Ortonville Hospital

Ortonville, MN · Critical Access Hospital

Posts prices for 32 of the 66 common shoppable procedures we track. Price file retrieved 2026-09-01.

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ProcedureCash priceGross charge× Medicare
Transforaminal epidural injection, lumbar/sacral (64483) $2,410.60 $2,836 2.6×
CT head/brain without contrast (70450) $1,348.95 $1,587 12.5×
MRI brain without contrast (70551) $2,142 $2,520 8.7×
MRI brain without and with contrast (70553) $2,619.70 $3,082 7.3×
X-ray lower spine, 4+ views (72110) $363.80 $428 3.4×
MRI lumbar spine without contrast (72148) $2,142 $2,520 8.7×
CT pelvis with contrast (72193) $1,542.75 $1,815 8.5×
MRI lower-extremity joint without contrast (73721) $2,142 $2,520 8.7×
CT abdomen and pelvis with contrast (74177) $3,026 $3,560 8.4×
Ultrasound, abdomen complete (76700) $870.40 $1,024 8.1×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $565.25 $665 5.2×
Ultrasound, transvaginal (76830) $387.60 $456 3.6×
Mammography, one breast (diagnostic) (77065) $397.80 $468 4.6×
Mammography, both breasts (diagnostic) (77066) $406.30 $478 3.7×
Mammography, screening (bilateral) (77067) $397.80 $468 4.4×
Basic metabolic panel (80048) $115.60 $136 13.7×
Comprehensive metabolic panel (80053) $158.95 $187 15.1×
Lipid panel (80061) $129.20 $152 9.6×
Renal function panel (80069) $152.15 $179 17.5×
Hepatic function panel (80076) $126.65 $149 15.5×
Urinalysis, non-automated, without microscopy (81002) $22.95 $27 6.6×
PSA, total (84153) $163.20 $192 8.9×
Thyroid stimulating hormone (TSH) (84443) $124.10 $146 7.4×
CBC with automated differential (85025) $107.10 $126 13.8×
CBC, automated (85027) $93.50 $110 14.5×
Prothrombin time (PT) (85610) $10.20 $12 2.4×
Partial thromboplastin time (PTT) (85730) $78.20 $92 13.0×
Sleep study (attended polysomnography) (95810) $3,119.50 $3,670 3.5×
Physical therapy, therapeutic exercise (per 15 min) (97110) $102.85 $121 3.5×
Office visit, new patient (low complexity, ~30 min) (99203) $29.75 $35 0.2×
Office visit, new patient (moderate complexity, ~45 min) (99204) $29.75 $35 0.2×
Office visit, new patient (high complexity, ~60 min) (99205) $29.75 $35 0.2×

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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