Home › Hospitals › Johnson County Community Hospital Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-17.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $418.83
$1,821
0.5×
Upper GI endoscopy (EGD) with biopsy (43239) $377.43
$1,641
0.5×
Colonoscopy with biopsy (45380) $474.95
$2,065
0.4×
CT head/brain without contrast (70450) $521.87
$2,269
5.5×
MRI brain without contrast (70551) $593.63
$2,581
2.7×
MRI brain without and with contrast (70553) $656.19
$2,853
2.1×
X-ray lower spine, 4+ views (72110) $67.85
$295
0.7×
MRI lumbar spine without contrast (72148) $593.63
$2,581
2.7×
CT pelvis with contrast (72193) $605.36
$2,632
3.8×
MRI lower-extremity joint without contrast (73721) $598.58
$2,602.50
2.8×
CT abdomen and pelvis with contrast (74177) $549.24
$2,388
1.7×
Ultrasound, abdomen complete (76700) $99.82
$434
1.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $99.82
$434
1.1×
Ultrasound, transvaginal (76830) $99.82
$434
1.1×
Mammography, one breast (diagnostic) (77065) $72.68
$316
0.8×
Mammography, both breasts (diagnostic) (77066) $83.95
$365
0.8×
Mammography, screening (bilateral) (77067) $70.96
$308.50
0.8×
Basic metabolic panel (80048) $14.26
$62
1.7×
Comprehensive metabolic panel (80053) $17.25
$75
1.6×
Obstetric panel (80055) $70.61
$307
1.5×
Lipid panel (80061) $23.23
$101
1.7×
Renal function panel (80069) $14.49
$63
1.7×
Hepatic function panel (80076) $13.57
$59
1.7×
Urinalysis, non-automated, without microscopy (81002) $4.37
$19
1.3×
PSA, total (84153) $31.74
$138
1.7×
Thyroid stimulating hormone (TSH) (84443) $28.98
$126
1.7×
CBC with automated differential (85025) $13.34
$58
1.7×
CBC, automated (85027) $11.04
$48
1.7×
Prothrombin time (PT) (85610) $6.67
$29
1.6×
Partial thromboplastin time (PTT) (85730) $10.35
$45
1.7×
Psychotherapy, 30 minutes (90832) $43.47
$189
0.3×
Psychotherapy, 45 minutes (90834) $43.93
$191
0.3×
Psychotherapy, 60 minutes (90837) $48.76
$212
0.3×
Family psychotherapy, without patient (50 min) (90846) $75.67
$329
0.5×
Family psychotherapy, with patient (50 min) (90847) $80.04
$348
0.5×
Group psychotherapy (90853) $48.76
$212
0.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $30.36
$132
1.0×
Office visit, new patient (low complexity, ~30 min) (99203) $38.64
$168
0.3×
Office visit, new patient (moderate complexity, ~45 min) (99204) $50.14
$218
0.4×
Office visit, new patient (high complexity, ~60 min) (99205) $64.17
$279
0.5×
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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