Home › Hospitals › Ellett Memorial Hospital Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-15.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $619.12
$825.50
0.7×
Upper GI endoscopy (EGD) with biopsy (43239) $688.12
$917.50
0.8×
Diagnostic colonoscopy (45378) $702.94
$937.25
0.8×
Colonoscopy with biopsy (45380) $702.94
$937.25
0.6×
Colonoscopy with lesion removal (45385) $825.38
$1,100.50
0.7×
CT head/brain without contrast (70450) $144.56
$192.75
1.4×
MRI brain without contrast (70551) $249.75
$333
1.0×
MRI brain with contrast (70552) $299.91
$399.88
0.9×
MRI brain without and with contrast (70553) $396
$528
1.1×
X-ray lower spine, 4+ views (72110) $53.06
$70.75
0.5×
MRI lumbar spine without contrast (72148) $251.81
$335.75
1.1×
CT pelvis with contrast (72193) $196.31
$261.75
1.1×
MRI lower-extremity joint without contrast (73721) $454.31
$605.75
1.9×
CT abdomen and pelvis with contrast (74177) $202.22
$269.62
0.6×
Ultrasound, abdomen complete (76700) $138.56
$184.75
1.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $167.81
$223.75
1.6×
Ultrasound, transvaginal (76830) $115.88
$154.50
1.1×
Basic metabolic panel (80048) $86.06
$114.75
10.2×
Comprehensive metabolic panel (80053) $123.19
$164.25
11.7×
Lipid panel (80061) $67.97
$90.62
5.1×
Renal function panel (80069) $92.62
$123.50
10.7×
Hepatic function panel (80076) $93.94
$125.25
11.5×
PSA, total (84153) $96.28
$128.38
5.2×
Thyroid stimulating hormone (TSH) (84443) $91.88
$122.50
5.5×
CBC with automated differential (85025) $86.72
$115.62
11.2×
CBC, automated (85027) $29.91
$39.88
4.6×
Prothrombin time (PT) (85610) $33
$44
7.7×
Partial thromboplastin time (PTT) (85730) $144
$192
24.0×
Family psychotherapy, without patient (50 min) (90846) $91.50
$122
0.5×
Family psychotherapy, with patient (50 min) (90847) $161.25
$215
0.9×
Electrocardiogram (ECG), complete (93000) $46.50
$62
0.8×
Sleep study (attended polysomnography) (95810) $281.25
$375
0.3×
Physical therapy, therapeutic exercise (per 15 min) (97110) $87.19
$116.25
3.0×
Office visit, new patient (low complexity, ~30 min) (99203) $177
$236
1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204) $248.06
$330.75
1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $310.12
$413.50
2.3×
Office consultation (low complexity, ~30 min) (99243) $105
$140
0.8×
Preventive visit, new patient (age 18–39) (99385) $46.88
$62.50
—
Preventive visit, new patient (age 40–64) (99386) $63.75
$85
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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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