Home › Hospitals › HSHS Good Shepherd Hospital Inc Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-10-01.
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Procedure Posted cash Posted gross × Medicare
CT head/brain without contrast (70450) $1,721.52
$2,391
15.4×
MRI brain without contrast (70551) $2,881.44
$4,002
11.3×
MRI brain with contrast (70552) $3,562.56
$4,948
9.5×
MRI brain without and with contrast (70553) $3,960.72
$5,501
10.6×
X-ray lower spine, 4+ views (72110) $634.32
$881
5.7×
MRI lumbar spine without contrast (72148) $2,881.44
$4,002
11.3×
CT pelvis with contrast (72193) $2,674.08
$3,714
14.2×
MRI lower-extremity joint without contrast (73721) $2,881.44
$4,002
11.3×
CT abdomen and pelvis with contrast (74177) $4,723.20
$6,560
12.6×
Ultrasound, abdomen complete (76700) $921.60
$1,280
8.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $566.64
$787
5.1×
Ultrasound, transvaginal (76830) $765.36
$1,063
6.8×
Mammography, one breast (diagnostic) (77065) $375.84
$522
4.4×
Mammography, both breasts (diagnostic) (77066) $474.48
$659
4.3×
Mammography, screening (bilateral) (77067) $327.60
$455
3.6×
Basic metabolic panel (80048) $41.76
$58
4.9×
Comprehensive metabolic panel (80053) $223.92
$311
21.2×
Lipid panel (80061) $141.12
$196
10.5×
Renal function panel (80069) $169.92
$236
19.6×
Hepatic function panel (80076) $174.24
$242
21.3×
Urinalysis, non-automated, without microscopy (81002) $32.40
$45
9.3×
PSA, total (84153) $209.52
$291
11.4×
Thyroid stimulating hormone (TSH) (84443) range across 2 matching MRF lines $154.08–$187.20
$214–$260
varies
CBC with automated differential (85025) $92.16
$128
11.9×
CBC, automated (85027) $79.92
$111
12.4×
Prothrombin time (PT) (85610) $69.84
$97
16.3×
Partial thromboplastin time (PTT) (85730) $99.36
$138
16.5×
Sleep study (attended polysomnography) (95810) $4,579.20
$6,360
5.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $131.76
$183
4.5×
Office visit, new patient (low complexity, ~30 min) (99203) $196.56
$273
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $336.24
$467
2.4×
Office visit, new patient (high complexity, ~60 min) (99205) $408.96
$568
2.9×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
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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