Donalsonville Hospital

Donalsonville, GA

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,377 $1,620 15.0×
MRI brain without contrast (70551) $2,996.25 $3,525 14.3×
MRI brain with contrast (70552) $3,794.40 $4,464 12.4×
MRI brain without and with contrast (70553) $5,999.30 $7,058 19.6×
X-ray lower spine, 4+ views (72110) $442.85 $521 4.8×
MRI lumbar spine without contrast (72148) $4,080 $4,800 19.5×
CT pelvis with contrast (72193) $1,391.88 $1,637.50 9.1×
MRI lower-extremity joint without contrast (73721) $2,142 $2,520 10.2×
CT abdomen and pelvis with contrast (74177) $1,894.65 $2,229 6.2×
Ultrasound, abdomen complete (76700) $652.80 $768 7.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $442 $520 4.8×
Ultrasound, transvaginal (76830) $1,097.35 $1,291 12.0×
Mammography, one breast (diagnostic) (77065) $353.60 $416 4.1×
Mammography, both breasts (diagnostic) (77066) $707.20 $832 6.4×
Mammography, screening (bilateral) (77067) $547.82 $644.50 6.0×
Basic metabolic panel (80048) $171.70 $202 20.3×
Comprehensive metabolic panel (80053) $309.82 $364.50 29.3×
Lipid panel (80061) $181.90 $214 13.6×
Renal function panel (80069) $60.78 $71.50 7.0×
Hepatic function panel (80076) $167.88 $197.50 20.5×
PSA, total (84153) $183.60 $216 10.0×
Thyroid stimulating hormone (TSH) (84443) $139.40 $164 8.3×
CBC with automated differential (85025) $69.70 $82 9.0×
CBC, automated (85027) $56.95 $67 8.8×
Prothrombin time (PT) (85610) $76.50 $90 17.8×
Partial thromboplastin time (PTT) (85730) $62.90 $74 10.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $221 $260 7.6×
Office visit, new patient (low complexity, ~30 min) (99203) $342.12 $402.50 2.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $829.18 $975.50 7.1×
Office visit, new patient (high complexity, ~60 min) (99205) $539.32 $634.50 4.6×

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Download the machine-readable file (CSV, 13.0 MB) ↓ — captured 2026-08-22

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