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