Grand Itasca Clinic and Hospital

Grand Rapids, MN

Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.

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ProcedureCash priceGross charge× Medicare
Breast lesion removal (open) (19120) $882.73 $2,077 0.2×
Upper GI endoscopy (EGD), diagnostic (43235) $866.18 $2,038.05 0.9×
Upper GI endoscopy (EGD) with biopsy (43239) $896.12 $2,108.50 1.0×
Diagnostic colonoscopy (45378) $1,103.87 $2,597.34 1.2×
Colonoscopy with biopsy (45380) $1,202.08 $2,828.40 1.0×
Colonoscopy with lesion removal (45385) $1,245.76 $2,931.19 1.0×
Epidural injection, lumbar/sacral (with imaging) (62322) $231.20 $544 0.3×
Transforaminal epidural injection, lumbar/sacral (64483) $1,072.94 $2,524.56 1.2×
CT head/brain without contrast (70450) $508.12 $1,195.57 4.7×
MRI brain without contrast (70551) $681.70 $1,604 2.8×
MRI brain with contrast (70552) $953.70 $2,244 2.6×
MRI brain without and with contrast (70553) $954.98 $2,247 2.7×
X-ray lower spine, 4+ views (72110) $146.62 $345 1.4×
MRI lumbar spine without contrast (72148) $805.38 $1,895 3.3×
CT pelvis with contrast (72193) $688.93 $1,621 3.8×
MRI lower-extremity joint without contrast (73721) $1,051.46 $2,474 4.3×
CT abdomen and pelvis with contrast (74177) $778.57 $1,831.92 2.2×
Ultrasound, abdomen complete (76700) $294.95 $694 2.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $230.99 $543.50 2.1×
Ultrasound, transvaginal (76830) $236.73 $557 2.2×
Mammography, one breast (diagnostic) (77065) $178.92 $421 2.1×
Mammography, both breasts (diagnostic) (77066) $185.30 $436 1.7×
Mammography, screening (bilateral) (77067) $178.08 $419 2.0×
Basic metabolic panel (80048) $79.51 $187.08 9.4×
Comprehensive metabolic panel (80053) $51.43 $121 4.9×
Lipid panel (80061) $17.43 $41 1.3×
Renal function panel (80069) $44.42 $104.50 5.1×
Hepatic function panel (80076) $11.05 $26 1.4×
PSA, total (84153) $56.50 $132.92 3.1×
Thyroid stimulating hormone (TSH) (84443) $38.24 $89.96 2.3×
CBC with automated differential (85025) $11.90 $28 1.5×
CBC, automated (85027) $60.75 $142.93 9.4×
Prothrombin time (PT) (85610) $32.53 $76.53 7.6×
Partial thromboplastin time (PTT) (85730) $61.32 $144.28 10.2×
Psychotherapy, 30 minutes (90832) $114.54 $269.50 0.6×
Psychotherapy, 45 minutes (90834) $113.92 $268.04 0.6×
Psychotherapy, 60 minutes (90837) $140.90 $331.54 0.8×
Family psychotherapy, with patient (50 min) (90847) $114.33 $269 0.6×
Group psychotherapy (90853) $39.07 $91.92 0.4×
Sleep study (attended polysomnography) (95810) $2,085.09 $4,906.09 2.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $73.68 $173.35 2.5×

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