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Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-08.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,425.98
$3,034
1.7×
Transforaminal epidural injection, lumbar/sacral (64483)
$941.41
$2,003
1.1×
CT head/brain without contrast (70450)
$936.71
$1,993
9.5×
MRI brain without contrast (70551)
$963.50
$2,050
4.3×
MRI brain with contrast (70552)
$1,348.90
$2,870
4.1×
MRI brain without and with contrast (70553)
$1,536.90
$3,270
4.7×
X-ray lower spine, 4+ views (72110)
$431.93
$919
4.4×
MRI lumbar spine without contrast (72148)
$962.09
$2,047
4.3×
CT pelvis with contrast (72193)
$1,217.77
$2,591
7.4×
MRI lower-extremity joint without contrast (73721)
$959.27
$2,041
4.3×
CT abdomen and pelvis with contrast (74177)
$2,382.90
$5,070
7.3×
Ultrasound, abdomen complete (76700)
$589.38
$1,254
6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$470
$1,000
4.8×
Ultrasound, transvaginal (76830)
$518.88
$1,104
5.3×
Mammography, one breast (diagnostic) (77065)
$106.69
$227
1.2×
Mammography, both breasts (diagnostic) (77066)
$244.87
$521
2.2×
Mammography, screening (bilateral) (77067)
$219.96
$468
2.4×
Basic metabolic panel (80048)
$24.91
$53
2.9×
Comprehensive metabolic panel (80053)
$49.82
$106
4.7×
Lipid panel (80061)
$75.20
$160
5.6×
Renal function panel (80069)
$82.25
$175
9.5×
Hepatic function panel (80076)
$81.78
$174
10.0×
Urinalysis, non-automated, without microscopy (81002)
$31.96
$68
9.2×
PSA, total (84153)
$44.88
$95.50
2.4×
Thyroid stimulating hormone (TSH) (84443)
$70.97
$151
4.2×
CBC with automated differential (85025)
$32.43
$69
4.2×
CBC, automated (85027)
$43.71
$93
6.8×
Prothrombin time (PT) (85610)
$31.02
$66
7.2×
Partial thromboplastin time (PTT) (85730)
$45.82
$97.50
7.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$63.92
$136
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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