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Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-28.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$226.20
$386
0.2×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,098.04
$1,655
1.2×
CT head/brain without contrast (70450)
$448.24
$793.50
4.1×
MRI brain without contrast (70551)
$659.52
$1,015
2.6×
MRI brain with contrast (70552)
$822.54
$1,265
2.2×
MRI brain without and with contrast (70553)
$990.85
$1,525.50
2.7×
X-ray lower spine, 4+ views (72110)
$285.46
$433
2.6×
MRI lumbar spine without contrast (72148)
$567.78
$944.50
2.3×
CT pelvis with contrast (72193)
$1,141.70
$1,924
6.2×
MRI lower-extremity joint without contrast (73721)
$142.34
$278
0.6×
CT abdomen and pelvis with contrast (74177)
$839.06
$1,421
2.3×
Ultrasound, abdomen complete (76700)
$486.96
$639.50
4.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$436.26
$577.50
4.0×
Ultrasound, transvaginal (76830)
$336.40
$444
3.1×
Mammography, one breast (diagnostic) (77065)
$133.97
$186
1.6×
Mammography, both breasts (diagnostic) (77066)
$195.84
$268.50
1.8×
Mammography, screening (bilateral) (77067)
$185.23
$227
2.0×
Basic metabolic panel (80048)
$68.38
$111
8.1×
Comprehensive metabolic panel (80053)
$84.39
$137
8.0×
Lipid panel (80061)
$46.50
$75.50
3.5×
Renal function panel (80069)
$96.10
$156
11.1×
Hepatic function panel (80076)
$66.53
$108
8.1×
Urinalysis, non-automated, without microscopy (81002)
$6.05
$11
1.7×
PSA, total (84153)
$34.50
$56
1.9×
Thyroid stimulating hormone (TSH) (84443)
$49.90
$81
3.0×
CBC with automated differential (85025)
$27.72
$44.50
3.6×
CBC, automated (85027)
$33.64
$54
5.2×
Prothrombin time (PT) (85610)
$8.10
$13
1.9×
Partial thromboplastin time (PTT) (85730)
$22.74
$36.50
3.8×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$86.48
$127
3.0×
Office visit, new patient (low complexity, ~30 min) (99203)
$479.56
$582.50
3.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$592.92
$729
4.2×
Office visit, new patient (high complexity, ~60 min) (99205)
$768.67
$932
5.5×
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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