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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,077.05
$2,154.10
11.4×
MRI brain without contrast (70551)
$1,658.92
$3,317.85
7.7×
X-ray lower spine, 4+ views (72110)
$336.40
$672.80
3.6×
MRI lumbar spine without contrast (72148)
$1,716.69
$3,433.38
7.9×
CT pelvis with contrast (72193)
$1,069.22
$2,138.43
6.7×
CT abdomen and pelvis with contrast (74177)
$2,233.18
$4,466.37
7.1×
Ultrasound, abdomen complete (76700)
$564.31
$1,128.62
6.0×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$299.16
$598.33
3.2×
Ultrasound, transvaginal (76830)
$352.06
$704.13
3.7×
Mammography, one breast (diagnostic) (77065)
$175
$350
2.0×
Mammography, both breasts (diagnostic) (77066)
$237.50
$475
2.1×
Mammography, screening (bilateral) (77067)
$200
$400
2.2×
Basic metabolic panel (80048)
$31
$61.99
3.7×
Comprehensive metabolic panel (80053)
$121.61
$243.22
11.5×
Lipid panel (80061)
$79.11
$158.22
5.9×
Renal function panel (80069)
$35.42
$70.85
4.1×
Hepatic function panel (80076)
$76.79
$153.58
9.4×
Urinalysis, non-automated, without microscopy (81002)
$5.02
$10.03
1.4×
PSA, total (84153)
$75.84
$151.68
4.1×
Thyroid stimulating hormone (TSH) (84443)
$80.72
$161.44
4.8×
CBC with automated differential (85025)
$57.88
$115.77
7.4×
CBC, automated (85027)
$38.78
$77.57
6.0×
Prothrombin time (PT) (85610)
$25.88
$51.75
6.0×
Partial thromboplastin time (PTT) (85730)
$44.28
$88.57
7.4×
Psychotherapy, 45 minutes (90834)
$320
$639.99
2.0×
Group psychotherapy (90853)
$260.96
$521.91
2.8×
Electrocardiogram (ECG), complete (93000)
$21
$42
0.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$21.96
$43.92
0.8×
Office visit, new patient (low complexity, ~30 min) (99203)
$103.32
$206.64
0.9×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$132.84
$265.68
1.1×
Office visit, new patient (high complexity, ~60 min) (99205)
$177.12
$354.24
1.5×
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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