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Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Cash price Gross charge × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,134
$2,025
1.3×
Transforaminal epidural injection, lumbar/sacral (64483)
$151.20
$270
0.2×
CT head/brain without contrast (70450)
$1,445.92
$2,582
14.5×
MRI brain without contrast (70551)
$3,326.40
$5,940
14.6×
MRI brain with contrast (70552)
$3,556.56
$6,351
10.7×
MRI brain without and with contrast (70553)
$4,047.12
$7,227
12.1×
X-ray lower spine, 4+ views (72110)
$731.92
$1,307
7.3×
MRI lumbar spine without contrast (72148)
$3,167.36
$5,656
13.9×
CT pelvis with contrast (72193)
$2,206.40
$3,940
13.2×
MRI lower-extremity joint without contrast (73721)
$3,068.24
$5,479
13.5×
CT abdomen and pelvis with contrast (74177)
$5,349.12
$9,552
16.0×
Ultrasound, abdomen complete (76700)
$1,658.16
$2,961
16.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$703.92
$1,257
7.0×
Ultrasound, transvaginal (76830)
$832.16
$1,486
8.3×
Mammography, one breast (diagnostic) (77065)
$373.52
$667
4.3×
Mammography, both breasts (diagnostic) (77066)
$745.36
$1,331
6.7×
Mammography, screening (bilateral) (77067)
$194.88
$348
2.1×
Basic metabolic panel (80048)
$160.72
$287
19.0×
Comprehensive metabolic panel (80053)
$175
$312.50
16.6×
Lipid panel (80061)
$142.24
$254
10.6×
Renal function panel (80069)
$160.72
$287
18.5×
Hepatic function panel (80076)
$235.76
$421
28.9×
Urinalysis, non-automated, without microscopy (81002)
$47.32
$84.50
13.6×
PSA, total (84153)
$110.88
$198
6.0×
Thyroid stimulating hormone (TSH) (84443)
$152.88
$273
9.1×
CBC with automated differential (85025)
$128.24
$229
16.5×
CBC, automated (85027)
$85.96
$153.50
13.3×
Prothrombin time (PT) (85610)
$53.76
$96
12.5×
Partial thromboplastin time (PTT) (85730)
$40.88
$73
6.8×
Psychotherapy, 30 minutes (90832)
$214.48
$383
1.3×
Psychotherapy, 45 minutes (90834)
$236.32
$422
1.4×
Psychotherapy, 60 minutes (90837)
$318.64
$569
1.9×
Family psychotherapy, with patient (50 min) (90847)
$274.96
$491
1.6×
Group psychotherapy (90853)
$67.76
$121
0.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$141.68
$253
4.9×
Preventive visit, new patient (age 18–39) (99385)
$148.96
$266
—
Preventive visit, new patient (age 40–64) (99386)
$156.24
$279
—
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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