Home › Hospitals › Franciscan Healthcare Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $1,597
$1,597
1.7×
After-cataract laser surgery (YAG capsulotomy) (66821) $971
$971
1.7×
CT head/brain without contrast (70450) $3,465
$3,465
31.9×
MRI brain without contrast (70551) $5,639
$5,639
22.8×
MRI brain with contrast (70552) $6,721
$6,721
18.6×
MRI brain without and with contrast (70553) $6,993
$6,993
19.3×
X-ray lower spine, 4+ views (72110) $929
$929
8.6×
MRI lumbar spine without contrast (72148) $5,871
$5,871
23.7×
CT pelvis with contrast (72193) $4,316
$4,316
23.7×
MRI lower-extremity joint without contrast (73721) $3,931
$3,931
15.9×
CT abdomen and pelvis with contrast (74177) $7,290
$7,290
20.1×
Ultrasound, abdomen complete (76700) $1,491
$1,491
13.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $579.50
$579.50
5.3×
Ultrasound, transvaginal (76830) $1,024
$1,024
9.4×
Mammography, one breast (diagnostic) (77065) $535
$535
6.2×
Mammography, both breasts (diagnostic) (77066) $715
$715
6.5×
Mammography, screening (bilateral) (77067) $550
$550
6.0×
Basic metabolic panel (80048) $269
$269
31.8×
Comprehensive metabolic panel (80053) $273
$273
25.9×
Lipid panel (80061) $257
$257
19.2×
Renal function panel (80069) $300
$300
34.6×
Hepatic function panel (80076) $226
$226
27.7×
Urinalysis, non-automated, without microscopy (81002) $63
$63
18.1×
PSA, total (84153) $204
$204
11.1×
Thyroid stimulating hormone (TSH) (84443) $113
$113
6.7×
CBC with automated differential (85025) $157
$157
20.2×
CBC, automated (85027) $110
$110
17.0×
Prothrombin time (PT) (85610) $82
$82
19.1×
Partial thromboplastin time (PTT) (85730) $147.50
$147.50
24.5×
Electrocardiogram (ECG), complete (93000) $585
$585
9.5×
Sleep study (attended polysomnography) (95810) $6,156
$6,156
6.9×
Physical therapy, therapeutic exercise (per 15 min) (97110) $181
$181
6.2×
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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