Mahnomen Health

Mahnomen, MN · Rural Emergency Hospital

Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $1,954.80 $2,172 18.1×
MRI brain without contrast (70551) $3,325.50 $3,695 13.5×
MRI brain with contrast (70552) $3,280.50 $3,645 9.1×
MRI brain without and with contrast (70553) $5,648.40 $6,276 15.7×
X-ray lower spine, 4+ views (72110) $734.40 $816 6.8×
MRI lumbar spine without contrast (72148) $3,825 $4,250 15.5×
CT pelvis with contrast (72193) $2,186.10 $2,429 12.1×
MRI lower-extremity joint without contrast (73721) $3,318.30 $3,687 13.5×
CT abdomen and pelvis with contrast (74177) $5,580.90 $6,201 15.5×
Ultrasound, abdomen complete (76700) $699.30 $777 6.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $620.10 $689 5.7×
Ultrasound, transvaginal (76830) $376.20 $418 3.5×
Mammography, one breast (diagnostic) (77065) $415.80 $462 4.8×
Mammography, both breasts (diagnostic) (77066) $415.80 $462 3.8×
Mammography, screening (bilateral) (77067) $489.60 $544 5.4×
Basic metabolic panel (80048) $141.30 $157 16.7×
Comprehensive metabolic panel (80053) $217.80 $242 20.6×
Obstetric panel (80055) $614.70 $683 12.9×
Lipid panel (80061) $193.50 $215 14.5×
Renal function panel (80069) $188.10 $209 21.7×
Hepatic function panel (80076) $172.80 $192 21.2×
Urinalysis, non-automated, without microscopy (81002) $61.20 $68 17.6×
PSA, total (84153) $190.80 $212 10.4×
Thyroid stimulating hormone (TSH) (84443) $246.60 $274 14.7×
CBC with automated differential (85025) $162.90 $181 21.0×
CBC, automated (85027) $125.10 $139 19.3×
Prothrombin time (PT) (85610) $104.40 $116 24.3×
Partial thromboplastin time (PTT) (85730) $147.60 $164 24.6×
Sleep study (attended polysomnography) (95810) $2,832.30 $3,147 3.2×
Physical therapy, therapeutic exercise (per 15 min) (97110) $162.90 $181 5.6×

Rural Emergency Hospital — an outpatient-and-emergency-only facility. Medicare pays Rural Emergency Hospitals the OPPS rate plus 5%, so the Medicare benchmarks on this page run about 5% below what Medicare actually pays this facility.

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