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Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Tonsillectomy and adenoidectomy (under age 12) (42820)
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$5,950
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Upper GI endoscopy (EGD) with biopsy (43239)
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$3,462
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Diagnostic colonoscopy (45378)
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$3,462
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Colonoscopy with biopsy (45380)
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$3,462
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Colonoscopy with lesion removal (45385)
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$4,328
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Obstetric care, vaginal delivery (global) (59400)
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$3,522
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Obstetric care, cesarean delivery (global) (59510)
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$3,271.20
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Obstetric care, VBAC delivery (global) (59610)
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$4,744
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CT head/brain without contrast (70450)
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$1,206.45
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MRI brain without contrast (70551)
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$1,463
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MRI brain with contrast (70552)
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$1,500
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MRI brain without and with contrast (70553)
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$1,480.82
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X-ray lower spine, 4+ views (72110)
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$367.53
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MRI lumbar spine without contrast (72148)
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$1,424
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MRI lower-extremity joint without contrast (73721)
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$1,300
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CT abdomen and pelvis with contrast (74177)
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$1,592.77
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Ultrasound, abdomen complete (76700)
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$502
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Ultrasound, pregnant uterus (≥14 weeks) (76805)
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$418
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Ultrasound, transvaginal (76830)
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$315.50
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Basic metabolic panel (80048)
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$314
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Comprehensive metabolic panel (80053)
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$350
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Lipid panel (80061)
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$224
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Renal function panel (80069)
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$194
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Hepatic function panel (80076)
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$157
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Urinalysis, non-automated, without microscopy (81002)
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$29
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PSA, total (84153)
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$178
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Thyroid stimulating hormone (TSH) (84443)
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$145
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CBC with automated differential (85025)
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$210.50
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CBC, automated (85027)
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$36
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Prothrombin time (PT) (85610)
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$49
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Partial thromboplastin time (PTT) (85730)
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$67
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Electrocardiogram (ECG), complete (93000)
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$411
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Physical therapy, therapeutic exercise (per 15 min) (97110)
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$346.50
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Office visit, new patient (low complexity, ~30 min) (99203)
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$252
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Office visit, new patient (moderate complexity, ~45 min) (99204)
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$335
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Office visit, new patient (high complexity, ~60 min) (99205)
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$349
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Preventive visit, new patient (age 18–39) (99385)
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$250
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Preventive visit, new patient (age 40–64) (99386)
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$279
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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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