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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ProcedureCash priceGross charge× Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $2,081 $2,081 2.5×
Transforaminal epidural injection, lumbar/sacral (64483) $4,010.50 $4,010.50 4.7×
CT head/brain without contrast (70450) $3,326.50 $3,326.50 33.3×
MRI brain without contrast (70551) $5,463 $5,463 24.0×
MRI brain with contrast (70552) $5,550.75 $5,550.75 16.6×
MRI brain without and with contrast (70553) $6,228 $6,228 18.7×
X-ray lower spine, 4+ views (72110) $1,671.62 $1,671.62 16.7×
MRI lumbar spine without contrast (72148) $5,463 $5,463 24.0×
CT pelvis with contrast (72193) $4,192.38 $4,192.38 25.0×
MRI lower-extremity joint without contrast (73721) $5,121.50 $5,121.50 22.5×
CT abdomen and pelvis with contrast (74177) $8,384.62 $8,384.62 25.1×
Ultrasound, abdomen complete (76700) $1,939.50 $1,939.50 19.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $1,907 $1,907 19.1×
Ultrasound, transvaginal (76830) $1,120.50 $1,120.50 11.2×
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) $328.50 $328.50 38.8×
Comprehensive metabolic panel (80053) $452.50 $452.50 42.9×
Lipid panel (80061) $310 $310 23.2×
Renal function panel (80069) $310.25 $310.25 35.7×
Hepatic function panel (80076) $203.88 $203.88 25.0×
Urinalysis, non-automated, without microscopy (81002) $81.50 $81.50 23.4×
PSA, total (84153) $163.38 $163.38 8.9×
Thyroid stimulating hormone (TSH) (84443) $162.50 $162.50 9.7×
CBC with automated differential (85025) $149 $149 19.2×
CBC, automated (85027) $95.75 $95.75 14.8×
Prothrombin time (PT) (85610) $118.12 $118.12 27.5×
Partial thromboplastin time (PTT) (85730) $85.50 $85.50 14.2×
Psychotherapy, 45 minutes (90834) $293.50 $293.50 1.7×
Group psychotherapy (90853) $880.25 $880.25 9.1×
Left heart catheterization (93452) $12,950.75 $12,950.75 4.2×
Sleep study (attended polysomnography) (95810) $2,124.50 $2,124.50 2.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $157 $157 5.4×

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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