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Posts prices for 31 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-22.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,050
$2,100
11.7×
MRI brain without contrast (70551)
$388
$776
1.9×
MRI brain with contrast (70552)
$296.25
$592.50
1.0×
MRI brain without and with contrast (70553)
$577.14
$1,154.27
1.9×
X-ray lower spine, 4+ views (72110)
$287.50
$575
3.2×
MRI lumbar spine without contrast (72148)
$388
$776
1.9×
CT pelvis with contrast (72193)
$1,150
$2,300
7.6×
MRI lower-extremity joint without contrast (73721)
$387.50
$775
1.9×
CT abdomen and pelvis with contrast (74177)
$900
$1,800
3.0×
Ultrasound, abdomen complete (76700)
$487.50
$975
5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$120.18
$240.35
1.3×
Ultrasound, transvaginal (76830)
$125
$250
1.4×
Mammography, one breast (diagnostic) (77065)
$275
$550
3.2×
Mammography, both breasts (diagnostic) (77066)
$315
$630
2.8×
Basic metabolic panel (80048)
$49.50
$99
5.9×
Comprehensive metabolic panel (80053)
$125
$250
11.8×
Lipid panel (80061)
$122.50
$245
9.1×
Renal function panel (80069)
$29.58
$59.15
3.4×
Hepatic function panel (80076)
$100.50
$201
12.3×
PSA, total (84153)
$77.50
$155
4.2×
Thyroid stimulating hormone (TSH) (84443)
$57.23
$114.45
3.4×
CBC with automated differential (85025)
$55
$110
7.1×
CBC, automated (85027)
$44
$88
6.8×
Prothrombin time (PT) (85610)
$17.50
$35
4.1×
Partial thromboplastin time (PTT) (85730)
$34
$68
5.7×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$17
$34
0.6×
Office visit, new patient (low complexity, ~30 min) (99203)
$47
$94
0.4×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$77.50
$155
0.7×
Office visit, new patient (high complexity, ~60 min) (99205)
$100
$200
0.9×
Office consultation (low complexity, ~30 min) (99243)
$66
$132
0.6×
Office consultation (moderate complexity, ~40 min) (99244)
$82.50
$165
0.7×
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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