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Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-13.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$3,054.35
$4,699
28.0×
MRI brain without contrast (70551)
$3,469.05
$5,337
13.9×
MRI brain with contrast (70552)
$3,900.65
$6,001
10.7×
MRI brain without and with contrast (70553)
$4,919.85
$7,569
13.5×
X-ray lower spine, 4+ views (72110)
$1,119.95
$1,723
10.3×
MRI lumbar spine without contrast (72148)
$3,775.20
$5,808
15.2×
CT pelvis with contrast (72193)
$3,380.65
$5,201
18.5×
MRI lower-extremity joint without contrast (73721)
$3,591.90
$5,526
14.4×
CT abdomen and pelvis with contrast (74177)
$5,964.40
$9,176
16.4×
Ultrasound, abdomen complete (76700)
$1,479.40
$2,276
13.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$818.35
$1,259
7.5×
Ultrasound, transvaginal (76830)
$880.10
$1,354
8.1×
Mammography, one breast (diagnostic) (77065)
$432.25
$665
5.0×
Mammography, both breasts (diagnostic) (77066)
$560.30
$862
5.1×
Mammography, screening (bilateral) (77067)
$475.15
$731
5.2×
Basic metabolic panel (80048)
$438.75
$675
51.9×
Comprehensive metabolic panel (80053)
$765.70
$1,178
72.5×
Lipid panel (80061)
$101.08
$155.50
7.5×
Renal function panel (80069)
$546.65
$841
63.0×
Hepatic function panel (80076)
$383.50
$590
46.9×
PSA, total (84153)
$117.32
$180.50
6.4×
Thyroid stimulating hormone (TSH) (84443)
$93.28
$143.50
5.6×
CBC with automated differential (85025)
$252.85
$389
32.5×
CBC, automated (85027)
$160.55
$247
24.8×
Prothrombin time (PT) (85610)
$53.95
$83
12.6×
Partial thromboplastin time (PTT) (85730)
$64.35
$99
10.7×
Left heart catheterization (93452)
$13,518.05
$20,797
4.0×
Sleep study (attended polysomnography) (95810)
$4,228.25
$6,505
4.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$161.20
$248
5.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$547.30
$842
3.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$746.85
$1,149
5.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$770.90
$1,186
5.5×
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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