Home › Hospitals › Loring Hospital Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-08.
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Procedure Posted cash Posted gross × Medicare
Epidural injection, lumbar/sacral (with imaging) (62322) $1,374.40
$1,718
1.6×
Transforaminal epidural injection, lumbar/sacral (64483) $1,470.40
$1,838
1.7×
CT head/brain without contrast (70450) $1,514.40
$1,893
15.1×
MRI brain without contrast (70551) $1,332.80
$1,666
5.8×
MRI brain with contrast (70552) $1,511.20
$1,889
4.5×
MRI brain without and with contrast (70553) $2,832.80
$3,541
8.4×
X-ray lower spine, 4+ views (72110) $222.40
$278
2.2×
MRI lumbar spine without contrast (72148) $1,893.60
$2,367
8.3×
CT pelvis with contrast (72193) $1,557.60
$1,947
9.2×
MRI lower-extremity joint without contrast (73721) $1,332.80
$1,666
5.8×
CT abdomen and pelvis with contrast (74177) $3,136.80
$3,921
9.4×
Ultrasound, abdomen complete (76700) $355.20
$444
3.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $336.80
$421
3.4×
Ultrasound, transvaginal (76830) $372.80
$466
3.7×
Mammography, one breast (diagnostic) (77065) $235.20
$294
2.7×
Mammography, both breasts (diagnostic) (77066) $282.40
$353
2.6×
Mammography, screening (bilateral) (77067) $316.80
$396
3.5×
Basic metabolic panel (80048) $72.80
$91
8.6×
Comprehensive metabolic panel (80053) $90.40
$113
8.6×
Lipid panel (80061) $72
$90
5.4×
Renal function panel (80069) $73.60
$92
8.5×
Hepatic function panel (80076) $68
$85
8.3×
PSA, total (84153) $82.24
$102.80
4.5×
Thyroid stimulating hormone (TSH) (84443) $75.10
$93.88
4.5×
CBC with automated differential (85025) $35.20
$44
4.5×
CBC, automated (85027) $35.20
$44
5.4×
Prothrombin time (PT) (85610) $15.64
$19.56
3.6×
Partial thromboplastin time (PTT) (85730) $33.60
$42
5.6×
Sleep study (attended polysomnography) (95810) $3,296
$4,120
4.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $136.80
$171
4.7×
Office visit, new patient (low complexity, ~30 min) (99203) $196.80
$246
1.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $317.60
$397
2.5×
Office visit, new patient (high complexity, ~60 min) (99205) $504.80
$631
3.9×
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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