Noxubee General Hospital

Macon, MS · Critical Access Hospital

Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.

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ProcedureCash priceGross charge× Medicare
CT head/brain without contrast (70450) $347.25 $463 3.9×
MRI brain without contrast (70551) $787.50 $1,050 3.8×
MRI brain with contrast (70552) $881.25 $1,175 2.9×
MRI brain without and with contrast (70553) $1,040.62 $1,387.50 3.5×
X-ray lower spine, 4+ views (72110) $213.75 $285 2.4×
MRI lumbar spine without contrast (72148) $787.50 $1,050 3.8×
CT pelvis with contrast (72193) $577.50 $770 3.8×
MRI lower-extremity joint without contrast (73721) $787.50 $1,050 3.8×
CT abdomen and pelvis with contrast (74177) $1,136.25 $1,515 3.8×
Ultrasound, abdomen complete (76700) $187.50 $250 2.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $232.50 $310 2.6×
Ultrasound, transvaginal (76830) $223.12 $297.50 2.5×
Basic metabolic panel (80048) $41.25 $55 4.9×
Comprehensive metabolic panel (80053) $82.50 $110 7.8×
Lipid panel (80061) $75 $100 5.6×
Renal function panel (80069) $71.25 $95 8.2×
Hepatic function panel (80076) $84.75 $113 10.4×
Urinalysis, non-automated, with microscopy (81000) $27 $36 6.7×
PSA, total (84153) $67.50 $90 3.7×
Thyroid stimulating hormone (TSH) (84443) $74.25 $99 4.4×
CBC with automated differential (85025) $35.25 $47 4.5×
CBC, automated (85027) $30 $40 4.6×
Prothrombin time (PT) (85610) $72 $96 16.8×
Partial thromboplastin time (PTT) (85730) $79.50 $106 13.2×
Psychotherapy, 30 minutes (90832) $153.75 $205 1.0×
Family psychotherapy, without patient (50 min) (90846) $184.75 $246.33 1.2×
Family psychotherapy, with patient (50 min) (90847) $184.75 $246.33 1.2×
Group psychotherapy (90853) $121.39 $161.85 1.4×
Physical therapy, therapeutic exercise (per 15 min) (97110) $56.25 $75 1.9×
Office visit, new patient (low complexity, ~30 min) (99203) $93.75 $125 0.8×
Office visit, new patient (moderate complexity, ~45 min) (99204) $131.25 $175 1.1×
Office visit, new patient (high complexity, ~60 min) (99205) $144.38 $192.50 1.3×

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, 3.6 MB) ↓ — captured 2026-08-26

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