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Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120)
$2,593.92
$2,593.92
0.7×
Upper GI endoscopy (EGD), diagnostic (43235)
$1,441.82
$1,441.82
1.6×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,115
$1,115
1.2×
Diagnostic colonoscopy (45378)
$1,930
$1,930
2.1×
Colonoscopy with biopsy (45380)
$1,930
$1,930
1.6×
CT head/brain without contrast (70450)
$875
$875
8.3×
MRI brain without contrast (70551)
$1,300
$1,300
5.4×
MRI brain with contrast (70552)
$1,600
$1,600
4.6×
MRI brain without and with contrast (70553)
$1,900
$1,900
5.4×
X-ray lower spine, 4+ views (72110)
$226
$226
2.2×
MRI lumbar spine without contrast (72148)
$1,300
$1,300
5.4×
CT pelvis with contrast (72193)
$1,168
$1,168
6.6×
MRI lower-extremity joint without contrast (73721)
$1,300
$1,300
5.4×
CT abdomen and pelvis with contrast (74177)
$1,168
$1,168
3.3×
Ultrasound, abdomen complete (76700)
$320.64
$320.64
3.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$289
$289
2.8×
Mammography, one breast (diagnostic) (77065)
$2,000
$2,000
23.2×
Basic metabolic panel (80048)
$137
$137
16.2×
Comprehensive metabolic panel (80053)
$158
$158
15.0×
Lipid panel (80061)
$171.50
$171.50
12.8×
Renal function panel (80069)
$161
$161
18.5×
Hepatic function panel (80076)
$128
$128
15.7×
PSA, total (84153)
$111
$111
6.0×
Thyroid stimulating hormone (TSH) (84443)
$86.25
$86.25
5.1×
CBC with automated differential (85025)
$50
$50
6.4×
CBC, automated (85027)
$27
$27
4.2×
Prothrombin time (PT) (85610)
$44
$44
10.3×
Partial thromboplastin time (PTT) (85730)
$49.50
$49.50
8.2×
Psychotherapy, 30 minutes (90832)
$241
$241
1.4×
Psychotherapy, 60 minutes (90837)
$200
$200
1.1×
Family psychotherapy, without patient (50 min) (90846)
$286.98
$286.98
1.6×
Family psychotherapy, with patient (50 min) (90847)
$286.98
$286.98
1.6×
Group psychotherapy (90853)
$245
$245
2.4×
Sleep study (attended polysomnography) (95810)
$2,000
$2,000
2.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$72
$72
2.5×
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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