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Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120)
$3,320
$4,743
0.8×
Tonsillectomy and adenoidectomy (under age 12) (42820)
$5,340
$7,629
0.9×
Upper GI endoscopy (EGD), diagnostic (43235)
$1,459
$2,084
1.6×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,540
$2,200
1.7×
Diagnostic colonoscopy (45378)
$1,621
$2,315
1.7×
Colonoscopy with biopsy (45380)
$2,194
$3,134
1.8×
Colonoscopy with lesion removal (45385)
$1,459
$2,084
1.2×
Laparoscopic gallbladder removal (47562)
$5,381
$7,687
0.9×
CT head/brain without contrast (70450)
$1,127
$1,610
10.7×
X-ray lower spine, 4+ views (72110)
$361
$515
3.4×
CT pelvis with contrast (72193)
$1,345
$1,922
7.6×
CT abdomen and pelvis with contrast (74177)
$2,755
$3,936
7.9×
Ultrasound, abdomen complete (76700)
$643
$919
6.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$532
$760
5.1×
Ultrasound, transvaginal (76830)
$421
$601
4.0×
Basic metabolic panel (80048)
$169
$242
20.0×
Comprehensive metabolic panel (80053)
$228
$326
21.6×
Lipid panel (80061)
$126
$180
9.4×
Renal function panel (80069)
$237
$338
27.3×
Hepatic function panel (80076)
$155
$221
19.0×
Urinalysis, non-automated, with microscopy (81000)
$13
$18
3.2×
PSA, total (84153)
$147
$210
8.0×
Thyroid stimulating hormone (TSH) (84443)
$171.50
$245
10.2×
CBC with automated differential (85025)
$56
$80
7.2×
CBC, automated (85027)
$56
$80
8.7×
Prothrombin time (PT) (85610)
$46
$66
10.7×
Partial thromboplastin time (PTT) (85730)
$59
$84
9.8×
Electrocardiogram (ECG), complete (93000)
$58
$83
1.0×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$47
$67.50
1.6×
Office visit, new patient (low complexity, ~30 min) (99203)
$178
$254
1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$265.50
$379.50
2.0×
Office visit, new patient (high complexity, ~60 min) (99205)
$307
$439
2.3×
Office consultation (low complexity, ~30 min) (99243)
$176
$252
1.3×
Preventive visit, new patient (age 18–39) (99385)
$163.50
$234
—
Preventive visit, new patient (age 40–64) (99386)
$242
$346
—
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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