Home › Hospitals › Noxubee General Hospital
Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-26.
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Procedure Cash price Gross 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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