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Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120)
$1,046
$2,615
0.3×
Upper GI endoscopy (EGD), diagnostic (43235)
$698
$1,745
0.7×
Diagnostic colonoscopy (45378)
$813
$2,033
0.8×
Obstetric care, vaginal delivery (global) (59400)
$1,259
$3,148
—
Obstetric care, cesarean delivery (global) (59510)
$1,427
$3,568
—
After-cataract laser surgery (YAG capsulotomy) (66821)
$440
$1,100
0.8×
CT head/brain without contrast (70450)
$735
$1,837
6.7×
MRI brain without contrast (70551)
$1,462
$3,654
5.8×
MRI brain without and with contrast (70553)
$2,094
$5,235
5.7×
X-ray lower spine, 4+ views (72110)
$160
$399
1.5×
MRI lumbar spine without contrast (72148)
$290
$724
1.2×
CT pelvis with contrast (72193)
$1,163
$2,907
6.3×
MRI lower-extremity joint without contrast (73721)
$326
$816
1.3×
CT abdomen and pelvis with contrast (74177)
$2,050
$5,124
5.6×
Ultrasound, abdomen complete (76700)
$369
$923
3.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$374
$935
3.4×
Ultrasound, transvaginal (76830)
$369
$923
3.3×
Mammography, one breast (diagnostic) (77065)
$247
$618
2.9×
Mammography, both breasts (diagnostic) (77066)
$288
$719
2.6×
Mammography, screening (bilateral) (77067)
$231
$578
2.5×
Basic metabolic panel (80048)
$28
$70
3.3×
Comprehensive metabolic panel (80053)
$35
$87
3.3×
Obstetric panel (80055)
$41
$102
0.9×
Lipid panel (80061)
$52
$130
3.9×
Renal function panel (80069)
$34
$85
3.9×
Hepatic function panel (80076)
$32
$81
3.9×
Urinalysis, non-automated, with microscopy (81000)
$13
$32
3.2×
Urinalysis, non-automated, without microscopy (81002)
$7
$18
2.0×
PSA, total (84153)
$72
$179
3.9×
Thyroid stimulating hormone (TSH) (84443)
$66
$164
3.9×
CBC with automated differential (85025)
$30
$75
3.9×
CBC, automated (85027)
$25
$62
3.9×
Prothrombin time (PT) (85610)
$16
$39
3.7×
Partial thromboplastin time (PTT) (85730)
$1,174.50
$2,936.50
195.4×
Sleep study (attended polysomnography) (95810)
$493
$1,232.50
0.5×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$45
$112
1.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$101
$253
0.7×
Office visit, new patient (high complexity, ~60 min) (99205)
$178
$445
1.3×
Office consultation (low complexity, ~30 min) (99243)
$135
$337
1.0×
Office consultation (moderate complexity, ~40 min) (99244)
$162
$405
1.2×
Preventive visit, new patient (age 18–39) (99385)
$90
$226
—
Preventive visit, new patient (age 40–64) (99386)
$106
$266
—
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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