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Posts prices for 26 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-13.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$253.11
$253.11
2.3×
X-ray lower spine, 4+ views (72110)
$903.53
$903.53
8.3×
CT pelvis with contrast (72193)
$343.62
$343.62
1.9×
CT abdomen and pelvis with contrast (74177)
$265.50
$265.50
0.7×
Ultrasound, abdomen complete (76700)
$577.02
$577.02
5.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$337.48
$337.48
3.1×
Ultrasound, transvaginal (76830)
$476.50
$476.50
4.4×
Basic metabolic panel (80048)
$617.14
$617.14
72.9×
Comprehensive metabolic panel (80053)
$733.96
$733.96
69.5×
Lipid panel (80061)
$127.44
$127.44
9.5×
Renal function panel (80069)
$529.23
$529.23
61.0×
Hepatic function panel (80076)
$470.94
$470.94
57.6×
Urinalysis, non-automated, with microscopy (81000)
$16.87
$16.87
4.2×
Urinalysis, non-automated, without microscopy (81002)
$12.27
$12.27
3.5×
Thyroid stimulating hormone (TSH) (84443)
$317.54
$317.54
18.9×
CBC with automated differential (85025)
$353.41
$353.41
45.5×
CBC, automated (85027)
$241.08
$241.08
37.3×
Prothrombin time (PT) (85610)
$201.78
$201.78
47.0×
Partial thromboplastin time (PTT) (85730)
$228.92
$228.92
38.1×
Electrocardiogram (ECG), complete (93000)
$319.03
$319.03
5.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$158.12
$158.12
5.4×
Office visit, new patient (low complexity, ~30 min) (99203)
$300.90
$300.90
2.2×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$440.14
$440.14
3.2×
Office visit, new patient (high complexity, ~60 min) (99205)
$797.68
$797.68
5.7×
Preventive visit, new patient (age 18–39) (99385)
$310.34
$310.34
—
Preventive visit, new patient (age 40–64) (99386)
$320.96
$320.96
—
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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