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Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,192.50
$1,325
12.4×
MRI brain without contrast (70551)
$954
$1,060
4.3×
MRI brain with contrast (70552)
$1,144.80
$1,272
3.6×
MRI brain without and with contrast (70553)
$1,240.20
$1,378
3.9×
X-ray lower spine, 4+ views (72110)
$309.38
$343.75
3.2×
MRI lumbar spine without contrast (72148)
$954
$1,060
4.3×
CT pelvis with contrast (72193)
$1,216.35
$1,351.50
7.5×
MRI lower-extremity joint without contrast (73721)
$954
$1,060
4.3×
CT abdomen and pelvis with contrast (74177)
$1,216.35
$1,351.50
3.8×
Ultrasound, abdomen complete (76700)
$562.73
$625.25
5.9×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$419.63
$466.25
4.4×
Ultrasound, transvaginal (76830)
$419.63
$466.25
4.4×
Mammography, one breast (diagnostic) (77065)
$234.90
$261
2.7×
Mammography, both breasts (diagnostic) (77066)
$229.96
$255.50
2.1×
Mammography, screening (bilateral) (77067)
$215.33
$239.25
2.4×
Basic metabolic panel (80048)
$106.43
$118.25
12.6×
Comprehensive metabolic panel (80053)
$218.25
$242.50
20.7×
Lipid panel (80061)
$88.65
$98.50
6.6×
Renal function panel (80069)
$145.58
$161.75
16.8×
Hepatic function panel (80076)
$243.45
$270.50
29.8×
Urinalysis, non-automated, with microscopy (81000)
$49.28
$54.75
12.3×
Urinalysis, non-automated, without microscopy (81002)
$32.40
$36
9.3×
PSA, total (84153)
$85.16
$94.62
4.6×
Thyroid stimulating hormone (TSH) (84443)
$165.15
$183.50
9.8×
CBC with automated differential (85025)
$56.59
$62.88
7.3×
CBC, automated (85027)
$65.48
$72.75
10.1×
Prothrombin time (PT) (85610)
$62.33
$69.25
14.5×
Partial thromboplastin time (PTT) (85730)
$73.80
$82
12.3×
Sleep study (attended polysomnography) (95810)
$2,718.90
$3,021
3.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$72.90
$81
2.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$148.28
$164.75
1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$173.70
$193
1.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$219.60
$244
1.8×
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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