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Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-06-28.
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Procedure Cash price Gross charge × Medicare
Shoulder arthroscopy with decompression (29826)
$21,166.23
$21,166.23
—
Knee arthroscopy with meniscectomy (29881)
$15,179.35
$15,179.35
4.4×
Tonsillectomy and adenoidectomy (under age 12) (42820)
$16,995
$16,995
2.7×
Upper GI endoscopy (EGD), diagnostic (43235)
$6,858.59
$6,858.59
7.2×
Upper GI endoscopy (EGD) with biopsy (43239)
$7,103.56
$7,103.56
7.4×
Diagnostic colonoscopy (45378)
$5,380.76
$5,380.76
5.5×
Colonoscopy with biopsy (45380)
$6,974.61
$6,974.61
5.5×
Colonoscopy with lesion removal (45385)
$9,572.69
$9,572.69
7.6×
Laparoscopic gallbladder removal (47562)
$20,591.14
$20,591.14
3.2×
Inguinal hernia repair (age 5+) (49505)
$14,408.44
$14,408.44
3.8×
Epidural injection, lumbar/sacral (with imaging) (62322)
$2,152
$2,152
2.3×
Transforaminal epidural injection, lumbar/sacral (64483)
$6,594.07
$6,594.07
7.1×
After-cataract laser surgery (YAG capsulotomy) (66821)
$1,746
$1,746
3.0×
Cataract removal with lens insertion (66984)
$8,396.65
$8,396.65
3.4×
CT head/brain without contrast (70450)
$2,099
$2,099
19.0×
MRI brain without contrast (70551)
$3,603
$3,603
14.3×
MRI brain without and with contrast (70553)
$4,043
$4,043
11.0×
X-ray lower spine, 4+ views (72110)
$595
$595
5.4×
MRI lumbar spine without contrast (72148)
$2,812
$2,812
11.2×
CT pelvis with contrast (72193)
$2,138
$2,138
11.6×
MRI lower-extremity joint without contrast (73721)
$3,265
$3,265
13.0×
CT abdomen and pelvis with contrast (74177)
$2,370
$2,370
6.4×
Ultrasound, abdomen complete (76700)
$785
$785
7.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$513
$513
4.7×
Ultrasound, transvaginal (76830)
$477
$477
4.3×
Mammography, screening (bilateral) (77067)
$468
$468
5.1×
Basic metabolic panel (80048)
$158
$158
18.7×
Comprehensive metabolic panel (80053)
$200
$200
18.9×
Lipid panel (80061)
$184
$184
13.7×
Renal function panel (80069)
$612
$612
70.5×
Hepatic function panel (80076)
$308
$308
37.7×
PSA, total (84153)
$196
$196
10.7×
Thyroid stimulating hormone (TSH) (84443)
$185
$185
11.0×
CBC with automated differential (85025)
$119
$119
15.3×
CBC, automated (85027)
$22
$22
3.4×
Prothrombin time (PT) (85610)
$64
$64
14.9×
Partial thromboplastin time (PTT) (85730)
$2,525
$2,525
420.1×
Sleep study (attended polysomnography) (95810)
$3,129
$3,129
3.5×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$110
$110
3.8×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$169
$169
1.2×
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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