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Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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Procedure Posted cash Posted gross × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$535.50
$714
0.6×
Epidural injection, lumbar/sacral (with imaging) (62322)
$1,459.50
$1,946
1.5×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,891.50
$2,522
2.0×
CT head/brain without contrast (70450)
$1,633.50
$2,178
14.6×
MRI brain without contrast (70551)
$1,934.25
$2,579
7.6×
MRI brain with contrast (70552)
$2,254.50
$3,006
6.0×
MRI brain without and with contrast (70553)
$2,767.50
$3,690
7.4×
X-ray lower spine, 4+ views (72110)
$339.75
$453
3.0×
MRI lumbar spine without contrast (72148)
$2,747.25
$3,663
10.7×
CT pelvis with contrast (72193)
$1,628.25
$2,171
8.7×
MRI lower-extremity joint without contrast (73721)
$2,112
$2,816
8.3×
CT abdomen and pelvis with contrast (74177)
$3,188.25
$4,251
8.5×
Ultrasound, abdomen complete (76700)
$673.50
$898
6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines
$487.50–$521.25
$650–$695
varies
Ultrasound, transvaginal (76830)
$495
$660
4.4×
Mammography, one breast (diagnostic) (77065)
$279.75
$373
3.2×
Mammography, both breasts (diagnostic) (77066)
$379.50
$506
3.4×
Mammography, screening (bilateral) (77067)
$324.75
$433
3.6×
Basic metabolic panel (80048)
$138.75
$185
16.4×
Comprehensive metabolic panel (80053)
$167.25
$223
15.8×
Obstetric panel (80055)
$472.50
$630
9.9×
Lipid panel (80061)
$157.50
$210
11.8×
Renal function panel (80069)
$84.75
$113
9.8×
Hepatic function panel (80076)
$93
$124
11.4×
PSA, total (84153)
$121.50
$162
6.6×
Thyroid stimulating hormone (TSH) (84443)
$110.25
$147
6.6×
CBC with automated differential (85025)
$87.75
$117
11.3×
CBC, automated (85027)
$57
$76
8.8×
Prothrombin time (PT) (85610) range across 3 matching MRF lines
$44.25–$55.50
$59–$74
varies
Partial thromboplastin time (PTT) (85730) range across 7 matching MRF lines
$33.75–$76.50
$45–$102
varies
Psychotherapy, 30 minutes (90832)
$189.75
$253
1.0×
Psychotherapy, 45 minutes (90834)
$274.50
$366
1.4×
Psychotherapy, 60 minutes (90837)
$443.25
$591
2.3×
Family psychotherapy, without patient (50 min) (90846)
$321
$428
1.7×
Family psychotherapy, with patient (50 min) (90847)
$366
$488
1.9×
Group psychotherapy (90853)
$295.50
$394
2.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$100.50
$134
3.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$261.75
$349
1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$297.75
$397
2.1×
Office visit, new patient (high complexity, ~60 min) (99205)
$319.50
$426
2.2×
Office consultation (low complexity, ~30 min) (99243)
$147.75
$197
1.0×
Office consultation (moderate complexity, ~40 min) (99244)
$261
$348
1.8×
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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