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Posts prices for 30 of the 66 common shoppable procedures we track. Price file retrieved 2026-07-18.
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Procedure Cash price Gross charge × Medicare
CT head/brain without contrast (70450)
$1,059
$1,513
10.1×
MRI brain without contrast (70551)
$1,952
$2,788
8.1×
MRI brain without and with contrast (70553)
$2,881
$4,115
8.2×
X-ray lower spine, 4+ views (72110)
$272
$389
2.6×
MRI lumbar spine without contrast (72148)
$1,734
$2,477
7.2×
CT pelvis with contrast (72193)
$1,777
$2,539
10.1×
MRI lower-extremity joint without contrast (73721)
$1,610
$2,300
6.7×
CT abdomen and pelvis with contrast (74177)
$2,383
$3,404
6.8×
Ultrasound, abdomen complete (76700)
$533
$761
5.1×
Ultrasound, transvaginal (76830)
$590
$843
5.6×
Basic metabolic panel (80048)
$108
$154
12.8×
Comprehensive metabolic panel (80053)
$150
$214
14.2×
Lipid panel (80061)
$103
$147
7.7×
Renal function panel (80069)
$92
$132
10.6×
Hepatic function panel (80076)
$123
$176
15.1×
Urinalysis, non-automated, without microscopy (81002)
$8
$11
2.3×
PSA, total (84153)
$110
$157
6.0×
Thyroid stimulating hormone (TSH) (84443)
$95
$135
5.7×
CBC with automated differential (85025)
$67
$95
8.6×
CBC, automated (85027)
$69
$98
10.7×
Prothrombin time (PT) (85610)
$42
$60
9.8×
Partial thromboplastin time (PTT) (85730)
$75
$107
12.5×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$77
$110
2.6×
Office visit, new patient (low complexity, ~30 min) (99203)
$161
$230
1.2×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$225
$321
1.7×
Office visit, new patient (high complexity, ~60 min) (99205)
$286.50
$409
2.1×
Office consultation (low complexity, ~30 min) (99243)
$202
$289
1.5×
Office consultation (moderate complexity, ~40 min) (99244)
$282
$403
2.1×
Preventive visit, new patient (age 18–39) (99385)
$85
$122
—
Preventive visit, new patient (age 40–64) (99386)
$85
$122
—
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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