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Posts prices for 28 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.
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Procedure Cash price Gross charge × Medicare
Transforaminal epidural injection, lumbar/sacral (64483)
$1,300
$2,000
1.4×
CT head/brain without contrast (70450)
$1,605.50
$2,470
14.9×
MRI brain without contrast (70551)
$2,107.95
$3,243
8.6×
MRI brain without and with contrast (70553)
$3,002.35
$4,619
8.3×
MRI lumbar spine without contrast (72148)
$2,179.45
$3,353
8.9×
MRI lower-extremity joint without contrast (73721)
$1,091.68
$1,679.50
4.4×
CT abdomen and pelvis with contrast (74177)
$3,526.90
$5,426
9.8×
Ultrasound, abdomen complete (76700)
$470.60
$724
4.4×
Ultrasound, transvaginal (76830)
$761.15
$1,171
7.1×
Mammography, one breast (diagnostic) (77065)
$231.08
$355.50
2.7×
Mammography, both breasts (diagnostic) (77066)
$262.92
$404.50
2.4×
Mammography, screening (bilateral) (77067)
$313.95
$483
3.4×
Basic metabolic panel (80048)
$101.40
$156
12.0×
Comprehensive metabolic panel (80053)
$141.70
$218
13.4×
Lipid panel (80061)
$94.90
$146
7.1×
Renal function panel (80069)
$101.40
$156
11.7×
Hepatic function panel (80076)
$102.70
$158
12.6×
PSA, total (84153)
$100.10
$154
5.4×
Thyroid stimulating hormone (TSH) (84443)
$87.10
$134
5.2×
CBC with automated differential (85025)
$91.65
$141
11.8×
CBC, automated (85027)
$57.20
$88
8.8×
Prothrombin time (PT) (85610)
$65
$100
15.2×
Partial thromboplastin time (PTT) (85730)
$91.65
$141
15.2×
Psychotherapy, 60 minutes (90837)
$259.35
$399
1.4×
Sleep study (attended polysomnography) (95810)
$2,819.70
$4,338
3.2×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$89.05
$137
3.1×
Office visit, new patient (low complexity, ~30 min) (99203)
$224.25
$345
1.6×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$295.75
$455
2.2×
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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