Home › Hospitals › PeaceHealth Peace Island Medical Center Posts prices for 36 of the 66 common shoppable procedures we track. Price file retrieved 2026-08-28.
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Procedure Cash price Gross charge × Medicare
Knee arthroscopy with meniscectomy (29881) $4,184.70
$6,438
1.1×
Upper GI endoscopy (EGD), diagnostic (43235) $1,783.82
$2,744.34
1.8×
Upper GI endoscopy (EGD) with biopsy (43239) $1,247.84
$1,919.75
1.2×
Diagnostic colonoscopy (45378) $1,415.05
$2,177
1.4×
Colonoscopy with biopsy (45380) $1,415.05
$2,177
1.1×
Colonoscopy with lesion removal (45385) $1,286.35
$1,979
1.0×
CT head/brain without contrast (70450) $1,444.95
$2,223
12.4×
MRI brain without contrast (70551) $2,513.55
$3,867
9.5×
MRI brain without and with contrast (70553) $3,196.05
$4,917
8.2×
X-ray lower spine, 4+ views (72110) $360.10
$554
3.1×
MRI lumbar spine without contrast (72148) $2,156.05
$3,317
8.1×
CT pelvis with contrast (72193) $2,380.95
$3,663
12.2×
MRI lower-extremity joint without contrast (73721) $1,706.25
$2,625
6.4×
CT abdomen and pelvis with contrast (74177) $2,325.05
$3,577
6.0×
Ultrasound, abdomen complete (76700) $624.65
$961
5.4×
Ultrasound, pregnant uterus (≥14 weeks) (76805) $756.60
$1,164
6.5×
Ultrasound, transvaginal (76830) $360.75
$555
3.1×
Mammography, one breast (diagnostic) (77065) $193.05
$297
2.2×
Mammography, both breasts (diagnostic) (77066) $247
$380
2.2×
Mammography, screening (bilateral) (77067) $204.10
$314
2.2×
Basic metabolic panel (80048) $44.20
$68
5.2×
Comprehensive metabolic panel (80053) $44.20
$68
4.2×
Lipid panel (80061) $77.35
$119
5.8×
Renal function panel (80069) $44.20
$68
5.1×
Hepatic function panel (80076) $36.40
$56
4.5×
Urinalysis, non-automated, without microscopy (81002) $17.22
$26.50
4.9×
PSA, total (84153) $96.85
$149
5.3×
Thyroid stimulating hormone (TSH) (84443) $66.95
$103
4.0×
CBC with automated differential (85025) $51.35
$79
6.6×
CBC, automated (85027) $42.25
$65
6.5×
Prothrombin time (PT) (85610) $45.50
$70
10.6×
Partial thromboplastin time (PTT) (85730) $42.25
$65
7.0×
Physical therapy, therapeutic exercise (per 15 min) (97110) $107.25
$165
3.7×
Office visit, new patient (low complexity, ~30 min) (99203) $104.65
$161
0.7×
Office visit, new patient (moderate complexity, ~45 min) (99204) $124.15
$191
0.8×
Office visit, new patient (high complexity, ~60 min) (99205) $143.65
$221
1.0×
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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