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Posts prices for 39 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Breast lesion removal (open) (19120)
$7,067
$7,209
1.6×
Knee arthroscopy with meniscectomy (29881)
$6,583.50
$13,167
1.8×
Tonsillectomy and adenoidectomy (under age 12) (42820)
$8,267
$16,534
1.3×
Upper GI endoscopy (EGD), diagnostic (43235)
$1,881.50
$3,763
1.9×
Upper GI endoscopy (EGD) with biopsy (43239)
$1,881.50
$3,763
1.9×
Diagnostic colonoscopy (45378)
$1,752.50
$3,505
1.7×
Colonoscopy with biopsy (45380)
$1,978.50
$3,957
1.5×
Colonoscopy with lesion removal (45385)
$1,978.50
$3,957
1.5×
Laparoscopic gallbladder removal (47562)
$11,490
$22,980
1.7×
Inguinal hernia repair (age 5+) (49505)
$7,396.50
$14,793
1.9×
Transforaminal epidural injection, lumbar/sacral (64483)
$1,939
$3,878
2.0×
CT head/brain without contrast (70450)
$657
$1,314
5.6×
MRI brain without contrast (70551)
$1,177.50
$2,355
4.4×
MRI brain with contrast (70552)
$1,428
$2,856
3.7×
MRI brain without and with contrast (70553)
$1,803.50
$3,607
4.6×
X-ray lower spine, 4+ views (72110)
$253.50
$507
2.2×
MRI lumbar spine without contrast (72148)
$1,177.50
$2,355
4.4×
CT pelvis with contrast (72193)
$1,000.50
$2,001
5.1×
MRI lower-extremity joint without contrast (73721)
$1,177.50
$2,355
4.4×
CT abdomen and pelvis with contrast (74177)
$1,171
$2,342
3.0×
Ultrasound, abdomen complete (76700)
$328
$656
2.8×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$328
$656
2.8×
Ultrasound, transvaginal (76830)
$328
$656
2.8×
Mammography, one breast (diagnostic) (77065)
$249.70
$499.40
2.9×
Mammography, both breasts (diagnostic) (77066)
$258.63
$517.25
2.3×
Mammography, screening (bilateral) (77067)
$134.65
$269.30
1.5×
Basic metabolic panel (80048)
$60
$120
7.1×
Comprehensive metabolic panel (80053)
$42.50
$85
4.0×
Lipid panel (80061)
$52
$104
3.9×
Renal function panel (80069)
$27.50
$55
3.2×
Hepatic function panel (80076)
$32
$64
3.9×
PSA, total (84153)
$3.38
$6.75
0.2×
Thyroid stimulating hormone (TSH) (84443)
$71.12
$142.25
4.2×
CBC with automated differential (85025)
$58.50
$117
7.5×
CBC, automated (85027)
$32.50
$65
5.0×
Prothrombin time (PT) (85610)
$48.42
$96.83
11.3×
Partial thromboplastin time (PTT) (85730)
$30.38
$60.75
5.1×
Sleep study (attended polysomnography) (95810)
$2,356.85
$4,713.70
2.5×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$171
$342
5.9×
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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