Home › Hospitals › Memorial Hospital Posts prices for 40 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120) $4,368
$6,240
1.1×
Upper GI endoscopy (EGD) with biopsy (43239) $1,181.26
$1,687.52
1.3×
Diagnostic colonoscopy (45378) $96.64
$138.05
0.1×
Colonoscopy with biopsy (45380) $1,519.78
$2,171.12
1.3×
Colonoscopy with lesion removal (45385) $1,519.78
$2,171.12
1.3×
Laparoscopic gallbladder removal (47562) $7,128.76
$10,183.94
1.2×
Obstetric care, vaginal delivery (global) (59400) $3,764.60
$5,378
—
Obstetric care, cesarean delivery (global) (59510) $3,963.40
$5,662
—
CT head/brain without contrast (70450) $798.70
$1,141
7.6×
MRI brain without contrast (70551) $1,575
$2,250
6.6×
MRI brain without and with contrast (70553) $1,925
$2,750
5.5×
X-ray lower spine, 4+ views (72110) $177.10
$253
1.7×
MRI lumbar spine without contrast (72148) $1,368.50
$1,955
5.7×
MRI lower-extremity joint without contrast (73721) $1,575
$2,250
6.6×
CT abdomen and pelvis with contrast (74177) $1,266.30
$1,809
3.6×
Ultrasound, abdomen complete (76700) $331.10
$473
3.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $364
$520
3.5×
Ultrasound, transvaginal (76830) $357
$510
3.4×
Mammography, one breast (diagnostic) (77065) $172.20
$246
2.0×
Mammography, both breasts (diagnostic) (77066) $219.80
$314
2.0×
Mammography, screening (bilateral) (77067) $182
$260
2.0×
Basic metabolic panel (80048) $72.44
$103.49
8.6×
Comprehensive metabolic panel (80053) $98
$140
9.3×
Obstetric panel (80055) $287.70
$411
6.0×
Lipid panel (80061) $84
$120
6.3×
Renal function panel (80069) $70
$100
8.1×
Hepatic function panel (80076) $103.03
$147.19
12.6×
PSA, total (84153) $71.40
$102
3.9×
Thyroid stimulating hormone (TSH) (84443) $67.90
$97
4.0×
CBC with automated differential (85025) $103.50
$147.85
13.3×
CBC, automated (85027) $32.90
$47
5.1×
Prothrombin time (PT) (85610) $28
$40
6.5×
Partial thromboplastin time (PTT) (85730) $97.30
$139
16.2×
Sleep study (attended polysomnography) (95810) $3,150
$4,500
3.7×
Physical therapy, therapeutic exercise (per 15 min) (97110) $88.20
$126
3.0×
Office visit, new patient (low complexity, ~30 min) (99203) $181.30
$259
1.4×
Office visit, new patient (moderate complexity, ~45 min) (99204) $278.60
$398
2.1×
Office visit, new patient (high complexity, ~60 min) (99205) $349.30
$499
2.6×
Preventive visit, new patient (age 18–39) (99385) $170.10
$243
—
Preventive visit, new patient (age 40–64) (99386) $258.30
$369
—
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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