Graham Hospital Association

Canton, IL · Critical Access Hospital

Posts prices for 62 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-02.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120) — $1,010.54 —
Shoulder arthroscopy with decompression (29826) — $1,381.67 —
Knee arthroscopy with meniscectomy (29881) — $1,222.33 —
Tonsillectomy and adenoidectomy (under age 12) (42820) — $587.92 —
Upper GI endoscopy (EGD), diagnostic (43235) — $561.98 —
Upper GI endoscopy (EGD) with biopsy (43239) — $695.60 —
Diagnostic colonoscopy (45378) — $743.76 —
Colonoscopy with biopsy (45380) — $876.55 —
Colonoscopy with lesion removal (45385) — $998.11 —
Colonoscopy with endoscopic ultrasound (45391) — $539.50 —
Laparoscopic gallbladder removal (47562) — $1,375.56 —
Inguinal hernia repair (age 5+) (49505) — $1,083.66 —
Laparoscopic radical prostatectomy (55866) — $3,433.79 —
Obstetric care, vaginal delivery (global) (59400) — $4,350.40 —
Obstetric care, cesarean delivery (global) (59510) — $4,835.70 —
Obstetric care, VBAC delivery (global) (59610) — $4,574.04 —
Epidural injection, lumbar/sacral (with imaging) (62322) — $300.78 —
Transforaminal epidural injection, lumbar/sacral (64483) — $697.38 —
After-cataract laser surgery (YAG capsulotomy) (66821) — $649.16 —
Cataract removal with lens insertion (66984) — $1,398.81 —
CT head/brain without contrast (70450)
range across 5 matching MRF lines
— $92.80–$2,517.01 —
MRI brain without contrast (70551)
range across 4 matching MRF lines
— $140.64–$2,847.48 —
MRI brain with contrast (70552) — $1,213.15 —
MRI brain without and with contrast (70553)
range across 4 matching MRF lines
— $216.94–$5,451.72 —
X-ray lower spine, 4+ views (72110)
range across 4 matching MRF lines
— $26.56–$659.09 —
MRI lumbar spine without contrast (72148)
range across 3 matching MRF lines
— $145.21–$3,435.75 —
CT pelvis with contrast (72193)
range across 3 matching MRF lines
— $126.99–$2,524.16 —
MRI lower-extremity joint without contrast (73721)
range across 5 matching MRF lines
— $133.51–$5,153.63 —
CT abdomen and pelvis with contrast (74177)
range across 2 matching MRF lines
— $168.30–$6,517.84 —
Ultrasound, abdomen complete (76700)
range across 4 matching MRF lines
— $88.91–$1,160.62 —
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 6 matching MRF lines
— $108.96–$924.58 —
Ultrasound, transvaginal (76830)
range across 6 matching MRF lines
— $76.51–$924.58 —
Mammography, one breast (diagnostic) (77065)
range across 2 matching MRF lines
— $88.91–$561.24 —
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
— $133.37–$701.55 —
Mammography, screening (bilateral) (77067)
range across 4 matching MRF lines
— $83.50–$879 —
Basic metabolic panel (80048)
range across 4 matching MRF lines
— $11.60–$101.75 —
Comprehensive metabolic panel (80053)
range across 3 matching MRF lines
— $14.49–$222.60 —
Obstetric panel (80055) — $65.58 —
Lipid panel (80061)
range across 2 matching MRF lines
— $18.37–$150 —
Renal function panel (80069)
range across 3 matching MRF lines
— $11.91–$162 —
Hepatic function panel (80076)
range across 3 matching MRF lines
— $11.21–$272 —
Urinalysis, non-automated, without microscopy (81002)
range across 2 matching MRF lines
— $18–$43.47 —
PSA, total (84153)
range across 4 matching MRF lines
— $25.23–$133.33 —
Thyroid stimulating hormone (TSH) (84443)
range across 4 matching MRF lines
— $23.05–$166.67 —
CBC with automated differential (85025)
range across 3 matching MRF lines
— $10.66–$93.60 —
CBC, automated (85027)
range across 5 matching MRF lines
— $8.87–$80.40 —
Prothrombin time (PT) (85610)
range across 3 matching MRF lines
— $5.39–$66.67 —
Partial thromboplastin time (PTT) (85730)
range across 4 matching MRF lines
— $8.24–$82.29 —
Psychotherapy, 30 minutes (90832) — $153.52 —
Psychotherapy, 45 minutes (90834) — $203.84 —
Psychotherapy, 60 minutes (90837) — $300 —
Family psychotherapy, without patient (50 min) (90846) — $218.58 —
Family psychotherapy, with patient (50 min) (90847) — $227.12 —
Group psychotherapy (90853) — $54.20 —
Electrocardiogram (ECG), complete (93000) — $40.45 —
Sleep study (attended polysomnography) (95810)
range across 4 matching MRF lines
— $1,185.94–$5,384.69 —
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 2 matching MRF lines
— $60.68–$198 —
Office visit, new patient (low complexity, ~30 min) (99203)
range across 4 matching MRF lines
— $159.93–$317 —
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 4 matching MRF lines
— $243.94–$528.06 —
Office visit, new patient (high complexity, ~60 min) (99205)
range across 4 matching MRF lines
— $307.23–$662.47 —
Preventive visit, new patient (age 18–39) (99385) — $184.17 —
Preventive visit, new patient (age 40–64) (99386) — $213.48 —

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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Download the machine-readable file (CSV, 34.1 MB) ↓ — captured 2026-10-02

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