Eastern Plumas Hospital - Portola Campus

Portola, CA · Critical Access Hospital

Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-03.

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ProcedurePosted cashPosted gross× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,300 $1,625 1.1×
Upper GI endoscopy (EGD) with biopsy (43239)
range across 2 matching MRF lines
$363.20–$1,728.80 $454–$2,161 varies
Diagnostic colonoscopy (45378)
range across 2 matching MRF lines
$480–$1,680 $600–$2,100 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$567.20–$1,813.60 $709–$2,267 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$671.20–$2,008 $839–$2,510 varies
CT head/brain without contrast (70450)
range across 6 matching MRF lines
$276.80–$2,673.60 $346–$3,342 varies
MRI brain without contrast (70551)
range across 2 matching MRF lines
$219.20–$1,101.60 $274–$1,377 varies
MRI brain without and with contrast (70553)
range across 4 matching MRF lines
$524–$3,667.20 $655–$4,584 varies
X-ray lower spine, 4+ views (72110)
range across 6 matching MRF lines
$102.40–$601.60 $128–$752 varies
MRI lumbar spine without contrast (72148)
range across 3 matching MRF lines
$339.20–$2,273.60 $424–$2,842 varies
CT pelvis with contrast (72193) $2,062.40 $2,578 9.1×
MRI lower-extremity joint without contrast (73721)
range across 8 matching MRF lines
$310.40–$3,868.80 $388–$4,836 varies
CT abdomen and pelvis with contrast (74177)
range across 6 matching MRF lines
$596–$6,211.20 $745–$7,764 varies
Ultrasound, abdomen complete (76700)
range across 5 matching MRF lines
$261.60–$1,242.40 $327–$1,553 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 3 matching MRF lines
$322.40–$952 $403–$1,190 varies
Ultrasound, transvaginal (76830)
range across 3 matching MRF lines
$224–$630.40 $280–$788 varies
Mammography, one breast (diagnostic) (77065)
range across 4 matching MRF lines
$168–$667.20 $210–$834 varies
Mammography, both breasts (diagnostic) (77066)
range across 7 matching MRF lines
$206.40–$1,146.40 $258–$1,433 varies
Mammography, screening (bilateral) (77067)
range across 9 matching MRF lines
$124–$932 $155–$1,165 varies
Basic metabolic panel (80048) $98.40 $123 11.6×
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
$17.60–$232 $22–$290 varies
Lipid panel (80061) $140 $175 10.5×
Renal function panel (80069) $140 $175 16.1×
Hepatic function panel (80076) $76 $95 9.3×
Urinalysis, non-automated, with microscopy (81000) $32.80 $41 8.2×
Urinalysis, non-automated, without microscopy (81002) $54.40 $68 15.6×
PSA, total (84153)
range across 2 matching MRF lines
$81.60–$179.20 $102–$224 varies
Thyroid stimulating hormone (TSH) (84443) $158.40 $198 9.4×
CBC with automated differential (85025)
range across 3 matching MRF lines
$34.40–$230.40 $43–$288 varies
CBC, automated (85027) $70.40 $88 10.9×
Prothrombin time (PT) (85610)
range across 2 matching MRF lines
$44.80–$85.60 $56–$107 varies
Partial thromboplastin time (PTT) (85730) $68 $85 11.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
$148.80–$223.20 $186–$279 varies

A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.

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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Download the machine-readable file (CSV, 790.4 KB) ↓ — captured 2026-09-03

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