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Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$503.36
$1,258.40
5.3×
MRI brain without contrast (70551)
$480
$1,200
2.2×
MRI brain with contrast (70552)
$640
$1,600
2.0×
MRI brain without and with contrast (70553)
$800
$2,000
2.5×
X-ray lower spine, 4+ views (72110)
$175.57
$438.92
1.8×
MRI lumbar spine without contrast (72148)
$480
$1,200
2.2×
CT pelvis with contrast (72193)
$624.11
$1,560.28
3.9×
MRI lower-extremity joint without contrast (73721)
$480
$1,200
2.2×
CT abdomen and pelvis with contrast (74177)
$1,230
$3,075
3.9×
Ultrasound, abdomen complete (76700)
$178.68
$446.70
1.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$270
$675
2.8×
Ultrasound, transvaginal (76830)
$232
$580
2.4×
Mammography, one breast (diagnostic) (77065)
$122
$305
1.4×
Mammography, both breasts (diagnostic) (77066)
$156
$390
1.4×
Mammography, screening (bilateral) (77067)
$118
$295
1.3×
Basic metabolic panel (80048)
$4.70
$11.76
0.6×
Comprehensive metabolic panel (80053)
$6
$15
0.6×
Lipid panel (80061)
$33.05
$82.62
2.5×
Renal function panel (80069)
$31.04
$77.60
3.6×
Hepatic function panel (80076)
$35.20
$88
4.3×
PSA, total (84153)
$62.95
$157.38
3.4×
Thyroid stimulating hormone (TSH) (84443)
$38.20
$95.50
2.3×
CBC with automated differential (85025)
$4.40
$11
0.6×
CBC, automated (85027)
$3.52
$8.81
0.5×
Prothrombin time (PT) (85610)
$2.14
$5.36
0.5×
Partial thromboplastin time (PTT) (85730)
$20.05
$50.12
3.3×
Psychotherapy, 30 minutes (90832)
$58
$145
0.4×
Psychotherapy, 45 minutes (90834)
$77
$192.50
0.5×
Psychotherapy, 60 minutes (90837)
$110
$275
0.7×
Family psychotherapy, without patient (50 min) (90846)
$100
$250
0.6×
Family psychotherapy, with patient (50 min) (90847)
$97
$242.50
0.6×
Group psychotherapy (90853)
$70
$175
0.8×
Sleep study (attended polysomnography) (95810)
$1,120
$2,800
1.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$35.60
$89
1.2×
Office visit, new patient (low complexity, ~30 min) (99203)
$114
$285
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$176
$440
1.5×
Office visit, new patient (high complexity, ~60 min) (99205)
$220
$550
1.8×
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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