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Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$1,448
$1,448
1.7×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,500
$1,500
1.8×
Diagnostic colonoscopy (45378)
$1,725
$1,725
2.0×
Colonoscopy with biopsy (45380)
$1,760
$1,760
1.6×
Colonoscopy with lesion removal (45385)
$1,950
$1,950
1.8×
Transforaminal epidural injection, lumbar/sacral (64483)
$765
$765
0.9×
CT head/brain without contrast (70450)
$626
$626
6.5×
MRI brain without contrast (70551)
$775
$775
3.5×
MRI brain with contrast (70552)
$775
$775
2.4×
MRI brain without and with contrast (70553)
$775
$775
2.4×
X-ray lower spine, 4+ views (72110)
$310
$310
3.2×
MRI lumbar spine without contrast (72148)
$775
$775
3.5×
CT pelvis with contrast (72193)
$625
$625
3.9×
MRI lower-extremity joint without contrast (73721)
$775
$775
3.5×
CT abdomen and pelvis with contrast (74177)
$840
$840
2.6×
Ultrasound, abdomen complete (76700)
$278
$278
2.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$180
$180
1.9×
Ultrasound, transvaginal (76830)
$165
$165
1.7×
Mammography, one breast (diagnostic) (77065)
$162
$162
1.9×
Mammography, both breasts (diagnostic) (77066)
$162
$162
1.5×
Mammography, screening (bilateral) (77067)
$215
$215
2.4×
Basic metabolic panel (80048)
$28
$28
3.3×
Comprehensive metabolic panel (80053)
$46
$46
4.4×
Lipid panel (80061)
$70
$70
5.2×
Renal function panel (80069)
$49.40
$49.40
5.7×
Hepatic function panel (80076)
$49
$49
6.0×
Urinalysis, non-automated, without microscopy (81002)
$15
$15
4.3×
PSA, total (84153)
$97.50
$97.50
5.3×
Thyroid stimulating hormone (TSH) (84443)
$89
$89
5.3×
CBC with automated differential (85025)
$18.50
$18.50
2.4×
CBC, automated (85027)
$25
$25
3.9×
Prothrombin time (PT) (85610)
$35.92
$35.92
8.4×
Partial thromboplastin time (PTT) (85730)
$83.32
$83.32
13.9×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$65.50
$65.50
2.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$118
$118
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$118
$118
1.0×
Office visit, new patient (high complexity, ~60 min) (99205)
$197
$197
1.6×
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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