Home › Hospitals › Jewell County Hospital Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $770.62
$1,027.50
0.2×
CT head/brain without contrast (70450) $900
$1,200
9.4×
MRI brain without contrast (70551) $1,125
$1,500
5.1×
MRI brain with contrast (70552) $1,237.50
$1,650
3.9×
MRI brain without and with contrast (70553) $1,350
$1,800
4.2×
X-ray lower spine, 4+ views (72110) $312.75
$417
3.3×
MRI lumbar spine without contrast (72148) $1,125
$1,500
5.1×
CT pelvis with contrast (72193) $1,012.50
$1,350
6.3×
MRI lower-extremity joint without contrast (73721) $1,125
$1,500
5.1×
CT abdomen and pelvis with contrast (74177) $1,012.50
$1,350
3.2×
Ultrasound, abdomen complete (76700) $720
$960
7.5×
Ultrasound, transvaginal (76830) $302.25
$403
3.1×
Basic metabolic panel (80048) $79.69
$106.25
9.4×
Comprehensive metabolic panel (80053) $121.88
$162.50
11.5×
Lipid panel (80061) $121.88
$162.50
9.1×
Renal function panel (80069) $70.31
$93.75
8.1×
Hepatic function panel (80076) $103.13
$137.50
12.6×
Urinalysis, non-automated, without microscopy (81002) $27.66
$36.88
7.9×
PSA, total (84153) $143.44
$191.25
7.8×
Thyroid stimulating hormone (TSH) (84443) $106.31
$141.75
6.3×
CBC with automated differential (85025) $69.19
$92.25
8.9×
CBC, automated (85027) $49.50
$66
7.7×
Prothrombin time (PT) (85610) $54.75
$73
12.8×
Partial thromboplastin time (PTT) (85730) $35.63
$47.50
5.9×
Sleep study (attended polysomnography) (95810) $1,188
$1,584
1.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $76.50
$102
2.6×
Office visit, new patient (low complexity, ~30 min) (99203) $108.75
$145
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204) $157.50
$210
1.3×
Office visit, new patient (high complexity, ~60 min) (99205) $262.50
$350
2.1×
Preventive visit, new patient (age 18–39) (99385) $150
$200
—
Preventive visit, new patient (age 40–64) (99386) $150
$200
—
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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