Montgomery General Hospital

Montgomery, WV · Critical Access Hospital

Posts prices for 51 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.

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ProcedurePosted cashPosted gross× Medicare
Breast lesion removal (open) (19120)
range across 2 matching MRF lines
$772.50–$4,635 $1,030–$6,180 varies
Shoulder arthroscopy with decompression (29826)
range across 2 matching MRF lines
$309–$386.25 $412–$515 varies
Knee arthroscopy with meniscectomy (29881)
range across 3 matching MRF lines
$1,081.50–$5,793.75 $1,442–$7,725 varies
Upper GI endoscopy (EGD), diagnostic (43235)
range across 5 matching MRF lines
$588.07–$1,158.75 $784.09–$1,545 varies
Upper GI endoscopy (EGD) with biopsy (43239)
range across 7 matching MRF lines
$618–$1,622.25 $824–$2,163 varies
Diagnostic colonoscopy (45378)
range across 6 matching MRF lines
$897.26–$1,236 $1,196.35–$1,648 varies
Colonoscopy with biopsy (45380)
range across 2 matching MRF lines
$989.57–$1,390.50 $1,319.43–$1,854 varies
Colonoscopy with lesion removal (45385)
range across 2 matching MRF lines
$1,123.41–$1,429.13 $1,497.88–$1,905.50 varies
Laparoscopic gallbladder removal (47562)
range across 2 matching MRF lines
$1,388.57–$6,566.25 $1,851.43–$8,755 varies
Inguinal hernia repair (age 5+) (49505)
range across 2 matching MRF lines
$741.99–$2,703.75 $989.32–$3,605 varies
Cataract removal with lens insertion (66984) $2,317.50 $3,090 1.0×
CT head/brain without contrast (70450)
range across 2 matching MRF lines
$94.44–$574.74 $125.92–$766.32 varies
MRI brain without contrast (70551)
range across 3 matching MRF lines
$101.39–$856.70 $135.19–$1,142.27 varies
MRI brain with contrast (70552)
range across 2 matching MRF lines
$121.67–$963.11 $162.23–$1,284.15 varies
MRI brain without and with contrast (70553)
range across 3 matching MRF lines
$283.89–$1,712.05 $378.53–$2,282.74 varies
X-ray lower spine, 4+ views (72110)
range across 2 matching MRF lines
$52.72–$102.36 $70.30–$136.48 varies
MRI lumbar spine without contrast (72148)
range across 2 matching MRF lines
$164.74–$856.70 $219.65–$1,142.27 varies
CT pelvis with contrast (72193)
range across 4 matching MRF lines
$123.60–$625.15 $164.80–$833.53 varies
MRI lower-extremity joint without contrast (73721)
range across 10 matching MRF lines
$85.17–$1,713.21 $113.56–$2,284.28 varies
CT abdomen and pelvis with contrast (74177)
range across 3 matching MRF lines
$444.19–$1,606.80 $592.25–$2,142.40 varies
Ultrasound, abdomen complete (76700)
range across 2 matching MRF lines
$90.38–$318.08 $120.51–$424.10 varies
Ultrasound, pregnant uterus (≥14 weeks) (76805)
range across 2 matching MRF lines
$125.72–$163.58 $167.63–$218.10 varies
Ultrasound, transvaginal (76830)
range across 2 matching MRF lines
$93.28–$272.11 $124.37–$362.82 varies
Mammography, one breast (diagnostic) (77065)
range across 6 matching MRF lines
$77.44–$101.78 $103.26–$135.70 varies
Mammography, both breasts (diagnostic) (77066)
range across 2 matching MRF lines
$95.60–$124.18 $127.46–$165.57 varies
Mammography, screening (bilateral) (77067)
range across 3 matching MRF lines
$77.44–$124.18 $103.26–$165.57 varies
Basic metabolic panel (80048) $100.04 $133.39 11.8×
Comprehensive metabolic panel (80053) $96.76 $129.01 9.2×
Lipid panel (80061)
range across 2 matching MRF lines
$78.60–$107.57 $104.80–$143.43 varies
Renal function panel (80069) $90.19 $120.25 10.4×
Hepatic function panel (80076) $90.38 $120.51 11.1×
Urinalysis, non-automated, with microscopy (81000) $16.22 $21.63 4.0×
Urinalysis, non-automated, without microscopy (81002) $8.50 $11.33 2.4×
PSA, total (84153) $64.31 $85.75 3.5×
Thyroid stimulating hormone (TSH) (84443)
range across 2 matching MRF lines
$70.10–$80.53 $93.47–$107.38 varies
CBC with automated differential (85025)
range across 2 matching MRF lines
$25.11–$44.03 $33.48–$58.71 varies
Prothrombin time (PT) (85610) $37.66 $50.21 8.8×
Partial thromboplastin time (PTT) (85730) $38.05 $50.73 6.3×
Psychotherapy, 30 minutes (90832)
range across 2 matching MRF lines
$139.05–$154.50 $185.40–$206 varies
Psychotherapy, 45 minutes (90834)
range across 2 matching MRF lines
$169.95–$193.13 $226.60–$257.50 varies
Psychotherapy, 60 minutes (90837)
range across 2 matching MRF lines
$193.13–$231.75 $257.50–$309 varies
Group psychotherapy (90853)
range across 2 matching MRF lines
$23.18–$77.25 $30.90–$103 varies
Sleep study (attended polysomnography) (95810)
range across 2 matching MRF lines
$927–$1,581.69 $1,236–$2,108.93 varies
Physical therapy, therapeutic exercise (per 15 min) (97110)
range across 6 matching MRF lines
$51.18–$54.08 $68.24–$72.10 varies
Office visit, new patient (low complexity, ~30 min) (99203)
range across 10 matching MRF lines
$30.71–$153.34 $40.94–$204.46 varies
Office visit, new patient (moderate complexity, ~45 min) (99204)
range across 10 matching MRF lines
$38.63–$192.74 $51.50–$256.99 varies
Office visit, new patient (high complexity, ~60 min) (99205)
range across 12 matching MRF lines
$29.93–$289.69 $39.91–$386.25 varies
Office consultation (low complexity, ~30 min) (99243)
range across 4 matching MRF lines
$27.62–$130.75 $36.82–$174.33 varies
Office consultation (moderate complexity, ~40 min) (99244)
range across 5 matching MRF lines
$37.27–$185.79 $49.70–$247.72 varies
Preventive visit, new patient (age 18–39) (99385) $197.18 $262.91 —
Preventive visit, new patient (age 40–64) (99386) $235.23 $313.64 —

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.

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Download the machine-readable file (CSV, 31.2 MB) ↓ — captured 2026-08-28

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