Home › Hospitals › Essentia Health-Moose Lake Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $2,192.61
$2,967
2.3×
Upper GI endoscopy (EGD) with biopsy (43239) $2,287.20
$3,095
2.4×
Diagnostic colonoscopy (45378) $2,089.15
$2,827
2.2×
Colonoscopy with biopsy (45380) $2,264.30
$3,064
1.8×
Colonoscopy with lesion removal (45385) $2,469
$3,341
2.0×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,734.43
$2,347
1.9×
Transforaminal epidural injection, lumbar/sacral (64483) $1,701.92
$2,303
1.9×
CT head/brain without contrast (70450) $1,258.52
$1,703
11.7×
MRI brain without contrast (70551) $2,169.70
$2,936
8.8×
MRI brain with contrast (70552) $2,290.90
$3,100
6.4×
MRI brain without and with contrast (70553) $2,901.31
$3,926
8.1×
X-ray lower spine, 4+ views (72110) $343.64
$465
3.2×
MRI lumbar spine without contrast (72148) $2,092.85
$2,832
8.5×
CT pelvis with contrast (72193) $1,469.87
$1,989
8.1×
MRI lower-extremity joint without contrast (73721) $2,103.93
$2,847
8.5×
CT abdomen and pelvis with contrast (74177) $2,528.12
$3,421
7.0×
Ultrasound, abdomen complete (76700) $611.15
$827
5.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $502.52
$680
4.7×
Ultrasound, transvaginal (76830) $417.54
$565
3.9×
Mammography, one breast (diagnostic) (77065) $327.38
$443
3.8×
Mammography, both breasts (diagnostic) (77066) $399.80
$541
3.6×
Mammography, screening (bilateral) (77067) $337.72
$457
3.7×
Basic metabolic panel (80048) $173.66
$235
20.5×
Comprehensive metabolic panel (80053) $218
$295
20.6×
Lipid panel (80061) $69.28
$93.75
5.2×
Renal function panel (80069) $220.22
$298
25.4×
Hepatic function panel (80076) $128.59
$174
15.7×
Urinalysis, non-automated, without microscopy (81002) $22.17
$30
6.4×
PSA, total (84153) $112.33
$152
6.1×
Thyroid stimulating hormone (TSH) (84443) $67.99
$92
4.0×
CBC with automated differential (85025) $121.94
$165
15.7×
CBC, automated (85027) $116.02
$157
17.9×
Prothrombin time (PT) (85610) $48.04
$65
11.2×
Partial thromboplastin time (PTT) (85730) $73.53
$99.50
12.2×
Sleep study (attended polysomnography) (95810) $3,557.55
$4,814
4.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $101.24
$137
3.5×
Office visit, new patient (low complexity, ~30 min) (99203) $116.76
$158
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $183.27
$248
1.3×
Office visit, new patient (high complexity, ~60 min) (99205) $242.39
$328
1.8×
Office consultation (moderate complexity, ~40 min) (99244) $189.18
$256
1.4×
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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