FirstHealth Montgomery Memorial Hospital
Troy, NC · Critical Access Hospital
Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Epidural injection, lumbar/sacral (with imaging) (62322) | $2,081 | $2,081 | 2.5× |
| Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines |
$4,010.50–$8,020.75 | $4,010.50–$8,020.75 | varies |
| CT head/brain without contrast (70450) range across 2 matching MRF lines |
$3,308.75–$3,344.25 | $3,308.75–$3,344.25 | varies |
| MRI brain without contrast (70551) range across 2 matching MRF lines |
$5,393–$5,533 | $5,393–$5,533 | varies |
| MRI brain with contrast (70552) | $5,550.75 | $5,550.75 | 16.6× |
| MRI brain without and with contrast (70553) range across 2 matching MRF lines |
$6,148.75–$6,307.25 | $6,148.75–$6,307.25 | varies |
| X-ray lower spine, 4+ views (72110) range across 2 matching MRF lines |
$1,216.75–$2,126.50 | $1,216.75–$2,126.50 | varies |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$5,393–$5,533 | $5,393–$5,533 | varies |
| CT pelvis with contrast (72193) range across 2 matching MRF lines |
$4,109–$4,275.75 | $4,109–$4,275.75 | varies |
| MRI lower-extremity joint without contrast (73721) range across 3 matching MRF lines |
$5,010.50–$10,242.75 | $5,010.50–$10,242.75 | varies |
| CT abdomen and pelvis with contrast (74177) range across 2 matching MRF lines |
$8,218.25–$8,551 | $8,218.25–$8,551 | varies |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$1,727.75–$2,151.25 | $1,727.75–$2,151.25 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) range across 2 matching MRF lines |
$1,744–$2,070 | $1,744–$2,070 | varies |
| Ultrasound, transvaginal (76830) range across 2 matching MRF lines |
$1,106.75–$1,134.25 | $1,106.75–$1,134.25 | varies |
| Mammography, one breast (diagnostic) (77065) | $570.75 | $570.75 | 6.6× |
| Mammography, both breasts (diagnostic) (77066) | $713 | $713 | 6.4× |
| Mammography, screening (bilateral) (77067) | $825.75 | $825.75 | 9.1× |
| Basic metabolic panel (80048) range across 2 matching MRF lines |
$42–$615 | $42–$615 | varies |
| Comprehensive metabolic panel (80053) range across 2 matching MRF lines |
$44.25–$860.75 | $44.25–$860.75 | varies |
| Lipid panel (80061) range across 2 matching MRF lines |
$71.25–$548.75 | $71.25–$548.75 | varies |
| Renal function panel (80069) range across 2 matching MRF lines |
$42–$578.50 | $42–$578.50 | varies |
| Hepatic function panel (80076) range across 2 matching MRF lines |
$42–$365.75 | $42–$365.75 | varies |
| Urinalysis, non-automated, without microscopy (81002) | $81.50 | $81.50 | 23.4× |
| PSA, total (84153) range across 2 matching MRF lines |
$96.50–$230.25 | $96.50–$230.25 | varies |
| Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines |
$85.50–$239.50 | $85.50–$239.50 | varies |
| CBC with automated differential (85025) range across 2 matching MRF lines |
$41–$257 | $41–$257 | varies |
| CBC, automated (85027) range across 2 matching MRF lines |
$33.75–$157.75 | $33.75–$157.75 | varies |
| Prothrombin time (PT) (85610) range across 2 matching MRF lines |
$21–$215.25 | $21–$215.25 | varies |
| Partial thromboplastin time (PTT) (85730) range across 2 matching MRF lines |
$31.50–$139.50 | $31.50–$139.50 | varies |
| Psychotherapy, 45 minutes (90834) | $293.50 | $293.50 | 1.7× |
| Group psychotherapy (90853) range across 3 matching MRF lines |
$293.50–$880.25 | $293.50–$880.25 | varies |
| Left heart catheterization (93452) | $12,950.75 | $12,950.75 | 4.2× |
| Sleep study (attended polysomnography) (95810) range across 3 matching MRF lines |
$2,090.50–$6,196.50 | $2,090.50–$6,196.50 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$155.50–$158.50 | $155.50–$158.50 | varies |
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.
More prices at this hospital
- Imaging: 321 codes with posted prices and Medicare benchmarks
- Lab & pathology: 739 codes with posted prices and Medicare benchmarks
- Visits & medical services: 228 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 504 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 92 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 2.3 MB) ↓ — captured 2026-08-17
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.