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Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) range across 3 matching MRF lines
$416–$832
$416–$832
varies
CT head/brain without contrast (70450)
$970
$970
9.7×
MRI brain without contrast (70551)
$2,450
$2,450
10.7×
MRI brain without and with contrast (70553)
$4,790
$4,790
14.3×
X-ray lower spine, 4+ views (72110)
$232
$232
2.3×
MRI lumbar spine without contrast (72148)
$2,560
$2,560
11.2×
CT pelvis with contrast (72193)
$1,430
$1,430
8.5×
MRI lower-extremity joint without contrast (73721)
$2,400
$2,400
10.5×
CT abdomen and pelvis with contrast (74177)
$1,940
$1,940
5.8×
Ultrasound, abdomen complete (76700)
$524
$524
5.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$550
$550
5.5×
Ultrasound, transvaginal (76830)
$440
$440
4.4×
Mammography, one breast (diagnostic) (77065)
$343
$343
4.0×
Mammography, both breasts (diagnostic) (77066)
$415
$415
3.8×
Mammography, screening (bilateral) (77067) range across 4 matching MRF lines
$305–$368
$305–$368
varies
Basic metabolic panel (80048)
$107
$107
12.6×
Comprehensive metabolic panel (80053)
$107
$107
10.1×
Lipid panel (80061)
$107
$107
8.0×
Renal function panel (80069)
$107
$107
12.3×
Hepatic function panel (80076)
$107
$107
13.1×
PSA, total (84153)
$61
$61
3.3×
Thyroid stimulating hormone (TSH) (84443)
$80
$80
4.8×
CBC with automated differential (85025)
$57
$57
7.3×
CBC, automated (85027)
$57
$57
8.8×
Prothrombin time (PT) (85610)
$42
$42
9.8×
Partial thromboplastin time (PTT) (85730)
$42
$42
7.0×
Psychotherapy, 30 minutes (90832)
$430
$430
2.5×
Psychotherapy, 45 minutes (90834)
$470
$470
2.8×
Group psychotherapy (90853)
$330
$330
3.4×
Sleep study (attended polysomnography) (95810)
$2,772
$2,772
3.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$100
$100
3.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$74
$74
0.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$113
$113
0.9×
Office visit, new patient (high complexity, ~60 min) (99205)
$194
$194
1.5×
Preventive visit, new patient (age 40–64) (99386)
$263
$263
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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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