Home › Hospitals › Hansford County Hospital Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $585
$780
5.6×
MRI brain without contrast (70551) $1,325
$1,767
5.5×
MRI brain with contrast (70552) $1,514
$2,019
4.3×
MRI brain without and with contrast (70553) $2,945
$3,927
8.4×
X-ray lower spine, 4+ views (72110) $251
$334
2.4×
MRI lumbar spine without contrast (72148) $1,473
$1,964
6.1×
CT pelvis with contrast (72193) $713
$950
4.0×
MRI lower-extremity joint without contrast (73721) $1,180
$1,573
4.9×
CT abdomen and pelvis with contrast (74177) $866
$1,155
2.5×
Ultrasound, abdomen complete (76700) $275
$367
2.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $311
$414
3.0×
Ultrasound, transvaginal (76830) $250
$333
2.4×
Basic metabolic panel (80048) $74
$99
8.7×
Comprehensive metabolic panel (80053) $130
$173
12.3×
Lipid panel (80061) $69
$92
5.2×
Renal function panel (80069) $180
$240
20.7×
Hepatic function panel (80076) $81
$108
9.9×
Urinalysis, non-automated, without microscopy (81002) $34
$45
9.8×
PSA, total (84153) $120.50
$160.50
6.6×
Thyroid stimulating hormone (TSH) (84443) $87
$116
5.2×
CBC with automated differential (85025) $40
$53
5.1×
CBC, automated (85027) $33
$44
5.1×
Prothrombin time (PT) (85610) $40
$53
9.3×
Partial thromboplastin time (PTT) (85730) $85.50
$114
14.2×
Sleep study (attended polysomnography) (95810) $2,115
$2,820
2.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $60
$80
2.1×
Office visit, new patient (low complexity, ~30 min) (99203) $109
$145
0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $150
$200
1.1×
Office visit, new patient (high complexity, ~60 min) (99205) $180
$240
1.3×
Preventive visit, new patient (age 18–39) (99385) $169
$225
—
Preventive visit, new patient (age 40–64) (99386) $169
$225
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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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