Franklin County Memorial Hospital

Franklin, NE · Critical Access Hospital

Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-20.

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ProcedureCash priceGross charge× Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $2,047 $2,274 2.2×
Upper GI endoscopy (EGD) with biopsy (43239) $2,093 $2,326 2.2×
Diagnostic colonoscopy (45378) $1,981 $2,201 2.1×
Colonoscopy with biopsy (45380) $1,993 $2,214 1.6×
Colonoscopy with lesion removal (45385) $2,411 $2,679 1.9×
CT head/brain without contrast (70450) $1,957 $2,174 18.0×
MRI brain without contrast (70551) $3,359 $3,732 13.6×
MRI brain with contrast (70552) $3,521 $3,912 9.7×
MRI brain without and with contrast (70553) $3,774 $4,193 10.4×
X-ray lower spine, 4+ views (72110) $508 $564 4.7×
MRI lumbar spine without contrast (72148) $3,186 $3,540 12.9×
CT pelvis with contrast (72193) $2,521 $2,801 13.8×
MRI lower-extremity joint without contrast (73721) $2,465 $2,739 9.9×
CT abdomen and pelvis with contrast (74177) $4,405 $4,894 12.2×
Ultrasound, abdomen complete (76700) $843 $937 7.8×
Ultrasound, transvaginal (76830) $628 $698 5.8×
Mammography, one breast (diagnostic) (77065) $352 $391 4.1×
Mammography, both breasts (diagnostic) (77066) $427 $474 3.9×
Mammography, screening (bilateral) (77067) $378 $420 4.1×
Basic metabolic panel (80048) $136 $151 16.1×
Comprehensive metabolic panel (80053) $158 $176 15.0×
Lipid panel (80061) $118 $131 8.8×
Renal function panel (80069) $159 $177 18.3×
Hepatic function panel (80076) $149 $165 18.2×
Urinalysis, non-automated, without microscopy (81002) $18 $20 5.2×
PSA, total (84153) $125 $139 6.8×
Thyroid stimulating hormone (TSH) (84443) $117 $130 7.0×
CBC with automated differential (85025) $101 $112 13.0×
CBC, automated (85027) $81 $90 12.5×
Prothrombin time (PT) (85610) $36.50 $40 8.5×
Partial thromboplastin time (PTT) (85730) $95 $106 15.8×
Electrocardiogram (ECG), complete (93000) $353 $392 5.8×
Sleep study (attended polysomnography) (95810) $3,702 $4,113 4.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $89 $99 3.1×
Office visit, new patient (low complexity, ~30 min) (99203) $215.50 $239.50 1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204) $337.50 $375 2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $442.50 $492 3.2×
Office consultation (low complexity, ~30 min) (99243) $258 $287 1.9×
Office consultation (moderate complexity, ~40 min) (99244) $479 $532 3.5×
Preventive visit, new patient (age 18–39) (99385) $251 $279
Preventive visit, new patient (age 40–64) (99386) $292 $324

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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