Home › Hospitals › Monroe County Hospital Posts prices for 32 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) $667.20
$889.60
7.1×
MRI brain without contrast (70551) $2,625
$3,500
12.3×
MRI brain with contrast (70552) $1,807.50
$2,410
5.8×
MRI brain without and with contrast (70553) $3,187.50
$4,250
10.2×
X-ray lower spine, 4+ views (72110) $370.50
$494
4.0×
MRI lumbar spine without contrast (72148) $3,000
$4,000
14.0×
CT pelvis with contrast (72193) $883.50
$1,178
5.6×
MRI lower-extremity joint without contrast (73721) $3,000
$4,000
14.0×
CT abdomen and pelvis with contrast (74177) $1,431.98
$1,909.31
4.6×
Ultrasound, abdomen complete (76700) $309.75
$413
3.3×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $504
$672
5.4×
Ultrasound, transvaginal (76830) $302.25
$403
3.2×
Mammography, one breast (diagnostic) (77065) $307.50
$410
3.6×
Mammography, both breasts (diagnostic) (77066) $562.50
$750
5.1×
Mammography, screening (bilateral) (77067) $347.34
$463.12
3.8×
Basic metabolic panel (80048) $56.10
$74.80
6.6×
Comprehensive metabolic panel (80053) $50.74
$67.65
4.8×
Obstetric panel (80055) $195
$260
4.1×
Lipid panel (80061) $57.54
$76.72
4.3×
Renal function panel (80069) $91.50
$122
10.5×
Hepatic function panel (80076) $106.52
$142.02
13.0×
Urinalysis, non-automated, with microscopy (81000) $33
$44
8.2×
PSA, total (84153) $84
$112
4.6×
Thyroid stimulating hormone (TSH) (84443) $51
$68
3.0×
CBC with automated differential (85025) $32.42
$43.22
4.2×
CBC, automated (85027) $52.50
$70
8.1×
Prothrombin time (PT) (85610) $30
$40
7.0×
Partial thromboplastin time (PTT) (85730) $23.10
$30.80
3.8×
Physical therapy, therapeutic exercise (per 15 min) (97110) $55.50
$74
1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $141
$188
1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $237.75
$317
2.0×
Office visit, new patient (high complexity, ~60 min) (99205) $310.50
$414
2.6×
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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