Home › Hospitals › Grisell Memorial Hospital Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
See something wrong with these prices? Tell us →
Compare this hospital against others interactively →
Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $1,077.30
$1,134
11.2×
MRI brain without contrast (70551) $873.81
$919.80
4.0×
MRI brain with contrast (70552) $885.78
$932.40
2.8×
MRI brain without and with contrast (70553) $897.75
$945
2.8×
X-ray lower spine, 4+ views (72110) $410.57
$432.18
4.3×
MRI lumbar spine without contrast (72148) $933.66
$982.80
4.3×
CT pelvis with contrast (72193) $945.63
$995.40
5.9×
MRI lower-extremity joint without contrast (73721) $869.65
$915.42
4.0×
CT abdomen and pelvis with contrast (74177) $749.93
$789.40
2.3×
Ultrasound, abdomen complete (76700) $299.25
$315
3.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $239.40
$252
2.5×
Ultrasound, transvaginal (76830) $209.48
$220.50
2.2×
Mammography, one breast (diagnostic) (77065) $228.82
$240.86
2.7×
Mammography, both breasts (diagnostic) (77066) $231.02
$243.18
2.1×
Mammography, screening (bilateral) (77067) $219.21
$230.75
2.4×
Basic metabolic panel (80048) $42.68
$44.93
5.0×
Comprehensive metabolic panel (80053) $55.73
$58.66
5.3×
Obstetric panel (80055) $132.79
$139.78
2.8×
Lipid panel (80061) $86.55
$91.10
6.5×
Renal function panel (80069) $47.42
$49.92
5.5×
Hepatic function panel (80076) $71.14
$74.88
8.7×
Urinalysis, non-automated, without microscopy (81002) $22.82
$24.02
6.6×
PSA, total (84153) $137.94
$145.20
7.5×
Thyroid stimulating hormone (TSH) (84443) $93.66
$98.59
5.6×
CBC with automated differential (85025) $36.05
$37.94
4.6×
CBC, automated (85027) $26.09
$27.46
4.0×
Prothrombin time (PT) (85610) $39.12
$41.18
9.1×
Partial thromboplastin time (PTT) (85730) $43.41
$45.70
7.2×
Psychotherapy, 30 minutes (90832) $155.77
$163.97
1.0×
Psychotherapy, 45 minutes (90834) $206.07
$216.92
1.3×
Psychotherapy, 60 minutes (90837) $304.15
$320.16
1.9×
Electrocardiogram (ECG), complete (93000) $120.54
$126.88
2.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $87.73
$92.35
3.0×
Office visit, new patient (low complexity, ~30 min) (99203) $218.02
$229.50
1.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $292.64
$308.04
2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $363.38
$382.50
3.0×
Preventive visit, new patient (age 18–39) (99385) $243.05
$255.84
—
Preventive visit, new patient (age 40–64) (99386) $254.90
$268.32
—
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.
More prices at this hospital