Home › Hospitals › Lawrence Memorial Hospital Posts prices for 37 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $601.25
$925
0.7×
Upper GI endoscopy (EGD) with biopsy (43239) $601.25
$925
0.7×
Diagnostic colonoscopy (45378) $601.25
$925
0.7×
Colonoscopy with biopsy (45380) $744.25
$1,145
0.7×
Colonoscopy with lesion removal (45385) $744.25
$1,145
0.7×
Colonoscopy with endoscopic ultrasound (45391) $669.50
$1,030
0.6×
CT head/brain without contrast (70450) $279.50
$430
2.9×
MRI brain without contrast (70551) $692.25
$1,065
3.2×
MRI brain with contrast (70552) $899.60
$1,384
2.8×
MRI brain without and with contrast (70553) $666.25
$1,025
2.1×
X-ray lower spine, 4+ views (72110) $136.50
$210
1.4×
MRI lumbar spine without contrast (72148) $850.85
$1,309
3.9×
CT pelvis with contrast (72193) $227.50
$350
1.4×
MRI lower-extremity joint without contrast (73721) $659.75
$1,015
3.0×
CT abdomen and pelvis with contrast (74177) $477.75
$735
1.5×
Ultrasound, abdomen complete (76700) $178.75
$275
1.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $155.35
$239
1.6×
Ultrasound, transvaginal (76830) $133.25
$205
1.4×
Mammography, one breast (diagnostic) (77065) $133.25
$205
1.5×
Mammography, both breasts (diagnostic) (77066) $133.25
$205
1.2×
Mammography, screening (bilateral) (77067) $133.25
$205
1.5×
Basic metabolic panel (80048) $16.25
$25
1.9×
Comprehensive metabolic panel (80053) $20.80
$32
2.0×
Lipid panel (80061) $24.70
$38
1.8×
Renal function panel (80069) $18.20
$28
2.1×
Hepatic function panel (80076) $16.25
$25
2.0×
PSA, total (84153) $35.75
$55
1.9×
Thyroid stimulating hormone (TSH) (84443) $33.15
$51
2.0×
CBC with automated differential (85025) $16.25
$25
2.1×
CBC, automated (85027) $13
$20
2.0×
Prothrombin time (PT) (85610) $9.75
$15
2.3×
Partial thromboplastin time (PTT) (85730) $13
$20
2.2×
Sleep study (attended polysomnography) (95810) $523.25
$805
0.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $39
$60
1.3×
Office visit, new patient (low complexity, ~30 min) (99203) $123.50
$190
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204) $325
$500
2.7×
Office visit, new patient (high complexity, ~60 min) (99205) $377
$580
3.1×
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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