Home › Hospitals › Haskell Regional Hospital, Inc Posts prices for 35 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450) $2,548
$2,548
25.3×
MRI brain without contrast (70551) $2,699
$2,699
11.8×
MRI brain with contrast (70552) $2,917
$2,917
8.7×
MRI brain without and with contrast (70553) $2,925
$2,925
8.7×
X-ray lower spine, 4+ views (72110) $1,605
$1,605
16.0×
MRI lumbar spine without contrast (72148) $2,475
$2,475
10.8×
CT pelvis with contrast (72193) $3,811
$3,811
22.6×
MRI lower-extremity joint without contrast (73721) $1,913
$1,913
8.3×
CT abdomen and pelvis with contrast (74177) $3,487
$3,487
10.4×
Ultrasound, abdomen complete (76700) $617
$617
6.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $600
$600
6.0×
Ultrasound, transvaginal (76830) $607
$607
6.0×
Basic metabolic panel (80048) $175
$175
20.7×
Comprehensive metabolic panel (80053) $252
$252
23.9×
Lipid panel (80061) $156
$156
11.7×
Renal function panel (80069) $133
$133
15.3×
Hepatic function panel (80076) $489
$489
59.9×
Urinalysis, non-automated, with microscopy (81000) $24.12
$24.12
6.0×
Urinalysis, non-automated, without microscopy (81002) $14
$14
4.0×
PSA, total (84153) $189
$189
10.3×
Thyroid stimulating hormone (TSH) (84443) $174
$174
10.4×
CBC with automated differential (85025) $81
$81
10.4×
CBC, automated (85027) $58
$58
9.0×
Prothrombin time (PT) (85610) $71
$71
16.6×
Partial thromboplastin time (PTT) (85730) $63
$63
10.5×
Psychotherapy, 30 minutes (90832) $160
$160
0.9×
Psychotherapy, 45 minutes (90834) $270.50
$270.50
1.6×
Psychotherapy, 60 minutes (90837) $262.50
$262.50
1.5×
Electrocardiogram (ECG), complete (93000) $42
$42
0.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $142.50
$142.50
4.9×
Office visit, new patient (low complexity, ~30 min) (99203) $175.35
$255.35
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $203
$343
1.6×
Office visit, new patient (high complexity, ~60 min) (99205) $244
$449
1.9×
Preventive visit, new patient (age 18–39) (99385) $100
$181
—
Preventive visit, new patient (age 40–64) (99386) $100
$216
—
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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