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Posts prices for 41 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235)
$1,955
$1,955
2.1×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,699
$1,699
1.8×
Diagnostic colonoscopy (45378)
$1,996
$1,996
2.1×
Colonoscopy with biopsy (45380)
$2,293
$2,293
1.9×
Colonoscopy with lesion removal (45385)
$2,573
$2,573
2.1×
CT head/brain without contrast (70450)
$1,533
$1,533
14.2×
MRI brain without contrast (70551)
$2,401
$2,401
9.7×
MRI brain with contrast (70552)
$2,474
$2,474
6.9×
MRI brain without and with contrast (70553)
$3,495
$3,495
9.7×
X-ray lower spine, 4+ views (72110)
$441
$441
4.1×
MRI lumbar spine without contrast (72148)
$2,778
$2,778
11.3×
CT pelvis with contrast (72193)
$1,577
$1,577
8.7×
MRI lower-extremity joint without contrast (73721)
$2,214
$2,214
9.0×
CT abdomen and pelvis with contrast (74177)
$3,563
$3,563
9.9×
Ultrasound, abdomen complete (76700)
$604
$604
5.6×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$332
$332
3.1×
Ultrasound, transvaginal (76830)
$488
$488
4.5×
Mammography, one breast (diagnostic) (77065)
$317
$317
3.7×
Mammography, both breasts (diagnostic) (77066)
$400
$400
3.6×
Mammography, screening (bilateral) (77067)
$327
$327
3.6×
Basic metabolic panel (80048)
$186
$186
22.0×
Comprehensive metabolic panel (80053)
$252
$252
23.9×
Obstetric panel (80055)
$26
$26
0.5×
Lipid panel (80061)
$164
$164
12.2×
Renal function panel (80069)
$179
$179
20.6×
Hepatic function panel (80076)
$187
$187
22.9×
Urinalysis, non-automated, with microscopy (81000)
$71
$71
17.7×
PSA, total (84153)
$169
$169
9.2×
Thyroid stimulating hormone (TSH) (84443)
$160
$160
9.5×
CBC with automated differential (85025)
$161
$161
20.7×
CBC, automated (85027)
$137
$137
21.2×
Prothrombin time (PT) (85610)
$73
$73
17.0×
Partial thromboplastin time (PTT) (85730)
$73.50
$73.50
12.2×
Psychotherapy, 30 minutes (90832)
$113
$113
0.6×
Psychotherapy, 45 minutes (90834)
$151
$151
0.8×
Psychotherapy, 60 minutes (90837)
$186
$186
1.0×
Family psychotherapy, without patient (50 min) (90846)
$225
$225
1.2×
Family psychotherapy, with patient (50 min) (90847)
$234
$234
1.3×
Electrocardiogram (ECG), complete (93000)
$225
$225
3.7×
Sleep study (attended polysomnography) (95810)
$3,824.50
$3,824.50
4.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$119
$119
4.1×
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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