
3.6×
Office visit, new patient (high complexity, ~60 min) (99205) $671.90
$746.55
4.5×
Office consultation (low complexity, ~30 min) (99243) $414.86
$460.95
2.8×
Office consultation (moderate complexity, ~40 min) (99244) $1,201.10
$1,334.55
8.1×
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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