Effingham Health System

Springfield, GA · Critical Access Hospital

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
Tonsillectomy and adenoidectomy (under age 12) (42820) $13,000 $20,000 2.5×
Upper GI endoscopy (EGD), diagnostic (43235) $3,619.28 $5,568.12 4.5×
Diagnostic colonoscopy (45378) $3,780.64 $5,816.38 4.6×
Cataract removal with lens insertion (66984) $2,853.50 $4,390 1.4×
CT head/brain without contrast (70450) $2,355.92 $3,624.50 25.3×
MRI brain without contrast (70551) $2,623.45 $4,036.08 12.3×
MRI brain with contrast (70552) $1,729.65 $2,661 5.6×
MRI brain without and with contrast (70553) $5,453.18 $8,389.50 17.6×
X-ray lower spine, 4+ views (72110) $680.88 $1,047.50 7.3×
MRI lumbar spine without contrast (72148) $3,057.81 $4,704.32 14.4×
CT pelvis with contrast (72193) $895.70 $1,378 5.7×
MRI lower-extremity joint without contrast (73721) $678.92 $1,044.50 3.2×
CT abdomen and pelvis with contrast (74177) $5,024.70 $7,730.31 16.2×
Ultrasound, abdomen complete (76700) $940.22 $1,446.50 10.1×
Ultrasound, transvaginal (76830) $262.08 $403.20 2.8×
Mammography, one breast (diagnostic) (77065) $739.38 $1,137.50 8.6×
Mammography, both breasts (diagnostic) (77066) $844.73 $1,299.59 7.6×
Mammography, screening (bilateral) (77067) $695.11 $1,069.40 7.6×
Basic metabolic panel (80048) $9.75 $15 1.2×
Comprehensive metabolic panel (80053) $30.55 $47 2.9×
Lipid panel (80061) $135.52 $208.50 10.1×
Renal function panel (80069) $77.02 $118.50 8.9×
Hepatic function panel (80076) $169.55 $260.85 20.8×
PSA, total (84153) $28.28 $43.50 1.5×
Thyroid stimulating hormone (TSH) (84443) $98.48 $151.50 5.9×
CBC with automated differential (85025) $63.70 $98 8.2×
CBC, automated (85027) $68.90 $106 10.6×
Prothrombin time (PT) (85610) $40.30 $62 9.4×
Partial thromboplastin time (PTT) (85730) $55.25 $85 9.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $81.58 $125.50 2.8×

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, 5.8 MB) ↓ — captured 2026-08-22

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