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Posts prices for 33 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,832
$1,832
17.4×
X-ray lower spine, 4+ views (72110)
$567
$567
5.4×
CT pelvis with contrast (72193)
$1,980
$1,980
11.2×
CT abdomen and pelvis with contrast (74177)
$3,600
$3,600
10.3×
Ultrasound, abdomen complete (76700)
$777
$777
7.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$708
$708
6.7×
Ultrasound, transvaginal (76830)
$803
$803
7.6×
Basic metabolic panel (80048)
$177
$177
20.9×
Comprehensive metabolic panel (80053)
$200
$200
18.9×
Obstetric panel (80055)
$371
$371
7.8×
Lipid panel (80061)
$250
$250
18.7×
Renal function panel (80069)
$203
$203
23.4×
Hepatic function panel (80076)
$146
$146
17.9×
Urinalysis, non-automated, with microscopy (81000)
$49
$49
12.2×
Urinalysis, non-automated, without microscopy (81002)
$24
$24
6.9×
PSA, total (84153)
$151
$151
8.2×
Thyroid stimulating hormone (TSH) (84443)
$199.50
$199.50
11.9×
CBC with automated differential (85025)
$77.50
$77.50
10.0×
Prothrombin time (PT) (85610)
$75
$75
17.5×
Partial thromboplastin time (PTT) (85730)
$119
$119
19.8×
Psychotherapy, 30 minutes (90832)
$460
$460
2.6×
Psychotherapy, 45 minutes (90834)
$611
$611
3.4×
Psychotherapy, 60 minutes (90837)
$737
$737
4.1×
Family psychotherapy, without patient (50 min) (90846)
$646
$646
3.6×
Family psychotherapy, with patient (50 min) (90847)
$687
$687
3.9×
Group psychotherapy (90853)
$737
$737
7.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$130
$130
4.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$212
$212
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$316
$316
2.4×
Office visit, new patient (high complexity, ~60 min) (99205)
$417
$417
3.1×
Office consultation (low complexity, ~30 min) (99243)
$126
$126
0.9×
Preventive visit, new patient (age 18–39) (99385)
$295
$295
—
Preventive visit, new patient (age 40–64) (99386)
$300
$300
—
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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