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Posts prices for 37 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)
$5,696.25
$7,595
1.3×
CT head/brain without contrast (70450)
$1,650
$2,200
14.2×
MRI brain without contrast (70551)
$2,238.75
$2,985
8.4×
MRI brain with contrast (70552)
$2,583.75
$3,445
6.6×
MRI brain without and with contrast (70553)
$3,729
$4,972
9.6×
X-ray lower spine, 4+ views (72110)
$450.75
$601
3.9×
MRI lumbar spine without contrast (72148)
$2,335.50
$3,114
8.8×
CT pelvis with contrast (72193)
$2,088.75
$2,785
10.7×
MRI lower-extremity joint without contrast (73721)
$2,036.25
$2,715
7.7×
CT abdomen and pelvis with contrast (74177)
$3,632.25
$4,843
9.3×
Ultrasound, abdomen complete (76700)
$757.50
$1,010
6.5×
Ultrasound, pregnant uterus (≥14 weeks) (76805)
$708.75
$945
6.1×
Ultrasound, transvaginal (76830)
$462.75
$617
4.0×
Mammography, one breast (diagnostic) (77065)
$388.50
$518
4.5×
Mammography, both breasts (diagnostic) (77066)
$467.25
$623
4.2×
Mammography, screening (bilateral) (77067)
$375
$500
4.1×
Basic metabolic panel (80048)
$88.50
$118
10.5×
Comprehensive metabolic panel (80053)
$112.50
$150
10.7×
Lipid panel (80061)
$193.50
$258
14.5×
Renal function panel (80069)
$71.25
$95
8.2×
Hepatic function panel (80076)
$79.50
$106
9.7×
Urinalysis, non-automated, without microscopy (81002)
$32.25
$43
9.3×
PSA, total (84153)
$124.50
$166
6.8×
Thyroid stimulating hormone (TSH) (84443)
$132.75
$177
7.9×
CBC with automated differential (85025)
$102.38
$136.50
13.2×
CBC, automated (85027)
$55.50
$74
8.6×
Prothrombin time (PT) (85610)
$45
$60
10.5×
Partial thromboplastin time (PTT) (85730)
$84
$112
14.0×
Psychotherapy, 30 minutes (90832)
$135
$180
0.7×
Psychotherapy, 45 minutes (90834)
$177.75
$237
0.9×
Psychotherapy, 60 minutes (90837)
$263.25
$351
1.3×
Family psychotherapy, without patient (50 min) (90846)
$76.50
$102
0.4×
Family psychotherapy, with patient (50 min) (90847)
$79.50
$106
0.4×
Physical therapy, therapeutic exercise (per 15 min) (97110)
$96.75
$129
3.3×
Office visit, new patient (low complexity, ~30 min) (99203)
$189
$252
1.3×
Office visit, new patient (moderate complexity, ~45 min) (99204)
$284.25
$379
1.9×
Office visit, new patient (high complexity, ~60 min) (99205)
$364.50
$486
2.5×
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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