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Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$879.38
$879.38
1.1×
CT head/brain without contrast (70450)
$950
$950
9.9×
MRI brain without contrast (70551)
$875
$875
4.0×
MRI brain with contrast (70552)
$875
$875
2.7×
MRI brain without and with contrast (70553)
$875
$875
2.7×
X-ray lower spine, 4+ views (72110)
$365.20
$365.20
3.8×
MRI lumbar spine without contrast (72148)
$875
$875
4.0×
CT pelvis with contrast (72193)
$1,025
$1,025
6.4×
MRI lower-extremity joint without contrast (73721)
$875
$875
4.0×
CT abdomen and pelvis with contrast (74177)
$1,025
$1,025
3.2×
Ultrasound, abdomen complete (76700)
$450
$450
4.7×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$405
$405
4.2×
Ultrasound, transvaginal (76830)
$365
$365
3.8×
Mammography, one breast (diagnostic) (77065)
$278
$278
3.2×
Mammography, both breasts (diagnostic) (77066)
$278
$278
2.5×
Mammography, screening (bilateral) (77067)
$218.30
$218.30
2.4×
Basic metabolic panel (80048)
$50
$50
5.9×
Comprehensive metabolic panel (80053)
$72
$72
6.8×
Lipid panel (80061)
$100
$100
7.5×
Hepatic function panel (80076)
$80
$80
9.8×
PSA, total (84153)
$131.50
$131.50
7.2×
Thyroid stimulating hormone (TSH) (84443)
$105
$105
6.3×
CBC with automated differential (85025)
$60
$60
7.7×
CBC, automated (85027)
$32.25
$32.25
5.0×
Prothrombin time (PT) (85610)
$45
$45
10.5×
Partial thromboplastin time (PTT) (85730)
$50
$50
8.3×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$90
$90
3.1×
Office visit, new patient (low complexity, ~30 min) (99203)
$168.75
$168.75
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$245
$245
2.0×
Office visit, new patient (high complexity, ~60 min) (99205)
$293
$293
2.4×
Preventive visit, new patient (age 18–39) (99385)
$270
$270
—
Preventive visit, new patient (age 40–64) (99386)
$305
$305
—
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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