Johnson Memorial Hospital
Dawson, MN · Critical Access Hospital
Posts prices for 53 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Breast lesion removal (open) (19120) | $1,748.03 | $2,056.51 | 0.4× |
| Shoulder arthroscopy with decompression (29826) | $407.11 | $478.95 | — |
| Knee arthroscopy with meniscectomy (29881) | $1,496.94 | $1,761.11 | 0.4× |
| Tonsillectomy and adenoidectomy (under age 12) (42820) likely a partial charge, not the full procedure |
$1,053.15 | $1,239 | 0.2× |
| Upper GI endoscopy (EGD), diagnostic (43235) | $848.56 | $998.31 | 0.9× |
| Upper GI endoscopy (EGD) with biopsy (43239) range across 2 matching MRF lines |
$1,006.37–$2,620.53 | $1,183.96–$3,082.98 | varies |
| Diagnostic colonoscopy (45378) range across 2 matching MRF lines |
$955.87–$2,141.69 | $1,124.55–$2,519.64 | varies |
| Colonoscopy with biopsy (45380) | $1,245.34 | $1,465.10 | 1.0× |
| Colonoscopy with lesion removal (45385) | $1,245.34 | $1,465.10 | 1.0× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$1,472.58 | $1,732.45 | 0.2× |
| Inguinal hernia repair (age 5+) (49505) | $1,753.93 | $2,063.45 | 0.5× |
| Epidural injection, lumbar/sacral (with imaging) (62322) range across 2 matching MRF lines |
$164.44–$1,279.11 | $193.46–$1,504.83 | varies |
| Transforaminal epidural injection, lumbar/sacral (64483) | $1,724.74 | $2,029.10 | 1.9× |
| After-cataract laser surgery (YAG capsulotomy) (66821) | $1,303.62 | $1,533.67 | 2.3× |
| CT head/brain without contrast (70450) | $1,687.25 | $1,985 | 15.6× |
| MRI brain without contrast (70551) | $2,643.08 | $3,109.50 | 10.7× |
| MRI brain with contrast (70552) | $2,785.55 | $3,277.12 | 7.7× |
| MRI brain without and with contrast (70553) | $2,965.91 | $3,489.30 | 8.2× |
| X-ray lower spine, 4+ views (72110) | $373.33 | $439.21 | 3.5× |
| MRI lumbar spine without contrast (72148) range across 2 matching MRF lines |
$2,487.97–$2,780.35 | $2,927.02–$3,271 | varies |
| CT pelvis with contrast (72193) | $2,141.15 | $2,519 | 11.8× |
| MRI lower-extremity joint without contrast (73721) | $2,578.05 | $3,033 | 10.5× |
| CT abdomen and pelvis with contrast (74177) | $3,157.08 | $3,714.21 | 8.8× |
| Ultrasound, abdomen complete (76700) | $885.53 | $1,041.80 | 8.2× |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $756.59 | $890.10 | 7.0× |
| Ultrasound, transvaginal (76830) | $765.60 | $900.70 | 7.1× |
| Mammography, one breast (diagnostic) (77065) range across 3 matching MRF lines |
$394.85–$406.70 | $464.53–$478.47 | varies |
| Mammography, both breasts (diagnostic) (77066) | $511.30 | $601.53 | 4.6× |
| Mammography, screening (bilateral) (77067) | $439.16 | $516.66 | 4.8× |
| Basic metabolic panel (80048) | $166.60 | $196 | 19.7× |
| Comprehensive metabolic panel (80053) | $219.30 | $258 | 20.8× |
| Lipid panel (80061) range across 2 matching MRF lines |
$136–$141.95 | $160–$167 | varies |
| Renal function panel (80069) | $153.85 | $181 | 17.7× |
| Hepatic function panel (80076) | $148.75 | $175 | 18.2× |
| PSA, total (84153) | $162.35 | $191 | 8.8× |
| Thyroid stimulating hormone (TSH) (84443) | $139.40 | $164 | 8.3× |
| CBC with automated differential (85025) | $130.05 | $153 | 16.7× |
| CBC, automated (85027) | $100.30 | $118 | 15.5× |
| Prothrombin time (PT) (85610) | $68 | $80 | 15.9× |
| Partial thromboplastin time (PTT) (85730) range across 4 matching MRF lines |
$85–$120.70 | $100–$142 | varies |
| Psychotherapy, 30 minutes (90832) | $161.50 | $190 | 0.9× |
| Psychotherapy, 45 minutes (90834) | $199.75 | $235 | 1.1× |
| Psychotherapy, 60 minutes (90837) | $236.73 | $278.51 | 1.3× |
| Family psychotherapy, with patient (50 min) (90847) | $193.94 | $228.17 | 1.1× |
| Sleep study (attended polysomnography) (95810) range across 2 matching MRF lines |
$1,251.97–$3,713 | $1,472.90–$4,368.23 | varies |
| Physical therapy, therapeutic exercise (per 15 min) (97110) range across 2 matching MRF lines |
$115.43–$119.94 | $135.80–$141.10 | varies |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 6 matching MRF lines |
$144.28–$283.15 | $169.74–$333.12 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 6 matching MRF lines |
$144.28–$424.73 | $169.74–$499.68 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 6 matching MRF lines |
$144.28–$517.62 | $169.74–$608.96 | varies |
| Office consultation (low complexity, ~30 min) (99243) range across 2 matching MRF lines |
$165.02–$189.37 | $194.14–$222.79 | varies |
| Office consultation (moderate complexity, ~40 min) (99244) range across 2 matching MRF lines |
$234.46–$269.63 | $275.83–$317.21 | varies |
| Preventive visit, new patient (age 18–39) (99385) | $285.86 | $336.31 | — |
| Preventive visit, new patient (age 40–64) (99386) | $284.95 | $335.24 | — |
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.
More prices at this hospital
- Imaging: 204 codes with posted prices and Medicare benchmarks
- Lab & pathology: 441 codes with posted prices and Medicare benchmarks
- Visits & medical services: 129 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 451 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 19 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 10.6 MB) ↓ — captured 2026-09-01
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.