Home › Hospitals › Mary Bridge Children's Hospital Posts prices for 42 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-11.
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Procedure Posted cash Posted gross × Medicare
Breast lesion removal (open) (19120) $5,538.80
$13,847
1.2×
Upper GI endoscopy (EGD), diagnostic (43235) $4,088.80
$10,222
3.9×
Epidural injection, lumbar/sacral (with imaging) (62322) $1,879.20
$4,698
1.8×
Transforaminal epidural injection, lumbar/sacral (64483) $2,119.60
$5,299
2.1×
After-cataract laser surgery (YAG capsulotomy) (66821) $1,180.80
$2,952
1.8×
CT head/brain without contrast (70450) $552.80
$1,382
4.5×
MRI brain without contrast (70551) $1,362.40
$3,406
4.9×
MRI brain with contrast (70552) $1,452.40
$3,631
3.6×
MRI brain without and with contrast (70553) $1,539.60
$3,849
3.8×
X-ray lower spine, 4+ views (72110) $291.60
$729
2.4×
MRI lumbar spine without contrast (72148) $1,362.40
$3,406
4.9×
CT pelvis with contrast (72193) $866.40
$2,166
4.2×
MRI lower-extremity joint without contrast (73721) $1,225.20
$3,063
4.4×
CT abdomen and pelvis with contrast (74177) $1,617.20
$4,043
4.0×
Ultrasound, abdomen complete (76700) $337.60
$844
2.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $337.60
$844
2.8×
Ultrasound, transvaginal (76830) $390.40
$976
3.2×
Mammography, one breast (diagnostic) (77065) $239.60
$599
2.8×
Mammography, both breasts (diagnostic) (77066) $307.60
$769
2.8×
Mammography, screening (bilateral) (77067) $181.60
$454
2.0×
Basic metabolic panel (80048) $19.20
$48
2.3×
Comprehensive metabolic panel (80053) $26.40
$66
2.5×
Obstetric panel (80055) $78
$195
1.6×
Lipid panel (80061) $26.80
$67
2.0×
Renal function panel (80069) $14
$35
1.6×
Hepatic function panel (80076) $14
$35
1.7×
Urinalysis, non-automated, with microscopy (81000) $7.20
$18
1.8×
Urinalysis, non-automated, without microscopy (81002) $5.20
$13
1.5×
PSA, total (84153) $30.80
$77
1.7×
Thyroid stimulating hormone (TSH) (84443) range across 3 matching MRF lines $30.40–$33.60
$76–$84
varies
CBC with automated differential (85025) $21.60
$54
2.8×
CBC, automated (85027) $17.60
$44
2.7×
Prothrombin time (PT) (85610) $8.80
$22
2.1×
Partial thromboplastin time (PTT) (85730) $11.60
$29
1.9×
Psychotherapy, 30 minutes (90832) $199.60
$499
1.0×
Psychotherapy, 45 minutes (90834) $308.80
$772
1.5×
Psychotherapy, 60 minutes (90837) $308.80
$772
1.5×
Family psychotherapy, without patient (50 min) (90846) $130.80
$327
0.6×
Family psychotherapy, with patient (50 min) (90847) $130.80
$327
0.6×
Left heart catheterization (93452) $8,298
$20,745
2.2×
Sleep study (attended polysomnography) (95810) $2,611.20
$6,528
2.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $52.40
$131
1.8×
A range means this hospital published different amounts on matching machine-readable-file lines. We show the lowest–highest posted amount because we cannot tell from the published file which line would apply to a particular visit.
Children's hospital — Medicare is an adult program, so the Medicare benchmarks on this page are a general yardstick, not rates this hospital typically bills.
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