Home › Hospitals › Mercy Hospital Healdton, Inc. Posts prices for 34 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-29.
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Procedure Cash price Gross charge × Medicare
Upper GI endoscopy (EGD), diagnostic (43235) $1,140.75
$1,755
1.3×
Diagnostic colonoscopy (45378) $705.25
$1,085
0.8×
Transforaminal epidural injection, lumbar/sacral (64483) $1,151.80
$1,772
1.4×
CT head/brain without contrast (70450) $1,407.25
$2,165
14.0×
MRI brain without contrast (70551) $2,237.30
$3,442
9.7×
MRI brain with contrast (70552) $2,498.60
$3,844
7.4×
MRI brain without and with contrast (70553) $3,462.55
$5,327
10.3×
X-ray lower spine, 4+ views (72110) $505.70
$778
5.0×
MRI lumbar spine without contrast (72148) $2,601.95
$4,003
11.3×
CT pelvis with contrast (72193) $1,921.40
$2,956
11.4×
MRI lower-extremity joint without contrast (73721) $2,571.40
$3,956
11.2×
CT abdomen and pelvis with contrast (74177) $2,724.15
$4,191
8.1×
Ultrasound, abdomen complete (76700) $726.05
$1,117
7.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $327.60
$504
3.3×
Ultrasound, transvaginal (76830) $532.35
$819
5.3×
Basic metabolic panel (80048) $117
$180
13.8×
Comprehensive metabolic panel (80053) $161.20
$248
15.3×
Obstetric panel (80055) $228.80
$352
4.8×
Lipid panel (80061) $118.30
$182
8.8×
Renal function panel (80069) $155.35
$239
17.9×
Hepatic function panel (80076) $146.25
$225
17.9×
Urinalysis, non-automated, without microscopy (81002) $22.10
$34
6.4×
PSA, total (84153) $110.50
$170
6.0×
Thyroid stimulating hormone (TSH) (84443) $71.82
$110.50
4.3×
CBC with automated differential (85025) $71.50
$110
9.2×
CBC, automated (85027) $50.70
$78
7.8×
Prothrombin time (PT) (85610) $50.70
$78
11.8×
Partial thromboplastin time (PTT) (85730) $84.50
$130
14.1×
Left heart catheterization (93452) $7,643.35
$11,759
2.5×
Sleep study (attended polysomnography) (95810) $3,783
$5,820
4.6×
Physical therapy, therapeutic exercise (per 15 min) (97110) $82.55
$127
2.8×
Office visit, new patient (low complexity, ~30 min) (99203) $191.42
$294.50
1.5×
Office visit, new patient (moderate complexity, ~45 min) (99204) $247.98
$381.50
1.9×
Office visit, new patient (high complexity, ~60 min) (99205) $325.32
$500.50
2.5×
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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