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Posts prices for 39 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)
$4,620
$6,600
1.2×
Upper GI endoscopy (EGD), diagnostic (43235)
$1,877
$2,682
2.1×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,929.50
$2,756.50
2.1×
Diagnostic colonoscopy (45378)
$1,956
$2,795
2.1×
Colonoscopy with biopsy (45380)
$1,361.50
$1,945
1.1×
Colonoscopy with lesion removal (45385)
$1,344
$1,920.50
1.1×
Laparoscopic gallbladder removal (47562)
$4,600
$6,571.50
0.8×
Inguinal hernia repair (age 5+) (49505)
$3,694.50
$5,278
1.0×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,048
$1,497.50
1.2×
Cataract removal with lens insertion (66984)
$3,647
$5,210
1.6×
CT head/brain without contrast (70450)
$1,390
$1,986
13.2×
X-ray lower spine, 4+ views (72110)
$471
$673
4.5×
CT pelvis with contrast (72193)
$1,686
$2,409
9.6×
CT abdomen and pelvis with contrast (74177)
$3,077
$4,396
8.8×
Ultrasound, abdomen complete (76700)
$757
$1,081
7.2×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$587
$839
5.6×
Ultrasound, transvaginal (76830)
$565
$807
5.4×
Basic metabolic panel (80048)
$105
$150
12.4×
Comprehensive metabolic panel (80053)
$144
$205
13.6×
Obstetric panel (80055)
$212
$303
4.4×
Lipid panel (80061)
$104
$148
7.8×
Renal function panel (80069)
$106
$151
12.2×
Hepatic function panel (80076)
$109
$156
13.3×
Urinalysis, non-automated, without microscopy (81002)
$18
$26
5.2×
PSA, total (84153)
$106
$151
5.8×
Thyroid stimulating hormone (TSH) (84443)
$111
$159
6.6×
CBC, automated (85027)
$59
$84
9.1×
Prothrombin time (PT) (85610)
$45
$64
10.5×
Partial thromboplastin time (PTT) (85730)
$67
$95
11.1×
Electrocardiogram (ECG), complete (93000)
$85
$121
1.4×
Sleep study (attended polysomnography) (95810)
$490
$700
0.6×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$103
$147
3.5×
Office visit, new patient (low complexity, ~30 min) (99203)
$133.50
$190.50
1.0×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$168
$240
1.3×
Office visit, new patient (high complexity, ~60 min) (99205)
$224
$320
1.7×
Office consultation (low complexity, ~30 min) (99243)
$151
$215
1.1×
Office consultation (moderate complexity, ~40 min) (99244)
$215.50
$307.50
1.6×
Preventive visit, new patient (age 18–39) (99385)
$70
$100
—
Preventive visit, new patient (age 40–64) (99386)
$70
$100
—
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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