Medina Memorial Hospital
Medina, NY · Critical Access Hospital
Posts prices for 38 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-02.
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| Procedure | Posted cash | Posted gross | × Medicare |
|---|---|---|---|
| Upper GI endoscopy (EGD), diagnostic (43235) | $192 | $480 | 0.2× |
| Upper GI endoscopy (EGD) with biopsy (43239) | $240 | $600 | 0.2× |
| Diagnostic colonoscopy (45378) | $280 | $700 | 0.2× |
| Colonoscopy with biopsy (45380) | $338 | $845 | 0.2× |
| Colonoscopy with lesion removal (45385) | $388 | $970 | 0.3× |
| Laparoscopic gallbladder removal (47562) likely a partial charge, not the full procedure |
$584 | $1,460 | 0.1× |
| Inguinal hernia repair (age 5+) (49505) | $448 | $1,120 | 0.1× |
| CT head/brain without contrast (70450) | $562 | $1,405 | 4.3× |
| MRI brain without contrast (70551) | $922 | $2,305 | 3.1× |
| MRI brain with contrast (70552) | $1,074 | $2,685 | 2.5× |
| MRI brain without and with contrast (70553) | $1,354 | $3,385 | 3.1× |
| X-ray lower spine, 4+ views (72110) | $184 | $460 | 1.4× |
| MRI lumbar spine without contrast (72148) | $930 | $2,325 | 3.1× |
| CT pelvis with contrast (72193) | $756 | $1,890 | 3.5× |
| MRI lower-extremity joint without contrast (73721) | $878 | $2,195 | 2.9× |
| CT abdomen and pelvis with contrast (74177) | $1,156 | $2,890 | 2.7× |
| Ultrasound, abdomen complete (76700) range across 2 matching MRF lines |
$66–$324 | $165–$810 | varies |
| Ultrasound, pregnant uterus (≥14 weeks) (76805) | $306 | $765 | 2.3× |
| Ultrasound, transvaginal (76830) | $264 | $660 | 2.0× |
| Mammography, one breast (diagnostic) (77065) | $166 | $415 | 1.9× |
| Mammography, both breasts (diagnostic) (77066) | $214 | $535 | 1.9× |
| Mammography, screening (bilateral) (77067) | $170 | $425 | 1.9× |
| Basic metabolic panel (80048) | $32 | $80 | 3.8× |
| Comprehensive metabolic panel (80053) | $44 | $110 | 4.2× |
| Obstetric panel (80055) | $86 | $215 | 1.8× |
| Lipid panel (80061) | $38 | $95 | 2.8× |
| Renal function panel (80069) | $34 | $85 | 3.9× |
| Hepatic function panel (80076) | $34 | $85 | 4.2× |
| PSA, total (84153) | $40 | $100 | 2.2× |
| Thyroid stimulating hormone (TSH) (84443) | $40 | $100 | 2.4× |
| CBC with automated differential (85025) range across 42 matching MRF lines |
$14–$26 | $37–$65 | varies |
| CBC, automated (85027) | $20 | $50 | 3.1× |
| Prothrombin time (PT) (85610) | $16 | $40 | 3.7× |
| Partial thromboplastin time (PTT) (85730) | $24 | $60 | 4.0× |
| Physical therapy, therapeutic exercise (per 15 min) (97110) | $40 | $100 | 1.4× |
| Office visit, new patient (low complexity, ~30 min) (99203) range across 3 matching MRF lines |
$34–$68 | $85–$170 | varies |
| Office visit, new patient (moderate complexity, ~45 min) (99204) range across 5 matching MRF lines |
$40–$104 | $100–$260 | varies |
| Office visit, new patient (high complexity, ~60 min) (99205) range across 2 matching MRF lines |
$46–$136 | $115–$340 | varies |
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.
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.
More prices at this hospital
- Imaging: 225 codes with posted prices and Medicare benchmarks
- Lab & pathology: 696 codes with posted prices and Medicare benchmarks
- Visits & medical services: 94 codes with posted prices and Medicare benchmarks
- Procedures & surgery: 349 codes with posted prices and Medicare benchmarks
- Supplies, drugs & other: 20 codes with posted prices and Medicare benchmarks
Get the raw price file
Download the machine-readable file (CSV, 16.8 MB) ↓ — captured 2026-09-02
File links point at the hospital's own hosting and sometimes rotate — if the download fails, use the hospital's transparency page.