Dorminy Medical Center

Fitzgerald, GA · Critical Access Hospital

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.

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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $596.88 $1,193.75 0.8×
Transforaminal epidural injection, lumbar/sacral (64483) $969.75 $1,939.50 1.3×
CT head/brain without contrast (70450) $480.94 $961.88 5.2×
MRI brain without contrast (70551) $901.58 $1,803.16 4.3×
MRI brain with contrast (70552) $2,058.50 $4,117 6.7×
MRI brain without and with contrast (70553) $1,472.24 $2,944.47 4.8×
X-ray lower spine, 4+ views (72110) $124.56 $249.12 1.4×
MRI lumbar spine without contrast (72148) $882.46 $1,764.92 4.2×
CT pelvis with contrast (72193) $834 $1,668 5.4×
MRI lower-extremity joint without contrast (73721) $931 $1,861.99 4.5×
CT abdomen and pelvis with contrast (74177) $1,416.35 $2,832.69 4.6×
Ultrasound, abdomen complete (76700) $326.88 $653.75 3.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $414.38 $828.75 4.5×
Ultrasound, transvaginal (76830) $373.75 $747.50 4.1×
Mammography, one breast (diagnostic) (77065) $113.38 $226.75 1.3×
Mammography, both breasts (diagnostic) (77066) $139.13 $278.25 1.3×
Mammography, screening (bilateral) (77067) $206 $412 2.3×
Basic metabolic panel (80048) $91.63 $183.25 10.8×
Comprehensive metabolic panel (80053) $144.88 $289.75 13.7×
Obstetric panel (80055) $70 $140 1.5×
Lipid panel (80061) $88.75 $177.50 6.6×
Renal function panel (80069) $229.38 $458.75 26.4×
Hepatic function panel (80076) $110.88 $221.75 13.6×
Urinalysis, non-automated, with microscopy (81000) $16.75 $33.50 4.2×
Urinalysis, non-automated, without microscopy (81002) $5.38 $10.75 1.5×
PSA, total (84153) $113.88 $227.75 6.2×
Thyroid stimulating hormone (TSH) (84443) $85.13 $170.25 5.1×
CBC with automated differential (85025) $75.63 $151.25 9.7×
CBC, automated (85027) $59.25 $118.50 9.2×
Prothrombin time (PT) (85610) $28.32 $56.62 6.6×
Partial thromboplastin time (PTT) (85730) $58.38 $116.75 9.7×
Sleep study (attended polysomnography) (95810) $1,253.50 $2,507 1.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $42 $84 1.4×

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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