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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$4,048
$5,060
5.0×
CT head/brain without contrast (70450)
$678.40
$848
7.1×
MRI brain without contrast (70551)
$1,026.40
$1,283
4.7×
MRI brain without and with contrast (70553)
$1,570.40
$1,963
4.9×
X-ray lower spine, 4+ views (72110)
$245.60
$307
2.6×
MRI lumbar spine without contrast (72148)
$1,144.80
$1,431
5.2×
CT pelvis with contrast (72193)
$834.40
$1,043
5.2×
MRI lower-extremity joint without contrast (73721)
$1,374.40
$1,718
6.3×
CT abdomen and pelvis with contrast (74177)
$1,230.40
$1,538
3.8×
Ultrasound, abdomen complete (76700)
$362.40
$453
3.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$328
$410
3.4×
Mammography, one breast (diagnostic) (77065)
$208
$260
2.4×
Mammography, both breasts (diagnostic) (77066)
$272
$340
2.5×
Mammography, screening (bilateral) (77067)
$162.80
$203.50
1.8×
Basic metabolic panel (80048)
$152.80
$191
18.1×
Comprehensive metabolic panel (80053)
$217.60
$272
20.6×
Lipid panel (80061)
$136
$170
10.2×
Renal function panel (80069)
$143.20
$179
16.5×
Hepatic function panel (80076)
$174.40
$218
21.3×
Urinalysis, non-automated, without microscopy (81002)
$20
$25
5.7×
PSA, total (84153)
$82.40
$103
4.5×
Thyroid stimulating hormone (TSH) (84443)
$164.80
$206
9.8×
CBC with automated differential (85025)
$83.20
$104
10.7×
CBC, automated (85027)
$60
$75
9.3×
Prothrombin time (PT) (85610)
$34.20
$42.75
8.0×
Partial thromboplastin time (PTT) (85730)
$53.60
$67
8.9×
Electrocardiogram (ECG), complete (93000)
$92
$115
1.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$50.40
$63
1.7×
Office visit, new patient (low complexity, ~30 min) (99203)
$110
$137.50
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$128
$160
1.0×
Office visit, new patient (high complexity, ~60 min) (99205)
$213.60
$267
1.7×
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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